Neuroprotective effect of intravenous lipid emulsion after bupivacaine-induced cardiac toxicity

Background: This study aimed to investigate the protective effects of intravenous lipid emulsion (ILE) against bupivacaine-induced cardiac toxicity, using histopathological analyses. Methods: Twenty-eight adult male Wistar-Albino rats were divided into four groups: Sham (Group A), ILE (Group B), Bup...

Full description

Saved in:
Bibliographic Details
Main Authors: Mevlüt Doğukan, Nezir Yılmaz, Ahmet Türk, Fadime Tosun, Mehmet Duran, Zeliha Bozkurt
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-07-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:https://journals.lww.com/10.4103/sja.sja_810_24
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849425716933820416
author Mevlüt Doğukan
Nezir Yılmaz
Ahmet Türk
Fadime Tosun
Mehmet Duran
Zeliha Bozkurt
author_facet Mevlüt Doğukan
Nezir Yılmaz
Ahmet Türk
Fadime Tosun
Mehmet Duran
Zeliha Bozkurt
author_sort Mevlüt Doğukan
collection DOAJ
description Background: This study aimed to investigate the protective effects of intravenous lipid emulsion (ILE) against bupivacaine-induced cardiac toxicity, using histopathological analyses. Methods: Twenty-eight adult male Wistar-Albino rats were divided into four groups: Sham (Group A), ILE (Group B), Bupivacaine (Group C), and Bupivacaine + ILE (Group D). Neurotoxicity was induced in Groups C and D with continuous bupivacaine infusion. ILE was administered to Groups B and D. Histological examination of brain tissues, and apoptotic index were evaluated. Results: The apoptotic index was significantly higher in Group C, but ILE administration in Group D markedly decreased these parameters (P < 0.05). Histopathological analysis revealed that ILE reduced edema and neuronal degeneration in Group D. Conclusion: ILE demonstrated a neuroprotective effect against bupivacaine-induced cardiac toxicity by improving hemodynamic stability and reducing cellular damage. This suggests a potential therapeutic role of ILE in managing local anesthetic systemic toxicity.
format Article
id doaj-art-e146128e6cd54d06b50cc29ffb2e9f4a
institution Kabale University
issn 1658-354X
0975-3125
language English
publishDate 2025-07-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Saudi Journal of Anaesthesia
spelling doaj-art-e146128e6cd54d06b50cc29ffb2e9f4a2025-08-20T03:29:40ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X0975-31252025-07-0119336336710.4103/sja.sja_810_24Neuroprotective effect of intravenous lipid emulsion after bupivacaine-induced cardiac toxicityMevlüt DoğukanNezir YılmazAhmet TürkFadime TosunMehmet DuranZeliha BozkurtBackground: This study aimed to investigate the protective effects of intravenous lipid emulsion (ILE) against bupivacaine-induced cardiac toxicity, using histopathological analyses. Methods: Twenty-eight adult male Wistar-Albino rats were divided into four groups: Sham (Group A), ILE (Group B), Bupivacaine (Group C), and Bupivacaine + ILE (Group D). Neurotoxicity was induced in Groups C and D with continuous bupivacaine infusion. ILE was administered to Groups B and D. Histological examination of brain tissues, and apoptotic index were evaluated. Results: The apoptotic index was significantly higher in Group C, but ILE administration in Group D markedly decreased these parameters (P < 0.05). Histopathological analysis revealed that ILE reduced edema and neuronal degeneration in Group D. Conclusion: ILE demonstrated a neuroprotective effect against bupivacaine-induced cardiac toxicity by improving hemodynamic stability and reducing cellular damage. This suggests a potential therapeutic role of ILE in managing local anesthetic systemic toxicity.https://journals.lww.com/10.4103/sja.sja_810_24apoptosisbupivacaineıntravenous lipid emulsionsneuroprotection
spellingShingle Mevlüt Doğukan
Nezir Yılmaz
Ahmet Türk
Fadime Tosun
Mehmet Duran
Zeliha Bozkurt
Neuroprotective effect of intravenous lipid emulsion after bupivacaine-induced cardiac toxicity
Saudi Journal of Anaesthesia
apoptosis
bupivacaine
ıntravenous lipid emulsions
neuroprotection
title Neuroprotective effect of intravenous lipid emulsion after bupivacaine-induced cardiac toxicity
title_full Neuroprotective effect of intravenous lipid emulsion after bupivacaine-induced cardiac toxicity
title_fullStr Neuroprotective effect of intravenous lipid emulsion after bupivacaine-induced cardiac toxicity
title_full_unstemmed Neuroprotective effect of intravenous lipid emulsion after bupivacaine-induced cardiac toxicity
title_short Neuroprotective effect of intravenous lipid emulsion after bupivacaine-induced cardiac toxicity
title_sort neuroprotective effect of intravenous lipid emulsion after bupivacaine induced cardiac toxicity
topic apoptosis
bupivacaine
ıntravenous lipid emulsions
neuroprotection
url https://journals.lww.com/10.4103/sja.sja_810_24
work_keys_str_mv AT mevlutdogukan neuroprotectiveeffectofintravenouslipidemulsionafterbupivacaineinducedcardiactoxicity
AT neziryılmaz neuroprotectiveeffectofintravenouslipidemulsionafterbupivacaineinducedcardiactoxicity
AT ahmetturk neuroprotectiveeffectofintravenouslipidemulsionafterbupivacaineinducedcardiactoxicity
AT fadimetosun neuroprotectiveeffectofintravenouslipidemulsionafterbupivacaineinducedcardiactoxicity
AT mehmetduran neuroprotectiveeffectofintravenouslipidemulsionafterbupivacaineinducedcardiactoxicity
AT zelihabozkurt neuroprotectiveeffectofintravenouslipidemulsionafterbupivacaineinducedcardiactoxicity