Fluid replacement is the primary treatment for life-threatening shock but is challenging in harsh environments. This study explores low-intensity pulsed ultrasound (LIPUS) as a resuscitation strategy. Cervical LIPUS stimulation effectively elevated blood pressure in shocked rats. It also improved cerebral and multiorgan perfusion. Mechanistically, LIPUS activated pathways related to sympathetic nerve excitation and vascular smooth muscle contraction, increasing plasma catecholamines and stimulating blood pressure-regulating neural nuclei. Partial sympathetic nerve transection reduced LIPUS efficacy, while complete inhibition of these nuclei abolished the response. Preliminary clinical trials demonstrated LIPUS's ability to raise blood pressure in shock patients. The findings suggest that LIPUS enhances sympathetic nerve activity and activates blood pressure-regulating nuclei, offering a noninvasive, neuromodulation-based approach to shock treatment. This method holds potential for improving blood pressure and organ perfusion in shock patients, especially in resource-limited environments.
基金:
National Natural Science Foundation of China [82471497, 82071390, 82271394, 82101434, 82001323]
第一作者机构:[1]Tianjin Med Univ Gen Hosp, Tianjin Neurol Inst, Dept Neurosurg, State Key Lab Expt Hematol,Key Lab Postneuroinjury, Tianjin, Peoples R China[2]Tianjin Med Univ Gen Hosp, Minist Educ, Tianjin 300052, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Tianjin Med Univ Gen Hosp, Tianjin Neurol Inst, Dept Neurosurg, State Key Lab Expt Hematol,Key Lab Postneuroinjury, Tianjin, Peoples R China[2]Tianjin Med Univ Gen Hosp, Minist Educ, Tianjin 300052, Peoples R China[5]Capital Med Univ, Xuanwu Hosp, Dept Neurosurg, Beijing 100053, Peoples R China