Document Detail

Effect of hyperdynamic circulatory support on hepatic hemodynamics, oxygen supply and demand after massive hepatectomy.
MedLine Citation:
PMID:  2000559     Owner:  NLM     Status:  MEDLINE    
This study was designed to clarify the effect of hyperdynamic circulatory support with dobutamine or dopamine after massive hepatectomy on hepatic hemodynamics, oxygen supply and demand, and lactate uptake. Mongrel dogs were allocated three groups: 70% hepatectomy group; a group that received dobutamine after 70% hepatectomy; and a group that received dopamine after 70% hepatectomy. Hepatic blood flow and oxygen delivery to the liver decreased after 70% hepatectomy. Although oxygen consumption in the liver also decreased, oxygen consumption per liver weight increased after massive hepatectomy; an increase of oxygen uptake ratio and a decrease of lactate uptake in the liver were observed. When dobutamine or dopamine were administered after 70% hepatectomy, hepatic blood flow increased, followed by normalization of the balance of oxygen supply and demand in the liver; lactate uptake subsequently improved in the liver. The data support the conclusion that hepatic oxygen consumption affected by dopamine and dobutamine is associated with an increase in the extraction of lactate. Hyperdynamic hepatic circulatory support was advantageous to hemodynamics and metabolism in the residual liver after massive hepatectomy.
T Nonami; K Asahi; A Harada; A Nakao; H Takagi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery     Volume:  109     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1991 Mar 
Date Detail:
Created Date:  1991-04-08     Completed Date:  1991-04-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  277-83     Citation Subset:  AIM; IM    
Department of Surgery II, Nagoya University School of Medicine, Japan.
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MeSH Terms
Dobutamine / pharmacology
Lactates / metabolism
Liver / drug effects,  physiology*
Liver Circulation* / drug effects
Oxygen / blood
Oxygen Consumption / drug effects
Partial Pressure
Reference Values
Regional Blood Flow / drug effects
Reg. No./Substance:
0/Lactates; 34368-04-2/Dobutamine; 7782-44-7/Oxygen

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

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