Abstract
We studied the effects of the intravenous infusion of dopmine on hepatic circulation at doses of 3, 7 and 15μg/kg/min. Six mongrel dogs weighing 19.1±6.1kg were studied under sodium pentobarbital anesthesia. Cardiac output was measured by thermodilution methods. Portal venous blood flow (PVBF) and hepatic arterial blood flow (HABF) were measured by an electromagnetic flowmeter. Hepatic oxygen supply and consumption were calculated from the blood flow and the oxygen contents.
Dopamine at all doses caused a significant increase in PVBF and a significant decrease in HABF. However, dopamine at doses of 3 and 7μg/kg/min demonstrated no significant changes in the total hepatic blood flow (THBF). Dopamine at a dose of 3μg/kg/min showed no effects on the hepatic and systemic oxygen supply-demand relationship. Dopamine at a dose of 7μg/ kg/min resulted in increased in the systemic oxygen supply and consumption under a fixed oxygen extraction ratio. Dopamine at a dose of 15μg/kg/min caused a significant increase in THBF accompanied by an increased systemic oxygen consumption and an increased systemic oxygen extraction ratio.
From these results, it is suggested that dopamine at doses of 3 and 7μg/kg/min has minimum effects on the hepatic circulation and oxygen supply-demand relationship, but that dopamine at a dose of 7μg/kg/min is the most effective for improvement of the systemic circulation and oxygen supply-demand relationship.