BJA Advance Access published online on June 25, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh214
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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1 Centre for Integrated Systems Biology and Medicine, School of Biomedical Sciences, University of Nottingham, Queen's Medical Centre, Nottingham NG7 2UH, UK
* To whom correspondence should be addressed. E-mail: sheila.gardiner{at}nottingham.ac.uk.
Background. Reduced pressor responsiveness to norepinephrine (NE) in sepsis is well documented but the associated regional haemodynamic changes are less well characterized, and there are varying reports of changes in haemodynamic responses to arginine vasopressin (AVP). We compared changes in regional haemodynamic responsiveness to AVP and NE during a 24 h continuous infusion of lipopolysaccharide (LPS) in conscious rats. Methods. Conscious, male Sprague-Dawley rats were infused with saline (0.4 ml h-1) or LPS (150 µg kg-1 h-1). Renal, mesenteric, and hindquarter haemodynamic responses to 3 min infusions of AVP (0.25, 0.625, and 1.25 ng kg-1 min-1) or NE (75, 250, and 750 ng kg-1 min-1) were assessed 2, 6, and 24 h after the onset of LPS or saline. Results. Two and six hours after the onset of LPS, all haemodynamic effects of NE were markedly reduced, but by 24 h, there was some recovery in the vasoconstrictor actions of NE although the pressor and bradycardic effects were still depressed. Two hours after the onset of LPS, the cardiovascular effects of AVP were depressed but there was some recovery in vascular responsiveness at 6 h. By 24 h, only the mesenteric vasoconstrictor effect of AVP was consistently reduced. Conclusions. During low dose LPS infusion, there are differential changes in haemodynamic responsiveness to AVP and NE, which show different temporal and regional profiles of recovery with time. Furthermore, reduced pressor responsiveness to NE is not necessarily accompanied by a reduced capacity of vessels for vasoconstriction.
Laboratory Investigation
Regional and temporal changes in cardiovascular responses to norepinephrine and vasopressin during continuous infusion of lipopolysaccharide in conscious rats
2 Centre for Integrated Systems Biology and Medicine, School of Medical and Surgical Sciences, University of Nottingham, Queen's Medical Centre, Nottingham NG7 2UH, UK
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