The effect of the inspired oxygen fraction on arterial blood oxygenation in spontaneously breathing,isoflurane anaesthetized horses: a retrospective study

ObjectivesTo investigate the influence of two inspired oxygen fractions (FIO₂) on the arterial oxygenation in horses anaesthetized with isoflurane.Study DesignRetrospective, case-control clinical study.AnimalsTwo hundred equine patients undergoing non-abdominal surgery (ASA class 1–2), using a standardized anaesthetic protocol and selected from anaesthetic records of a period of three years, based on pre-defined inclusion criteria.MethodsIn group O (n = 100), medical oxygen acted as carrier gas, while in group M (n = 100), a medical mixture of oxygen and air (FIO₂ 0.60) was used. Demographic data, FIO₂, arterial oxygen tension (PaO₂) and routinely monitored physiologic data were recorded. The alveolar-arterial oxygen tension difference [P(A-a)O₂] and PaO₂/FIO₂ ratio were calculated. The area under the curve, standardized to the anaesthetic duration, was calculated and statistically compared between groups using t-tests or Mann–Whitney tests as appropriate. Categorical data were compared using Chi-square tests.ResultsNo significant differences in age, body weight, sex, breed, surgical procedure, position, anaesthetic duration or arterial carbon dioxide tension were found. Mean FIO₂ was 0.78 in group O and 0.60 in group M. Compared to group O, significantly lower values for PaO₂ and for P(A-a)O₂ were found in group M. In contrast, the PaO₂/FIO₂ ratio and the percentage of horses with a PaO₂ <100 mmHg (13.33 kPa) were comparable in both groups.ConclusionsAlthough a reduction of the inspired oxygen fraction resulted in a lower PaO₂, the P(A-a)O₂ was also lower and the number of horses with PaO₂ values <100 mmHg was comparable.Clinical relevanceIn healthy isoflurane anaesthetized horses, the use of a mixture of oxygen and air as carrier gas seems acceptable, but further, prospective studies are needed to confirm whether it results in a lower degree of ventilation/perfusion mismatching.     

应用超高分辨率小动物超声系统研究高脂诱导的ApoE-/-小鼠动脉粥样硬化发生情况

以7~8周龄雄性SPF级ApoE^-/-小鼠为研究对象,高脂饲料喂养12周,按照不同喂养时间分为6组,喂养结束对小鼠进行血脂(TG、TC、HDL-C、LDL-C)检测和动脉超声影像学(动脉内中膜厚度、心脏左室收缩末期/舒张末期内径、左室校正质量、射血分数和缩短分数等指标)检测及动脉脂质沉积油红O染色观察,综合评价ApoE^-/-小鼠动脉粥样硬化模型的建立。结果显示,与对照相比较,Apo E^-/-小鼠心脏室间隔和左心室后壁增厚,左室质量增加,心脏功能降低。随着高脂饲料喂养周数的增加,ApoE^-/-小鼠血脂升高,升主动脉内膜厚度随之增加,从0.137 mm增加到0.195 mm;结合不同阶段ApoE^-/-小鼠动脉脂质沉积油红O染色结果,得出动脉脂质沉积不同程度的增加,与超声成像的结果保持一致。超高分辨率小动物超声系统在无创和活体情况下,监测ApoE^-/-小鼠的动脉粥样硬化的发生和发展,可作为小鼠模型建立的重要辅助工具。     

Effects of syringe material and temperature and duration of storage on the stability of equine arterial blood gas variables

OBJECTIVES: To evaluate the consistency of partial pressures (P) of arterial oxygen (aO(2)), arterial carbon dioxide (aCO(2)) and pH measurements in equine carotid arterial blood samples taken into syringes made from three different materials and stored at room temperature or placed in iced water for measurement at three different times. STUDY DESIGN: Prospective observational study over 19 days. ANIMALS: Four clinically normal Thoroughbred or Thoroughbred-cross horses (three geldings, one mare, mean age 6.25 years, range 5-7 years). METHODS: Identical blood samples were taken on two separate occasions from the carotid arteries of the four horses into syringes made of glass, plastic and polypropylene. PaO(2), PaCO(2) and pH determinations were performed on blood from each syringe type at 10, 60 and 120 minutes post-sampling with samples stored at room temperature (approximately 20 degrees C) or in iced water (approximately 0 degrees C). Data were analysed by anova and a split plot model fitting syringe within horse X pair and time within temperature within syringe. RESULTS: Syringe material, storage temperature and time before analysis all had significant effects on PaO(2) (p < 0.001). PaCO(2) was unaffected by syringe material or storage temperature. However, over 120 minutes, storage duration significantly (p = 0.002) affected values. Temperature of storage and duration prior to analysis both significantly affected pH values (p = 0.005 and p < 0.001, respectively), but syringe material did not. Several significant interactions between these variables were noted. CONCLUSIONS: Equine arterial blood gas determination has a different sensitivity to storage conditions compared to other veterinary species. CLINICAL RELEVANCE: For accurate equine arterial blood analysis, PaO(2) samples need to be analysed within 10 minutes or taken into glass syringes, stored on ice and analysed at 2 hours post-sampling. PaCO(2) and pH measurements can be performed on samples stored in glass, plastic or polypropylene syringes at room temperature for up to 1 hour post-sampling.     

