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1.
Biochim Biophys Acta ; 731(2): 304-11, 1983 Jun 10.
Artigo em Inglês | MEDLINE | ID: mdl-6849925

RESUMO

The disintegration behaviour of liposomes in polyoxyethylene lauryl ether (PLE) and sodium cholate solutions was studied by the turbidity disappearance method. In maximally solubilized systems of liposomes, the molar ratios (phosphatidylcholine/surfactant) were 0.43 and 1.8 for PLE and sodium cholate, respectively. The disintegration process of either unilamellar or multilamellar liposomes followed first-order kinetics. Based on a physical model in which liposomes heterogeneous in size were assumed to disintegrate from the outermost shell one by one, a mathematical expression of the turbidity disappearance rate was introduced and applied to explain the data thus obtained. Model calculations suggested that the number of disintegrated shells would not be so large, even if up to 50% reduction of the initial turbidity was observed. From the dependence of the pseudo-first-order rate constant (kobs) on the surfactant concentration for unilamellar liposomes, it was assumed in general that kobs consists of the contributions of the monomer and micellar fractions: for PLE, both fractions shared in the disintegration, but only the micellar fraction with sodium cholate. Furthermore, in the latter case, kobs depended on the initial liposome concentration. These results are likely to be consistent with the proposed modes of surfactant action classified as type A and type B (Helenius, A. and Simons, K. (1975) Biochim. Biophys. Acta 415, 29-79).


Assuntos
Ácidos Cólicos , Detergentes , Lipossomos , Fosfatidilcolinas , Polietilenoglicóis , Tensoativos , Ácido Cólico , Cinética , Matemática , Modelos Biológicos , Polidocanol , Solubilidade , Soluções
2.
Anal Chem ; 72(20): 4812-20, 2000 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-11055694

RESUMO

The solvolytic dissociation rate constants of 1:2 complexes of Al3+ and Ga3+ with an azo dye ligand, 2,2'-dihydroxyazobenzene-5,5'-disulfonate (DHABS, H2L2-), have been evaluated with a capillary electrophoretic reactor (CER) system. This CER system is based on the fact that metal complexes encounter an overwhelming force to dissociate when apart from the ligand by CE resolution. Treatment of a capillary with a slightly acidic buffer solution, e.g., pH 5, reduces the double-layer potential (zeta) of the inner silica wall. Owing to slow relaxation of the deprotonation equilibria of superficial silanol groups known as the pH hysteresis, this zeta potential can be actually retained during the electrophoresis of the metal complexes in question with a neutral buffer at pH 7.0. This method enables one to manipulate migration times, namely, residence times in a capillary tube, from 5 to 90 min, depending on the prescribed conditioning pH, without changing any other operation conditions such as buffer composition and electric field strength. The excellent performance of the CER is exemplified by the accurate estimation of the dissociation degree of the complexes. The dissociation degree-time profiles for the complexes are quantitatively described using both internal and external standards; the very inert complex of [Co(III)L2]5- for the peak signal standardization and methyl orange for the injection volume correction. The solvolytic dissociation rate constants of the 1:2 complexes of Al3+ and Ga3+ ions with DHABS [AlL2]5- and [GaL2]5- into the 1:1 ones have been determined as (4.9+/-1.0) x 10(-4) and (3.7+/-0.3) x 10(-3) s(-1) at 303 K, respectively.

3.
Neurochem Int ; 28(5-6): 523-33, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-8792333

RESUMO

Astrocytic contribution of endothelial cell monolayer permeability was examined in two blood-brain barrier (BBB) models, using the coculture in a double chamber system: rat astrocytes and bovine aortic endothelial cells (BAECs) or bovine brain endothelial cells (BBECs). In system 1, where astrocytes were separated from endothelial cells, a 40% reduction in L-glucose permeability of the BBEC monolayer, but not the BAEC monolayer, was observed by cocultivation with astrocytes. Although several passages of BBEC in culture elicited morphological transformation from spindle-shapes to cobblestone-like features, the passaged BBECs remained responsive to astrocytes in coculture in system 1 (37% reduction of the L-glucose permeability). By contrast, in system 2, where respective endothelial cells and astrocytes layered on the upper and lower surfaces of a membrane, the permeability of both BAEC and BBEC monolayers was reduced by cocultivation with astrocytes (75% reduction for BAEC and 40% reduction for BBEC). BAECs in this contiguous coculture (system 2) with astrocytes showed numerous tight junction-like structures characteristic of the BBB in vivo. These results suggest that primary cultured BBECs, which had been primed by astrocytes in vivo, retain a higher sensitivity to astrocytes possibly through an astrocytic soluble factor (s) to exhibit BBB-specific phenotypes, and that even BAEC from extra-neural tissues, when cultured with astrocytes in close proximity in vitro, may acquire the similar phenotypes and serve for an extensive use of BBB model in vitro.


