Skeletal muscle pH, CO2, and electrolyte balance during hemorrhagic shock. 1977

R F Bond, and E S Manning, and L C Peissner

Previous reports have indicated a significant degree of hindlimb skeletal muscle vasodilation coincident with the decompensatory phase of shock induced by prolonged hemorrhagic hypotension. The first objective of the present investigation was to examine the relationship between this apparent vascular decompensation and the arterial and venous skeletal muscle PO2, PCO2, VO2, VCO2, pH, Na+ and K+. The second objective was to examine the possibility that a stable blood-borne, remotely or locally released, vasodilator substance caused the vascular decompensation. Anesthetized dogs were bled in 5 ml/kg steps into a suspended reservoir until mean arterial pressure (MAP) was 35-40 mm Hg; this pressure was maintained until signs of decompensation were apparent. The blood remaining in the reservoir was returned and the animals were followed until MAP fell below 50 mm Hg. MAP, central venous pressure (CVP), lead II of ECG, heart rate (HR), and skeletal muscle venous flow were monitored and correlated with arterial and venous CO2, O2, and electrolytes. The results suggest that the skeletal muscle vascular decompensation was not caused by a stable blood-borne substance but may at least in part be due to the increased H+ and K+ in skeletal muscle blood and to mild skeletal muscle hypoxia.

UI MeSH Term Description Entries
D008297 Male Males
D009132 Muscles Contractile tissue that produces movement in animals. Muscle Tissue,Muscle,Muscle Tissues,Tissue, Muscle,Tissues, Muscle
D010100 Oxygen An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration. Dioxygen,Oxygen-16,Oxygen 16
D010101 Oxygen Consumption The rate at which oxygen is used by a tissue; microliters of oxygen STPD used per milligram of tissue per hour; the rate at which oxygen enters the blood from alveolar gas, equal in the steady state to the consumption of oxygen by tissue metabolism throughout the body. (Stedman, 25th ed, p346) Consumption, Oxygen,Consumptions, Oxygen,Oxygen Consumptions
D011188 Potassium An element in the alkali group of metals with an atomic symbol K, atomic number 19, and atomic weight 39.10. It is the chief cation in the intracellular fluid of muscle and other cells. Potassium ion is a strong electrolyte that plays a significant role in the regulation of fluid volume and maintenance of the WATER-ELECTROLYTE BALANCE.
D001775 Blood Circulation The movement of the BLOOD as it is pumped through the CARDIOVASCULAR SYSTEM. Blood Flow,Circulation, Blood,Blood Flows,Flow, Blood
D002245 Carbon Dioxide A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals. Carbonic Anhydride,Anhydride, Carbonic,Dioxide, Carbon
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D005260 Female Females
D006439 Hemodynamics The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM. Hemodynamic

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