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Ischemia and Reperfusion as a Cause of Multiple Organ Failure

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Multiple Organ Failure

Abstract

Multiple organ failure continues to be the most common cause of late death after injury. It is also one of the most common causes of mortality in the intensive care unit after major catastrophic medical illnesses and surgical complications. The pathogenesis of the syndrome remains incompletely understood, but it is most likely related to some combination of a dysregulated inflammatory response, maldistribution of microcirculatory blood flow, ischemia-reperfusion injury, and deregulation of immune function.

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References

  1. Goris RJA, te Boekhorst TPA, Nuytinck JS, et al: Multiple organ failure: generalized autodestructive inflammation? Arch Surg 1985; 120: 1109–1115.

    Article  PubMed  CAS  Google Scholar 

  2. Nuytinck HCS, Offermans XJMW, Kubat K, et al: Whole body inflammation in trauma patients: an autopsy study. Arch Surg 1988; 123: 1519–1524.

    Article  PubMed  CAS  Google Scholar 

  3. Eiseman B, Beart R, Norton L: Multiple organ failure. Surg Gynecol Obstet 1977; 144: 323–326.

    PubMed  CAS  Google Scholar 

  4. Haimovici H: Arterial embolism with acute massive ischemic myopathy and myoglobinuria: evaluation of a hither-to unreported syndrome with report of two cases. Surgery 1960; 47: 739.

    PubMed  CAS  Google Scholar 

  5. Quinones-Baldrich WJ, Deaton DH, Ahn SS, Nene S, Cushen C, Moore WS: Isolated fibrinolytic limb perfusion with extra corporal pump in the management of acute limb ischemia, (in press)

    Google Scholar 

  6. Beyersdorf F, Mitrev K, Ihken K, et al: Controlled limb reperfusion in patients having cardiac operations. J Thorac Cardiovasc Surg 1996; 111: 873–881.

    Article  PubMed  CAS  Google Scholar 

  7. Buckberg GD: Update on current techniques on myocardial protection. Ann Thorac Surg 1995; 60: 805–814.

    Article  PubMed  CAS  Google Scholar 

  8. Beyersdorf F: Protection of evolving myocardial infarction and failed PTGA. Ann Thorac Surg 1995; 60: 833–838.

    Article  PubMed  CAS  Google Scholar 

  9. Gates RN, Drinkwater DC: Reperfusion injury after heart transplantation. In: Zikria BA (ed) Reperfusion Injuries and Clinical Capillary Leak Syndrome. Armonk, NY, Futura, 1994; 259–280.

    Google Scholar 

  10. Pearl JM, Laks H, Drinkwater DC, et al: Leukocyte-depleted reperfusion of transplanted human hearts prevents ultrastructural evidence of reperfusion injury. J Surg Res 1992; 52: 298–308.

    Article  PubMed  CAS  Google Scholar 

  11. Foulds S, Mireskandari M, Kalu P, et al: Visceral ischemia and neutrophil activation in sepsis and organ dysfunction. J Surg Res 1998; 75: 170–176.

    Article  PubMed  CAS  Google Scholar 

  12. Meyer K, Brown MF, Zibari G, et al: ICAM 1 up regulation in distant tissues after hepatic ischemia reperfusion: a clue to the mechanism of multiple organ failure. J Pediatr Surg 1998; 33: 350–353.

    Article  PubMed  CAS  Google Scholar 

  13. Sun JS, Tsuang YH, Lou FJ, Lou KS, Hang YS: Biochemical and histopathological changes in the mortality caused by acute ischemic Hmb injury: a rabbit model. Histol Histopathol 1998; 13: 47–55.

    PubMed  CAS  Google Scholar 

  14. Nielsen VG, Tan S, Bricks AE, Baird MS, Park DA: Hextend (hetastarch solution) decreases multiple organ injury and xanthine oxidase release after hepatoenteric ischemia reperfusion in rabbits. Grit Care Med 1997; 25: 1565–1574.

    Article  CAS  Google Scholar 

  15. Menger MD, et al: Influence of isovolemic hemodiltion with dextran and HES on the PMN—endothelium interaction in post ischemic skeletal muscle. Eur Surg Res 1989; 21(Suppl 2): 74.

    Google Scholar 

  16. Sauaia A, Moore FA, Moore EE: Multiple organ failure can be predicted as early as 12 hours after injury. J Trauma 1998; 45: 291–303.

