A novel fluid resuscitation protocol: Provide more protection on acute kidney injury during septic shock in rats

Wei Liu, Xue-Song Dong, Yu-Qiang Sun, Zhi Liu

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PMID: 24955162

Abstract:

Objective: To investigate the therapeutic effects of a novel fluid resuscitation protocol (early fluid resuscitation plus 2% hydrogen inhalation) on acute kidney injury during septic shock induced by lipopolysaccharide in rats.

Methods: Sixty male Wistar rats were randomly divided into four groups (n = 15 per group): control group (C), septic shock group (S), septic shock with early fluid resuscitation group (R), and septic shock with early fluid resuscitation plus 2% hydrogen inhalation group (R+R+H2). The rats were ventilated, and a 2% hydrogen mixture was used in Group R+H2. Lipopolysaccharide (10 mg/kg) was administered to establish the septic shock model in rats and fluid resuscitation was performed in Groups R and R+R+H2.

Results: Fluid resuscitation with 2% hydrogen inhalation decreased serum creatinine, blood urea nitrogen, and neutrophil gelatinase-associated lipocalin. It also reduced oxidative stress injury and decreased renal tumor necrosis factor-α and interleukin-6 levels compared with fluid resuscitation alone.

Conclusion: Early fluid resuscitation plus 2% hydrogen inhalation provided more protection against AKI during septic shock.


Publish Year 2014
Country China
Rank Positive
Journal International Journal of Clinical and Experimental Medicine
Primary Topic Kidney
Secondary TopicSepsis
Model Rat
Tertiary TopicInflammation
Vehicle Gas
pH N/A
Application Inhalation
Comparison
Complement