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1.
Avian Pathol ; 33(6): 605-9, 2004 Dec.
Article in English | MEDLINE | ID: mdl-15763730

ABSTRACT

Infectious bronchitis is a respiratory disease of chickens that is caused by the coronavirus infectious bronchitis virus (IBV). Virtually all broiler and layer breeder flocks are routinely vaccinated against IBV. Two hatches of 1-day-old chicks from four lines were mistakenly vaccinated for infectious bronchitis using a moderately attenuated vaccine designed for chicks of an older age. The vaccination resulted in high mortality, and chicks from three of four lines died with signs typical of infectious bronchitis. The mortality that occurred using this less-attenuated vaccine was significantly influenced by the genetic line, and the MHC (B) haplotype in chickens of three B congenic lines. B congenic chickens possessing the B*15 haplotype were resistant in contrast to chickens possessing the B*13 or B*21 haplotypes. Chicks from two further hatches of the four lines were vaccinated appropriately with a more attenuated IBV vaccine, and only limited chick mortality was seen. These retrospective data from two repeated hatches confirm earlier data indicating chicken genes influence resistance to IBV, and indicate for the first time that genes tightly linked to the B haplotype are relevant in resistance to IBV. Due to extenuating circumstances it was not possible to verify results with chicks from F2 matings. Factors that may enhance definition of the role of the B haplotype in immune response to IBV, and the desirability for further analysis of a B haplotype-linked influence on immunity to IBV are discussed.


Subject(s)
Chickens/genetics , Coronaviridae Infections/veterinary , Major Histocompatibility Complex/genetics , Poultry Diseases/genetics , Vaccines, Attenuated/adverse effects , Viral Vaccines/adverse effects , Animals , Coronaviridae Infections/mortality , Coronaviridae Infections/pathology , Coronaviridae Infections/prevention & control , Genetic Predisposition to Disease , Infectious bronchitis virus/immunology , Poultry Diseases/mortality , Retrospective Studies , Trachea/pathology
2.
Poult Sci ; 81(10): 1427-38, 2002 Oct.
Article in English | MEDLINE | ID: mdl-12412906

ABSTRACT

Chimeric chickens were evaluated as an intermediate for development of transgenic chickens. The transfer of Barred Plymouth Rock (BR) blastodermal cells into White Leghorn (WL) embryos results in BR-->WL chimeras, and some breeder males generate over 30% germline transmission of the BR genotype to offspring based on a feather-color trait. The objectives of the current study were to 1) identify the MHC (B haplotypes) in resident BR and WL lines, 2) establish that B antigens could be detected and quantified in red blood cells (RBC) of chimeras, 3) establish if there is a correlation in chimeras between percentage of RBC with donor B antigens and percentage germline transmission, and 4) evaluate if the MHC genotype influences chimera development. The RBC agglutination data indicated three B haplotypes were present in each line. The B*2-like, and B*19-like genes were unique to the WL line, and B*13-like and B-15-like genes were unique to the BR line, whereas a B*21-like gene was present in both lines. In adult BR-->WL chimeras, as well as 10- to 14 d-old WL-->WL chimeras, donor-type B antigens were detectable and quantifiable on RBC using flow cytometry. In BR-->WL chimeras, the percentage germline transmission was significantly correlated with the percentage of RBC with donor B antigen, as well as percentage of black feathers in the plumage. In a retrospective study using previously developed BR-->WL chimeras, the level of chimerism and germline transmission was higher in B*21/*21 type recipients, but this was not statistically significant in two prospective studies. It was concluded that MHC antigens on RBC can be used for identifying, quantifying, and selecting chicken chimeras developed by the transfer of blastodermal cells.


