HEMATOCRIT MODIFIES THE CIRCULATORY CONTROL OF SYSTEMIC AND MYOCARDIAL OXYGEN UTILIZATION IN SEPTIC SHEEP

被引:14
作者
FOX, GA
BERSTEN, A
LAM, C
NEAL, A
RUTLEDGE, FS
INMAN, K
SIBBALD, WJ
机构
[1] VICTORIAN HOSP CORP,CRIT CARE,LONDON N6A 4G5,ON,CANADA
[2] VICTORIA HOSP,RES INST,AC BURTON VASC BIOL LAB,LONDON N6A 4G5,ON,CANADA
[3] UNIV WESTERN ONTARIO,DEPT MED,PROGRAM CRIT CARE,LONDON,ON,CANADA
[4] UNIV WESTERN ONTARIO,DEPT SURG,PROGRAM CRIT CARE,LONDON N6A 3K7,ON,CANADA
关键词
SEPSIS; HEMATOCRIT; MYOCARDIAL BLOOD FLOWS; OXYGEN DELIVERY; OXYGEN EXTRACTION; CARDIAC INDEX; ANEMIA; MYOCARDIUM; CRITICAL ILLNESS; HEART;
D O I
10.1097/00003246-199403000-00018
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: To describe the relationship between hematocrit and oxygen utilization before and after the onset of a hyperdynamic septic state. Design: Prospective, observational study. Setting: Laboratory of a large university-affiliated medical school. Subjects: Thirty mature sheep, each weighing 30 to 40 kg (0.9 to 1.1 m(2) body surface area). Interventions: After baseline measurements, cecal ligation and perforation were used to establish an intra-abdominal source of infection. The abdominal wound was closed and animals were studied on the second postoperative day. An increase in cardiac output of greater than or equal to 30% was used to arbitrarily define the onset of sepsis. Repeat measurements were performed and the animal was killed.
引用
收藏
页码:470 / 479
页数:10
相关论文
共 32 条
[1]   SEQUENTIAL CARDIORESPIRATORY PATTERNS ASSOCIATED WITH OUTCOME IN SEPTIC SHOCK [J].
ABRAHAM, E ;
BLAND, RD ;
COBO, JC ;
SHOEMAKER, WC .
CHEST, 1984, 85 (01) :75-80
[2]   MAXIMUM MYOCARDIAL OXYGEN-TRANSPORT DURING ANEMIA AND POLYCYTHEMIA IN DOGS [J].
BAER, RW ;
VLAHAKES, GJ ;
UHLIG, PN ;
HOFFMAN, JIE .
AMERICAN JOURNAL OF PHYSIOLOGY, 1987, 252 (06) :H1086-H1095
[3]   INTERACTION OF SEPSIS AND SEPSIS PLUS SYMPATHOMIMETICS ON MYOCARDIAL OXYGEN AVAILABILITY [J].
BERSTEN, AD ;
SIBBALD, WJ ;
HERSCH, M ;
CHEUNG, H ;
RUTLEDGE, FS .
AMERICAN JOURNAL OF PHYSIOLOGY, 1992, 262 (04) :H1164-H1173
[4]  
BERSTEN AD, 1992, SURGERY, V12, P549
[5]   THE EFFECTS OF VASODILATION WITH PROSTACYCLIN ON OXYGEN DELIVERY AND UPTAKE IN CRITICALLY ILL PATIENTS [J].
BIHARI, D ;
SMITHIES, M ;
GIMSON, A ;
TINKER, J .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (07) :397-403
[6]   SEPSIS SYNDROME - A VALID CLINICAL ENTITY [J].
BONE, RC ;
FISHER, CJ ;
CLEMMER, TP ;
SLOTMAN, GJ ;
METZ, CA ;
BALK, RA .
CRITICAL CARE MEDICINE, 1989, 17 (05) :389-393
[7]   OXYGEN DELIVERY AND UPTAKE IN DOGS DURING ANEMIC AND HYPOXIC HYPOXIA [J].
CAIN, SM .
JOURNAL OF APPLIED PHYSIOLOGY, 1977, 42 (02) :228-234
[8]   THE PHYSIOLOGICAL RESERVE IN OXYGEN CARRYING-CAPACITY - STUDIES IN EXPERIMENTAL HEMODILUTION [J].
CHAPLER, CK ;
CAIN, SM .
CANADIAN JOURNAL OF PHYSIOLOGY AND PHARMACOLOGY, 1986, 64 (01) :7-12
[9]  
CHAPLER CK, 1980, CAN J PHYSL PHARM, V59, P102
[10]  
CRAIG I, 1987, AM J PATHOL, V128, P241