Influence of hypoxia in bronchial response to bronchoconstrictor substances at newborn with distress respiratory syndrome (DRS)

Med Arch. 2013;67(5):357-60. doi: 10.5455/medarh.2013.67.357-360.

Abstract

Objective: In this work, role of hypoxia in respiratory system on live and exited newborns weight 250-3000g.) which have died due to different reasons is studied.

Methods: Response of tracheal rings in acetylcholine and histamine in different molar concentrations (10(-4), 10(-3), 10(-2), 10(-1) mol/dm3) was monitored. Study of the tracheal smooth musculature (TSM) tonus was performed in 12 tracheal preparations obtained from the newborns exited due to different reasons.

Results: Based on the functional analysis of the isolated tracheal preparations, we have concluded that the cases born with lung atelectasis have caused significant response ofTSM to Acetylcholine and Histamine (p > 0.01). In cases of control group, which has exited due to different reasons from lung inflammatory processes (e.g.: pneumonia, bronchopneumonia, cerebral hemorrhage), Acetylcholine and Histamine have also caused significant constriction of tracheal smooth musculature.

Conclusion: Results suggest that exited cases with lung atelectasis (hypoxemia) and cases of lung inflammatory processes have significant constrictor action to Acetylcholine and Histamine in tracheobronchial system.

MeSH terms

  • Acetylcholine / pharmacology*
  • Bronchoconstriction
  • Case-Control Studies
  • Cholinergic Agonists / pharmacology*
  • Histamine / pharmacology*
  • Histamine Agonists / pharmacology*
  • Humans
  • Hypoxia / physiopathology*
  • In Vitro Techniques
  • Infant, Newborn
  • Muscle Contraction
  • Muscle, Smooth / drug effects*
  • Respiratory Distress Syndrome, Newborn / physiopathology*
  • Trachea / drug effects*
  • Trachea / physiopathology

Substances

  • Cholinergic Agonists
  • Histamine Agonists
  • Histamine
  • Acetylcholine