Advanced search
Start date
Betweenand

Effects of different combinations of vasoactive drugs and dobutamine on the inflammatory response and hepatic and intestinal perfusion during endotoxic shock in rabbits

Grant number: 14/06343-0
Support type:Regular Research Grants
Duration: November 01, 2014 - April 30, 2017
Field of knowledge:Health Sciences - Medicine
Principal researcher:Suzana Margareth Ajeje Lobo
Grantee:Suzana Margareth Ajeje Lobo
Home Institution: Faculdade de Medicina de São José do Rio Preto (FAMERP). Secretaria de Desenvolvimento Econômico (São Paulo - Estado). São José do Rio Preto , SP, Brazil
Assoc. researchers: Ligia Marcia Contrin ; Roseli Aparecida Matheus do Nascimento

Abstract

Gastrointestinal dysfunction is common in critically ill patients. Inotropes and vasopressors agents such as norepinephrine, dopamine, vasopressin, and dobutamine are used for cardiovascular support of patients with shock from various etiologies and sometimes at very high doses what can determine splanchnic ischemia and as a result exacerbation of the inflammatory response. Objective. The effects of vasopressors on splanchnic circulation are still unknown or controversial. The present study will evaluate the effects of different associations between inotropes and vasopressors on intestinal perfusion, hepatic perfusion, systemic inflammatory response, and heart rate during endotoxin shock. This knowledge can contribute to the design of clinical studies in patients with septic shock admitted to intensive care units in order to recommend more appropriate treatments and with less risk of adverse effects on the gastrointestinal tract. Methods. We will undertake this study in an animal model of endotoxic shock treated with different associations of inotropes and vasopressors. Global tissue perfusion will be evaluated by measuring serum lactate, central venous oxygen saturation, and blood gas analysis. Intestinal perfusion will be evaluated by measuring the pH and ileal intramucosal PCO2, lactate concentration in the ileal mucosa, and veno-arterial PCO2 gap. Hepatic injury will be assessed by measurements of serum transaminases. (AU)

Articles published in Agência FAPESP Newsletter about the research grant:
Articles published in other media outlets (0 total):
More itemsLess items
VEICULO: TITULO (DATA)
VEICULO: TITULO (DATA)

Please report errors in scientific publications list by writing to: cdi@fapesp.br.