Literature DB >> 10448177

Tonometry to estimate intestinal perfusion in newborn piglets.

M E Campbell1, J E Van Aerde, P Y Cheung, D C Mayes.   

Abstract

AIM: To determine the correlation between gastric intramucosal pH and superior mesenteric artery (SMA) flow in newborn piglets.
METHODS: Fourteen newborn piglets were randomly assigned to either a control or to an epinephrine group which received 0,1,2,4,0 microg/kg/min of epinephrine for 60 minutes, each dose. Gastric tonometry was performed, SMA flow was measured, and intramucosal pH and the ratio of tonometer pCO(2) over arterial pCO(2) (rCO(2)) were calculated.
RESULTS: Intramucosal pH decreased over time in both groups, but tended to be lower in the epinephrine group. With increasing dose of epinephrine, SMA flow decreased; this in turn increased rCO(2) (p = 0.04) with a tendency to decrease intramucosal pH (p = 0.06).
CONCLUSIONS: Gastric tonometry may be useful in human neonates to evaluate gut ischaemia.

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Year:  1999        PMID: 10448177      PMCID: PMC1720979          DOI: 10.1136/fn.81.2.f105

Source DB:  PubMed          Journal:  Arch Dis Child Fetal Neonatal Ed        ISSN: 1359-2998            Impact factor:   5.747


  29 in total

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Authors:  M Hartmann; A Montgomery; K Jönsson; U Haglund
Journal:  Crit Care Med       Date:  1991-02       Impact factor: 7.598

2.  Gut mucosal perfusion in neonates undergoing cardiopulmonary bypass.

Authors:  P D Booker; H Romer; R Franks
Journal:  Br J Anaesth       Date:  1996-11       Impact factor: 9.166

3.  Intramucosal pH measurement with tonometers for detecting gastrointestinal ischemia in porcine hemorrhagic shock.

Authors:  A Montgomery; M Hartmann; K Jönsson; U Haglund
Journal:  Circ Shock       Date:  1989-12

4.  Small bowel tonometry: assessment of small gut mucosal oxygen tension in dog and man.

Authors:  A M Dawson; D Trenchard; A Guz
Journal:  Nature       Date:  1965-05-29       Impact factor: 49.962

5.  The use of tonometry in the early diagnosis of mesenteric ischemia.

Authors:  J W Poole; R J Sammartano; S J Boley
Journal:  Curr Surg       Date:  1987 Jan-Feb

6.  Validation of tonometric measurement of gut intramural pH during endotoxemia and mesenteric occlusion in pigs.

Authors:  J B Antonsson; C C Boyle; K L Kruithoff; H L Wang; E Sacristan; H R Rothschild; M P Fink
Journal:  Am J Physiol       Date:  1990-10

7.  Systemic, pulmonary and mesenteric perfusion and oxygenation effects of dopamine and epinephrine.

Authors:  P Y Cheung; K J Barrington; R J Pearson; D L Bigam; N N Finer; J E Van Aerde
Journal:  Am J Respir Crit Care Med       Date:  1997-01       Impact factor: 21.405

8.  Adequacy of tissue oxygenation in intact dog intestine.

Authors:  C M Grum; R G Fiddian-Green; G L Pittenger; B J Grant; E D Rothman; D R Dantzker
Journal:  J Appl Physiol Respir Environ Exerc Physiol       Date:  1984-04

9.  Monitoring of tissue oxygenation in shock: an experimental study in pigs.

Authors:  E Schlichting; T Lyberg
Journal:  Crit Care Med       Date:  1995-10       Impact factor: 7.598

10.  Development and validation of a technique for continuous monitoring of gastric intramucosal pH.

Authors:  J A Guzman; J A Kruse
Journal:  Am J Respir Crit Care Med       Date:  1996-02       Impact factor: 21.405

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  2 in total

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Authors:  Michelle Hickey; Neal Samuels; Nilesh Randive; R M Langford; P A Kyriacou
Journal:  J Clin Monit Comput       Date:  2011-09-28       Impact factor: 2.502

Review 2.  Hypotension in the very low birthweight infant: the old, the new, and the uncertain.

Authors:  S J Dasgupta; A B Gill
Journal:  Arch Dis Child Fetal Neonatal Ed       Date:  2003-11       Impact factor: 5.747

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