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Yavuz A, Tuna AT, Ozdemir C, Mortas T, Küçük A, Kasapbaşı E, Arslan M, Kavutçu M, Kurtipek Ö. Effects of fullerene C60 on liver tissue in liver ischemia reperfusion injury in rats undergoing sevoflurane anesthesia. Libyan J Med 2023; 18:2281116. [PMID: 37976165 PMCID: PMC11018324 DOI: 10.1080/19932820.2023.2281116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Accepted: 11/05/2023] [Indexed: 11/19/2023] Open
Abstract
This study aimed to investigate the effects of fullerene C60 on rat liver tissue in a liver ischemia reperfusion injury (IRI) model under sevoflurane anesthesia to evaluate the ability of nanoparticles to prevent hepatic complications. A total of 36 adult female Wistar Albino rats were divided into six groups, each containing six groups as follows: sham group (Group S), fullerene C60 group (Group FC60), ischemia-reperfusion group (Group IR), ischemia-reperfusion-sevoflurane group (Group IR-Sevo), ischemia-reperfusion-fullerene C60 group (Group IR-FC60), and ischemia-reperfusion-fullerene C60-sevoflurane group (Group IR-FC60-Sevo). Fullerene C60 100 mg/kg was administered to IR-FC60 and IR-FC60-Sevo groups. In the IR group, 2 h of ischemia and 2 h of reperfusion were performed. At the end of reperfusion, liver tissues were removed for biochemical assays and histopathological examinations. Hepatocyte degeneration, sinusoidal dilatation, prenecrotic cells, and mononuclear cell infiltration in the parenchyma were significantly higher in Group IR than in all other groups. Thiobarbituric acid reactive substances levels were significantly higher in Group IR than in the other groups, and the lowest thiobarbituric acid reactive substances level was in Group IR-FC60 than in the other groups, except for Groups S and FC60. Catalase and Glutathione-S-transferase activities were reduced in the IR group compared to all other groups. Fullerene C60 had protective effects against liver IR injury in rats under sevoflurane anesthesia. The use of fullerene C60 could reduce the adverse effects of IRI and the associated costs of liver transplantation surgery.
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Affiliation(s)
- Aydın Yavuz
- Faculty of Medicine, Department of General Surgery, Gazi University, Ankara, Turkey
| | - Ayca Tas Tuna
- Faculty of Medicine, Department of Anesthesiology and Reanimation, Sakarya University, Sakarya, Turkey
| | - Cagrı Ozdemir
- Mamak State Hospital, Department of Anesthesiology and Reanimation, Ankara, Turkey
| | - Tülay Mortas
- Faculty of Medicine, Department of Histology and Embryology, Kırıkkale University, Kırıkkale, Turkey
| | - Ayşegül Küçük
- Faculty of Medicine, Department of Physiology, Kütahya University of Health Sciences, Kütahya, Turkey
| | - Esat Kasapbaşı
- Faculty of Medicine, Department of Anesthesiology and Reanimation, Gazi University, Ankara, Turkey
| | - Mustafa Arslan
- Faculty of Medicine, Department of Anesthesiology and Reanimation, Life Sciences Application and Research Center, Gazi University, Ankara, Turkey
| | - Mustafa Kavutçu
- Faculty of Medicine, Department of Biochemistry, Gazi University, Ankara, Turkey
| | - Ömer Kurtipek
- Faculty of Medicine, Department of Anesthesiology and Reanimation, Gazi University, Ankara, Turkey
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Şengel N, Köksal Z, Dursun AD, Kurtipek Ö, Sezen ŞC, Arslan M, Kavutçu M. Effects of Dexmedetomidine Administered Through Different Routes on Kidney Tissue in Rats with Spinal Cord Ischaemia–Reperfusion Injury. Drug Des Devel Ther 2022; 16:2229-2239. [PMID: 35860522 PMCID: PMC9289575 DOI: 10.2147/dddt.s361618] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2022] [Accepted: 07/02/2022] [Indexed: 11/23/2022] Open
Abstract
Background Ischaemia–reperfusion (IR) injury, which can be encountered during surgical procedures involving the abdominal aorta, is a complex process that affects distant organs, such as the heart, liver, kidney, and lungs, as well as the lower extremities. In this study, we aimed to contribute to the limited literature by investigating the protective effect of dexmedetomidine, which was administered through different routes, on kidney tissue in rats with spinal cord IR injury. Methods A total of 30 rats were randomly divided into five groups: control (C group), IR (IR group), IR-intraperitoneal dexmedetomidine (IRIPD group), IR-intrathecal dexmedetomidine (IRITD group), and IR-intravenous dexmedetomidine (IRIVD group). The spinal cord IR model was established. Dexmedetomidine was administered at doses of 100 µg/kg intraperitoneally, 3 µg/kg intrathecally, and 9 µg/kg intravenously. Histopathologic parameters in kidney tissue samples taken at the end of the reperfusion period and biochemical parameters in serum were evaluated. Results When examined histopathologically, tubular dilatation was found to be significantly reduced in the IRIVD, IRITD, and IRIPD groups compared with the IR group (p = 0.012, all). Vascular vacuolization and hypertrophy were significantly decreased in the IRIVD, IRITD, and IRIPD groups compared with the IR group (p = 0.006, all). Tubular cell degeneration and necrosis were significantly reduced in the IRIVD, IRITD, and IRIPD groups compared with the IR group (p = 0.008, p = 0.08, and p = 0.030, respectively). Lymphocyte infiltration was significantly decreased in the IRIVD and IRITD groups compared with the IR group (p = 0.006 and p = 0.06, respectively). Conclusion It was observed that dexmedetomidine administered by different routes improved the damage caused by IR in kidney histopathology. We think that the renoprotective effects of dexmedetomidine administered intravenously and intrathecally before IR in rats are greater.
