Document Detail


The effects of norepinephrine infusion on oxygen consumption in a patient with septic shock.
MedLine Citation:
PMID:  2332540     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 65-year-old man developed postsurgical septic shock, unresponsive to plasma volume expansion and administration of dopamine and dobutamine. A continuous norepinephrine infusion was then started and the dose increased to 0.62 micrograms.kg-1.min-1 until the mean arterial pressure was 70 mmHg. Prior to and during the norepinephrine infusion, oxygen consumption was continuously measured with a mass spectrometer system. There was a parallel increase in mean arterial pressure and oxygen consumption (+ 35%). There was also an increase in cardiac index and oxygen delivery. Systemic vascular resistance was only transiently increased. In this case with septic shock, norepinephrine infusion improved hemodynamic variables with an associated increase in oxygen consumption.
Authors:
Y Bouffard; S Tissot; J P Viale; B Delafosse; G Annat; P Bachmann; J Motin
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Intensive care medicine     Volume:  16     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  1990  
Date Detail:
Created Date:  1990-06-07     Completed Date:  1990-06-07     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  133-4     Citation Subset:  IM    
Affiliation:
Service de Réanimation, Hospices Civils de Lyon, France.
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MeSH Terms
Descriptor/Qualifier:
Aged
Calorimetry, Indirect
Hemodynamics / drug effects
Humans
Infusions, Intravenous
Male
Mass Spectrometry
Norepinephrine / administration & dosage,  pharmacology*,  therapeutic use
Oxygen Consumption / drug effects*
Shock, Septic / drug therapy*,  physiopathology
Chemical
Reg. No./Substance:
51-41-2/Norepinephrine

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


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