Abstract
For more than half a century prolonged adrenergic stimulation has been known to be an important determinent of the outcome of acute critical illness. In shock of various etiologies in man and animals there is a negative correlation between the catecholamine blood levels and survival. Further, an infusion of catecholamines in amounts that can be produced endogenously during critical illness will result in shock and death in animals, the lungs showing the characteristic changes of “shock lung”. Conversely, animals made tolerant to epinephrine will withstand lethal doses of epinephrine and endotoxin as well als lethal periods of hemorrhagic shock.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Berk, J. L., Hagen, J. F., Beyer, W. H. et al.: Effect of epinephrine on arteriovenous shunts in the pathogenesis of shock. Surg. Gynec. Obstet. 124, 347 (1967).
Berk, J. L., Hagen, J. F., Beyer, W. H. et al.: Treatment of hemorrhagic shock by beta adrenergic receptor blockade. Surg. Gynec. Obstet. 125, 311 (1967).
Berk, J. L., Hagen, J. F., Beyer, W. H. et al.: Treatment of endotoxin shock by beta adrenergic blockade. Ann. Surg. 169, 74 (1969).
Berk, J. L., Hagen, J. F., Dunn, J. M.: Treatment of septic shock. Circulation 40, 44 (1969).
Berk, J. L.: Treatment of shock with beta adrenergic blockade. In: Shock: Biochemical, Pharmacological, and Clinical Aspects (eds. A. Bertelli and N. Back), pp. 303. New York: Plenum Press Inc. 1970.
Berk, J. L., Hagen, J. F., Dunn, J. M.: Role of beta adrenergic blockade in the treatment of septic shock. Surg. Gynec. Obstet. 130, 1025 (1970).
Berk, J. L., Hagen, J. F., Beyer, W. H. et al.: Hypoglycemia of shock. Ann. Surg. 171, 400 (1970).
Berk, J. L., Hagen, J. F., Beyer, W. H.: Hypoglycemic effect of propranolol. Hormone Metabolic Res. 2, 277 (1970).
Berk, J. L., Hagen, J. F., Maly, G. and Koo, R.: The treatment of shock with beta adrenergic blockade. Arch. Surg. 104, 46 (1972).
Berk, J. L.: Use of beta blockers in shock. In: Shock in low-and high-flow states (eds. B. K. Forscher, S. S. Lillehei and S. S. Stubbs), pp. 282–291. Amsterdam: Excerpta Medica 1972.
Berk, J. L., Hagen, J. F. and Koo, R.: Pulmonary insufficiency due to prolonged epinephrine infusion. To be published.
Berk, J. L., Hagen, J. F., Koo, R., Beyer, W., Dochat, G. R., Rupright, M., Nomoto, S.: Pulmonary insufficiency caused by epinephrine. Ann. Surg. 178, 423–435 (1973).
Berk, J. L., Hagen, J. F., Koo, R., Nomoto, S., Rupright, M.: Pulmonary arteriovenous shunting due to epinephrine. Hormone Metabolic Res. 5, 65 (1973).
Nomoto, S., Berk, J. L., Hagen, J. F., Koo, R.: Pulmonary anatomic arteriovenous shunting caused by epinephrine. Arch. Surg. 108, 201–204 (1974).
Berk, J. L., Hagen, J. F., Koo, R.: Prevention of epinephrine induced pulmonary insufficiency by propranolol. To be published.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1974 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Berk, J.L. (1974). Microcirculatory Effects of Epinephrine with Alterations by Alpha and Beta Adrenergic Blockade. In: Ahnefeld, F.W., Burri, C., Dick, W., Halmágyi, M. (eds) Mikrozirkulation. Klinische Anästhesiologie und Intensivtherapie, vol 5. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-95268-5_15
Download citation
DOI: https://doi.org/10.1007/978-3-642-95268-5_15
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-06981-2
Online ISBN: 978-3-642-95268-5
eBook Packages: Springer Book Archive