Document Detail


The effect of thrombocytopenia on the pulmonary and systemic hemodynamics of canine endotoxin shock.
MedLine Citation:
PMID:  6985759     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dogs were made thrombocytopenic (platelet count less than 12,000) with serial intramuscular injections of goat antiplatelet serum (APS), and the hemodynamic response to 1 mg/kg of E. coli endotoxin administered intravenously was studied. Intramuscularly administered APS rendered dogs thrombocytopenic without major alteration in other blood elements or coagulation parameters. The response of normal dogs to endotoxin was a fall in systemic blood pressure and cardiac output (CO) with an increase in pulmonary artery (PA) pressure and an increase in pulmonary vascular resistance (PVR) to 600% of control with a minimal fall in mean left atrial (LA) pressure and pulmonary artery wedge (PAW) pressure. Thrombocytopenic dogs had an identical fall in systemic pressure and CO, but obliteration of the initial PA hypertensive response. LA and PAW pressures fell slightly as in normal dogs, and the obliteration of the PA hypertension was caused by an attenuation of the increase in PVR to a third of that of normals. Cinemicroscopic studies of the lung in vivo showed marked and prolonged slowing of the microcirculation following endotoxin administration in normal dogs. In thrombocytopenic animals slowing of the pulmonary microcirculation was brief and mild. We conclude that platelets are an essential component for the initial pulmonary hypertensive response to infusion of E. coli endotoxin in dogs.
Authors:
C E Bredenberg; G A Taylor; W R Webb
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery     Volume:  87     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  1980 Jan 
Date Detail:
Created Date:  1980-02-26     Completed Date:  1980-02-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  59-68     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Animals
Blood Pressure / drug effects*
Cardiac Output / drug effects
Dogs
Endotoxins / pharmacology
Escherichia coli
Hemodynamics*
Lung / blood supply
Microcirculation
Pulmonary Artery / physiopathology
Pulmonary Circulation / drug effects
Shock, Septic / physiopathology*
Thrombocytopenia / physiopathology*
Vascular Resistance / drug effects
Chemical
Reg. No./Substance:
0/Endotoxins

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


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