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10.1089/neu.2016.4656

http://scihub22266oqcxt.onion/10.1089/neu.2016.4656
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suck abstract from ncbi


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pmid27869558
      J+Neurotrauma 2017 ; 34 (7 ): 1337-1350
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  • Polynitroxylated Pegylated Hemoglobin-A Novel, Small Volume Therapeutic for Traumatic Brain Injury Resuscitation: Comparison to Whole Blood and Dose Response Evaluation #MMPMID27869558
  • Brockman EC ; Jackson TC ; Dixon CE ; Bay?r H ; Clark RS ; Vagni V ; Feldman K ; Byrd C ; Ma L ; Hsia C ; Kochanek PM
  • J Neurotrauma 2017[Apr]; 34 (7 ): 1337-1350 PMID27869558 show ga
  • Resuscitation with polynitroxylated pegylated hemoglobin (PNPH), a pegylated bovine hemoglobin decorated with nitroxides, eliminated the need for fluid administration, reduced intracranial pressure (ICP) and brain edema, and produced neuroprotection in vitro and in vivo versus Lactated Ringer's solution (LR) in experimental traumatic brain injury (TBI) plus hemorrhagic shock (HS). We hypothesized that resuscitation with PNPH would improve acute physiology versus whole blood after TBI+HS and would be safe and effective across a wide dosage range. Anesthetized mice underwent controlled cortical impact and severe HS to mean arterial pressure (MAP) of 25-27?mm Hg for 35?min, then were resuscitated with PNPH, autologous whole blood, or LR. Markers of acute physiology, including mean arterial blood pressure (MAP), heart rate (HR), blood gases/chemistries, and brain oxygenation (PbtO(2)), were monitored for 90?min on room air followed by 15?min on 100% oxygen. In a second experiment, the protocol was repeated, except mice were resuscitated with PNPH with doses between 2 and 100?mL/kg. ICP and 24?h %-brain water were evaluated. PNPH-resuscitated mice had higher MAP and lower HR post-resuscitation versus blood or LR (p?
  • |Animals [MESH]
  • |Blood Transfusion, Autologous/*methods [MESH]
  • |Brain Edema/*drug therapy/etiology [MESH]
  • |Brain Injuries, Traumatic/complications/*drug therapy [MESH]
  • |Cattle [MESH]
  • |Disease Models, Animal [MESH]
  • |Dose-Response Relationship, Drug [MESH]
  • |Hemoglobins/administration & dosage/*pharmacology [MESH]
  • |Isotonic Solutions/administration & dosage/*pharmacology [MESH]
  • |Mice [MESH]
  • |Mice, Inbred C57BL [MESH]
  • |Neuroprotective Agents/administration & dosage/*pharmacology [MESH]
  • |Resuscitation/*methods [MESH]
  • |Ringer's Lactate [MESH]


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