Abstract
Hypotension, cardiac depression, and elevated microvascular permeability are known problems that complicate resuscitation of patients following traumatic injury, particularly those who are also intoxicated from alcohol consumption. A conscious rat model of combined alcohol intoxication and hemorrhagic shock has been used to study the hemodynamic mechanisms involved. Here, we describe using this model to study microvascular leakage and cardiac electrical activity.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Howard RJ, Slesinger PA, Davies DL et al (2011) Alcohol-binding sites in distinct brain proteins: the quest for atomic level resolution. Alcohol Clin Exp Res 35:1561–1573
Whitaker AM, Sulzer JK, Molina PE (2011) Augmented central nitric oxide production inhibits vasopressin release during hemorrhage in acute alcohol-intoxicated rodents. Am j Physiol Regul Inter Comp Phsyiol 301:R1529–R1539
CDC (2012) Vital signs: binge drinking prevalence, frequency, and intensity among adults - United States, 2010. MMWR Morb Mortal Wkly Rep 61:14–19
Vonghia L, Leggio L, Ferrulli A et al (2008) Acute alcohol intoxication. Eur J Intern Med 19:561–567
Cherpitel CJ, Bond J, Ye Y et al (2003) Alcohol-related injury in the ER: a cross-national meta-analysis from the Emergency Room Collaborative Alcohol Analysis Project (ERCAAP). J Stud Alcohol 64:641–649
Madan AK, Yu K, Beech DJ (1999) Alcohol and drug use in victims of life-threatening trauma. J Trauma 47:568–571
Jurkovich GJ, Rivara FP, Gurney JG et al (1992) Effects of alcohol intoxication on the initial assessment of trauma patients. Ann Emerg Med 21:704–708
Hadfield RJ, Mercer M, Parr MJ (2001) Alcohol and drug abuse in trauma. Resuscitation 48:25–36
Shih HC, Hu SC, Yang CC et al (2003) Alcohol intoxication increases morbidity in drivers involved in motor vehicle accidents. Am J Emerg Med 21:91–94
Maier RV (2001) Ethanol abuse and the trauma patient. Surg Infect 2:133–141. discussion 141–144
Carden DL, Granger DN (2000) Pathophysiology of ischaemia-reperfusion injury. J Pathol 190:255–266
Childs EW, Tharakan B, Hunter FA et al (2007) Apoptotic signaling induces hyperpermeability following hemorrhagic shock. Am J Physiol Heart Circ Physiol 292:H3179–H3189
Childs EW, Tharakan B, Byrge N et al (2008) Angiopoietin-1 inhibits intrinsic apoptotic signaling and vascular hyperpermeability following hemorrhagic shock. Am J Physiol Heart Circ Physiol 294:H2285–H2295
Mathis KW, Zambell K, Olubadewo JO et al (2006) Altered hemodynamic counter-regulation to hemorrhage by acute moderate alcohol intoxication. Shock 26:55–61
Kumar P, Shen Q, Pivetti CD et al (2009) Molecular mechanisms of endothelial hyperpermeability: implications in inflammation. Expert Rev Mol Med 11:e19
Greiffenstein P, Mathis KW, Stouwe CV et al (2007) Alcohol binge before trauma/hemorrhage impairs integrity of host defense mechanisms during recovery. Alcohol Clin Exp Res 31:704–715
Molina PE, Zambell KL, Norenberg K et al (2004) Consequences of alcohol-induced early dysregulation of responses to trauma/hemorrhage. Alcohol 33:217–227
Phelan H, Stahls P, Hunt J et al (2002) Impact of alcohol intoxication on hemodynamic, metabolic, and cytokine responses to hemorrhagic shock. J Trauma 52:675–682
Mathis KW, Molina PE (2009) Transient central cholinergic activation enhances sympathetic nervous system activity but does not improve hemorrhage-induced hypotension in alcohol-intoxicated rodents. Shock 32:410–415
Molina MF, Whitaker A, Molina PE et al (2009) Alcohol does not modulate the augmented acetylcholine-induced vasodilatory response in hemorrhaged rodents. Shock 32:601–607
Doggett TM, Breslin JW (2014) Acute alcohol intoxication-induced microvascular leakage. Alcohol Clin Exp Res 38:2414–2426
Zhang Y, Post WS, Dalal D et al (2011) Coffee, alcohol, smoking, physical activity and QT interval duration: results from the Third National Health and Nutrition Examination Survey. PLoS One 6:e17584
Aasebo W, Erikssen J, Jonsbu J et al (2007) ECG changes in patients with acute ethanol intoxication. Scand Cardiovasc J 41:79–84
Lorsheyd A, de Lange DW, Hijmering ML et al (2005) PR and OTc interval prolongation on the electrocardiogram after binge drinking in healthy individuals. Neth J Med 63:59–63
Souza-Smith FM, Kurtz KM, Molina PE et al (2010) Adaptation of mesenteric collecting lymphatic pump function following acute alcohol intoxication. Microcirculation 17:514–524
Duran WN, Sanchez FA, Breslin JW (2008) Microcirculatory exchange function. In: Tuma RF, Duran WN, Ley K (eds) Handbook of physiology: microcirculation, 2nd edn. Academic Press—Elsevier, San Diego, CA, pp 81–124
Breslin JW, Wu MH, Guo M et al (2008) Toll-like receptor 4 contributes to microvascular inflammation and barrier dysfunction in thermal injury. Shock 29:349–355
Hatakeyama T, Pappas PJ, Hobson RW 2nd et al (2006) Endothelial nitric oxide synthase regulates microvascular hyperpermeability in vivo. J Physiol 574:275–281
Morganroth J (2007) Cardiac repolarization and the safety of new drugs defined by electrocardiography. Clin Pharmacol Ther 81:108–113
Farraj AK, Hazari MS, Cascio WE (2011) The utility of the small rodent electrocardiogram in toxicology. Toxicol Sci 121:11–30
Couderc JP (2009) Measurement and regulation of cardiac ventricular repolarization: from the QT interval to repolarization morphology. Philos Trans A Math Phys Eng Sci 367:1283–1299
Varro A, Baczko I (2011) Cardiac ventricular repolarization reserve: a principle for understanding drug-related proarrhythmic risk. Br J Pharmacol 164:14–36
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Science+Business Media, LLC
About this protocol
Cite this protocol
Doggett, T.M., Tur, J.J., Alves, N.G., Yuan, S.Y., Tipparaju, S.M., Breslin, J.W. (2018). Assessment of Cardiovascular Function and Microvascular Permeability in a Conscious Rat Model of Alcohol Intoxication Combined with Hemorrhagic Shock and Resuscitation. In: Tharakan, B. (eds) Traumatic and Ischemic Injury. Methods in Molecular Biology, vol 1717. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-7526-6_6
Download citation
DOI: https://doi.org/10.1007/978-1-4939-7526-6_6
Published:
Publisher Name: Humana Press, New York, NY
Print ISBN: 978-1-4939-7524-2
Online ISBN: 978-1-4939-7526-6
eBook Packages: Springer Protocols