Subject(s)
Chickens/genetics , Chickens/immunology , Chimera , Histocompatibility Antigens/blood , Major Histocompatibility Complex/genetics , Animals , Animals, Genetically Modified , Blastoderm/metabolism , Breeding , Chick Embryo , Erythrocytes/immunology , Female , Gene Expression , Genotype , Haplotypes , Heredity , Histocompatibility Antigens/genetics , Male , Polymerase Chain Reaction , Transfection
3.
Poult Sci ; 80(2): 161-71, 2001 Feb.
Article in English | MEDLINE | ID: mdl-11233004

ABSTRACT

Chicken blastodermal cells (CBC) from Stage X embryos, which were isolated from newly laid, fertile, unincubated eggs, are pluripotent cells and can produce somatic and germline chimeras when injected into recipient stage X embryos. The CBC retain their pluripotential ability for up to 7 d in vitro. The molecular mechanisms that control proliferation and differentiation of CBC are largely unknown, although protein tyrosine kinases (PTK) are known to play important roles in these processes in similar cells. To understand better the molecular mechanisms of proliferation and differentiation in CBC, expression profiles of PTK and stem cell factor (SCF) were analyzed by reverse transcription polymerase chain reaction (RT-PCR) using gene-specific and degenerate oligonucleotide primers. Seventeen distinct PTK, including 14 receptor-type and 3 nonreceptor-type PTK and SCF were identified by RT-PCR. Expression of all of the genes was confirmed by northern blot analysis. The northern blot analysis showed that all probes hybridized with one or more transcripts at various expression levels. The expression of the 17 PTK and SCF genes in CBC suggests that they might play a role in signal transduction pathways that control the proliferation or differentiation in CBC.


Subject(s)
Blastoderm/metabolism , Chick Embryo/metabolism , Protein-Tyrosine Kinases/metabolism , Stem Cell Factor/metabolism , Amino Acid Sequence , Animals , Blastoderm/cytology , Blastoderm/enzymology , Blotting, Northern , Cell Differentiation/physiology , Cell Division/physiology , Chick Embryo/cytology , Chick Embryo/enzymology , Cloning, Molecular , DNA Primers , Gene Expression Regulation, Developmental , Molecular Sequence Data , Protein-Tyrosine Kinases/chemistry , Protein-Tyrosine Kinases/genetics , Reverse Transcriptase Polymerase Chain Reaction , Signal Transduction , Stem Cell Factor/genetics , Stem Cell Factor/physiology
4.
Lancet Oncol ; 2(3): 131-2, 2001 Mar.
Article in English | MEDLINE | ID: mdl-11902561
5.
Poult Sci ; 80(12): 1657-61, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11771877

ABSTRACT

The tools of molecular and cellular biology can be used to precisely describe traits in terms of a sequence of nucleic acids when their molecular and cellular bases are well understood. The entire genome of elite production birds, however, cannot be written as a series of A's, T's, C's, and G's because the interaction between alleles at the same and different loci is too large and there is likely to be many genotypes that encode the same production trait phenotype. A first draft of the genetic map of the chicken is anticipated within the next few years, but a complete molecular description of the genome of birds with elite production characteristics is not anticipated in the near future. Quantitative genetics will remain the cornerstone of breeding programs for production traits. Novel sequences encoding traits such as enhanced nutritional capability (e.g., expression of phytase) and resistance to specific diseases could be introduced into lines of chickens using the tools of molecular and cellular biology. Cloning could be used by the poultry industry to disperse highly desirable genotypes without the need for grandparent and parent flocks for multiplication.


Subject(s)
Chickens/genetics , Chromosome Mapping/veterinary , Genome , Animals , Biotechnology , Breeding , Cloning, Organism/veterinary , Female , Genotype , Male , Phenotype , Poultry Diseases/genetics , Poultry Diseases/prevention & control , Quantitative Trait, Heritable
6.
Poult Sci ; 80(12): 1671-8, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11771880

