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Am J Physiol Heart Circ Physiol (August 8, 2002). doi:10.1152/ajpheart.00222.2002
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Articles in PresS, published online ahead of print August 8, 2002
Am J Physiol Heart Circ Physiol, 10.1152/ajpheart.00222.2002
Submitted on March 13, 2002
Accepted on July 29, 2002

Jejunal Tissue Oxygenation and Microvascular Flow Motion during Hemorrhage and Resuscitation

Werner Pajk1, Birgit Schwarz1, Hans Knotzer1, Barbara Friesenecker1, Andreas Mayr1, Martin Dunser1, and Walter Hasibeder1*

1 Department of Anesthesiology and Intensive Care Medicine, The Leopold Franzens University of Innsbruck, Innsbruck, Austria, Austria

* To whom correspondence should be addressed. E-mail: Walter.Hasibeder{at}uibk.ac.at.

The relationship between flow motion and tissue oxygenation was investigated during hemorrhage/retransfusion with and without dopamine in 14 pigs. During 45% bleed microvascular hemoglobin oxygen saturation (HBjO2) and mucosal tissue oxygen tension (PO2muc) were recorded in 7 control (C) and 7 dopamine treated animals (D). Mean arterial pressure and systemic oxygen delivery decreased during hemorrhage and returned to baseline after retransfusion. Hemorrhage decreased PO2muc from 33±2.8 mmHg to 13±1.6 mmHg , HBjO2 from 53±4.9% to 32±3.9% in C animals. During reperfusion PO2muc and HBjO2 remained low. Dopamine increased PO2muc from 28±4.3 mmHg to 45±4.6 mmHg, HBjO2 from 54±5.7% to 69±1.5% and attenuated the decrease in PO2muc and HBjO2 during hemorrhage. After retransfusion dopamine restored PO2muc and HBjO2 to baseline. C animals developed rhythmic HBjO2 oscillations with increasing amplitude (frequency = 4.5 to 7.6 cpm) and showed inverse relationship between PO2muc and HBjO2 oscillation amplitude. Dopamine prevented regular flow motion. The association between decreased PO2muc and increased oscillations in HbjO2 after normalization of systemic hemodynamics and oxygen transport in control animals suggests a cause effect relationship between low tissue oxygen pressure and flowmotion activity within the jejunal microcirculation.




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