Effects of 8 hemodynamic conditions on direct blood pressure values obtained simultaneously from the carotid,femoral and dorsal pedal arteries in dogs

ObjectivesThis study aimed to evaluate the effect of 8 hemodynamic conditions on blood pressure measurements taken from the carotid, femoral and dorsal pedal arteries of dogs.AnimalsSix healthy dogs.MethodsDuring isoflurane anesthesia, catheters were introduced into the carotid, femoral and dorsal pedal arteries of dogs to allow simultaneous monitoring of direct blood pressure in each artery. The dogs were submitted to 8 hemodynamic conditions induced by combining changes in heart rate (bradycardia, normocardia, tachycardia) with changes in blood pressure (hypotension, normotension, hypertension). Values obtained from each arterial catheter were compared and agreement between central (carotid) and peripheral (femoral and dorsal pedal) values were analyzed by the Bland–Altman method.ResultsDuring hypotensive conditions, systolic arterial pressure (SAP) was lower in the femoral and dorsal pedal arteries compared to the carotid artery whereas during normotensive and hypertensive conditions, SAP was higher in peripheral arteries. During hypotensive states, increases in heart rate resulted in greater bias between central and peripheral SAP whereas during normotensive states, the bias decreased as heart rate increased. Mean and diastolic arterial pressures were lower in the femoral and dorsal pedal arteries than in the carotid artery during most hemodynamic conditions.ConclusionsIn healthy anesthetized dogs, invasive blood pressure measurements in peripheral arteries may differ significantly from measurements in a central artery. The greatest differences were observed in SAP and the magnitude of differences between central and peripheral blood pressure measurements varied according to the dog's hemodynamic condition.     

Finite element analysis of wall stress in the equine pulmonary artery

Reasons for performing study: Arterial calcification is found frequently in the pulmonary artery of racehorses, but the aetiology is unknown. Calcification might be associated with increased wall stress due to arterial geometry (shape) and exercise‐induced hypertension. Hypothesis: High wall stress levels are found in the regions associated with calcified lesion formation, exacerbated as transluminal pressure increases to levels associated with exercise. Methods: The pulmonary arteries of 5 horses, unaffected by calcification, were dissected and pressurised to resting and exercising physiological transluminal pressures and scanned with MRI. Arterial geometries were reconstructed to form 3D computer models and finite element analyses performed. Wall stress levels were measured in 4 regions of interest: the arterial trunk and bifurcation, the wall ipsilateral and contralateral to the bifurcation. Measurements were made for arterial transluminal pressures of 25, 50 and 100 mmHg. Results: High wall stress levels were consistently found at the pulmonary artery bifurcation and wall ipsilateral to the bifurcation, where calcified lesions typically form. Lower wall stress levels were found along the trunk and the wall contralateral to the bifurcation where lesions are less frequently found. Wall stress levels increased 5‐fold over a 4‐fold increase in pressure. The wall stress levels ranged 10 kPa in the wall of the branch contralateral to the bifurcation at 25 mmHg to 400 kPa in the bifurcation at 100 mmHg. Conclusions: Wall stress from arterial geometry and increased pulmonary artery transluminal pressure are factors that may be associated with calcification of the equine pulmonary artery. Potential relevance: Arterial calcification may increase the risk of arterial wall failure in racing horses.     

Role of calcium-sensing receptor in hypoxia-induced proliferation of rat pulmonary artery smooth muscle cells

AIM: To explore the role of calcium-sensing receptor (CaSR) in rat pulmonary artery smooth muscle cells (PASMCs) and its effect on hypoxia-induced proliferation of PASMCs. METHODS: The expression and distribution of CaSRs were detected by Western blotting and immunofluorescence observation. The intracellular concentration of free calcium ([Ca]_i) was determined by confocal laser scanning microscopy. The cell viability was analyzed by MTT assay. The expression of PCNA and CaSRs was determined by Western blotting. RESULTS: CaSR protein was expressed in rat PASMCs. Hypoxia significantly increased the expression of CaSR and PCNA,[Ca]_i and the cell viability. GdCl₃ (an agonist of CaSR) or NPS2390 (an antagonist of CaSR) amplified or weakened the effect of hypoxia, respectively.CONCLUSION: CaSR is expressed in rat PASMCs. The activation of CaSR is involved in the proliferation of PASMCs induced by hypoxia.     