ABSTRACT

The use of chicken blastodermal cells (CBC) in the production of transgenic chickens requires incorporation of the desired stable genetic modification into CBC. With greater proportions of stably transfected blastodermal cells in the embryo inoculum, the frequency of intermediate chimeric birds is greater. Magnetic-activated cell sorting (MACS) was evaluated as a method for enrichment of transfected CBC. This approach requires surface expression of a molecule that can be recognized by an antibody. Chicken blastodermal cells from fertilized Barred Plymouth Rock eggs were coelectroporated with pmiwZ and pMACS Kk and were sorted magnetically by expression of the mouse H-2Kk molecule on the surface of successfully transfected cells. The effectiveness of sorting was assessed using X-gal staining to detect lacZ expression from the pmiwZ plasmid. After 48 h of culture, lacZ-positive cells appeared to be enriched 1.4-fold in the MACS selected population. Cells from this enriched pool contributed to extra-embryonic and intra-embryonic tissues of 72-h White Leghorn recipient embryos with a marginal increase in levels of intra-embryonic contribution. Our demonstration that transfected, cultured, and magnetically sorted CBC maintain their ability to contribute to ectodermal and mesodermal lineages of intra-embryonic tissues illustrates the potential value of this technique for introducing genetic modifications into birds.


Subject(s)
Animals, Genetically Modified/embryology , Blastoderm/cytology , Chick Embryo/cytology , Chickens/genetics , Transfection/veterinary , Animals , Cell Separation/veterinary , Cells, Cultured , Electroporation/veterinary , Flow Cytometry/veterinary , Immunomagnetic Separation/veterinary , Transfection/methods
7.
Mol Reprod Dev ; 56(3): 345-52, 2000 Jul.
Article in English | MEDLINE | ID: mdl-10862000

ABSTRACT

A polymorphism in the igf2 gene of chickens was identified using NlaIII (GenBank accession number AF218827). In some embryos, the igf2 alleles were expressed monoallelically from either maternal or paternal alleles. These data demonstrate that genomic imprinting is not confined to mammalian vertebrates and suggest that genomic imprinting evolved at an early stage of vertebrate evolution. The observations that the igf2 gene is imprinted in a minority of embryos suggest that the imprinting in birds is unrelated to embryonic growth. Genome imprinting may provide opportunities for evolution of genes in a nonexpressed state. In poultry breeding, the presence of imprinted genes may make a major contribution to unequal performance in reciprocal matings between commercial lines.


Subject(s)
Alleles , Insulin-Like Growth Factor II/genetics , Transcription, Genetic , Animals , Base Sequence , Chick Embryo , DNA, Complementary , Female , Male , Molecular Sequence Data , Polymorphism, Genetic
11.
Surg Clin North Am ; 79(2): 297-312, 1999 Apr.
Article in English | MEDLINE | ID: mdl-10352656

ABSTRACT

In appropriately selected patients, PCA safely provides analgesia superior to that obtained with traditional IM prn opioid administration; however, to date, no compelling evidence shows that PCA is associated with a reduction in morbidity or a more rapid recovery. PCA is deceptively easy to prescribe; however, to use it effectively and safely requires experience, frequent patient assessment, and a skilled and knowledgeable nursing staff.


Subject(s)
Analgesia, Patient-Controlled , Analgesics, Opioid/therapeutic use , Pain, Postoperative/prevention & control , Adult , Analgesia, Patient-Controlled/instrumentation , Analgesics, Opioid/adverse effects , Dose-Response Relationship, Drug , Humans , Infusions, Intravenous , Injections, Intravenous , Patient Selection , Respiration/drug effects , Safety
12.
Anesth Analg ; 88(4): 857-64, 1999 Apr.
Article in English | MEDLINE | ID: mdl-10195538

