Document Detail


Analysis of hemodynamics and blood gas in relation to blood ketone body ratio in partially hepatectomized patients.
MedLine Citation:
PMID:  2553418     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A total of 205 studies of hemodynamics and blood gas analyses were performed in relation to hepatic mitochondrial redox state in 23 partially hepatectomized patients. When the blood ketone body ratio (the ratio of acetoacetate to beta-hydroxybutyrate in arterial blood) decreased, that is when the hepatic mitochondrial redox state was reduced, a hyperdynamic state with increased cardiac index, decreased systemic and pulmonary vascular resistance together with decreased oxygen consumption was observed in spite of the increased oxygen availability. Inhibited oxidative metabolism in the Krebs cycle may have resulted in the decreased oxygen consumption and decreased vascular tone. This study supports the concept that the hepatic metabolic derangements due to reduced hepatic mitochondrial redox state may be a factor in the decreased oxygen consumption and hyperdynamic state.
Authors:
T Nakatani; Y Shimahara; K Mori; N Kobayashi; Y Yamaoka; K Kobayashi; K Ozawa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European surgical research. Europäische chirurgische Forschung. Recherches chirurgicales européennes     Volume:  21     ISSN:  0014-312X     ISO Abbreviation:  Eur Surg Res     Publication Date:  1989  
Date Detail:
Created Date:  1989-11-28     Completed Date:  1989-11-28     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0174752     Medline TA:  Eur Surg Res     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  205-12     Citation Subset:  IM    
Affiliation:
Trauma and Critical Care Center, Teikyo University School of Medicine, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Gas Analysis*
Carcinoma, Hepatocellular / surgery
Female
Hemodynamics
Hepatectomy*
Humans
Ketone Bodies / blood*
Liver Neoplasms / surgery
Male
Middle Aged
Mitochondria, Liver / metabolism*
Oxidation-Reduction
Chemical
Reg. No./Substance:
0/Ketone Bodies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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