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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1988-4-12
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pubmed:abstractText |
A relationship between increased peripheral resistance (TPRI) and decreased cardiac index (CI) and mortality from sepsis has been suggested. The relationship between endogenous opiates and this response was evaluated. Methods: Chronically instrumented sheep were given E. coli endotoxin (LPS, 1.5 mcg/kg x 30 minutes). In one study, survivors (n = 9) and nonsurvivors (n = 11) of LPS were compared along with survivors (n = 8) of half the dose of LPS. In a second study, two groups of animals received naloxone: one (n = 11) had a bolus of 2 mg/kg followed by a 2 mg/kg/hr continuous infusion started 30 minutes before LPS while the other had the bolus and infusion started 1 hour after LPS was begun. Results: Both vasoconstrictive and vasodilative phases were seen. Vasoconstriction was associated with elevated beta endorphin levels, a pattern sustained until death in the nonsurvivors. Both pre- and posttreatment with naloxone lessened the maximum increase in total peripheral resistance index compared with untreated sheep. Discussion: The vasoconstrictive aspects of the response to LPS correlated with elevated beta endorphin levels and with mortality. This vascular response is attenuated with naloxone blockade.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0022-5282
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
28
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
131-9
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2964529-Animals,
pubmed-meshheading:2964529-Escherichia coli,
pubmed-meshheading:2964529-Female,
pubmed-meshheading:2964529-Hemodynamics,
pubmed-meshheading:2964529-Lipopolysaccharides,
pubmed-meshheading:2964529-Naloxone,
pubmed-meshheading:2964529-Pulmonary Circulation,
pubmed-meshheading:2964529-Sheep,
pubmed-meshheading:2964529-Shock, Septic,
pubmed-meshheading:2964529-Vasoconstriction,
pubmed-meshheading:2964529-Vasodilation,
pubmed-meshheading:2964529-beta-Endorphin
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pubmed:year |
1988
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pubmed:articleTitle |
Beta endorphin, a vasoconstrictor during septic shock.
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pubmed:affiliation |
Department of Anesthesiology, Surgery, University of Texas Medical Branch, Galveston.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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