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  • Title: The effects of dopamine on cardiogenic and endotoxin experimental shock.
    Author: Marchetti G, Longo T, Merlo L, Noseda V.
    Journal: Eur Surg Res; 1973; 5(3):175-85. PubMed ID: 4584042.
    Abstract:
    Studies on dogs show that dopamine improves cardiac performance and increases renal and mesenteric flow. This paper investigates the cardiovascular effects of dopamine on narcotized dogs. 0.2 ml. of mercury was administered into the circumflex branch of the left coronary artery of 2 groups of anesthetized dogs to induce myocardial infarction. 1-3 mg/lg of Eschrichia coli endotoxin was injected in 2 other groups of dogs to induce endotoxin shock. Dopamine was administered intravenousely in one group with cardiogenic shock and in the other group with endotoxin shock; noradrenaline was administered in the other 2 groups. Coronary resistances increased after induction of shock and declined towards normal after dopamine was injected. The effect of dopamine on mesenteric and renal resistance was not signficant. Noradrenaline's effect on cardiac performance was similar to that of dopamine, although unlike dopamine, it contributed to a significant increase of total peripheral, coronary, mesenteric, renal and femoral resistances. The effects of dopamine on the dog's hemodynamics were less evident in endotoxin than in cardiogenic shock on account of the fact that in endotoxin shock, circulatory blood volume declines to a higher extent than in cardiogenic shock, and greater blood alterations develop, mainly acidosis. In such conditions, dopamine alone will not help the hemodynamic parameters return to normal levels. Lotto et al. reports that in shocked humans with serious metabolic acidosis, dopamine is effective only when bicarbonate solutions are infused to adjust blood PH.
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