Assuntos
Astrócitos/fisiologia , Barreira Hematoencefálica/fisiologia , Endotélio Vascular/fisiologia , Animais , Aorta/citologia , Aorta/fisiologia , Bovinos , Células Cultivadas , Endotélio Vascular/citologia , Glucose/farmacocinética , Microscopia Eletrônica , Modelos Biológicos , Fenótipo , Ratos
4.
J Chromatogr A ; 895(1-2): 255-61, 2000 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-11105869

RESUMO

The complexes of Fe(III), Co(III), Mn(III), Al(III), Cu(II), Ni(II), Cd(II) and Zn(II) with N,N'-bis(hydroxybenzyl)ethylenediamine-N,N'-diacetic acid (HBED) were separated by ion exchange in different modes: ion chromatography (IC) and ion electrokinetic chromatography (IEKC). In column IC these complexes were separated on an IonPac AS4a anion-exchange column (Dionex, USA). Parameters of the background electrolyte that were examined in IEKC mode include polymer, competing ion concentration and pH. The use of poly(diallyldimethylammonium chloride) (PDADMACl) as a modifier in IEKC provides separation selectivity only slightly different from that observed in IC on the IonPac AS4a column. Optimal separation conditions were found to be: 0.1 mM HBED, 50 mM PDADMAOH, 10 mM Na2 B4 O7, pH adjusted to 10 with acetic acid. The use of an aromatic ligand allowed a 10-fold decrease in detection limits of metal ions in comparison with previously studied EDTA. A separation efficiency up to 400,000 theoretical plates was demonstrated for IEKC.


Assuntos
Cromatografia Capilar Eletrocinética Micelar/métodos , Ácido Edético/isolamento & purificação , Metais/química , Ânions , Ácido Edético/análogos & derivados , Ácido Edético/química , Concentração de Íons de Hidrogênio , Sensibilidade e Especificidade
5.
J Chromatogr A ; 850(1-2): 269-76, 1999 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-10457487

RESUMO

The complexes of Mn2+, Cd2+, Fe3+, Pb2+, Ni2+, Co2+, Zn2+ and Cu2+ with EDTA and cyclohexane-1,2-diaminetetraacetic acid (CDTA) were separated and detected in column and ion electrokinetic chromatography with suppressed conductivity and direct UV detection, respectively. In column ion chromatography (IC) these complexes were separated on an IonPac AS4A anion-exchange column (Dionex, USA). Parameters of carrier electrolyte, which were examined in the ion electrokinetic chromatography (IEKC) mode, include polymer and sulfate concentrations. In IEKC separation selectivity of complexes with poly(diallyldimethylammonium) cation as modifier is similar as for an IonPac AS4A column both for EDTA and CDTA chelates. It was shown that the ion-exchange capacity of the electrokinetic system is more than 100-times lower than the capacity of the IC column for the same peak resolution. In comparison with column main advantages of electrokinetic version are high separation efficiency (220,000-390,000 theoretical plates) and the absence of the analyte interaction with the sorbent matrix.


Assuntos
Cromatografia por Troca Iônica/métodos , Ácido Edético/análogos & derivados , Ácido Edético/análise
6.
J Chromatogr A ; 789(1-2): 361-7, 1997 Nov 21.
Artigo em Inglês | MEDLINE | ID: mdl-9440292

RESUMO

A new fluorometric method has been developed for the determination of aluminium with 8-quinolinol by kinetic-differentiation-mode micellar chromatography. The proposed method enabled the determination of aluminium down to 1 microgram/l in human serum and urine without preliminary deproteinization. The most remarkable point of this method is that only aluminium ion selectively responds among metal ions. The complex formation of aluminium in serum with 8-quinolinol was completed within a few minutes at room temperature. The serum matrix and aluminium chelate were separated on a reversed-phase column with an eluent containing acetonitrile, sodium dodecylsulfate, and Triton X-100, and aluminium chelate was detected at Ex 370 nm, Em 504 nm. The values obtained by this method were in good agreement with those of Zeeman graphite-furnace atomic absorption spectrometry. The proposed method will provide a simple and rapid technique for the determination aluminium in medical fields.


