The Effect of Methylprednisolone on Tourniquet Ischemia. |
Jung Kil Leem, Young Kyoo Choi, Ok Young Shin, Doo Ik Lee, Kwang Il Shin |
Department of Anesthesiology, Kyung Hee University School of Medicine, Seoul, Korea. |
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Abstract |
High doses of corticosteroids have been found to have beneficial effects in various shock states. It has been well recognized that ischemia is one of the important factors in shock states. This prompted us to investigate the effect of high dose methylprednisolone on tourniquet induced ischemia.
The results were as follows: 1) The heart rate did not change significantly after tourniquet release in both group.
2) The mean arterial pressure decreased ignificantly at 1 minute after tourniquet release in both group. 3) The PaO2,PaCO2 and HCO-(3) did not change significantly after tourniquet release in both group. 4) The pH decreased significantly at l minute and 5 minutes after tourniquet release in control group and did not change in methylprednisolone group. 5) Base excess increased significantly at 1 minute and 5 munutes after tourniquet release in control group and did not change significantly in methylprednisolone group. In conclusion, the results of this study indicate that methylprednisolone provides a beneficial effect during tourniquet ischemia. |
Key Words:
Methylprednisolone; Tourniquet; Ischemia |
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