颅内钙化的MRI多序列研究

目的：探讨颅内钙化的MRI的SE-T1WI、FSE-T2WI、GRE-T2^＊WI信号改变和三种序列对钙化病灶的检出敏感性。方法：收集33例颅内钙化CT和MRI资料,钙化病灶共45处,均进行SE-T1WI、FSE-T2WI、GRE-T2^＊WI（TE为30ms）扫描．15例共27处钙化病灶行第2次GRE-T2^＊WI扫描（TE为50ms）。结果：（1）SE-T1WI、FSE-T2WI、GRE-T2^＊WI对钙化的检出敏感性分别为64．4％、84．4％、91．1％;（2）MRI检出率与钙化病灶的部位、大小有关．“中心性”病灶的检出率高于“偏中心”病灶（GRE-T2^＊WI除外）（P〈0．01）;GRE-T2^＊WI对“偏中心性”的钙化病灶检出高于SE-T1WI序列;大病灶的检出率明显高于小病灶（P〈0．05～0．01）。（3）MRI的三种序列均可显示为高、等、低、极低等4种信号,SE-T1WI以等和低信号多见,FSE-T2WI、GRE-T2^＊WI以低、极低信号多见。（4）GRE-T2^＊WI序列延长TE时间,钙化病灶的磁敏感性不增强．可以与铁沉积疾病鉴别。结论：颅内钙化的MRI信号多变．与钙化病灶的部位、大小有关．GRE-T2^＊WI序列对钙化灶的检出具有明显价值。     

Effects of EGLN1 siRNA on growth of rat pulmonary artery smooth muscle cells under hypoxic condition

AIM: To observe whether EGLN1 gene is involved in the growth of pulmonary arterial smooth muscle cells (PASMCs) during hypoxia when EGLN1 gene expression was interference by siRNA. METHODS: The rat primary pulmonary arterial smooth muscle cells were cultured, and the specific lipidosome of EGLN1 siRNA was constructed and transfected into the PASMCs. The transfected PASMCs were cultured under hypoxia or normoxia conditions, respectively. The viability of the PASMCs was detected by CCK-8 assay. The protein expression of EGLN1 and vascular endothelial growth factor (VEGF) was determined by Western blot. RESULTS: The viability of the PASMCs was increased and the protein expression of VEGF was up-regulated in the PASMCs under hypoxic condition in a time-dependent manner. In hypoxia or normoxia condition, the viability and VEGF protein expression of the PASMCs were suppressed by EGLN1 siRNA. CONCLUSION: EGLN1 gene may involve in the growth of rat PASMCs by regulating VEGF protein level under hypoxic condition.     

Risk factors and implications associated with renal mineralization in chronic kidney disease in cats

BackgroundNephrocalcinosis is a pathological feature of chronic kidney disease (CKD). Its pathophysiological implications for cats with CKD are unexplored.ObjectivesIdentify nephrocalcinosis risk factors and evaluate its influence on CKD progression and all‐cause mortality.AnimalsFifty‐one euthyroid client‐owned cats with International Renal Interest Society (IRIS) stages 2‐3 azotemic CKD.MethodsRetrospective cohort study. Histopathological kidney sections were assessed for nephrocalcinosis (von Kossa stain). Nephrocalcinosis severity was determined by image analysis (ImageJ). Ordinal logistic regressions were performed to identify nephrocalcinosis risk factors. The influence of nephrocalcinosis on CKD progression and mortality risk were assessed using linear mixed model and Cox regression, respectively. Cats were categorized by their owner‐reported time‐averaged phosphate‐restricted diet (PRD) intake, where PRD comprised ≥50%, 10‐50%, or none of food intake.ResultsNephrocalcinosis was rated as mild‐to‐severe in 78.4% and absent‐to‐minimal in 21.6% of cases. Higher baseline plasma total calcium concentration (tCa; odds ratio [OR] = 3.07 per 1 mg/dL; P = .02) and eating a PRD (10%‐50%: OR = 8.35; P = .01; ≥50%: OR = 5.47; P = .01) were independent nephrocalcinosis risk factors. Cats with absent‐to‐minimal nephrocalcinosis had increasing plasma creatinine (0.250 ± 0.074 mg/dL/month; P = .002), urea (5.06 ± 1.82 mg/dL/month; P = .01), and phosphate (0.233 ± 0.115 mg/dL/month; P = .05) concentrations over a 1‐year period, and had shorter median survival times than cats with mild‐to‐severe nephrocalcinosis.Conclusion and Clinical ImportanceHigher plasma tCa at CKD diagnosis and PRD intake are independently associated with nephrocalcinosis. However, nephrocalcinosis is not associated with rapid CKD progression in cats.