Assuntos
Alumínio/análise , Cromatografia Líquida/métodos , Micelas , Oxiquinolina/química , Alumínio/sangue , Alumínio/urina , Humanos , Indicadores e Reagentes/química , Cinética , Metais/química , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Dodecilsulfato de Sódio/química , Espectrometria de Fluorescência , Espectrofotometria Atômica
7.
J Chromatogr A ; 890(2): 363-9, 2000 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-11009040

RESUMO

Two aromatic polyaminocarboxylate ligands, ethylenediaminedi(o-hydroxyphenylacetic acid) (EDDHA) and N,N'-bis(hydroxybenzyl)ethylenediamine-N,N'-diacetic acid (HBED), were applied for the separation of transition and heavy metal ions by the ion-exchange variant of electrokinetic chromatography. EDDHA structure contains two chiral carbon centers. It makes it impossible to use the commercially available ligand. All the studied metal ions showed two peaks, which correspond to meso and rac forms of the ligand. The separation of metal-HBED chelates was performed using poly(diallyldimethylammonium) polycations in mixed acetate-hydroxide form. Simultaneous separation of nine single- and nine double-charged HBED chelates, including In(III), Ga(III), Co(II)-(III) and Mn(II)-(III) pairs demonstrated the efficiency of 40,000-400,000 theoretical plates. The separation of Co(III), Fe(III) complexes with different arrangements of donor groups and oxidation of Co(II), Mn(H), Fe(II) ions in reaction with HBED have been discussed.


Assuntos
Ácido Edético/análogos & derivados , Eletroforese Capilar/métodos , Etilenodiaminas/química , Metais/análise , Cátions , Ácido Edético/química , Oxirredução
8.
J Pharm Sci ; 72(8): 958-60, 1983 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-6312012

RESUMO

A high-performance liquid chromatographic method is described for the simultaneous determinations of cefsulodin and cefotiam in serum and bone marrow blood samples. After extraction with acetonitrile, the cephalosporins were applied to a reverse-phase column with an internal standard, cefazolin; the mobile phase was a mixture of 0.005 M tetrabutylammonium phosphate and methanol (35:65, v/v). The method yielded satisfactory resolutions for these agents, and the results were compared with those obtained using the microbiological method. The statistical analysis of the relationship between the methods gave a good correlation for all of these agents and samples. The concentrations of cefsulodin and cefotiam, concurrently administered by the intravenous route to patients subjected to artificial total joint prosthesis, in serum and bone marrow blood collected at 0.5 and 1 hr postinjection were almost equivalent.


Assuntos
Medula Óssea/irrigação sanguínea , Cefotaxima/análogos & derivados , Cefalosporinas/sangue , Bioensaio , Cefazolina/sangue , Cefotaxima/sangue , Cefotiam , Cefsulodina , Cromatografia Líquida de Alta Pressão/métodos , Humanos
9.
J Pharm Sci ; 64(1): 71-6, 1975 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-237108

RESUMO

In the framework of the development of drug delivery systems for locally administered contraceptive drugs, a reliable method that can afford quantitative evaluation of drug absorption behavior was explored using the rabit doe. A system was constructed based upon perfusing the drug solution in the vaginal tract. For this purpose, a "rib-cage" type cell was constructed and surgically implanted in the rabbit prior to an experiment. The primary purpose of the present paper is to evaluate the method, including the surgical operation and the perfusion system. The absorption experiments were carried out using n-butanol-1minus 14C as the model solute to survey the reproducibility of the absorption behavior. Experiments were conducted with a number of rabbits on several successive days to determine the day-to-day and animal-to-animal variations. The drug disappearance in the reservoir followed first-order kinetics from which the apparent permeability coefficient was calculated. The results indicated that a set of experiments may be carried out on a single animal and that the method generally affords rather high precision.


