Direct intraperitoneal resuscitation with lidocaine, methylene blue and pentoxiphylline combination does not decreases inflammation after intestinal ischemia-reperfusion injury in rats

Acta Cir Bras. 2016 May;31(5):333-7. doi: 10.1590/S0102-865020160050000007.

Abstract

Purpose: To evaluate the effects of an intraperitoneal solution of methylene blue (MB), lidocaine and pentoxyphylline (PTX) on intestinal ischemic and reperfusion injury.

Methods: Superior mesenteric artery was isolated and clamped in 36 adult male Sprague Dawley rats. After 60 minutes, clamp was removed and a group received intraperitoneally UNITO solution (PTX 25mg/kg + lidocaine 5mg/kg + MB 2mg/kg), while the other group was treated with warm 0.9% NaCl solution. Rats were euthanized 45 min after drug administration. Lung and bowel were collected for histological evaluation (using Park's score) and determination of myeloperoxidase (MPO) and malondialdehyde (MDA) levels.

Results: Control samples showed lymphoplasmocytic infiltrate and crypt necrosis of villi. MPO and MDA measurements shown no differences between treated and control groups.

Conclusion: The combination of lidocaine, methylene blue and pentoxyphylline administered intraperitoneally at the studied dose, did not decreased histological lesion scores and biochemical markers levels in intestinal ischemia/reperfusion injury.

MeSH terms

  • Animals
  • Anti-Inflammatory Agents / administration & dosage
  • Anti-Inflammatory Agents / therapeutic use*
  • Drug Combinations
  • Drug Synergism
  • Inflammation / drug therapy
  • Inflammation / prevention & control
  • Infusions, Parenteral
  • Intestines / blood supply*
  • Intestines / enzymology
  • Lidocaine / administration & dosage
  • Lidocaine / therapeutic use*
  • Lung / blood supply
  • Lung / metabolism
  • Male
  • Malondialdehyde / metabolism
  • Methylene Blue / administration & dosage
  • Methylene Blue / therapeutic use*
  • Models, Animal
  • Pentoxifylline / administration & dosage
  • Pentoxifylline / therapeutic use*
  • Peroxidase / metabolism
  • Random Allocation
  • Rats, Sprague-Dawley
  • Reperfusion Injury / drug therapy*
  • Statistics, Nonparametric

Substances

  • Anti-Inflammatory Agents
  • Drug Combinations
  • Malondialdehyde
  • Lidocaine
  • Peroxidase
  • Pentoxifylline
  • Methylene Blue