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Affiliation(s)
- Necmiye Şengel
- Department of Oral and Maxillofacial Surgery, Gazi University Faculty of Dentistry, Ankara, Turkey
| | - Zeynep Köksal
- Department of Anesthesiology and Reanimation, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Ali Doğan Dursun
- Department of Physiology, Atılım University Faculty of Medicine, Ankara, Turkey
| | - Ömer Kurtipek
- Department of Anesthesiology and Reanimation, Gazi University Faculty of Medicine, Ankara, Turkey
| | - Şaban Cem Sezen
- Department of Histology and Embryology, Kırıkkale University Faculty of Medicine, Kırıkkale, Turkey
| | - Mustafa Arslan
- Department of Anesthesiology and Reanimation, Gazi University Faculty of Medicine, Ankara, Turkey
- Correspondence: Mustafa Arslan, Gazi University, Medical Faculty, Department of Anesthesiology and Reanimation, Ankara, 06510, Turkey, Tel +90 533 422 85 77, Email
| | - Mustafa Kavutçu
- Department of Medical Biochemistry, Gazi University Faculty of Medicine, Ankara, Turkey
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Sungur Z, Ergil J, Karaaslan K, Tomak Y, Turgut N, Kurtipek Ö. Recommendation for Resuming Elective Surgery during the Normalising Period in COVID-19 Pandemic. Turk J Anaesthesiol Reanim 2021; 49:58-62. [PMID: 33718907 PMCID: PMC7932702 DOI: 10.5152/tjar.2021.1255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Accepted: 12/24/2020] [Indexed: 02/02/2023] Open
Affiliation(s)
- Zerrin Sungur
- Department of Anaesthesiology and Reanimation, İstanbul University, İstanbul Faculty of Medicine, İstanbul, Turkey
| | - Jülide Ergil
- Department of Anaesthesiology and Reanimation, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey
| | - Kazım Karaaslan
- Department of Anaesthesiology and Reanimation, Bezmialem Vakif University, İstanbul, Turkey
| | - Yakup Tomak
- Department of Anaesthesiology and Reanimation, Sakarya Training and Research Hospital, Sakarya, Turkey
| | - Namigar Turgut
- Department of Anaesthesiology and Reanimation, Prof. Dr. Cemil Taşçıoğlu Hospital, İstanbul, Turkey
| | - Ömer Kurtipek
- Department of Anaesthesiology and Reanimation, Gazi University Faculty of Medicine, Ankara, Turkey
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Bedirli N, Işık B, Bashiri M, Pampal K, Kurtipek Ö. Clinically suspected anaphylaxis induced by sugammadex in a patient with Weaver syndrome undergoing restrictive mammoplasty surgery: A case report with the literature review. Medicine (Baltimore) 2018; 97:e9661. [PMID: 29505006 PMCID: PMC5779775 DOI: 10.1097/md.0000000000009661] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2017] [Accepted: 12/28/2017] [Indexed: 11/25/2022] Open
Abstract
RATIONALE Sugammadex is a cylodextrin derivate that encapsulates steroidal neuromuscular blocker agents and is reported as a safe and well-tolerated drug. In this case report, we present a patient who developed grade 3 anaphylaxis just after sugammadex administration. PATIENT CONCERNS A 22-year-old woman with diagnosis of Weaver syndrome was scheduled for bilateral mammoplasty and resection of unilateral accessory breast tissue resection. Anesthesia was induced and maintained by propofol, rocuronium, and remifentanil. At the end of the operation, sugammadex was administered and resulted in initially hypotension and bradycardia then the situation worsened by premature ventricular contraction and bigeminy with tachycardia, bronchospasm, and hypoxia. DIAGNOSIS The Ring and Messmer clinical severity scale grade 3 anaphylactic reaction occurred just after sugammadex injection and the patient developed prolonged hypotension with recurrent cardiac arrhythmias in postoperative 12 hours. INTERVENTIONS Treatment was initiated bolus injections of ephedrine, epinephrine, lidocaine, steroids and antihistaminic and continued with lidocaine bolus dosages and norepinephrine infusion for the postoperative period. OUTCOMES The general condition of the patient improved to normal 3 hours after the sugammadex injection, and she was moved to the intensive care unit. At 2nd and 8th hours of intensive care unit follow-up, she developed premature ventricular contraction and bigeminy with the heart rate of 130 to 135 beats/min, which returned to sinus rhythm with 50 mg lidocaine. After that, no symptoms were observed and the patient was discharged to plastic surgery clinic at the following day. LESSONS Sugammadex may result in life-treating anaphylactic reaction even in a patient who did not previously expose to drug. Moreover, prolonged cardiovascular collapse and cardiac arrhythmias may occur.
