Epidural anesthesia retards intestinal acidosis and reduces portal vein endotoxin concentrations during progressive hypoxia in rabbits

K. Ai, Y. Kotake, T. Satoh, R. Serita, J. Takeda, Hiroshi Morisaki

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Background: Because it is postulated that gut is important via bacterial translocation in the development of the systemic inflammatory response and multiple organ dysfunction, the preservation of gut integrity is a therapeutic goal for physicians who care for critically ill patients. The aim of the current study was to evaluate whether epidural anesthesia prevented gut injury and subsequent translocation of endotoxin during acute progressive hypoxia in rabbits. Methods: After the placement of an epidural catheter, 18 male rabbits, anesthetized with buprenorphine-midazolam, were allocated randomly to two groups: 0.5% lidocaine (group E) and saline (group C) groups. The solutions (0.4 ml/kg) were injected epidurally, followed by continuous infusion (0.1 ml·kg-1·h-1) during the study period. Portal blood flow, portal endotoxin concentrations, and intramucosal pH (pHi) of the ileum were measured at baseline and during two stages of progressive hypoxia (fraction of inspired oxygen [FIO2] = 0.15 and 0.10). Results: In both study groups, the portal blood flow was preserved to a similar extent during acute hypoxia. However, phi was reduced to a lesser extent in group E (7.33 ± 0.12 versus 7.22 ± 0.12 at an FIO2 of 0.15 and 7.13 ± 0.15 versus 7.03 ± 0.12 at an FIO2 of 0.10; mean ± SD, P < 0.01), concurrently with lower portal endotoxin concentrations (P < 0.05) compared with group C. Conclusions: The current study showed that epidural anesthesia slowed the progression of intestinal ischemia during acute hypoxia, subsequently preventing translocation of endotoxin through the gut mucosa.

Original languageEnglish
Pages (from-to)263-269
Number of pages7
JournalAnesthesiology
Volume94
Issue number2
Publication statusPublished - 2001

Fingerprint

Epidural Anesthesia
Portal Vein
Acidosis
Endotoxins
Rabbits
Lidocaine
Organ Preservation
Bacterial Translocation
Buprenorphine
Midazolam
Blood Group Antigens
Ileum
Critical Illness
Mucous Membrane
Ischemia
Catheters
Oxygen
Physicians
Hypoxia
Wounds and Injuries

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Epidural anesthesia retards intestinal acidosis and reduces portal vein endotoxin concentrations during progressive hypoxia in rabbits. / Ai, K.; Kotake, Y.; Satoh, T.; Serita, R.; Takeda, J.; Morisaki, Hiroshi.

In: Anesthesiology, Vol. 94, No. 2, 2001, p. 263-269.

Research output: Contribution to journalArticle

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AU - Morisaki, Hiroshi

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