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Division of Pulmonary, Critical Care, and Sleep Medicine, Wayne State University School of Medicine, Detroit, Michigan 48201
The effects of fenoldopam, a
dopamine-1 (DA-1) receptor agonist, were studied in two groups of
anesthetized dogs before and after inducion of splanchnic
ischemia by way of hemorrhage. During the first portion of the
experiment, both groups received fenoldopam (1.5 µg · kg
1 · min
1) for 45 min followed by a 45-min washout. During the second portion, hemorrhage
(10 ml/kg) was induced, followed by no intervention in group
I (controls) and restarting of the fenoldopam infusion in
group II. Prehemorrhage, fenoldopam increased composite
portal blood flow by 33% (P < 0.01). After
hemorrhage-induced splanchnic ischemia, fenoldopam restored
portal vein blood flow to near baseline, maintained the
splanchnic fraction of cardiac output, and attenuated the rise in gut
mucosal PCO2. DA-1 receptor stimulation
increased portal blood flow and redistributed blood flow away from the
serosal layer in favor of the mucosa during basal conditions and after hemorrhage, suggesting a more concentrated distribution of splanchnic DA-1 receptors within the mucosal layer vasculature. Fenoldopam maintained splanchnic blood flow during hypoperfusion and attenuated the splanchnic vasoconstrictive response to hemorrhage.
fenoldopam; hemorrhage; splanchnic perfusion
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