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Journal ArticleDOI

Effects of hemorrhagic shock and treatment with hypothermia on the potassium content and transport of single mammalian skeletal muscle cells.

Hengo Haljamäe
- 01 Feb 1970 - 
- Vol. 78, Iss: 2, pp 189-200
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TLDR
The effect of in vivo hemorrhagic shock and its treatment with hypothermia was studied by following the temporal pattern of intracellular potassium content in single skeletal muscle fibres during in vitro incubation and the results are discussed from the standpoint of cellular metabolism and high-energy phosphate production.
Abstract
The effect of in vivo hemorrhagic shock and its treatment with hypothermia was studied by following the temporal pattern of intracellular potassium content in single skeletal muscle fibres during in vitro incubation. For the control cells isolated before the different experi mental procedures were instituted, reproducible changes in potassium content were observed during the period of incubation. The potassium content of cells isolated shortly after the taking of the biopsy was somewhat lower than of cells isolated after 10 min of incubation. After 10 to 15 min of incubation a marked loss of cellular potassium was seen, followed by a period of active reaccumulation. After hemorrhagic shock under normothermal conditions the potassium content of the cells was markedly lower and no active cellular potassium reaccumulation was obtained during prolonged incubation. Hemorrhagic shock treated with hypothermia lowered the initial pptassium content somewhat but both the periods of cellular potassium loss and active reaceumulation were seen. Hypothermia alone only slightly modified potassium transport during the first 10 to 15 min of in vitro incubation. The results are discussed from the standpoint of cellular metabolism and high-energy phosphate production with special reference to the exchange of substances between body com partments under the diffrent experimental conditions.

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Citations
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Journal ArticleDOI

Potassium accumulation by bulk prepared neuronal and glial cells.

TL;DR: There was a definite magnesium requirement for the potassium uptake, particularly demonstrable for glial cells, and the uptake by both neurons and glia showed temperature and sodium dependence.
Journal ArticleDOI

Hypothermia and injury.

TL;DR: The dichotomy between laboratory findings that show a benefit of hypothermia and clinical findings that suggest detrimental effects remains difficult to explain, so preventing hypothermic remains prudent and suspended animation seems promising for patients with exsanguinating trauma.
Journal ArticleDOI

Mild or moderate hypothermia, but not increased oxygen breathing, increases long-term survival after uncontrolled hemorrhagic shock in rats.

TL;DR: After severe UHS and resuscitation in rats, mild Hypothermia during UHS, compared with normothermia, increases blood pressure, survival time and 72-hr survival rate as well as moderate hypothermia.
Journal ArticleDOI

Pathophysiology of shock.

TL;DR: The shock- and trauma-induced alterations in tissue perfusion and metabolism vary, depending on the autoregulatory capacity of an organ, its basal metabolic requirements, its high energy phosphagen reserves, and its ongoing functional activity.
Journal ArticleDOI

The interplay of central and peripheral factors in irreversible hemorrhagic shock.

TL;DR: A major advance was the recognition that these forms of circulatory collapse involved a substantial reduction in circulating blood volume, either as an early inciting factor, or secondarily as a consequence of a slow but continuous extravascular loss of fluid.
References
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Journal ArticleDOI

Oxygen deficit and irreversible hemorrhagic shock

TL;DR: A device was constructed to record continually the oxygen consumption of a dog and to summate as the oxygen deficit the difference between normal oxygen use and oxygen use during hypotension.
Journal ArticleDOI

Effect of Hemorrhagic Shock on the Reactivity of Resistance and Capacitance Vessels and on Capillary Filtration Transfer in Cat Skeletal Muscle

TL;DR: It is suggested that early in hemorrhagic shock the sympathetics, at least with respect to skeletal muscle, act in a compensatory manner by maintaining “venous return” (maintained capacitance response) and by increasing circulating blood volume (inward movement of extravascular fluid).
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