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Kuskonmaz SM, Kurtipek Ö, Aydın ME, Erbatur ME, Alkan M, Ünal Y, Arslan M. A retrospective analysis of blood gases with two different insulin infusion protocols in patients undergoing cardiovascular surgery. Niger J Clin Pract 2016; 19:742-746. [PMID: 27811445 DOI: 10.4103/1119-3077.178943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
AIM Intraoperative blood glucose concentration is known to be an independent risk factor for morbidity and mortality in patients undergoing cardiovascular surgery. Arterial blood gas analysis is an important investigation to monitor the acid-base balance and gas exchange in these patients. Hyperglycemia leads to a series of metabolic changes which affect acid-base balance and serum electrolytes. In this study, we aimed to look into the effect of glycemic control on arterial blood gas parameters, serum electrolytes, and hemoglobin (Hb). MATERIALS AND METHODS We collected data from diabetic patients who underwent cardiovascular surgery between 2010 and 2014. The patients were divided into two groups according to the insulin infusion protocols applied such as with conventional (180-250 mg/dl) (n = 17) (Group 1) and tighter glycemic targets (121-180 mg/dl) (n = 51) (Group 2). We retrospectively analyzed arterial blood gas results taken at different perioperative time points from these patients. RESULTS We found that pH HCO3and base excess, serum sodium, potassium, calcium, and Hb were similar in both groups. CONCLUSION Our study showed that a tighter intraoperative glycemic control does not affect arterial blood gas parameters, serum electrolytes, or Hb when compared to the conventional glycemic control.
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Affiliation(s)
- S M Kuskonmaz
- Department of Endocrinology and Metabolism, Medical Faculty, Gazi University, Ankara, Turkey
| | - Ö Kurtipek
- Department of Anaesthesiology and Reanimation, Medical Faculty, Gazi University, Ankara, Turkey
| | - M E Aydın
- Department of Anaesthesiology and Reanimation, Medical Faculty, Gazi University, Ankara, Turkey
| | - M E Erbatur
- Department of Anaesthesiology and Reanimation, Medical Faculty, Gazi University, Ankara, Turkey
| | - M Alkan
- Department of Anaesthesiology and Reanimation, Medical Faculty, Gazi University, Ankara, Turkey
| | - Y Ünal
- Department of Anaesthesiology and Reanimation, Medical Faculty, Gazi University, Ankara, Turkey
| | - M Arslan
- Department of Anaesthesiology and Reanimation, Medical Faculty, Gazi University, Ankara, Turkey
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Yavuz S, Ünal Y, Pamir Ö, Yılmazer D, Kurtipek Ö, Kavutçu M, Arslan M, Ark M, Yıldırır Y. Synthesis and Pharmacological Evaluation of Some Novel Thebaine Derivatives:N-(Tetrazol-1H-5-yl)-6,14-endoethenotetrahydrothebaine Incorporating the 1,3,4-Oxadiazole or the 1,3,4-Thiadiazole Moiety. Arch Pharm (Weinheim) 2013; 346:455-62. [DOI: 10.1002/ardp.201200451] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2012] [Revised: 03/12/2013] [Accepted: 03/18/2013] [Indexed: 11/12/2022]
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Demiralp S, Oral M, Kurtipek Ö, Aşik I, Poçan S, Tuĝ T, Tüzüner F. A.113 Haemodynamic effects of laparoscopic insufflation at different pressures in dogs produced myocardial ischaemia model. Br J Anaesth 1996. [DOI: 10.1016/s0007-0912(18)30968-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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