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1 Veterans Administration Hospital, and Departments of Physiology, Pharmacology and Surgery, University of Oklahoma Medical Center, Oklahoma City, Oklahoma
The acute response of the dog to a lethal injection of endotoxin is characterized by portal pooling, decreased venous return and systemic arterial hypotension aecompanied by acidosis and hemoconcentration. This paper describes effects of acetylsalicylic acid (ASA) on the hemodynamic and survival responses to endotoxin. Adult mongrel dogs of either sex were anesthetized with i.v. sodium pentobarbital and infused with buffered or unbuffered ASA (100 mg/kg and 40-50 mg/kg, respectively) before or after the injection of an LD80 dose of Escherichia coli endotoxin. The action of ASA alone resulted in increased cardiac output and decreased total peripheral resistance. Pretreatment with ASA blocked acute responses to endotoxin: portal hypertension did not occur, venous return and systemic arterial pressure remained significantly elevated and acidosis was prevented. The prevention of the decreases in cardiac output and systemic arterial pressure by ASA is primarily attributed to obliteration of hepatic pooling. Posttreatment restored systemic arterial pressure and pH to control values. Pretreatment with buffered and unbuffered ASA prior to endotoxin injection significantly increased survival rate over the untreated controls given endotoxin alone. These data suggest that the lethal effects of endotoxin are related to its hemodynamic alterations.
Submitted on January 12, 1967
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