Objective To investigate the effect of carbachol on early oral fluid resuscitation of a 50% total body surface area (TBSA) burn in dogs. Methods Seventeen Beagle dogs were surgically pre-pared for cannulation of carotid artery,jngular vein ,gastric and bladder,and 24 h later they were subjected to a 50% TBSA full-thickness flame injury. The dogs were randomized to three groups in the first 24 h after burn:non-resuscitation (NR group), gastric resuscitation with glucose-electrolyte solution (GES group), and gastric resuscitation with GES containing 20 μg/kg of carbachol (GES/CAR group). The delivery rate of GES was 4 ml/kg of fluid per 1% TBSA bum during the first 24 h. In the second 24 h all dogs received IV fluid resuscitation. At the end of 72 h-period experiment,the mortality was recorded. Gastric emptying rote in the first 8 h was determined in two gastric resuscitation groups. Changes in homodynamics, cardiac output (CO) urinary output,plasma level of tumor necrosis factor-alpha (TNF-α) during the period of 72 h, and activity of nitric oxide synthase (NOS) of organ tissues at 72 h after bum were also determined. Results The levels of mean arterial pressure (MAP) ,CO,urinary output and the rate of gastric emptying were markedly rdeuced, and the contents of TNF-α obviously elevated in all three groups compared with those before burn injury. The levels of MAP and CO in two gastric infusion groups were significantly in-creased as compared with those in NR group. The levels of CO and the rate of gastric emptying were signifi-cantly increased in GES/CAR group as compared with those in GES group from 4 h after burn (P<0.01). Urinary output was increased in GES/CAR compared to that in GES group from 24 h post burn (P< 0.01). GES/CAR group showed lower TNF-α at 2 h,4 h ,8 h and NOS levels at 72 h than CES group (P< 0.05 or P<0.01) after injury. Conclusion Carbachol efficiently improved the resuscitative effects of oral resuscitation of 50% TBSA bum,which may be related to their effects of promoting gastric emptying and of attenuating systematic inflammation. Key words: Bum; Fluid therapy; Carbachol
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