Assuntos
Vagina/metabolismo , Absorção , Administração Tópica/instrumentação , Animais , Soluções Tampão , Butanóis/administração & dosagem , Butanóis/metabolismo , Radioisótopos de Carbono , Feminino , Concentração de Íons de Hidrogênio , Técnicas In Vitro , Cinética , Perfusão/métodos , Permeabilidade , Coelhos , Elastômeros de Silicone
10.
J Pharm Sci ; 65(11): 1574-8, 1976 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-993988

RESUMO

The absorption of unbranched aliphatic alcohols in the rabbit vagina was studied using a perfusion method, and the absorption rates were found to be first order with respect to the drug concentration in the vagina from methanol to octanol. A physical model involving an aqueous diffusion layer in series with a membrane consisting of aqueous pores and lipoidal pathways was used for analyzing the data. The physically based parameters in the model were determined. An effective diffusion layer thickness ("unstirred layer") of around 0.035 cm was found. The increase in the permeability coefficient for the lipoidal pathway per methylene group was around 2.5 for this homologous series.


Assuntos
Álcoois/metabolismo , Preparações Farmacêuticas/administração & dosagem , Vagina/metabolismo , Absorção , Álcoois/administração & dosagem , Animais , Membrana Celular/metabolismo , Difusão , Feminino , Cinética , Modelos Biológicos , Perfusão , Permeabilidade , Coelhos , Relação Estrutura-Atividade , Vagina/ultraestrutura
11.
Talanta ; 31(7): 525-30, 1984 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-18963641

RESUMO

The ion-pair extraction equilibria of the iron(II) and iron(III) chelates of 4-(2-pyridylazo)resorcinol (PAR, H(2)L) are described. The anionic chelates were extracted into chloroform with benzyldimethyltetradecylammonium chloride (QC1) as counter-ion. The extraction constants were estimated to be K(ex1)(Fe(II)) = [Q{Fe(II)(HL)L}](0)/[Q(+)][{Fe(II)(HL)L}(-)] = 10(8.59 +/- 0.11), K(ex2)(Fe(II)) = [Q(2){Fe(II)L(2)}](o)/ [Q(+)](2)[{Fe(II)L(2)}(2-)] = 10(12.17 +/- 0.10) and K(ex1)(Fe(III)) = [Q{Fe((III))L(2)}](o)/(Q(+)][{Fe(III)L(2)}(-)] = 10(6.78 +/- 0.15) at I = 0.10 and 20 degrees , where [ ](o) is concentration in the chloroform phase. Aggregation of Q{Fe(III)L(2)} in chloroform was observed and the dimerization constant (K(d) = [Q(2){Fe(III)L(2)}(2)](o)/[Q{Fe(III)L(2)}](o)(2)) was evaluated as log K(d) = 4.3 +/- 0.3 at 20 degrees . The neutral chelates of {Fe(II)(HL)(2)} and {Fe(III)(HL)L}, and the ion-pair of the cationic chelate, {Fe(III)(HL)(2)}ClO(4), were also extracted into chloroform or nitrobenzene. The relationship between the forms and extraction properties of the iron(II) and iron(III) PAR chelates are discussed in connection with those of the nickel(II) and cobalt(III) complexes. Correlation between the extraction equilibrium data and the elution behaviour of some PAR chelates in ion-pair reversed-phase partition chromatography is also discussed.

12.
Talanta ; 42(8): 1171-7, 1995 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18966344

RESUMO

The equilibrium constants of alpha,beta,gamma,delta-tetrakis(1-methylpyridinium-4-yl)porphine (TMPyP) complexes of cadmium(II), lead(II), magnesium(II), and zinc(II) were spectrophotometrically determined using the absorption spectra at the Soret band and the fluorescence spectra. The values of the following constants at 25 degrees C and ionic strength 0.1M were evaluated: K(PbP) = 10(-8.07 +/- 0.09), K(CdP) = 10(-7.68 +/- 0.03), K(ZnP) = 10(1.72 +/- 0.08), and K(MgP) = 10(-7.40 +/- 0.08) by the acid hydrolysis reaction of the TMPyP-metal complex at various pHs; K(PbP) = 10(-7.80 +/- 0.04) and K(CdP) = 10(-7.38 +/- 0.04) were determined by the ligand exchange reaction between TMPyP and nitrilotriacetic acid.

