The Effects of Catecholamines on Arterial Oxygen Tension and Pulmonary Shunting during the Postoperative Period in Man
作者:
Mannosuke,
Muneyuki Nobukata,
Urabe Hiroko,
Kato Kimei,
Shirai Yutaka,
Ueda Akira,
期刊:
Anesthesiology
(OVID Available online 1971)
卷期:
Volume 34,
issue 4
页码: 356-364
ISSN:0003-3022
年代: 1971
出版商: OVID
关键词: Catecholamines and Pao2;Catecholamines and &OV0422;S/&OV0422;T;Atelectasis;Pulmonary shunting
数据来源: OVID
摘要:
Twenty patients without clinical evidence of cardiopulmonary disease were studied before and during constant infusions of norepinephrine and isoproterenol to assess the effects of these drugs upon blood-gas tensions during breathing of 100 per cent oxygen.Norepinephrine was usually associated with an increase in arterial oxygen tension and a decrease in A-aDo2while isoproterenol was associated with a decrease in arterial oxygen tension and an increase in A-aDo2. A significant decrease in the mean venous admixture (&OV0422;S/&OV0422;T) was observed with norepinephrine, while the reverse was seen with isoproterenol. The data suggest that isoproterenol interferes with the hypoxic pulmonary pressor response, while norepinephrine enhances this compensatory response which minimizes the arterial hypoxemia resulting from regional alveolar hypoventilation.
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