Detecting gastrointestinal hypoperfusion during cardiac tamponade in pigs: A role for nitric oxide tonometry?

Critical Care Medicine

Volumn 26, Issue 7, 1998, Pages 1251-1257

  Åneman, Anders ^a   Snygg, Johan ^a   Pettersson, Anders ^b   Johansson, Berndt ^b   Holm, Mathias ^b   Fändriks, Lars ^b  

^a SAHLGRENSKA UNIVERSITY HOSPITAL   (Sweden)

^b UNIVERSITY OF GOTHENBURG   (Sweden)

Author keywords

Cardiac tamponade; Gastrointestinal tract; Monitoring; Nitric oxide; Oxygenation; Potential difference; Splanchnic circulation; Tonometry

Indexed keywords

BICARBONATE; CARBON DIOXIDE; DEXTRAN; NITRIC OXIDE; OXYGEN;

ACID BASE BALANCE; ACIDOSIS; ANIMAL MODEL; ARTICLE; BLOOD GAS; CARBON DIOXIDE TENSION; CONTROLLED STUDY; FEMALE; GASTROINTESTINAL TRACT; HEART OUTPUT; HEART TAMPONADE; HIGH PERFORMANCE LIQUID CHROMATOGRAPHY; MALE; MONITORING; NONHUMAN; OXYGEN CONSUMPTION; OXYGEN SATURATION; OXYGENATION; PH; PORTAL VEIN BLOOD FLOW; POTENTIAL DIFFERENCE; PRIORITY JOURNAL; SPLANCHNIC BLOOD FLOW; SWINE; TONOMETRY;

ACID-BASE EQUILIBRIUM; ANIMALS; CARBON DIOXIDE; CARDIAC TAMPONADE; DEXTRANS; HEMODYNAMIC PROCESSES; JEJUNUM; NITRIC OXIDE; OXYGEN; OXYGEN CONSUMPTION; RANDOM ALLOCATION; SPLANCHNIC CIRCULATION; STOMACH;

EID: 0031813673     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/00003246-199807000-00030     Document Type: Article

References (40)

