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Query: KEGG:D02052 (Barium sulfate)
 55 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Barium sulfate additive, in amounts ranging from 5% to 60%, causes a progressive reduction in polymerization temperature of the cement without appreciably altering the polymerization time. Concurrently, the mechanical strength of the cement, as determined in shear, decreases with increasing concentration of barium additive. Although inclusion of barium sulfate in acrylic bone cement is primarily used for radiographic contrast purposes, its possible effects on release of monomer and other local mechanisms seem not to have been measured.
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PMID:The effects of barium sulfate on the polymerization temperature and shear strength of surgical simplex P. 53 84

Barium sulfate, used as a radio-opaque marker in some orthopedic bone cements, has been shown to escape into the surrounding tissues. This may present a potential hazard. In particular, phagocytic cells may be exposed to relatively high internal levels of barium once the particles have been phagocytosed. Mouse peritoneal macrophages exposed to barium sulfate for periods up to 144 hr showed a marked cytoplasmic vacuolization from which they recovered only partially. Barium sulfate did not appear to damage the cell membrane as judged by lactice dehydrogenase release. In the relatively low doses and with the periods of exposure described here, barium sulfate does not appear to present a serious toxic hazard in the short term. It is possible, however, that longer exposures and larger doses may result in the death of phagocytic cells which have ingested barium sulfate.
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PMID:Tolerance of mouse macrophages in vitro to barium sulfate used in orthopedic bone cement. 59 25

Surgical management of osteoarthritis, aseptic necrosis and rheumatoid arthritis has been revolutionized by the introduction of acrylic cement-stabilized joint surface replacement. Although single joint surface replacements have been employed extensively for more than half a century, total surface replacement operations with a wear-resistant high-density polyethylene and noncorrosive stainless steel stabilized by acrylic cement were introduced only a little more than 12 years ago. This evolved with Charnley's discovery of the high level of bone tolerance for acrylic cement. Acrylic cement made it possible mechanically to bond artificial joint surfaces to the bone ends and produce an insensitive Charcot-like functioning joint. A barium sulfate additive makes the cement radiopaque for visualizing the bone-cement interface. Barium sulfate additive also lowers the polymerization temperature and opens the polymer for influx of interstitial fluids. Antibiotics have also been added to the cement for prevention and treatment of infection of the surrounding tissues. In aged individuals with cardiovascular disease, the absorption of the acrylic monomer depresses cardiac output and produces hypotension for 2-5 minutes after impaction of acrylic cement into spongy bone. The hypotension has been minimized by cautious fluid replacement and maintenance of adequate blood volume before, during and after the operation. Approximately 30,000 total hip arthroplasties are performed in the United States annually in patients older than 50 years of age with fractured femoral head replacements, bilateral rheumatoid arthritis, old neglected congenital dislocations of the hip or osteonecrosis with and without osteoarthritis. The pain relief is more complete and the functional improvement more predictable than in any other previously recommended surgical operation for the purpose. For this reason, total hip arthroplasty has almost completely supplanted mold-arthroplasty, osteotomy, capsulotomy (hanging hip) and resection of the femoral head. Hemiarthroplasty in the form of femoral head replacement still is the procedure of choice in patients with fractures of the neck of the femur and a normal acetabular articular cartilage, irrespective of age. As a countermeasure against loosening of the prosthesis in patients with osteoporosis and a hollow proximal end of the femur, the stem can be stabilized with acrylic cement. A standard replaceable femoral head for subsequent conversion of femoral head replacement to total hip arthroplasty is an important consideration and presently is under investigation in several medical centers.(ABSTRACT TRUNCATED AT 400 WORDS)
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PMID:Acrylic cement stabilized joint replacements. 80 82

A middle-aged male patient with cardiac arrhythmias on swallowing due to incoordinate peristaltic activity of the esophagus is reported. Medical treatment with propranolol and quinidine sulfate made the symptoms manageable initially but recurrence of symptoms made surgical treatment desirable. Barium sulfate with apple produced the incoordinate peristalsis with resultant arrhthmias as soon as it arrived at the junction between the middle and lower third of the esophagus. This was followed by a normal peristaltic wave which cleared the esophagus and brought the cardiac rhythm back to normal again. Balloon distension of the esophagus located the afferent stimuli as arising from the lower third of the esophagus. A circular esophageal myotomy at the junction of the middle and the lower third, although not completely abolishing the reflex, has made the symptoms less severe. However, this procedure has produced considerable ballooning of the mucosa at the myotomy site, and has resulted in some difficulty in swallowing.
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PMID:Cardiac arrhythmias on swallowing. 83 67

An experimental study is reported on different injections of barium sulfate into peritoneal cavity of 10 dogs and intravasal. All experimental animals died. The experiments show that barium sulfate causes not only local reaction but the most important is it's general deleterious effect. There results macro- and microembolies yet another adverse effect which is not widely appreciated. Barium sulfate medium only may be considered non toxic as long as staying in the gastrointestinal tract.
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PMID:[Animal experiment studies on the damage caused by barium sulfate]. 93

