The cardiopulmonary effects of dobutamine and norepinephrine in isoflurane-anesthetized foals

To evaluate the cardiovascular effects of norepinephrine (NE) and dobutamine (DB) in isoflurane-anesthetized foals. Prospective laboratory study. Norepinephrine (0.05, 0.10, 0.20, and 0.40 μg kg−1 minute−1) and dobutamine (2.5, 5.0, and 10 μg kg−1 minute−1) were alternately administered to seven hea...

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Veröffentlicht in:Veterinary anaesthesia and analgesia 2007-11, Vol.34 (6), p.377-387
Hauptverfasser: Craig, Cary A, Haskins, Steve C, Hildebrand, Susan V
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container_title Veterinary anaesthesia and analgesia
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creator Craig, Cary A
Haskins, Steve C
Hildebrand, Susan V
description To evaluate the cardiovascular effects of norepinephrine (NE) and dobutamine (DB) in isoflurane-anesthetized foals. Prospective laboratory study. Norepinephrine (0.05, 0.10, 0.20, and 0.40 μg kg−1 minute−1) and dobutamine (2.5, 5.0, and 10 μg kg−1 minute−1) were alternately administered to seven healthy, 1- to 2-week-old isoflurane-anesthetized foals. Arterial and pulmonary arterial blood pressure, right atrial pressure, pulmonary artery occlusion pressure, heart rate, body temperature, cardiac output, arterial and mixed venous blood pH, partial pressure of carbon dioxide, partial pressure of oxygen [arterial partial pressure of oxygen (PaO2) and mixed venous partial pressure of oxygen (P v¯O2)], and packed cell volume were measured. Standard base excess, bicarbonate concentration, systemic and pulmonary vascular resistance, cardiac index (CI), stroke volume, left and right stroke work indices, oxygen delivery ( D˙O2), consumption, and extraction were calculated. Norepinephrine infusion resulted in significant increases in arterial and pulmonary arterial pressure, systemic and pulmonary vascular resistance indices, and PaO2; heart rate was decreased. Dobutamine infusion resulted in significant increases in heart rate, stroke volume index, CI, and arterial and pulmonary arterial blood pressure. Systemic and pulmonary vascular resistance indices were decreased while the ventricular stroke work indices increased. The PaO2 decreased while D˙O2 and oxygen consumption increased. Oxygen extraction decreased and P v¯O2 increased. Norepinephrine primarily augments arterial blood pressure while decreasing CI. Dobutamine primarily augments CI with only modest increases in arterial blood pressure. Both NE and DB could be useful in the hemodynamic management of anesthetized foals.
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Prospective laboratory study. Norepinephrine (0.05, 0.10, 0.20, and 0.40 μg kg−1 minute−1) and dobutamine (2.5, 5.0, and 10 μg kg−1 minute−1) were alternately administered to seven healthy, 1- to 2-week-old isoflurane-anesthetized foals. Arterial and pulmonary arterial blood pressure, right atrial pressure, pulmonary artery occlusion pressure, heart rate, body temperature, cardiac output, arterial and mixed venous blood pH, partial pressure of carbon dioxide, partial pressure of oxygen [arterial partial pressure of oxygen (PaO2) and mixed venous partial pressure of oxygen (P v¯O2)], and packed cell volume were measured. Standard base excess, bicarbonate concentration, systemic and pulmonary vascular resistance, cardiac index (CI), stroke volume, left and right stroke work indices, oxygen delivery ( D˙O2), consumption, and extraction were calculated. Norepinephrine infusion resulted in significant increases in arterial and pulmonary arterial pressure, systemic and pulmonary vascular resistance indices, and PaO2; heart rate was decreased. Dobutamine infusion resulted in significant increases in heart rate, stroke volume index, CI, and arterial and pulmonary arterial blood pressure. Systemic and pulmonary vascular resistance indices were decreased while the ventricular stroke work indices increased. The PaO2 decreased while D˙O2 and oxygen consumption increased. Oxygen extraction decreased and P v¯O2 increased. Norepinephrine primarily augments arterial blood pressure while decreasing CI. Dobutamine primarily augments CI with only modest increases in arterial blood pressure. 