Sublingual microcirculatory effects of enalaprilat in an ovine model of septic shock

Severe sepsis is frequently associated with microcirculatory abnormalities despite seemingly adequate hemodynamic resuscitation. As increased serum angiotensin II levels may play a role in this dysfunction, we evaluated the microcirculatory effects of enalaprilat in an experimental model of septic s...

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Veröffentlicht in:Shock (Augusta, Ga.) Ga.), 2011-06, Vol.35 (6), p.542-549
Hauptverfasser: Salgado, Diamantino Ribeiro, He, Xinrong, Su, Fuhong, de Sousa, Dalton Barros, Penaccini, Laura, Maciel, Leonardo Kfuri, Taccone, Fabio, Rocco, José Rodolfo, Silva, Eliézer, De Backer, Daniel, Vincent, Jean-Louis
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Sprache:eng
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Zusammenfassung:Severe sepsis is frequently associated with microcirculatory abnormalities despite seemingly adequate hemodynamic resuscitation. As increased serum angiotensin II levels may play a role in this dysfunction, we evaluated the microcirculatory effects of enalaprilat in an experimental model of septic shock. One hour after injection of 1.5 g/kg body weight of feces into the abdominal cavity, 16 adult female anesthetized, mechanically ventilated sheep were randomized to receive 2.5 mg enalaprilat or saline. When fluid-resistant hypotension (mean arterial pressure,
ISSN:1073-2322
1540-0514
DOI:10.1097/SHK.0b013e3182115e6a