Changes in hepatic perfusion after administration of hydroxyethyl starch in intensive care patients assessed using color-coded Doppler sonography.
Using color-coded Doppler sonography (CCDS), changes in the resistance index of the hepatic artery (HA-RI) and in the velocities of the hepatic artery, portal and splenic vein (HA-V, PV-V, SV-V) were measured after administration of hydroxyethyl starch (HES) in 50 intensive care patients. PV-V and SV-V increased, whereas HA-V and HA-RI remained unchanged. CCDS is suitable to assess liver perfusion in intensive care patients. Since HES enhances splanchnic perfusion, its application improves hepatic perfusion in intensive care patients.
Herold
Christoph
C
Department of Medicine I, University of Erlangen-Nuernberg, Krankenhausstr. 12, 91054, Germany. christoph.herold@med1.imed.uni-erlangen.de
Wehler
Markus
M
Schuppan
Detlef
D
Hahn
Eckhart G
EG
Strauss
Richard
R
D001783:Blood Flow Velocity; D003422:Critical Care; D005260:Female; D006801:Humans; D006895:Hydroxyethyl Starch Derivatives / Q000008:administration & dosage*; D008099:Liver / Q000098:blood supply* / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D010477:Perfusion; D011169:Portal Vein / Q000000981:diagnostic imaging / Q000502:physiology; D018615:Ultrasonography, Doppler, Color
D006895:Hydroxyethyl Starch Derivatives