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Am J Physiol Heart Circ Physiol (October 24, 2002). doi:10.1152/ajpheart.00636.2002
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Articles in PresS, published online ahead of print October 24, 2002
Am J Physiol Heart Circ Physiol, 10.1152/ajpheart.00636.2002
Submitted on July 22, 2002
Accepted on October 7, 2002

DOPAMINE-1 RECEPTOR STIMULATION IMPAIRS INTESTINAL OXYGEN UTILIZATION DURING CRITICAL HYPOPERFUSION

Jorge A Guzman1*, Ariosto E Rosado1, and James A Kruse1

1 Division of Pulmonary, Critical Care and Sleep Medicine, Wayne State University, School of Medicine, Detroit, MI, USA

* To whom correspondence should be addressed. E-mail: jguzman{at}intmed.wayne.edu.

Effects of a DA-1 receptor agonist on systemic and intestinal oxygen delivery (DO2) -uptake relationships were studied in anesthetized dogs during sequential hemorrhage. Control (Group I) and experimental animals (Group II) were treated similarly except for the addition of fenoldopam (1.0 µg.kg-1 .min-1) in Group II. Both groups had comparable systemic critical DO2 (DO2crit), but animals in Group II had a higher gut DO2crit (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 I; thus, oxygen consumption by the mucosa may be supply dependent under physiologic conditions. Group II demonstrated higher peak mucosal blood flow and lack of supply dependency at higher mucosal DO2 levels. Fenoldopam resulted in a more conspicuous biphasic relationship at the mucosa and a rightward shift of overall splanchnic DO2crit 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.




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