    Article  PubMed  CAS  Google Scholar 

  17. Cryer HG, Leong K, McArthur DL, et al: Multiple organ failure: by the time you predict it, it’s already there. J Trauma 1999; 46: 597–606.

    Article  PubMed  CAS  Google Scholar 

  18. Zallen G: Age of transfused blood is an independent risk factor for post injury multiple organ failure. Presented at 21st Annual Resident’s Trauma Paper Competition, American College of Surgeons Committee on Trauma, Washington DC, March 18, 1999

    Google Scholar 

  19. Flynn WJ, Cryer HG, Garrison RN: Pentoxifylline but not saralasin restores hepatic blood flow after resuscitation from hemorrhagic shock. J Surg Res 1991; 50: 616–621.

    Article  PubMed  CAS  Google Scholar 

  20. Waxman K: Shock: ischemia, reperfusion, and inflammation. New Horiz 1996; 4: 153–160.

    PubMed  CAS  Google Scholar 

  21. Moore FA, Haemel JB, Moore EE: Incommensurate oxygen consumption in response to maximal oxygen availability predict! post injury multiple organ failure. J Trauma 1992; 33: 58–63.

    Article  PubMed  CAS  Google Scholar 

  22. Yu M, Levy MM, Smith P: Effect of maximizing oxygen delivery on mortality and morbidity rates in critically ill patients: a prospective randomized controlled study. Crit Care Med 1993; 21: 830–838.

    Article  PubMed  CAS  Google Scholar 

  23. Law MM, Cryer HG, Abraham E: Elevated serum levels of I-GAM-1 but not TNF receptor, correlate with the development of multiple organ failure in trauma patients. J Trauma 1994; 37: 100–110.

    Article  PubMed  CAS  Google Scholar 

  24. Seecamp A, Jochum M, Ziegler M, Van Griensbenm, Martin M, Regel G: Cytokines and adhesion molecules in elective and accidental trauma related ischemia reperfusion. J Trauma 1998; 44: 874–882.

    Article  Google Scholar 

  25. Marzi I, Buhren V, Schottler A, et al: Value of superoxide dismutase for prevention of multiple organ failure after multiple trauma. J Trauma 1993; 35: 110–120.

    Article  PubMed  CAS  Google Scholar 

  26. Vedder NB, Winn RK, Rice CL: A monoclonal antibody to the adherence-promoting leukocyte glycoprotein, CD 18, reduced organ injury and improves survival from hemorrhagic shock and resuscitation in rabbits. J Clin Invest 1988; 81: 939–944.

    Article  PubMed  CAS  Google Scholar 

  27. Fabian TC, Croce MA, Stewart RM, et al: Neutrophil CD-18 expression and blockage after traumatic shock and endotoxin challenge. Ann Surg 1994; 220: 552–563.

    Article  PubMed  CAS  Google Scholar 

  28. Barquist E, Kirton O, Windsor J, et al: The impact of antioxidant and splanchnic directed therapy on persistent uncorrected gastric mucosal pH in the critically injured trauma patient. J Trauma 1998; 44: 355–359.

    Article  PubMed  CAS  Google Scholar 

  29. Kirton O, Civetta JM: Ischemia-reperfusion injury in the critically ill: a progenitor of multiple organ failure. New Horiz 1999; 7: 87–95.

    Google Scholar 

  30. Cinat M, Waxman K, Vaziri ND, et al: Soluble cytokine receptors and receptor antagonists are sequentially released following trauma. J Trauma 1995; 39: 112–120.

    Article  PubMed  CAS  Google Scholar 

  31. Miner TJ, Tavaf-Motamen H, Stojadinovic A, Shea-Donohue T: Ischemia reperfusion protects the rat small intestine against subsequent injury. J Surg Res 1999; 82: 1–10.

    Article  PubMed  CAS  Google Scholar 

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© 2000 Springer Science+Business Media New York

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Cryer, H.G. (2000). Ischemia and Reperfusion as a Cause of Multiple Organ Failure. In: Baue, A.E., Faist, E., Fry, D.E. (eds) Multiple Organ Failure. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1222-5_12

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  • DOI: https://doi.org/10.1007/978-1-4612-1222-5_12

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7049-2

  • Online ISBN: 978-1-4612-1222-5

  • eBook Packages: Springer Book Archive

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