[Frontiers in Bioscience 14, 4631-4639, January 1, 2009]

Hemorrhagic shock: an overview of animal models

Shabbir Moochhala, Jian Wu , Jia Lu

Combat Care Laboratory, Combat Casualty Care Programme, Defence Medical and Environmental Research Institute, DSO National Laboratories (Kent Ridge), 27 Medical Drive #09-01, Singapore 117510

TABLE OF CONTENTS

1. Abstract
2. Introduction
3. Models of hemorrhagic shock - controlled and uncontrolled
3.1. Fixed-pressure hemorrhagic shock model
3.2. Fixed-volume hemorrhagic shock model
3.3. Uncontrolled hemorrhagic shock model
4. Conscious animal hemorrhagic shock model
5. Combined hemorrhagic shock
5.1. Combined soft tissue injury and hemorrhagic shock
5.2. Combined traumatic brain injury (TBI) and hemorrhagic shock
5.3. Combined sepsis and hemorrhagic shock (two-hit model)
6. Conclusion
7. References

1. ABSTRACT

Extensive efforts have been made to try to elucidate the pathophysiological mechanisms and the immunologic alterations associated with severe hemorrhage. A broad variety of experimental conditions have been established that enable investigators to study the effects of hypovolemic shock and to assess the potential benefits of a wide spectrum of treatment options. However, translating these experimental findings into clinically applicable therapy has been challenging, suggesting the need for a better understanding of the animal models being used. As certain advantages and disadvantages are associated with the different models of hemorrhage (such as controlled and uncontrolled hemorrhagic shock and combined trauma with hemorrhagic shock models, for this review, we have selected representative studies that reflect the current status of experimental shock research that looks at acute blood loss, and that may serve as a guide when considering which model or models to apply