ABSTRACT

UNLABELLED: Our aim in this prospective, randomized, double-blinded study was to compare the analgesic effectiveness and side effects of epidural infusions with ropivacaine 2 mg/mL alone (Group R; n = 60) and in combination with fentanyl 1 microg/mL (R1F; n = 59), 2 microg/mL (R2F; n = 62), and 4 microg/mL (R4F; n = 63) for up to 72 h after major abdominal surgery. Effective epidural neural blockade was established before surgery; postoperatively, the infusion rate was titrated to a maximum of 14 mL/h for analgesia. No additional analgesics other than acetaminophen were permitted during the infusion. The median of individual visual analog scale score with coughing were <20 mm for all groups (0 = no pain, 100 = worst pain) and was significantly lower (P < 0.01) for Group R4F at rest and with coughing (compared with Group R). Infusions were discontinued due to inability to control pain in significantly fewer patients in Group R4F (16%) than the other groups (34% to 39%; P < 0.01). For all groups, >90% of patients had no detectable motor block after 24 h. Hypotension, nausea, and pruritus were more common with the larger dose of fentanyl. We conclude that, after major abdominal surgery, an epidural infusion of ropivacaine 2 mg/mL with fentanyl 4 microg/mL provided significantly more effective pain relief over a 3-day period than ropivacaine alone or ropivacaine with lower concentrations of fentanyl. IMPLICATIONS: Postoperative epidural analgesic infusions are widely used, but there is little information regarding optimal strengths of opioid with local anesthetic. In this blinded, prospective study, we compared four different epidural infusion solutions for efficacy and side effects over a clinically useful postoperative period and conclude that an epidural infusion of ropivacaine 2 mg/mL with fentanyl 4 microg/mL was most effective.


Subject(s)
Abdomen/surgery , Amides/administration & dosage , Analgesia, Epidural , Analgesics, Opioid/administration & dosage , Anesthetics, Local/administration & dosage , Fentanyl/administration & dosage , Pain, Postoperative/prevention & control , Adolescent , Adult , Aged , Aged, 80 and over , Double-Blind Method , Drug Combinations , Female , Fentanyl/adverse effects , Humans , Injections, Epidural , Male , Middle Aged , Postoperative Period , Prospective Studies , Ropivacaine , Time Factors
13.
Immunotechnology ; 4(2): 115-25, 1998 Oct.
Article in English | MEDLINE | ID: mdl-9853953

ABSTRACT

To determine if human immunoglobulins (hIg) are capable of being transported into the hen's egg, 10 microg each of purified hIgG and hIgA were intravenously injected into SC Hyline(TM) hens and their presence in egg yolk and egg white was determined by ELISA. In both cases deposition into the egg yolk was observed and in the case of hIgA, deposition was also observed in the egg white. Two stably transfected DT40 cell lines secreting recombinant human IgG3 and IgA (rhIgG3 and rhIgA) were injected into laying hens. The DT40 cells colonized the host and rhIgG3 and rhIgA were deposited in egg yolk. Deposition of rhIgA was also observed in the egg white. These data demonstrate that human immunoglobulins and other foreign proteins may be targeted to the chicken's egg. In view of the high rate of reproduction, the short generation interval, the high rates of egg production and the extensive infrastructure to fractionate egg yolk proteins, it should be possible to produce large amounts of foreign protein in the eggs of transgenic chickens.


Subject(s)
Antibodies/genetics , Antibodies/metabolism , Egg Yolk/immunology , Animals , Animals, Genetically Modified , B-Lymphocytes/immunology , Cell Line , Chickens , Enzyme-Linked Immunosorbent Assay , Humans , Immunoglobulin A/metabolism , Immunoglobulin G/metabolism , Injections, Intravenous , Recombinant Proteins/immunology , Recombinant Proteins/metabolism , Transfection , Transgenes/genetics
14.
Poult Sci ; 77(10): 1457-62, 1998 Oct.
Article in English | MEDLINE | ID: mdl-9776050