1. Landow L, Andersen LW: Splanchnic ischemia and its role in multiple organ failure. Acta Anaesthesiol Scand 1994; 38:625-639
2. Fiddian-Green RG: Splanchnic ischemia and multiple organ failure in the critically ill. Ann R Coll Surg Engl 1988; 70:128-134
3. Antonsson JB, Fiddian-Green RG: The role of the gut in shock and multiple system organ failure. Eur J Surg 1991; 157:3-12
4. Maynard N, Bihari D, Beale R, et al: Assessment of splanchnic oxygenation by gastric tonometry in patients with acute circulatory failure. JAMA 1993; 270:1203-1210
5. Fiddian-Green RG: Associations between intramucosal acidosis in the gut and organ failure. Crit Care Med 1993; 21:8103-8107
6. Davis JW, Shackford SR, Holbrook TL: Base deficit as a sensitive indicator of compensated shock and tissue utilization. Surg Gynecol Obstet 1991; 173:473-476
7. 2 extraction in the dog. J Appl Physiol 1987; 63:387-394
8. Rubinstein E, Gjørup I, Schulze S, et al: Development of stress ulcers assessed by gastric electrical potential difference, pH of gastric juice, and endoscopy in patients in the intensive care unit. Eur J Surg 1992; 158:361-364
9. Vincent JL: End-points of resuscitation: Arterial blood pressure, oxygen delivery, blood lactate, or ...? Intensive Care Med 1996; 32:3-5
10. Whittle BJR: Nitric oxide in gastrointestinal physiology and pathophysiology. In: Physiology of the Gastrointestinal Tract. Third Edition. Johnson LR (Ed). New York, Raven Press, 1994, pp 267-294
11. Salzman AL: Nitric oxide in the gut. New Horiz 1995; 3:33-45
12. Kubes P: Nitric oxide modulates epithelial permeability in the feline small intestine. Am J Physiol 1992; 262: G1138-G1142
13. Kubes P: Ischemia-reperfusion in the feline small intestine: A role for nitric oxide. Am J Physiol 1993; 264:G143-G149
14. Åneman A, Backman V, Snygg J, et al: Accumulation of an endogenous inhibitor of nitric oxide synthase during graded hemorrhagic shock. Circulatory Shock 1994; 44:111-114
15. Backman V, Pettersson A: Determination of dimethylated arginines in plasma by high performance liquid chromatography. J Chromatogr B Biomed Appl 1997; 692:257-262
16. Scherrer M, Bachofen H: The oxygen-combining capacity of hemoglobin. Anesthesiology 1972; 36:190
17. Åneman A, Snygg J, Fändriks L, et al: Continuous measurement of gastric nitric oxide production. Am J Physiol 1996; 271:G1039-G1042
18. Åneman A, Snygg J, Bengtsson J, et al: Intestinal occurrence of nitric oxide in relation to mesenteric oxygen utilization during porcine sepsis and hypovolemia. Abstr. Gastroenterology 1996; 110:A310
19. Altman DG: Practical Statistics for Medical Research. London, Chapman & Hall, 1994
20. Weissman C, Kemper M: The oxygen uptake-oxygen delivery relationship during ICU interventions. Chest 1991; 99:430-435
21. Schlichting E, Lyberg T: Monitoring of tissue oxygenation in shock: An experimental study in pigs. Crit Care Med 1995; 23:1703-1710
22. Boyd O, Mackay CJ, Lamb G, et al: Comparison of clinical information gained from routine blood-gas analysis and from gastric tonometry for intramural pH. Lancet 1993; 341:142-145
23. Schlichtig R, Stremple JF: Measuring splanchnic oxygenation by gastric tonometry. JAMA 1994; 271:983-984
24. 2 in intestine during low flow. J Appl Physiol 1994; 76:2443-2451
25. 2 as monitor of perfusion failure during hemorrhagic and anaphylactic shock. J Appl Physiol 1994; 76:572-577
26. Montgomery A, Hartmann M, Jönsson K, et al: Intramucosal pH measurement with tonometers for detecting gastrointestinal ischemia in porcine hemorrhagic shock. Circulatory Shock 1989; 29:319-327
27. Ritchie WP Jr, Fischer RP: Studies on the pathogenesis of "stress ulcer": Electrical potential difference and ionic fluxes across canine gastric mucosa during hemorrhagic shock. J Surg Res 1972; 12:173-179
28. Takeuchi K, Ohno T, Okabe S: Variations of gastric transmucosal potential difference and lesion formation during hemorrhagic shock in the rat. Gastroenterology 1986; 91:1113-1122
29. Højgaard L, Bülow JB, Madsen J: Gastric mucosal electrical potential difference, pH, blood flow, and morphology during hypoxia and selective gastric ischemia with and without allopurinol treatment in anaesthetized dogs. Acta Physiol Scand 1990; 139:185-192
30. Benjamin N, O'Driscoll F, Dougall H, et al: Stomach NO synthesis. Nature 1994; 368:502
31. Moncada S, Palmer RMJ, Higgs EA: Nitric oxide: Physiology, pathophysiology, and pharmacology. Pharmacol Rev 1991; 43:109-142
32. Schleiffer R, Paul F: Prophylactic administration of L-arginine improves the intestinal barrier function after mesenteric ischemia. Gut 1996; 39:194-198
33. Jin J-S, D'Alcey LG: Stimulation of endogenous nitric oxide pathway by L-arginine reduces declamp mortality and attenuates hypertension associated with aortic cross-clamp-induced hindlimb ischemia in rats. Hypertension 1995; 26:406-412
34. Aoki N, Johnsson G III, LeferAM: Beneficial effects of two forms of NO administration in feline splanchnic artery occlusion shock. Am J Physiol 1990; 258:G275-G281
35. Paik WK, Kim S: Protein methylase I: Function and properties of the enzyme. J Biol Chem 1968; 243:2108-2114
36. Wang C, Lin J-M, Lazarides E: Methylations of 70000-Da heat shock proteins in 3T3 cells: Alterations by arsenite treatment, by different stages of growth and by virus transformation. Arch Biochem Biophys 1992; 297:169-175
37. Kakimoto Y, Akazawa S: Isolation and identification of NG,NG-dimethyl-arginine, NE-mono-, di-, and trimethyllysine, and glucosylgalactosyl- and galactosyl-hydroxylysine from human urine. J Biol Chem 1970; 245:5751-5758
38. Paik WK, Kim S: Protein methylation. Science 1971; 174:114-119
39. Desrosiers R, Tanguay RM: Methylation of drosophila histones at proline, lysine, and arginine residues during heat shock. J Biol Chem 1988; 263:4686-4692
40. Ogawa T, Kimoto M, Watanabe H, et al: Metabolism of NG,NG- and NG,N′G-dimethylarginine in rats. Arch Biochem Biophys 1987; 252:526-537