Journal of Applied Physiology
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J Appl Physiol 80: 56-61, 1996;
8750-7587/96 $5.00
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Journal of Applied Physiology, Vol 80, Issue 1 56-61, Copyright © 1996 by American Physiological Society


ARTICLES

Pulmonary responses to heparin-protamine complexes: the effects of age and species

T. Horiguchi, K. Enzan, K. Kawamura and M. Suzuki
Department of Anesthesia, Akita Kumiai Hospital, Japan.

To test the hypothesis that heparin-protamine complexes (H-P complexes) react with pulmonary intravascular macrophages, we studied the difference in the pulmonary reaction to H-P complexes between goats and rabbits and among different-aged goats. The increases in pulmonary arterial pressure (Ppa) and plasma thromboxane levels (Tx) after injection of H-P complexes (1.2 ml/kg) in goats (delta Ppa = 17 +/- 7.0 mmHg, delta Tx = 17.3 +/- 10.1 ng/ml) were significantly greater than in rabbits (delta Ppa = 0.50 +/- 1.0 mmHg, delta Tx = -0.01 +/- 0.17 ng/ml), the increase in Ppa in adult goats (> 150 days old; delta Ppa = 17 +/- 7.0 mmHg) was about sixfold higher than in newborn goats (1-3 days old; delta Ppa = 2.8 +/- 4.0 mmHg), and the increase in Tx in adult goats (delta Tx = 17.3 +/- 10.1 ng/ml) was significantly greater than those in newborn and young (19 days old) goats (delta Tx = 0.69 +/- 0.48 and 3.60 +/- 0.36 ng/ml, respectively). The pulmonary hemodynamic reaction to H-P complexes is consistent with the concept that the H-P complexes react with pulmonary intravascular macrophages.


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H. A. Seifert, D. R. Jobes, T. Ten Have, S. E. Kimmel, L. M. Montenegro, J. M. Steven, S. C. Nicolson, and B. L. Strom
Adverse Events After Protamine Administration Following Cardiopulmonary Bypass in Infants and Children
Anesth. Analg., August 1, 2003; 97(2): 383 - 389.
[Abstract] [Full Text] [PDF]




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