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10.1203/00006450-199604000-00008

http://scihub22266oqcxt.onion/10.1203/00006450-199604000-00008
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8848333!ä!8848333

suck abstract from ncbi


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pmid8848333      Pediatr+Res 1996 ; 39 (4 Pt 1): 609-15
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  • Effects of ATP-magnesium chloride on the cardiopulmonary manifestations of group B streptococcal sepsis in the piglet #MMPMID8848333
  • Ali A; Goldberg RN; Suguihara C; Huang J; Martinez O; Feuer W; Bancalari E
  • Pediatr Res 1996[Apr]; 39 (4 Pt 1): 609-15 PMID8848333show ga
  • Low dose ATP-MgCl2 is reported to cause selective pulmonary vasodilation during hypoxic and thromboxane mimetic-induced constriction. In addition, it has been shown to increase cardiac output and improve cellular function during circulatory shock. Based on these properties we hypothesized that ATP-MgCl2 might ameliorate the cardiopulmonary manifestations of sepsis secondary to group B streptococci (GBS). We studied 14 anesthetized, mechanically ventilated piglets who received a continuous infusion of GBS (7.5 x 10(7) colony-forming units/kg/min) and were randomly assigned to a treatment group that received a continuous infusion of ATP-MgCl2 at 0.6 mumol/kg/min or a control group that received normal saline as placebo. Comparison of the hemodynamic measurements, pulmonary mechanics, and arterial blood gases over the first 120 min of ATP-MgCl2 infusions with those of the control group revealed the following: GBS infusion caused significant increases in mean pulmonary artery pressure, pulmonary vascular resistance (PVR), mean systemic arterial blood pressure, systemic vascular pressure (SVR), and PVR/SVR ratio with decreases in cardiac output and stroke volume. ATP-MgCl2 caused significant reduction in mean pulmonary artery pressure (p < 0.001), PVR (p < 0.0001), mean systemic arterial blood pressure (p < 0.003), SVR (p < 0.01), and PVR/SVR ratio (p < 0.03) with improvement in cardiac output (p < 0.001) and stroke volume (p < 0.01). The partial pressure of arterial O2 (p < 0.04), and pH (p < 0.001) were higher and the partial pressure of arterial CO2 (p < 0.02) lower in ATP-MgCl2-treated animals. Also dynamic lung compliance was higher (p < 0.001) and pulmonary airway resistance lower (p < 0.001) in treated animals. Median survival in control animals was 153 min, whereas all treated animals survived to 240 min (p < 0.001). These data demonstrate that ATP-MgCl2 ameliorates the deleterious cardiopulmonary manifestations of GBS sepsis and results in improved survival in a young animal model.
  • |*Streptococcus agalactiae[MESH]
  • |Adenosine Triphosphate/*therapeutic use[MESH]
  • |Animals[MESH]
  • |Blood Gas Monitoring, Transcutaneous[MESH]
  • |Blood Pressure[MESH]
  • |Cardiac Output[MESH]
  • |Lung Compliance[MESH]
  • |Magnesium Chloride/*therapeutic use[MESH]
  • |Pulmonary Artery[MESH]
  • |Sepsis/*drug therapy/physiopathology[MESH]
  • |Streptococcal Infections/*drug therapy/physiopathology[MESH]
  • |Swine[MESH]


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