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The effect of ketamine on acute muscular ischaemia reperfusion in rats

Published online by Cambridge University Press:  26 August 2005

A. E. Salman
Affiliation:
Hacettepe University, Faculty of Medicine, Departments of Anaesthesiology and Reanimation, Ankara, Turkey
D. Dal
Affiliation:
Hacettepe University, Faculty of Medicine, Departments of Anaesthesiology and Reanimation, Ankara, Turkey
M. A. Salman
Affiliation:
Hacettepe University, Faculty of Medicine, Departments of Anaesthesiology and Reanimation, Ankara, Turkey
A. B. Iskit
Affiliation:
Hacettepe University, Faculty of Medicine, Department of Pharmacology, Ankara, Turkey
Ü Aypar
Affiliation:
Hacettepe University, Faculty of Medicine, Departments of Anaesthesiology and Reanimation, Ankara, Turkey
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Summary

Background and objective: The aim of this study was to investigate any possible protective effect of ketamine in acute muscular ischaemia and reperfusion injury by measuring malondialdehyde using thiobarbituric acid assay in rats. Methods: Twelve female Wistar albino rats were anaesthetized with chloral hydrate and randomly assigned into two groups to receive ketamine 1 mg kg−1 min−1 or saline infusion. Blood and gastrocnemius muscle samples were obtained 10 min after onset of infusion, before ischaemia. Then, femoral arteries were clamped for 30 min. Blood and muscle samples were obtained at the 30th minute of ischaemia and 10 min after reperfusion. Results: Muscle malondialdehyde concentrations were 27.88 ± 2.45, 27.62 ± 3.98 before ischaemia, 32.10 ± 4.19, 30.77 ± 2.73 in the 30th minute of ischaemia and 44.34 ± 2.45, 34.83 ± 2.78 after reperfusion in saline and ketamine-treated rats, respectively (nmol g−1, mean ± SD). The muscle malondialdehyde level after reperfusion was lower in ketamine-treated rats compared to saline group (P < 0.002). Plasma malondialdehyde levels were 3.77 ± 0.16, 3.78 ± 0.18 before ischaemia, 3.81 ± 0.25, 4.00 ± 0.86 at the 30th minute of ischaemia and 4.00 ± 0.53, 3.94 ± 0.95 after reperfusion, respectively, in saline and ketamine-treated rats (μmol L−1, mean ± SD). The effect of ketamine on muscular malondialdehyde was not observed in concurrent plasma malondialdehyde levels. Conclusion: Ketamine was found to attenuate acute ischaemia–reperfusion injury in muscle tissue in rats (muscular protective). Ketamine may attenuate lipid peroxidation in muscle tissue in tourniquet-requiring manoeuvres.

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Original Article
Copyright
© 2005 European Society of Anaesthesiology

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References

Sakamoto H, Corcoran TB, Laffley JG, Shorten GD. Isoprostanes – markers of ischaemia reperfusion injury. Eur J Anesth 2002; 19: 550559.Google Scholar
Ross S, Foëx P. Protective effects of anaesthetics in reversible and irreversible ischaemia–reperfusion injury. Br J Anaesth 1999; 82: 622632.Google Scholar
Ohshima T, Yabe Y, Ishiguro N, Iwata H. Effect of dibutyryl cyclic adenosine monophosphate on skeletal muscle reperfusion injury in the rat. Eur Surg Res 1997; 29: 438446.Google Scholar
Prem JT, Eppinger M, Lemmon G et al. The role of glutamine in skeletal muscle ischemia/reperfusion injury in the rat hind limb model. Am J Surg 1999; 178: 147150.Google Scholar
Valenzuela A. The biological significance of malondialdehyde determination in the assessment of tissue oxidative stress. Life Sci 1991; 48: 301309.Google Scholar
Concannon MJ, Kester CG, Welsh CF, Puckett CL. Patterns of free radical production after tourniquet ischemia: implications for the hand surgeon. Plast Reconstr Surg 1992; 89: 846852.Google Scholar
Lindsay T, Walker PM, Mickle DA, Romaschin AD. Measurement of hydroxy-conjugated dienes after ischemia–reperfusion in canine skeletal muscle. Am J Physiol 1988; 254: H578H583.Google Scholar
Kahraman S, Kilinc K, Dal D, Erdem K. Propofol attenuates formation of lipid peroxides in tourniquet-induced ischaemia–reperfusion injury. Br J Anaesth 1997; 78: 279281.Google Scholar
Lipps J, deHaan P, Bodewitz P et al. Neuroprotective effects of riluzole and ketamine during transient spinal cord ischemia in the rabbit. Anesthesiology 2000; 93: 13031311.Google Scholar
Martinez-Arizala A, Rigamonti DD, Long JB et al. Effects of NMDA receptor antagonists following spinal ischemia in the rabbit. Exp Neurol 1990; 108: 232240.Google Scholar
Zhou M, Ma T, Tseng MT. Effects of taurine and ketamine on bovine retinal membrane lipid peroxidation. Neuroscience 1991; 45: 461465.Google Scholar
Mihara S, Uchiyama M. Determination of malonaldehyde precursor in tissues by thiobarbituric acid test. Anal Biochem 1978; 86: 271278.Google Scholar
Wade CR, Van Rij AM. Plasma thiobarbituric acid reactivity: reaction conditions and the role of iron, antioxidants and lipid peroxy radicals on the quantitation of plasma lipid peroxides. Life Sci 1988; 43: 10851093.Google Scholar
Duggan M, Engelberts D, Jankov RP et al. Hypocapnia attenuates mesenteric ischemia–reperfusion injury in a rat model. Can J Anaesth 2005; 52: 262268.Google Scholar
Fukai M, Hayashi T, Yokota R et al. Lipid peroxidation during ischemia depends on ischemia time in warm ischemia and reperfusion of rat liver. Free Radic Biol Med 2005; 38: 13731381.Google Scholar
Hoffman WE, Pelligrino D, Werner C et al. Ketamine decreases plasma catecholamines and improves outcome from incomplete cerebral ischemia in rats. Anesthesiology 1992; 76: 755762.Google Scholar
Schaefer CF, Biber B, Brackett CC et al. Choice of anaesthetic alters the circulatory shock pattern as gauged by conscious rat endotoxemia. Acta Anaesthesiol Scand 1987; 31: 550556.Google Scholar
Weigand MA, Schmidt H, Zhao Q et al. Ketamine modulates the stimulated adhesion molecule expression on human neutrophils in vitro. Anesth Analg 2000; 90: 206212.Google Scholar
Zilberstein G, Levy R, Rachinsky M et al. Ketamine attenuates neutrophil activation after cardiopulmonary bypass. Anesth Analg 2002; 95: 531536.Google Scholar
Weiss M, Birkhahn A, Mettler S et al. Stereoselective suppression of neutrophil function by ketamine? Immunopharmachol Immunotoxicol 1995; 17: 91107.Google Scholar
Szekely A, Heindl B, Zahler S et al. S(+)-ketamine but not R(−)-ketamine, reduces postischemic adherence of neutrophils in the coronary system of isolated guinea pig hearts. Anesth Analg 1999; 88: 10171024.Google Scholar
Church J, Zeman S, Lodge D. The neuroprotective action of ketamine and MK-801 after transient cerebral ischemia in rats. Anesthesiology 1988; 69: 702709.Google Scholar
D'Amico M, Di Filippo C, Rossi F. Arrhythmias induced by myocardial ischaemia–reperfusion are sensitive to ionotropic excitatory amino acid receptor antagonists. Eur J Pharmacol 1999; 366: 167174.Google Scholar