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dosage</subject><subject>Male</subject><subject>mean arterial pressure</subject><subject>norepinephrine</subject><subject>Norepinephrine - administration &amp; dosage</subject><subject>Norepinephrine - pharmacology</subject><subject>Oxygen - blood</subject><subject>Prospective Studies</subject><subject>Pulmonary Wedge Pressure - drug effects</subject><subject>sympathomimetics</subject><subject>veterinary drugs</subject><issn>1467-2987</issn><issn>1467-2995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUU1v1DAQjRCIfsBfgJy4JTh2EicSl6XAFqmCQ7-4oJEdj1kvSZzaCd3y63Ga1XIES9aM7fdm5j1HUZyRNAvr7TbN8pIntK6LlBJSpoQwkqe7J9Hx4eHpIa_4UXTi_ZaQjNcFeR4dZbysy5qXx9H3qw3GjXDK2GFqO9sL9xCj1tiMPrY6VlZOo-hMj7HoVdxbh0M4DBs3X5k-Nt7qdnKixyRsP25wNL9RxdqK1r-InukQ8OU-nkbXnz5enZ0nF1_Xn89WF0mTVzxPUBdUVrRmCrWQjeaa6oaUTNeUIpWyEhlRkleSKlJwyUSBSpJM1YxQ1JSx0-jNUndw9m4KU0BnfINtG0ayk4eyyjmrSRWA1QJsnPXeoYbBmS5ohozAbC1sYXYNZgdhthYerYVdoL7a95hkh-ovce9lALxbAPemxYf_Lgw3q1VIAj1Z6MaPuDvQhfsJJWe8gNsva7g5_7YuPtxewizl9YLXwoL44YyH60tKMkZIRUn5KPb9gsBg_S-DDnxjsG9QGRf-F5Q1_5b9Byoqt7w</recordid><startdate>200711</startdate><enddate>200711</enddate><creator>Craig, Cary A</creator><creator>Haskins, Steve C</creator><creator>Hildebrand, Susan V</creator><general>Elsevier Ltd</general><general>Oxford, UK : Blackwell Publishing Ltd</general><general>Blackwell Publishing Ltd</general><scope>FBQ</scope><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200711</creationdate><title>The cardiopulmonary effects of dobutamine and norepinephrine in isoflurane-anesthetized foals</title><author>Craig, Cary A ; Haskins, Steve C ; Hildebrand, Susan V</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4874-ef52b8293defabcf7f2fc063f922e2bb8a10db78b2d057b3a5edb01d9302ef233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>acute effects</topic><topic>Adrenergic alpha-Agonists - administration &amp; dosage</topic><topic>Adrenergic alpha-Agonists - pharmacology</topic><topic>Adrenergic beta-Agonists - administration &amp; dosage</topic><topic>Adrenergic beta-Agonists - pharmacology</topic><topic>anesthesia</topic><topic>Anesthesia - veterinary</topic><topic>Anesthetics, Inhalation - administration &amp; dosage</topic><topic>Animals</topic><topic>Animals, Newborn - physiology</topic><topic>blood pressure</topic><topic>Blood Pressure - drug effects</topic><topic>Carbon Dioxide - blood</topic><topic>cardiac output</topic><topic>Cardiac Output - drug effects</topic><topic>cardiovascular system</topic><topic>dobutamine</topic><topic>Dobutamine - administration &amp; dosage</topic><topic>Dobutamine - pharmacology</topic><topic>drug evaluation</topic><topic>Female</topic><topic>foals</topic><topic>Horses - physiology</topic><topic>Hydrogen-Ion Concentration</topic><topic>Infusions, Intravenous - veterinary</topic><topic>isoflurane</topic><topic>Isoflurane - administration &amp; dosage</topic><topic>Male</topic><topic>mean arterial pressure</topic><topic>norepinephrine</topic><topic>Norepinephrine - administration &amp; dosage</topic><topic>Norepinephrine - pharmacology</topic><topic>Oxygen - blood</topic><topic>Prospective Studies</topic><topic>Pulmonary Wedge Pressure - drug effects</topic><topic>sympathomimetics</topic><topic>veterinary drugs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Craig, Cary