Yıl: 2021 Cilt: 26 Sayı: 2 Sayfa Aralığı: 294 - 298 Metin Dili: İngilizce DOI: 10.5505/ejm.2021.34711 İndeks Tarihi: 15-05-2021

The Effects of Sugammadex On Coagulation In Pregnant Rats

Öz:
Some studies have reported that sugammadex affects coagulation parameters. However, the effects of sugammadex on coagulation in pregnant women have not been adequately evaluated. This study investigated the effects of sugammadex administration on routine coagulation tests and levels of coagulation factors (FII, FV, FVII, FVIII, FIX, and FX) in pregnant rats.After ethics committee approval (2019/06), 24 female Wistar albino rats (n = 12; 19–20 days of gestation; weight 230–380 g) were randomly divided into four groups: control (n = 6), sugammadex (n = 6), pregnant (n = 6), and pregnant sugammadex (n = 6). Ketamine (50 mg/kg) and xylazine (10 mg/kg) were administered intraperitoneally to all groups. Saline (SF) (1 ml/kg) was administered to the control and pregnant groups. Sugammadex was administered to the sugammadex and pregnant sugammadex groups at a dose of 16 mg/kg. Blood samples were collected at 30 min after SF and sugammadex administration in all rats. The levels of PT, INR, aPTT, fibrinogen and coagulation factors were measured in plasma obtained from blood samples. All animals were sacrificed by cervical dislocation after the procedure.The mean weights of the rats were significantly higher in the pregnant groups (pregnant and pregnant sugammadex groups) than in the non-pregnant groups (control and sugammadex groups). The mean PT and INR values were significantly lower in the pregnant than non-pregnant groups. No significant differences were observed in any of the parameters evaluated between the sugammadex- and SF-administered groups.Sugammadex administration did not affect routine coagulation tests or the levels of coagulation factors in pregnant rats.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1.Naguib M, Lien C.A. Pharmacology of muscle relaxant and theirantagonists. In: Miller RD (ed.) Miller’s Anesthesia. 7th edition. Philadelphia: Churchill Livingstone Elsevier 2010;859-911.
  • 2.Belgin A. The Inhibitors of Cholinesterase (Anticholinesterases). Turkiye Klinikleri J Int Med Sci2005;1:47-57.
  • 3.EMA: helping doctors help patients [Internet]. Amsterdam: European Medicines Agency; ©1995-2019 [cited 2019 June 17]. Available from: https://www.ema.europa.eu/en/documents/product-information/bridion-epar-product-information_en.pdf
  • 4.Dirkmann D, Britten MW, Pauling H, Weidle J, Volbracht L, Görlinger K, et al. Anticoagulant Effect of Sugammadex: Just an In Vitro Artifact. Anesthesiology 2016; 124:1277-1285.
  • 5.Rahe-Meyer N, Fennema H, Schulman S, Klimscha W, Przemeck M, Blobner M et al. Effect of reversal of neuromuscular blockade with sugammadex versus usual care on bleeding risk in a randomized study of surgical patients. Anesthesiology 2014; 121:969-977.
  • 6.D’Angelo R. Anaesthesia-related maternal mortality: a pat on the back or call to arms. Anesthesiology 2007; 106:1082-1084.
  • 7.Hawkins JL, Chang J, Palmer SK, Gibbs CP, Callaghan WM. Anaesthesia-related maternal mortality in the United States: 1979-2002. Obstetric Gynaecol 2011; 117: 69-74.
  • 8.Hellgren M. Hemostasis in normal pregnancy and puerperium. Semin Thromb Hemost 2003;26: 244-247.
  • 9.Stirling Y, Woolf L, North WR, Seghatchian MJ, Meade TW. Haemostasis in normal pregnancy. Thromb Haemostas 1984; 52: 176-182.
  • 10.Sucak G,Sucak A. Pregnancy and Hypercoagulability. Turkiye Klinikleri J Int Med Sci 2001; 1: 40-47.
  • 11.Raft J, Guerci P, Harter V, Fuchs-Buder T, Meistelman C. Biological evaluation of the effect of sugammadex on hemostasis and bleeding. Korean journal of anesthesiology2015; 68: 17-21.
  • 12.De Kam PJ, Grobara P, Prohn M, Höppener F, Kluft C, Burggraaf J et al. Effects of sugammadex on activated partial thromboplastin time and prothrombin time in healthy subjects. International journal of clinical pharmacology and therapeutics 2014; 52: 227-236.