ABSTRACT

Using flow cytometry, the ploidy levels of parthenogenetic turkeys were quantified from blastodisc stage to adulthood. Eggs were collected from noninseminated hens of the Beltsville Small White flock, known for their high degree of parthenogenesis, and the blastodermal cells from developing embryos were compared with those of embryos produced by hens inseminated with semen from males of the same flock. Erythrocytes of parthenogens from Day 10 of incubation to 27 mo of age were also used for ploidy determination. Sperm and erythrocyte preparations from normal males of the above flock served as haploid and diploid standards, respectively. In parthenogenetically developing blastoderms, 40.3 +/- 14.5% of the cells were haploid and 48.9 +/- 11.9% diploid; blastoderms from fertilized eggs had no haploid cells. The haploid cell content of parthenogens declined from the blastodermal stage to adult life, with 1.9 +/- 2.3% at 10 to 20 d of embryonic development, 1.5 +/- 1.4% at 21 to 29 d of development, 1.4 +/- 2.6% at 4 wk posthatch, and 1.3 +/- 1.9% in adulthood, although changes between the 1st mo after hatch and adult stage were not significant. It is possible, therefore, that parthenogenetic embryos with a low proportion of haploid cells could be the ones that survive to Day 10 of development and beyond, whereas those with a higher proportion of haploid cells fail to develop. The semen volume of male parthenogens was significantly lower than that of normal males, although the concentration of spermatozoa and their fertilizing capacity did not vary significantly between groups, suggesting that the germ cells of these parthenogens are capable of normal meiosis and sperm maturation leading to a normal fertility.


Subject(s)
Embryo, Nonmammalian/cytology , Ploidies , Reproduction , Turkeys/physiology , Animals , Blastoderm/cytology , Blastoderm/physiology , Embryo, Nonmammalian/physiology , Erythrocytes/cytology , Female , Insemination, Artificial, Heterologous/veterinary , Male , Oviposition , Parthenogenesis , Phenotype , Sexual Behavior, Animal , Spermatozoa/cytology , Turkeys/genetics
15.
Poult Sci ; 77(10): 1463-8, 1998 Oct.
Article in English | MEDLINE | ID: mdl-9776051

ABSTRACT

In mated or inseminated turkeys, 5 to 15% of eggs set for incubation show only rudimentary development. Most of these embryos die during the first 24 to 48 h of incubation and contain only unorganized sheets of tissue. This abnormal development is termed "positive development" (PD). Turkey eggs also show incidence of parthenogenesis and the resulting progeny is believed to be always male. As both types of embryos are morphologically similar at the early stage of incubation, it has been speculated that PD embryos may in fact be parthenogens. By identifying the sex at the blastodermal stage with the help of DNA markers, we have differentiated between the PD embryos and parthenogens. Parthenogenetic embryos were obtained from eggs laid by uninseminated or virgin Beltsville Small White (BSW) hens, and the PD embryos were obtained from eggs of inseminated Nicholas and British United Turkeys of America (BUTA) hens. DNA was extracted from blastoderms of parthenogenetic and PD embryos. Turkey W-chromosome specific DNA probe and primers were used to detect females in all samples by Southern blot and polymerase chain reaction (PCR), respectively. No female was detected among the 35 parthenogens examined, whereas there were 3 females among the 11 PD embryos. The presence of both males and females among PD embryos suggests that they are products of fertilization, and that at least these 3 female embryos, if not all the 11 PD embryos, are not of parthenogenetic origin. It is concluded, therefore, that PD embryos result from errors in fertilization or from early embryonic mortality following successful fertilization, and that they are unlikely to be of parthenogenetic origin.


Subject(s)
Chromosome Mapping , Embryo, Nonmammalian/physiology , Parthenogenesis , Sex Determination Processes , Turkeys/genetics , Animals , Female , Insemination, Artificial, Heterologous/veterinary , Male , Oviposition , Polymerase Chain Reaction , Turkeys/embryology
16.
Poult Sci ; 77(6): 905-7, 1998 Jun.
Article in English | MEDLINE | ID: mdl-9628543

ABSTRACT

The effects of injection and/or gamma-irradiation prior to injection on mortality, size of the gonads, and ultrastructure of primordial germ cell (PGC) were examined after 5 d of incubation. The mortality of embryos injected with donor cells was significantly higher than that of control and irradiated embryos. All irradiated embryos were alive, although their development was delayed compared to those not exposed to irradiation. The size of the gonads of embryos injected with donor cells were similar to those of control embryos, however, the size of the gonads in irradiated embryos was significantly smaller than those of control embryos. The number of PGC in the gonads was significantly decreased by irradiation. There was no notable effect of irradiation or injection on the nuclei and cytoplasmic organelles in PGC.