13.
Talanta ; 41(1): 93-8, 1994 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-18965892

RESUMO

The promising ligand candidates for the energy transfer luminescence measurements of lanthanide (Ln) chelates on aqueous matrices are first proposed. The ligands are; 2[(2-amino-5-methyl-phenoxy)methyl]-6-methoxy-8-aminoquinoline-N,N,N',N'-tetraacetate (Quin 2), 1,2-bis(2-amino-phenoxy)ethane-N,N,N',N'-tetraacetate (BAPTA), and 1,2-bis(2-amino-5-fluoro-phenoxy)ethane-N,N,N',N'-tetraacetate (F-BAPTA). The Ln-chelates of these aromatic polyaminocarboxylates show the sensitized emission which results from efficient ligand-centered light absorption, and the interesting selectivity is seen; BAPTA and F-BAPTA form the luminescent chelates only with Tb(III) and Dy(III) ions, whereas the emission from Sm(III) and Eu(III) ions is greatly sensitized with Quin 2. The sufficient emission intensity can be obtained even in slightly alkaline aqueous solutions without any addition of surfactants or organic solvents. These octadentate ligands are fairly capable of shielding central Ln ions from quenching by surrounding water molecules. The luminescence enhancement factors are 1600 for Tb(III) ion with BAPTA (em.544 nm) and 1380 for Eu(III) ion with Quin 2 (em. 615 nm), respectively, being relative to their aqueous chloride solutions.

14.
Talanta ; 47(2): 349-53, 1998 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18967335

RESUMO

A highly sensitive and simple visual autocatalytic method has been developed for the determination of trace cobalt. The cobalt ion released by the oxidative decomposition of inert bis[2-(5-bromo-2-pyridylazo)-5-(N-propyl-N-sulfopropyl-amino-phenolato] cobaltate (Co(III)-5-Br-PAPS) with peroxomonosulfate acts as a catalyst for the oxidative degradation of the complex. Thus a definite time lapse of degradation is observed by the sudden disappearance of colored Co(III) complexes. The degradation time varies inversely with the logarithm of the initial concentration of cobalt(II). The determination range of cobalt(II) was from 3x10(-9) to 2x10(-7) M in the presence of 5x10(-6) M of 5-Br-PAPS. The relative standard deviation of the spot size method (10 mul) was 3.5% at 1x10(-7) M cobalt(II). This autocatalytic indicator reaction system has been successfully applied for the visual determination of urinary cobalt.

15.
Talanta ; 21(4): 314-8, 1974 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18961462

RESUMO

A study was made to establish proper conditions for the selective determination of Fe(II) by the 1,10-phenanthroline method in the presence of large amounts of Fe(III). It was shown that fe(III) is effectively masked by fluoride. The pH of the solution to be masked should be below 2.5 in order to prevent acceleration by the fluoride of aerial oxidation of Fe(II).

16.
Talanta ; 36(10): 1031-5, 1989 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18964857

RESUMO

An ion-pair HPLC fluorimetric determination of Al(III) at trace level has been developed, with salicylaldehydebenzoylhydrazone (SAB) as a precolumn reagent. The highly fluorescent AlSAB chelate (lambda(ex) 390.8 nm, lambda(em) 458.1 nm) is separated on a LiChroCART RP-18 column with an eluent consisting of 3.1 x 10(-)m tetrabutylammonium bromide, 1 x 10(4)m disodium EDTA and 5 x 10(-3)m sodium acetate in aqueous 42% w/w acetonitrile solution. The detection limit for Al is 1.5nM (40 pg/ml) in a 100-mul injection. The spectrophotometric detection limit at 390 nm is 0.3 ng/ml for 0.005 full-scale absorbance range. The selectivity is excellent and the method is useful for routine quality-control applications, such as determination of Al in tap water and in alkali pellets (LiOH, NaOH and KOH).

