Mj. Clancy et al., THE USE OF ULTRASOUND IN THE NONINVASIVE DETECTION OF CHANGES IN THE RENAL CIRCULATION IN RESPONSE TO BLOOD-LOSS USING AN ANIMAL-MODEL, Resuscitation, 30(2), 1995, pp. 161-167
Using a continuous haemorrhage model, 8 anaesthetised swine were bled
1 ml/kg per min for 30 min. The resistance index (RI) of the main rena
l artery, interlobar and arcuate vessels ail Significantly increased.
Cortical Doppler signals were lost in 4 animals at a mean arterial pre
ssure of 26 mmHg. After reinfusion of blood and normal saline only the
RI of the interlobar vessels was significantly different from baselin
e readings. Ultrasound demonstrated non-invasively changes in regional
blood flow within the kidney in response to hypovolaemic shock.