• Biomolecules & Therapeutics
• /
• 제4권4호
• /
• pp.330-333
• /
• 1996

Acute intravenous toxicities of rHu-EPO (recombinant human erythropoietin) were investigated in Sprague-Dawley rats. Seven days after administration of rHu-EPO, we examined the clinical signs, mortalities, body weight and etc. No clinical signs and mortalities of toxicity were observed in animals. Also, a significant change of body weights was not observed. These results suggest that LD$_{50}$ value was >25,000 unit/ kg in Sprague-Dawley rats and the acute intravenous toxicities of rHu-EPO were not significant.t.

• 대한수의학회지
• /
• 제2권1호
• /
• pp.37-50
• /
• 1962

Ten calves were subjected to general anesthesia with ten percent chlooral hydrate solution. The drug was administered by the method of slow intravenous injection so as to have a better control over the dosage and time until deep anesthesia was attained. Although one of ten calves failed to produce anesthesia, the remainder of nine responded satisfactorily with deep anesthesia. The dosage required averaged as great as 17.5gm per calf, and the time 23 minutes. In view of these advantages indicated in the results, further studies on the use of intravenous chloral hydrate for deep anesthesia in bovine species are to be justifiable.

• Annals of Clinical Neurophysiology
• /
• 제13권2호
• /
• pp.97-100
• /
• 2011

Chronic inflammatory demyelinating polyneuropathy (CIDP) is an acquired immune-mediated polyneuropathy. Corticosteroids, intravenous immunoglobulin (IVIG) and plasmapheresis have been reported to be effective treatment. Rarely, CIDP can occur in the patients with HIV infection. The clinical features and electrophysiological findings of CIDP are known to be similar in patients with and without HIV infection. We report a 30-year-old male with HIV infection associated CIDP who improved after the administration of intravenous immunoglobulin and long term oral prednisone.

• Journal of Chest Surgery
• /
• 제49권5호
• /
• pp.392-396
• /
• 2016

We report a case of aortic dissection masquerading as acute ischemic stroke followed by intravenous thrombolysis. A 59-year-old man presented with dizziness. After examination, the patient had a seizure with bilateral Babinski signs. Soon after identifying multiple acute infarctions in both hemispheres on diffusion-weighted brain magnetic resonance (MR) imaging, tissue plasminogen activator (t-PA) was administered. Both common carotid arteries were invisible on MR angiography, and subsequent chest computed tomography revealed an aortic dissection. The emergency operation was delayed for 13 hours due to t-PA administration. The patient died of massive bleeding.

• Journal of Chest Surgery
• /
• 제37권6호
• /
• pp.504-510
• /
• 2004

배경: 심장 수술과 관련된 혈관확장성 쇼크는 주로 체외순환 후 바소프레신의 결핍이나 패혈증으로 발생하며, 흔히 사용하는 심근수축제에 잘 반응하지 않는 경우가 많다. 성인에서는 바소프레신의 투여가 효과적인 것으로 알려져 있으나 선천성 심장병 수술을 받은 환자에서 이에 대한 경험이 제한되어 본원의 경험을 보고하고자 한다. 대상 및 방법: 2003년 2월부터 8월까지 선천성 심장병으로 수술후 일반 심근수축제에 반응하지 않는 혈관확장성 쇼크가 발생한 6명에게 바소프레신을 투여하였다. 수술 당시 연령은 생후 2∼41일(중앙값 25일)이었고, 수술 시 체중은 900∼3,530 gm (중앙값 2,870 gm)이었다. 수술 전 진단명은 좌심형성부전증후군 1예, 대동맥 축착증과 심한 승모판막역류을 동반한 완전방실중격결손 l예, 완전대혈관전위증 2예, 활로씨형 양대혈관우심기시증 1예, 총폐정맥환류이상 1예였다. 완전교정술과 고식적 수술이 각각 3명에서 시행되었다. 결과: 일반 심근수축제에 반응하지 않는 저혈압은 대부분의 환자에서 수술 후 24시간 이내에 발생하여 바소프레신의 투여가 필요하였고, 이후 패혈증 쇼크로 바소프레신의 추가 투여가 필요하였다. 바소프레신 투여양은 0.0002∼0.008 unit/kg/min이었고, 총 투여 시간은 26∼140시간(중앙값 59시간)이었다. 바소프레신 투여 직전, 투여 1시간 ,6시간째 수축기 혈압은 각각 42.7$\pm$7.4 mmHg, 53.7$\pm$11.4 mmHg, 56.3$\pm$13.4 mmHg로 의미 있는 혈압 상승이 관찰되었다(투여 직전과 비교하여 투여 1시간 ,6시간 모두 p=0.042). 바소프레신 투여 전과 투여 6시간, 12시간 후의 inotropic index 는 각각 32.3$\pm$7.2 와 21.0$\pm$8.4, 21.2$\pm$8.9)로 바소프레신 투여 전과 비교하여 투여 후 6시간과 12시간 모두 의미 있게 inotropic index의 감소를 보였다(투여 직전과 비교하여 투여 6시간, 12시간 모두 p=0.027). 바소프레신 투여 후 전신 순환의 감소와 관련된 대사성 산증의 악화나 소변량 감소 등의 소견은 관찰되지 않았다. 결론: 선천성 심장병으로 수술받은 환자, 특히 신생아에서 수술 직후 심한 심실 기능 저하의 소견이 없는데도 불구하고 일반 심근수축제에 반응을 하지 않는 심한 저혈압이 발생한 경우, 이로 인한 말단 장기의 비가역적 손상이 발생하기 전 가능한 한 빨리 바소프레신을 정맥 투여함으로써 혈압 상승뿐만 아니라 기존 심근수축제의 사용량을 줄여 이와 관련된 합병증을 감소시킬 수 있어, 바소프레신의 투여는 수술 직후 불안정한 시기에 사용할 수 있는 중요한 치료법의 하나로 생각된다.

