首页   按字顺浏览 期刊浏览 卷期浏览 Effects of dobutamine and dopexamine on hepatic micro- and macrocirculation during expe...
Effects of dobutamine and dopexamine on hepatic micro- and macrocirculation during experimental endotoxemia: An intravital microscopic study in the rat

 

作者: Andreas,   Secchi Jan Michael,   Ortanderl, MD Werner,   Schmidt Andreas,   Walther Martha Maria,   Gebhard Eike,   Martin Heinfried,  

 

期刊: Critical Care Medicine  (OVID Available online 2001)
卷期: Volume 29, issue 3  

页码: 597-600

 

ISSN:0090-3493

 

年代: 2001

 

出版商: OVID

 

关键词: sepsis;endotoxin;liver;microcirculation;portal blood flow;sinusoidal blood flow;dobutamine;dopexamine;catecholamine therapy

 

数据来源: OVID

 

摘要:

ObjectiveTo test the effects of dobutamine and dopexamine on hepatic portal and sinusoidal blood flow in a model of normodynamic endotoxemia.DesignRandomized, controlled trial.SettingExperimental laboratory.SubjectsMale Wistar rats (250–350 g).InterventionsA total of 40 male Wistar rats were randomized into four groups: a control group, which only received Ringer’s solution; an endotoxin group, which received a continuous infusion of 2 mg/kg body weight (bw)/hr of endotoxin; a dobutamine group, which received endotoxin and a continuous infusion of dobutamine (3 &mgr;g/kg bw/min); and a dopexamine group, which received endotoxin and dopexamine (2 &mgr;g/kg bw/min). The experimental period was 120 min.Measurements and Main ResultsMean arterial blood pressure (MAP), heart rate (HR), and cardiac output (CO) were detected. Portal blood flow was measured using an ultrasonic flow probe positioned around the portal vein, and sinusoidal blood flow was detected in the left liver lobe using intravital microscopy. All detected variables remained stable in the control group. In the endotoxin group, HR increased significantly and MAP decreased significantly from 111 ± 10 mm Hg to 95 ± 8 mm Hg at 120 mins, whereas CO remained unchanged. Both in the dobutamine and the dopexamine group HR increased and MAP decreased more than in the endotoxin group. CO increased in both groups significantly. Portal blood flow (23 ± 4 mL/min to 16 ± 3 mL/min) and sinusoidal blood flow (38.6 ± 2.5 to 22.8 ± 1.2 103&mgr;m3/sec) decreased significantly in the endotoxin group. In the dobutamine and the dopexamine group portal and sinusoidal blood flow remained at baseline values.ConclusionsIn our model of endotoxemia, dobutamine and dopexamine preserved systemic and hepatic blood flow. These preservations of hepatic blood flow during endotoxemia could portend beneficial effects but need to be studied further.

 

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