17.
J Pharm Pharmacol ; 40(2): 85-8, 1988 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-2897458

RESUMO

The solubilization of vitamin K1 by bile salts (sodium deoxycholate, sodium cholate and their corresponding glycine conjugates) and phosphatidylcholine (egg)-bile salt mixed micelles has been investigated. The solubilization curves were not always linear with increasing bile salts, but the vitamin was appreciably solubilized in the region below their CMCs. In the bile salt solutions (20 mM, phosphate buffered saline, pH 7.5, ions strength 0.2), the solubilized vitamin ranged from 0.3 to 0.9 mM. With increasing phosphatidylcholine, the amount of vitamin solubilized was dramatically increased; at the molar ratio of 1:1 (both 20 mM), the amount of vitamin solubilized was about 25-30 times more than by the corresponding bile salts alone. There is a possibility that exogenous phospholipid given orally as liposomal forms assists the solubilization of vitamin K1, in the intestine. This characteristic is suggested as being responsible, in part, for the enhanced recovery of blood coagulation after oral administration of liposomal vitamin K1 to warfarin-treated rabbits.


Assuntos
Vitamina K 1/isolamento & purificação , Ácidos e Sais Biliares , Micelas , Fosfatidilcolinas , Solubilidade
18.
J Pharm Pharmacol ; 36(8): 527-33, 1984 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-6148395

RESUMO

The effect of liposomally-associated vitamin K1, administered orally, was investigated using rabbits with warfarin-induced hypoprothrombinaemia, and evaluated in comparison with other dosage forms of the vitamin, including a vitamin K1 emulsion, the physical mixture of the emulsion with empty liposomes, polyoxyethylene hydrogenated castor oil (HCO-60)-stabilized emulsion and the vitamin solubilized by HCO-60. The effect on blood coagulation recovery of each preparation was estimated as the time required for the prothrombin complex activity to return to 60% (TPCA60). The coagulation recovery time of the liposomal preparation was much faster than that of the other preparations and it was compared with the response to intravenous administration in which the vitamin was considered to be 100% available. The TPCA60 for the intravenous administration was 1.9 h, that for the oral liposomal preparation was 6.2 h, HCO-60 solubilized vitamin 13.6 h, HCO-60 stabilized emulsion 19.6 h, the physical mixture 17.8 h and plain emulsion 18.2 h. The vitamin K1 dose was maintained at 12 mg kg-1 in each instance.


Assuntos
Coagulação Sanguínea/efeitos dos fármacos , Hipoprotrombinemias/tratamento farmacológico , Vitamina K 1/uso terapêutico , Varfarina/toxicidade , Animais , Cromatografia em Gel , Emulsões , Hipoprotrombinemias/sangue , Hipoprotrombinemias/induzido quimicamente , Lipossomos/administração & dosagem , Masculino , Coelhos , Fatores de Tempo , Vitamina K 1/administração & dosagem
19.
Burns ; 19(2): 131-3, 1993 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-8471146

RESUMO

An expanding oral plastic splint for preventing microstomia from deep facial burns is described. This splint adjusts to suit the affected oral angles without the need for taking any impression before fabrication. It is especially suitable for severely injured patients starting from the early period shortly after injury, even if the patient has been intubated. Furthermore the expansion forces can be controlled easily according to the degree of contracture.


Assuntos
Queimaduras/terapia , Traumatismos Faciais/terapia , Contenções , Adulto , Queimaduras/complicações , Traumatismos Faciais/etiologia , Humanos , Masculino , Microstomia/etiologia , Microstomia/prevenção & controle , Plásticos
20.
Burns ; 18(5): 412-5, 1992 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-1445633

RESUMO

A technique used to achieve prompt haemostasis in burned wounds of the extremities is described. After tangential debridement using a tourniquet, thrombin solution (1000 units in 1 ml of saline solution) is applied on the entire wound. Immediately after removing the tourniquet; the wound is tightly wrapped with a thin plastic film and a pressure bandage over the entire wound. The pressure bandage is kept on for approximately 10 min after removing the tourniquet. With this procedure, haemostasis of the capillary oozing can be promptly and completely achieved. Furthermore, arterial and venous haemostasis can also be achieved, with clots present at the arterial and venous haemorrhagic points. As these clots can be removed easily, ligation or electrocoagulation is necessary. This technique is especially useful for haemostasis in a wound of the extremity after tangential excision leading to decreasing blood loss.


Assuntos
Queimaduras/cirurgia , Extremidades/lesões , Extremidades/cirurgia , Hemostasia Cirúrgica/métodos , Adolescente , Adulto , Bandagens , Criança , Pré-Escolar , Contratura/cirurgia , Desbridamento , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Transplante de Pele , Trombina/administração & dosagem
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