• Biomolecules & Therapeutics
• /
• 제6권4호
• /
• pp.400-405
• /
• 1998

The pharmacokinetics of CJ-50001 (recombinant human granulocyte-colony stimulating factor, developed by R&D center of Cheil Jedang Corp.) were investigated in rats and dogs. The serum concentrations of CJ-50001 were measured by a sandwich enzyme immunoassay. After single intravenous (iv) administration of Cf-50001 to rats at a dose of 5 $\mu$g/kg, the mean terminal half-life and area under the concentration-time curve (AUC) were 0.96 h and 124.497g . h/ml, respectively. After single subcutaneous (sc) administration at the same dose, maximum serum concentration was observed at about 2 hours after administration, and the mean terminal half-life, AUC and the bioavailability were 1.11 h,63.58$\mu$g . h/ml and 51.07%, respectively. In repeated dosing studies, CJ-50001 was administered iv and sc to rats at a daily dose of 5$\mu$g/kg for 7 days. The pharmacokinetic parameters, such as mean AUC and terminal half-life, were no significantly different from those of single administration. Following single iv and sc administration of CJ-50001 to dogs at a dose of 5 $\mu$g/kg, mean AUCs were much higher than those of rats, due to the decreased clearence (CL). After sc administration to dogs, maximum serum concentration was observed at 2~4 hours after administration and the bioavailability was 54.60%.

• 대한약침학회지
• /
• 제17권2호
• /
• pp.67-72
• /
• 2014

Objectives: This study evaluated the single-dose toxicity of Saeng Maek San (SMS) in rats. Methods: All experiments were conducted at Biotoxtech (Chungwon, Korea), an institute authorized to perform non-clinical studies under the regulations of Good Laboratory Practice (GLP). A single-dose intravenous toxicity study was carried out on 40 6-week-old Sprague-Daley rats. The animals were randomly divided into the following four groups of ten animals each: Group 1 (G1) was the control group, with each animal receiving an intravenous injection of 1.0 mL of saline, and Groups 2, 3 and 4 (G2, G3 and G4) were the experimental groups, with the animals in the groups receiving an injection of 0.1, 0.5 and 1.0 mL of SMS, respectively. Mortality, clinical signs, body-weight changes and gross pathological findings were observed for 14 days following a single administration of SMS or saline. Organ weights, clinical chemistry and hematology were analyzed at 14 days. This study was conducted with the approval of the Institutional Animal Ethics Committee. Results: No deaths occurred in any of the four groups, indicating that the lethal dose of SMS in rats is greater than 1.0 mL/animal. Some changes in weights of male rats between the control group and the experimental groups were observed, but no significant changes in the weights of female rats were noted. To identify abnormalities in organs and tissues, we stained representative sections of each specified organ with hematoxylin and eosin for examination with a light microscope. No significant abnormalities were observed in any of the organs or tissues. Conclusion: The results suggest that intravenous injection of SMS is a safe method of treatment.

