Investigating the relationship between hemodynamic and metabolic parameters in portal triade occlusion following hemorrhagic shock

Acta Cirurgica Brasileira

Mauro José Fontelles²  Mario Mantovani¹  Elcio Shiyoiti Hirano¹  Rosana Celestina Morandin¹ 

[1] ,Universidade da Amazônia - Unama

关键词: Pringle's maneuve;    Hepatic ischemia;    Hemorrhagic shock;    Liver;    Manobra de Pringle;    Isquemia hepática;    Choque hemorrágico;    Fígado;   

DOI  :  10.1590/S0102-86502005000100005

来源: SciELO

【 摘 要 】

PURPOSE: To determine whether metabolic and hemodynamic parameters are "mathematically" coupled in rats submitted to portal triad occlusion following controlled hemorrhagic shock state. METHODS: Pearson's coefficient (r-value) analysis was performed. Differences considered significant at p<0.05 and -0.50>r>0.50. RESULTS: It was observed that there is a direct proportional relationship to HCO3- with pCO2 (r=0.66), base deficit (r=0.87) and inverse with serum lactate (r=-0.54). pCO2 was directly associated with MAP (r=0.51), and inversely with pH (r=-0.64). Hematocrit was directly associated with HR (r=0.72) and CI (r=0.76), and serum lactated was inversely associated with base deficit (r=-0.61). CONCLUSION: In rats submitted to Pringle's maneuver during 15 minutes following hemorrhagic shock state, there is a mathematical coupling with a very good correlation between several hemodynamic and metabolic variables.

【 授权许可】

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