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Results of cardiopulmonary resuscitation (CPR) for asphyxial cardiac arrest (aCA). The CPR time, epinephrine used during CPR, survival rate and neurological deficit (ND) scores in rats, were compared in saline and histidine-tryptophan-ketoglutarate solution (HTK) groups. (A) CPR time (p < 0.05 for the 6'30@ groups (endotracheal tube clamped and asphyxia for 6 min 30 s) compared to the 4'30@ groups (endotracheal tube clamped and asphyxia for 4 min 30s)). (B) The epinephrine dose used for CPR. (C) Survival rate on day 3. ( � p < 0.05, HTK vs. saline in the 6 0 30@ group). (D) Total neurological deficit (ND) scores are shown from day 0 to day 3. Numbers listed beside each icon on the line chart are the survived and observed rats at that time point. Treatment with HTK improved ND scores significantly at day 1 for the 4 0 30@ group and from day 1 to day 3 for the 6 0 30@ group. ( � p < 0.05 compared with the saline-treated controls with the same duration time of aCA). https://doi.org/10.1371/journal.pone.0221039.g005

Results of cardiopulmonary resuscitation (CPR) for asphyxial cardiac arrest (aCA). The CPR time, epinephrine used during CPR, survival rate and neurological deficit (ND) scores in rats, were compared in saline and histidine-tryptophan-ketoglutarate solution (HTK) groups. (A) CPR time (p < 0.05 for the 6'30@ groups (endotracheal tube clamped and asphyxia for 6 min 30 s) compared to the 4'30@ groups (endotracheal tube clamped and asphyxia for 4 min 30s)). (B) The epinephrine dose used for CPR. (C) Survival rate on day 3. ( � p < 0.05, HTK vs. saline in the 6 0 30@ group). (D) Total neurological deficit (ND) scores are shown from day 0 to day 3. Numbers listed beside each icon on the line chart are the survived and observed rats at that time point. Treatment with HTK improved ND scores significantly at day 1 for the 4 0 30@ group and from day 1 to day 3 for the 6 0 30@ group. ( � p < 0.05 compared with the saline-treated controls with the same duration time of aCA). https://doi.org/10.1371/journal.pone.0221039.g005

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Ischemic neuron loss contributes to brain dysfunction in patients with cardiac arrest (CA). Histidine-tryptophan-ketoglutarate (HTK) solution is a preservative used during organ transplantation. We tested the potential of HTK to protect neurons from severe hypoxia (SH) following CA. We isolated rat primary cortical neurons and induced SH with or wi...

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Context 1
... was used because it could increase arterial pressure and coronary perfusion pressure, and provide good successful resuscitation rate while low dosage was used [24,25]. The 4 0 30@ groups (asphyxia for 4 min and 30 s) had shorter durations of resuscitation, and the 6 0 30@ groups (asphyxia for 6 min and 30 s) were resuscitated significantly longer (p < 0.05 as compared to the 4 0 30@ groups with the same treatment), but the difference in resuscitation duration between the saline and HTK groups was not significant at the same asphyxia time (Fig 5A). For the epinephrine dosage, the 6 0 30@ groups used nearly twice the dosage as the 4 0 30@ groups. ...
Context 2
... the epinephrine dosage, the 6 0 30@ groups used nearly twice the dosage as the 4 0 30@ groups. No significant differences were observed between the HTK group and the saline group with the same asphyxia time (Fig 5B). ...
Context 3
... significance (p = 0.6547), and significantly from 26.7% to 44.4% for the 6 0 30@ group at day 3 (p < 0.05, Fig 5C). The infarction size of the 4 0 30@ groups was lower than that of the 6 0 30@ groups, and was lower in the groups treated with HTK than that of saline-treated groups; however, these were not statistically significant. ...
Context 4
... the HTK and saline subgroups were similar among the 4 0 30@ groups. For the 6 0 30@ groups, the total ND score increased significantly for the HTK subgroup (p < 0.05) compared with the saline subgroup at day 1 and the gap increased gradually to day 3 ( Fig 5D). ...

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