Acta Cirúrgica Brasileira (Sep 2016)

Noradrenaline and dobutamine effects on the volume expansion with normal saline in rabbits subjected to hemorrhage

  • Gualter Lisboa Ramalho,
  • Matheus Fachini Vane,
  • Luciana Cavalcanti Lima,
  • Lucas Fachini Vane,
  • Rosa Beatriz Amorim,
  • Maria Aparecida Domingues,
  • José Mariano Soares de Moraes,
  • Lídia Raquel de Carvalho,
  • Pedro Paulo Tanaka,
  • Luiz Antonio Vane

DOI
https://doi.org/10.1590/S0102-865020160090000008
Journal volume & issue
Vol. 31, no. 9
pp. 621 – 628

Abstract

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ABSTRACT PURPOSE: To evaluate the effects of dobutamine (DB), noradrenaline (NA), and their combination (NADB), on volume retention in rabbits submitted to hemorrhage. METHODS: Thirty six rabbits were randomly divided into 6 groups: SHAM, Control, Saline, DB, NA, DB+NA. All the animals, except for SHAM, were subjected to hemorrhage of 25% of the calculated blood volume. Control animals were replaced with their own blood. The other groups received NSS 3 times the volume withdrawn. The intravascular retention, hematocrit, diuresis, central venous pressure, mean arterial pressure, NGAL, dry-to-wet lung weight ratio (DTWR) and the lung and kidney histology were analyzed. RESULTS: Replacement with NSS and NA, DB or NA+DB did not produce differences in the intravascular retention. After hemorrhage, the animals presented a significant decrease in the MAP and CVP, which were maintained until volume replacement. Regarding NGAL, dry-to-wet-lung-weight ratio, lung and kidney histology, there were no statistical differences between the groups. CONCLUSION: The use of noradrenaline, dobutamine or their combination did not increase the intravascular retention of volume after normal saline infusion.

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