Subject(s)
Blastoderm/physiology , Chick Embryo/physiology , Germ Cells/physiology , Zona Pellucida/transplantation , Animals , Cell Survival/physiology , Cell Survival/radiation effects , Chick Embryo/cytology , Chick Embryo/radiation effects , Death , Female , Gamma Rays , Germ Cells/radiation effects , Germ Cells/ultrastructure , Male
17.
Br Poult Sci ; 39(1): 5-10, 1998 Mar.
Article in English | MEDLINE | ID: mdl-9568290

ABSTRACT

1. The success of the poultry industry has been dependent upon development of a precise understanding of poultry biology. 2. The advent of tools and probes that reveal the molecular and cellular organisation of complex physiological systems should be embraced by the poultry industry to gain insights into recurring problems such as egg shell quality and ascites. 3. The ability to modify the genome of chickens provides an opportunity to breed chickens with unprecedented precision. 4. The judicious use of time and resources will require a working knowledge of molecular and cellular biology and the poultry industry. There is an urgent need for educational facilities that provide both perspectives.


Subject(s)
Chickens , Holistic Health , Poultry , Veterinary Medicine , Animals , Ascites/prevention & control , Ascites/veterinary , Breeding , Chickens/genetics , Eggs , Female , Genome , Oviposition , Philosophy , Poultry Diseases/prevention & control
18.
Poult Sci ; 76(8): 1075-83, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9251132

ABSTRACT

Blastodermal cells isolated from newly laid, unincubated eggs are virtually uncommitted cells that exhibit many of the properties of pluripotential stem cells. They can be transferred from donor to recipient embryos and contribute to both somatic tissues and the germline. Blastodermal cells that have been maintained in culture for 7 d express the epitopes ECMA-7 and SSEA-1, which are also expressed by mouse embryonic stem cells. After culture for up to at least 7 d, blastodermal cells retain the ability to differentiate into somatic tissues and the germline both in vivo and in vitro. Proliferation in the absence of differentiation of blastodermal cells is stimulated by the presence of Leukemia Inhibitory Factor (LIF) and other ligands that interact with the gp130 receptor, and differentiation is stimulated by exposure to retinoic acid. Blastodermal cells also possess high levels of telomerase activity, which is shared by immortalized cells and cells within the germline. Blastodermal cells can be transfected and will express foreign genes both in vivo and in vitro. Transfected cells can be isolated by fluorescence activated cell sorting and can be cryopreserved without losing their ability to contribute to either somatic tissues or the germline. These properties of blastodermal cells make them ideal vectors for introducing genetic modifications to the germline.


Subject(s)
Blastoderm/cytology , Cell Separation/veterinary , Chick Embryo/cytology , Interleukin-6 , Alkaline Phosphatase/analysis , Animals , Blastoderm/chemistry , Blastoderm/physiology , Cell Differentiation/physiology , Cell Division/physiology , Cell Separation/methods , Cells, Cultured , Chick Embryo/growth & development , Chick Embryo/physiology , Chimera , Cryopreservation/methods , Cryopreservation/veterinary , Genetic Vectors , Growth Inhibitors/analysis , Leukemia Inhibitory Factor , Lymphokines/analysis , Mice , Stem Cells/cytology , Stem Cells/physiology , Time Factors , Transfection
19.
Poult Sci ; 76(5): 753-60, 1997 May.
Article in English | MEDLINE | ID: mdl-9154630