We compared the effectiveness of 1 mM Geritol, 12% corn oil emulsion, Kaolin-pectin, single contrast oral barium sulfate, and effervescent granules as enteric magnetic resonance imaging (MRI) contrast agents. Five volunteers were recruited. Each volunteer ingested for examinations, separated by at least one week, either 500 ml of each of the liquid preparations or two packets of the CO2 granules (producing 400 ml of CO2 per packet). Abdominal MR images were then obtained using a 1.5 T Magnetom imager and SE 550/22, SE 2000/45/90 and FISP 40/18/40 degrees pulse sequences. The oil emulsions were best tolerated. Barium sulfate caused the greatest amount of nausea, followed by Geritol and Kaolin-pectin. With FISP 40/18/40 degrees, 60%-80% of the small bowel was well delineated using oil emulsion, Kaolin-pectin, or barium sulfate. We conclude that oil emulsion was by far the best enteric MR contrast agent in our study. Good delineation of the small bowel and pancreas can be achieved using oil emulsion and gradient echo pulse sequences. The lack of side-effects and the excellent taste make it highly acceptable to human subjects.
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PMID:Enteric MRI contrast agents: comparative study of five potential agents in humans. 177 27

Barium sulfate added to bone cement to provide radiopacity has a density about four times greater than that of polymerized radiolucent bone cement. Because centrifugation might make a clinically significant change in the distribution of barium sulfate, this process was studied. Radiolucent and radiopaque Simplex-P bone cement (Howmedica, Inc., Rutherford, New Jersey) were mixed with and without cooling and centrifuged for two or four minutes at 2,000 g or 1,000 g (gravity acceleration). The density of sections of the hardened bone cement was measured using the Archimedes principle. Erythromycin and colistin were added to cement batches to test whether or not centrifugation affected the distribution of antibiotics. Direct and radiographic observation and density measurements (cooled specimens, 2,000 g, p less than 0.01) verified that barium sulfate does accumulate at the bottom of the centrifugation tubes. Thin sections of the bone cement revealed that only larger particles (20-100 micron) of barium sulfate were deposited at the bottom. No evidence of redistribution of antibiotics after centrifugation was seen. It is recommended that Simplex-P bone cement be reformulated to eliminate concern about inhomogeneities that arise from centrifugation. Further, it is recommended that cooled, centrifuged antibiotic cement be used for long-stem revision hip surgery, where longer setting times are necessary, and room temperature cement for "fresh" hip surgery. A total centrifuge time of two minutes with a 2,000 g maximum force is recommended.
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PMID:Variations in the density of bone cement after centrifugation. 372 95

Barium sulfate-contrast medium was instilled into the peritoneal cavity of three rats and three dogs and thus a (aseptic) barium peritonitis was induced. The experiments show that barium sulfate here causes not only local reaction but important is its general deleterious effect dependent on its quantity. This is not widely appreciated, yet seems to be an intoxication. Barium sulfate-medium only may be considered non toxic as long as staying in the intestinal tract.
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PMID:[Barium peritonitis in animal experiments (rat, dog)]. 381 89

Characteristics of barium sulfate contrast agents used in roentgenographic studies are described. Barium sulfate can be used as a single contrast agent in the gastrointestinal tract; it can also be used for positive contrast in studies that use air for negative contrast (double-contrast examinations). Barium sulfate can be used to opacify the GI tract in preparation for computerized tomography of the abdomen. Barium sulfate products are available in powder form or as viscous suspensions. Product formulas and barium sulfate concentrations are varied to produce adequate coating and visualization of the portion of the GI tract to be examined, and the dosage is determined by the specific procedure. Double-contrast studies delineate fine details of the GI mucosa; preparations used in these studies contain smaller barium particles than those used in single-contrast studies. Agents that produce carbon dioxide are usually administered for double-contrast studies; the gas distends the stomach or intestine so the barium can cover the entire surface. Formulations of barium sulfate products vary so that a product appropriate for the specific procedure can be selected. These products also vary in cost, ease of reconstitution, and, for oral preparations, acceptability to patients.
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PMID:Barium sulfate products for roentgenographic examination of the gastrointestinal tract. 395 84

Intragastric administration of barium sulfate to albino rats did not produce deaths until the dose reached 25% to 40% of body weight. Death was due to stomach rupture or to bowel obstruction followed by gastrointestinal hemorrhage and generalized arteriovenous thromboses which produced further toxic changes in many body organs. Barium sulfate does not appear to be a factor of significance in the acute toxicity of tannic acid-barium sulfate formulations used in diagnostic radiology.
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PMID:The acute toxicity of barium sulfate administered intragastrically. 529 54


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