Prostaglandin I-2 release following mesenteric traction during abdominal surgery is mediated by cyclooxygenase-1

Bucher, Michael and Kees, FK and Messmann, B and Lunz, D and Rath, S and Zelenka, M and Schlitt, HJ and Hobbhahn, J (2006) Prostaglandin I-2 release following mesenteric traction during abdominal surgery is mediated by cyclooxygenase-1. EUROPEAN JOURNAL OF PHARMACOLOGY, 536 (3). pp. 296-300. ISSN 0014-2999,

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Abstract

Our study aimed to determine the role of cyclooxygenase-2 in the release of prostaglandin-(PG)-I-2 following mesenteric traction during abdominal surgery. In a prospective double-blind, randomized, placebo-controlled study, 40 patients electively scheduled for non-laparoscopic abdominal surgery, were pretreated with the cyclooxygenase-2 inhibitor parecoxib (n=20) or placebo (n=20). Heart rate, arterial blood pressure, oxygenation ratio and plasma concentrations of the stable PGI(2)-metabolite 6-keto-PGF(1 alpha) were compared between groups before injection of parecoxib (-40 min), immediately before mesenteric traction (0 min), and 5, 10, and 30 min thereafter. In addition, plasma concentrations of valdecoxib, the active metabolite of the prodrug parecoxib, were determined. Plasma concentrations of 6-keto-PGF(1 alpha) and heart rate increased in both groups after mesenteric traction. There were no significant differences between groups at individual times in heart rate, arterial blood pressure and plasma concentrations of 6-keto-PGF(1 alpha). Oxygenation ratio decreased after 10 and 30 min following mesenteric traction in the parecoxib group with a significant difference between treatment groups at 10 and 30 min. Plasma concentrations of valdecoxib revealed therapeutic values. Our data indicate that PGI(2) release following mesenteric traction is mediated by cyclooxygenase-1. (c) 2006 Elsevier B.V. All rights reserved.

Item Type: Article
Uncontrolled Keywords: PROSTACYCLIN RELEASE; AORTIC-SURGERY; ANESTHESIA; mesenteric traction; cyclooxygenase-inhibitor; prostaglandin; hemodynamics; oxygenation
Subjects: 600 Technology > 610 Medical sciences Medicine
600 Technology > 615 Pharmacy
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Medicine > Lehrstuhl für Chirurgie
Chemistry and Pharmacy > Institute of Pharmacy > Alumni or Retired Professors > Prof. Frieder Kees
Depositing User: Dr. Gernot Deinzer
Date Deposited: 15 Feb 2021 09:26
Last Modified: 15 Feb 2021 09:26
URI: https://pred.uni-regensburg.de/id/eprint/34569

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