ABSTRACT

To execute a strategy for reconstituting genetic resources from cryopreserved blastodermal cells, experiments were conducted to optimize conditions for producing chimeric chickens from frozen-thawed blastodermal cells. Stage X blastodermal cells were collected from Barred Plymouth Rock embryos and dispersed. Cells were resuspended in 10% dimethyl sulfoxide in Dulbecco's modified Eagle's medium (DMEM) containing 20% fetal bovine serum, and distributed into plastic ampules. Cell suspensions were seeded to induce ice formation at -7 C, cooled from -7 to -35 C at 1 C/min and then ampules were plunged into liquid nitrogen. Thawing was done by plunging the ampules into warm water (37 C) for 3 min. After centrifugation, the supernatant was replaced with DMEM, and dead or broken cells were removed by density gradient centrifugation. Approximately 500 cells were injected into irradiated Stage X White Leghorn recipient embryos. Following incubation, several somatic chimeras were produced. The frequency of somatic chimerism when fresh (unfrozen) cells, or cells that were frozen and selected by density gradient centrifugation on Percoll or Nycoprep were injected into recipient embryos was 84, 79, and 85%, respectively. The percentage of donor-derived pigmentation in the down of these chimeric chickens was 79, 50, and 58%, respectively. Germline chimerism was determined by mating the chimeras that survived to sexual maturity to Barred Plymouth Rocks. Nine of 16 birds (56.2%) injected with fresh cells, 2 of 26 birds (7.7%) injected with cells that were frozen and selected by density gradient centrifugation on a Percoll gradient, and 3 of 26 birds (11.5%) injected with cells that were frozen and selected on a Nycoprep gradient showed germline transmission; the percentage of donor-derived progeny in these chimeras were 29.5, 5.2, and 6.8%, respectively. The Barred Plymouth Rock donor stock was "reconstituted" by inter se mating of germline male and female chimeras. These data demonstrate that the strategy described here for reconstituting genetic resources from cryopreserved blastodermal cells via chimeric intermediates can be performed successfully.


Subject(s)
Blastoderm/cytology , Chickens/physiology , Chimera , Embryonic and Fetal Development/physiology , Animals , Cell Count/veterinary , Centrifugation, Density Gradient/methods , Centrifugation, Density Gradient/veterinary , Chick Embryo , Chickens/genetics , Cryopreservation/methods , Cryopreservation/veterinary , Female , Injections/methods , Injections/veterinary , Male , Temperature
20.
Anesth Analg ; 84(4): 715-22, 1997 Apr.
Article in English | MEDLINE | ID: mdl-9085945

ABSTRACT

This double-blind randomized trial assessed the effect of adding an intravenous continuous infusion of ketorolac to a patient-controlled analgesia (PCA) morphine regimen on analgesia, heart rate, arterial blood pressure, and postoperative myocardial ischemia. Patients having elective total hip or knee replacement were randomized to receive ketorolac 30 mg bolus, followed by an infusion of 5 mg/h for 24 h or placebo. All patients had access to PCA morphine (20 microg/kg bolus, with a lockout of 6 min). Patients were monitored for pain visual analog scale, blood pressure, heart rate, and ST segment depression via a continuous Holter monitor. ST depression of 1 mm 60 ms after the J point was considered significant if it lasted more than 1 min. There was no difference in demographics, risk factors, or cardiac medications between the groups. Ketorolac-treated patients had significantly better pain control at 2, 6, and 24 h. There was significant morphine sparing at all times after 3 h. There was no difference in the number of ischemic events between the groups. The ischemic episodes of the patients who received ketorolac occurred at slower heart rates (97 +/- 15 vs 114 +/- 16 bpm, P = 0.001) than those of patients in the placebo group. The duration of ST depression was shorter in ketorolac-treated patients (24 +/- 35 vs 76 +/- 95 min, P < 0.05). All ST depressions were clinically silent. Logistic regression of factors predicting ischemia included the use of calcium channel blockers and low pain score. These results suggest that analgesia with ketorolac reduces the duration of ischemic episodes in the first 24 h postoperatively.


Subject(s)
Analgesia, Patient-Controlled , Anti-Inflammatory Agents, Non-Steroidal/administration & dosage , Myocardial Ischemia/prevention & control , Postoperative Complications/prevention & control , Tolmetin/analogs & derivatives , Aged , Double-Blind Method , Electrocardiography , Hip Prosthesis , Humans , Infusions, Intravenous , Ketorolac , Knee Prosthesis , Middle Aged , Tolmetin/administration & dosage
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