A</creatorcontrib><creatorcontrib>Haskins, Steve C</creatorcontrib><creatorcontrib>Hildebrand, Susan V</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Veterinary anaesthesia and analgesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Craig, Cary A</au><au>Haskins, Steve C</au><au>Hildebrand, Susan V</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The cardiopulmonary effects of dobutamine and norepinephrine in isoflurane-anesthetized foals</atitle><jtitle>Veterinary anaesthesia and analgesia</jtitle><addtitle>Vet Anaesth Analg</addtitle><date>2007-11</date><risdate>2007</risdate><volume>34</volume><issue>6</issue><spage>377</spage><epage>387</epage><pages>377-387</pages><issn>1467-2987</issn><eissn>1467-2995</eissn><abstract>To evaluate the cardiovascular effects of norepinephrine (NE) and dobutamine (DB) in isoflurane-anesthetized foals. Prospective laboratory study. Norepinephrine (0.05, 0.10, 0.20, and 0.40 μg kg−1 minute−1) and dobutamine (2.5, 5.0, and 10 μg kg−1 minute−1) were alternately administered to seven healthy, 1- to 2-week-old isoflurane-anesthetized foals. Arterial and pulmonary arterial blood pressure, right atrial pressure, pulmonary artery occlusion pressure, heart rate, body temperature, cardiac output, arterial and mixed venous blood pH, partial pressure of carbon dioxide, partial pressure of oxygen [arterial partial pressure of oxygen (PaO2) and mixed venous partial pressure of oxygen (P v¯O2)], and packed cell volume were measured. Standard base excess, bicarbonate concentration, systemic and pulmonary vascular resistance, cardiac index (CI), stroke volume, left and right stroke work indices, oxygen delivery ( D˙O2), consumption, and extraction were calculated. Norepinephrine infusion resulted in significant increases in arterial and pulmonary arterial pressure, systemic and pulmonary vascular resistance indices, and PaO2; heart rate was decreased. Dobutamine infusion resulted in significant increases in heart rate, stroke volume index, CI, and arterial and pulmonary arterial blood pressure. Systemic and pulmonary vascular resistance indices were decreased while the ventricular stroke work indices increased. The PaO2 decreased while D˙O2 and oxygen consumption increased. Oxygen extraction decreased and P v¯O2 increased. Norepinephrine primarily augments arterial blood pressure while decreasing CI. Dobutamine primarily augments CI with only modest increases in arterial blood pressure. Both NE and DB could be useful in the hemodynamic management of anesthetized foals.</abstract><cop>Oxford, UK</cop><pub>Elsevier Ltd</pub><pmid>17696976</pmid><doi>10.1111/j.1467-2995.2006.00304.x</doi><tpages>11</tpages></addata></record>
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subjects acute effects
Adrenergic alpha-Agonists - administration & dosage
Adrenergic alpha-Agonists - pharmacology
Adrenergic beta-Agonists - administration & dosage
Adrenergic beta-Agonists - pharmacology
anesthesia
Anesthesia - veterinary
Anesthetics, Inhalation - administration & dosage
Animals
Animals, Newborn - physiology
blood pressure
Blood Pressure - drug effects
Carbon Dioxide - blood
cardiac output
Cardiac Output - drug effects
cardiovascular system
dobutamine
Dobutamine - administration & dosage
Dobutamine - pharmacology
drug evaluation
Female
foals
Horses - physiology
Hydrogen-Ion Concentration
Infusions, Intravenous - veterinary
isoflurane
Isoflurane - administration & dosage
Male
mean arterial pressure
norepinephrine
Norepinephrine - administration & dosage
Norepinephrine - pharmacology
Oxygen - blood
Prospective Studies
Pulmonary Wedge Pressure - drug effects
sympathomimetics
veterinary drugs
title The cardiopulmonary effects of dobutamine and norepinephrine in isoflurane-anesthetized foals
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