• Journal of Acupuncture Research
• /
• 제34권3호
• /
• pp.39-48
• /
• 2017

Objectives : The objective of this study was to evaluate the effect of Dokhwaljihwang-tang (DJT) intravenous pharmacopuncture on cisplatin-induced emesis and gastric mobility disorder in Wistar rats. Methods : Thirty rats were randomly divided into six groups and cisplatin was administered to all groups except the normal group. The cisplatin group (n=5) received a cisplatin injection only. The saline group (n=5) was injected with cisplatin followed by 0.4 mL of saline. Groups DJT-1, DJT-2, and DJT-3 were injected with cisplatin, followed by 0.315 g/kg, 0.104 g/kg, and 0.034 g/kg of DJT, respectively. Body weight, food intake, and kaolin intake of rats were measured 12 h, 24 h, and 36 h after cisplatin injection. Residual food in the stomach was measured 48 h after cisplatin injection. Results : There was no significant difference in weight. The food intake was not significantly different 12 h after cisplatin administration. All groups except the normal group showed significantly decreased food intake after 24 h. After 36 h, food intake was not significantly different between groups DJT-1, DJT-2, and DJT-3 and the normal group. The kaolin intake of groups DJT-1 and DJT-2 was significantly decreased at 12 h and 24 h after cisplatin injection. Kaolin intake and residual food in the stomach were significantly decreased in groups DJT-1, DJT-2, and DJT-3. Conclusion : In a Wistar rat model, DJT intravenous pharmacopuncture is suggested to be effective for cisplatin-induced emesis and gastric motility disorder. In the future, it is necessary to study the mechanism and chemical composition of each individual constitutive drug.

• Clinical and Experimental Pediatrics
• /
• 제56권7호
• /
• pp.282-285
• /
• 2013

Purpose: Recent studies have established the association between hypotonic fluids administration and hospital-acquired hyponatremia in children, and have contended that hypotonic fluids be removed from routine practice. To assess current intravenous fluid prescription practices among Korean pediatric residents and to call for updated clinical practice education Methods: A survey-based analysis was carried out. Pediatric residents at six university hospitals in Korea completed a survey consisting of four questions. Each question supposed a unique scenario in which the respondents were to prescribe either a hypotonic or an isotonic fluid for the patient. Results: Ninety-one responses were collected and analyzed. In three of the four scenarios, a significant majority prescribed the hypotonic fluids (98.9%, 85.7%, and 69.2%, respectively). Notably, 69.2% of the respondents selected the hypotonic fluids for postoperative management. Almost all (96.7%) selected the isotonic fluids for hydration therapy. Conclusion: In the given scenarios, the majority of Korean pediatric residents would prescribe a hypotonic fluid, except for initial hydration. The current state of pediatric fluid management, notably, heightens the risk of hospital-acquired hyponatremia. Updated clinical practice education on intravenous fluid prescription, therefore, is urgently required.

• The Korean Journal of Pain
• /
• 제26권3호
• /
• pp.270-276
• /
• 2013

Background: Ketamine, an N-methyl-D-aspartate receptor antagonist, might play a role in postoperative analgesia, but its effect on postoperative pain after caesarean section varies with study design. We investigated whether the preemptive administration of low-dose intravenous ketamine decreases postoperative opioid requirement and postoperative pain in parturients receiving intravenous fentanyl with patient-controlled analgesia (PCA) following caesarean section. Methods: Spinal anesthesia was performed in 40 parturients scheduled for elective caesarean section. Patients in the ketamine group received a 0.5 mg/kg ketamine bolus intravenously followed by 0.25 mg/kg/h continuous infusion during the operation. The control group received the same volume of normal saline. Immediately after surgery, the patients were connected to a PCA device set to deliver 25-${\mu}g$ fentanyl as an intravenous bolus with a 15-min lockout interval and no continuous dose. Postoperative pain was assessed using the cumulative dose of fentanyl and visual analog scale (VAS) scores at 2, 6, 24, and 48 h postoperatively. Results: Significantly less fentanyl was used in the ketamine group 2 h after surgery (P = 0.033), but the difference was not significant at 6, 12, and 24 h postoperatively. No significant differences were observed between the VAS scores of the two groups at 2, 6, 12, and 24 h postoperatively. Conclusions: Intraoperative low-dose ketamine did not have a preemptive analgesic effect and was not effective as an adjuvant to decrease opioid requirement or postoperative pain score in parturients receiving intravenous PCA with fentanyl after caesarean section.