Comparing effects of intraoperative fluid and vasopressor infusion on intestinal microcirculation

Sci Rep. 2020 Nov 16;10(1):19856. doi: 10.1038/s41598-020-76983-6.

Abstract

Several studies have revealed that vasopressor may be more appropriate for treating intraoperative hypotension and preventing hypervolemia. This study compared the effects of vasopressor infusion and fluid supplementation on intestinal microcirculation during treating intraoperative hypotension. Thirty-two rats were randomly divided into the following four groups: Light Anesthesia group (LA, 0.8-1% isoflurane); Deep Anesthesia group (DA, 1.5-1.8% isoflurane); Fluid DA group (1.5-1.8% isoflurane and fluid supplementation); and Norepinephrine DA group (1.5-1.8% isoflurane and norepinephrine infusion). At 240 min, perfused small vessel density (PSVD) of the mucosa did not differ significantly between the Fluid DA and Norepinephrine DA groups [26.2 (3.2) vs 28.9 (2.5) mm/mm2, P = 0.077], and tissue oxygen saturation of the mucosa was lower in the Fluid DA groups than in the Norepinephrine DA groups [ 48 (7) vs 57 (6) %, P = 0.02]. At 240 min, TSVD and PSVD of the seromuscular layer were higher in the Norepinephrine DA group than in the Fluid DA group. Fluid administration was higher in the Fluid DA group than in the Norepinephrine DA group [66 (25) vs. 9 (5) μL/g, P = 0.001]. Our results showed that norepinephrine can resuscitate intraoperative hypotension related microcirculatory alteration and avoid fluid overload.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Fluid Therapy
  • Hypotension / chemically induced
  • Hypotension / drug therapy*
  • Infusion Pumps
  • Intestines / blood supply*
  • Intestines / drug effects
  • Intraoperative Care
  • Isoflurane / adverse effects*
  • Male
  • Microcirculation / drug effects*
  • Norepinephrine / administration & dosage*
  • Norepinephrine / pharmacology
  • Random Allocation
  • Rats
  • Rats, Wistar
  • Treatment Outcome
  • Vasoconstrictor Agents / administration & dosage*
  • Vasoconstrictor Agents / pharmacology

Substances

  • Vasoconstrictor Agents
  • Isoflurane
  • Norepinephrine