  • 13.Taş N, Korkmaz H., Yağan Ö, Korkmaz M. Effect of sugammadex on postoperative bleeding and coagulation parameters after septoplasty: a randomized prospective study. Medical science monitor: international medical journal of experimental and clinical research2015; 21: 2382-2386.
APA KESKİN M, SAYHAN KAPLAN H, GÜLHAS N, BAYRAM Y, BAŞBUĞAN Y (2021). The Effects of Sugammadex On Coagulation In Pregnant Rats. , 294 - 298. 10.5505/ejm.2021.34711
Chicago KESKİN Mehmet Emin,SAYHAN KAPLAN HAVVA,GÜLHAS NURÇIN,BAYRAM YASEMIN,BAŞBUĞAN Yıldıray The Effects of Sugammadex On Coagulation In Pregnant Rats. (2021): 294 - 298. 10.5505/ejm.2021.34711
MLA KESKİN Mehmet Emin,SAYHAN KAPLAN HAVVA,GÜLHAS NURÇIN,BAYRAM YASEMIN,BAŞBUĞAN Yıldıray The Effects of Sugammadex On Coagulation In Pregnant Rats. , 2021, ss.294 - 298. 10.5505/ejm.2021.34711
AMA KESKİN M,SAYHAN KAPLAN H,GÜLHAS N,BAYRAM Y,BAŞBUĞAN Y The Effects of Sugammadex On Coagulation In Pregnant Rats. . 2021; 294 - 298. 10.5505/ejm.2021.34711
Vancouver KESKİN M,SAYHAN KAPLAN H,GÜLHAS N,BAYRAM Y,BAŞBUĞAN Y The Effects of Sugammadex On Coagulation In Pregnant Rats. . 2021; 294 - 298. 10.5505/ejm.2021.34711
IEEE KESKİN M,SAYHAN KAPLAN H,GÜLHAS N,BAYRAM Y,BAŞBUĞAN Y "The Effects of Sugammadex On Coagulation In Pregnant Rats." , ss.294 - 298, 2021. 10.5505/ejm.2021.34711
ISNAD KESKİN, Mehmet Emin vd. "The Effects of Sugammadex On Coagulation In Pregnant Rats". (2021), 294-298. https://doi.org/10.5505/ejm.2021.34711
APA KESKİN M, SAYHAN KAPLAN H, GÜLHAS N, BAYRAM Y, BAŞBUĞAN Y (2021). The Effects of Sugammadex On Coagulation In Pregnant Rats. Eastern Journal of Medicine, 26(2), 294 - 298. 10.5505/ejm.2021.34711
Chicago KESKİN Mehmet Emin,SAYHAN KAPLAN HAVVA,GÜLHAS NURÇIN,BAYRAM YASEMIN,BAŞBUĞAN Yıldıray The Effects of Sugammadex On Coagulation In Pregnant Rats. Eastern Journal of Medicine 26, no.2 (2021): 294 - 298. 10.5505/ejm.2021.34711
MLA KESKİN Mehmet Emin,SAYHAN KAPLAN HAVVA,GÜLHAS NURÇIN,BAYRAM YASEMIN,BAŞBUĞAN Yıldıray The Effects of Sugammadex On Coagulation In Pregnant Rats. Eastern Journal of Medicine, vol.26, no.2, 2021, ss.294 - 298. 10.5505/ejm.2021.34711
AMA KESKİN M,SAYHAN KAPLAN H,GÜLHAS N,BAYRAM Y,BAŞBUĞAN Y The Effects of Sugammadex On Coagulation In Pregnant Rats. Eastern Journal of Medicine. 2021; 26(2): 294 - 298. 10.5505/ejm.2021.34711
Vancouver KESKİN M,SAYHAN KAPLAN H,GÜLHAS N,BAYRAM Y,BAŞBUĞAN Y The Effects of Sugammadex On Coagulation In Pregnant Rats. Eastern Journal of Medicine. 2021; 26(2): 294 - 298. 10.5505/ejm.2021.34711
IEEE KESKİN M,SAYHAN KAPLAN H,GÜLHAS N,BAYRAM Y,BAŞBUĞAN Y "The Effects of Sugammadex On Coagulation In Pregnant Rats." Eastern Journal of Medicine, 26, ss.294 - 298, 2021. 10.5505/ejm.2021.34711
ISNAD KESKİN, Mehmet Emin vd. "The Effects of Sugammadex On Coagulation In Pregnant Rats". Eastern Journal of Medicine 26/2 (2021), 294-298. https://doi.org/10.5505/ejm.2021.34711