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Division of Pulmonary, Critical Care, and Sleep Medicine, Wayne State University School of Medicine, Detroit, Michigan 48201
Effects of a dopamine-1 (DA-1) receptor
agonist on systemic and intestinal oxygen delivery
(
O2)-uptake relationships were studied
in anesthetized dogs during sequential hemorrhage. Control (group
1) and experimental animals (group 2) were treated
similarly except for the addition of fenoldopam (1.0 µg · kg
1 · min
1)
in group 2. Both groups had comparable systemic critical
O2 (
O2crit), but animals in group
2 had a higher gut
O2crit
(1.12 ± 1.13 vs. 0.80 ± 0.09 ml · kg
1 · min
1,
P < 0.05). At the mucosal level, a clear biphasic
delivery-uptake relationship was not observed in group 1;
thus oxygen consumption by the mucosa may be supply dependent under
physiological conditions. Group 2 demonstrated higher peak
mucosal blood flow and lack of supply dependency at higher mucosal
O2 levels. Fenoldopam resulted in a more
conspicuous biphasic relationship at the mucosa and a rightward shift
of overall splanchnic
O2crit despite
increased splanchnic blood flow. These findings suggest that DA-1
receptor stimulation results in increased gut perfusion heterogeneity
and maldistribution of perfusion, resulting in increased susceptibility to ischemia.
oxygen supply dependency; splanchnic ischemia; vasodilators
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