EFFECTS OF CATECHOLAMINES ON THE PULMONARY VENOUS BED IN SHEEP

Objective: To assess the effects of various catecholaminergic agents o n pulmonary venous tone. Design: Prospective, randomized, controlled, experimental study. Setting: Physiology laboratory of a university hos pital. Subjects: Thirty anesthetized, mechanically ventilated adult sh eep. Interventions: Four groups of six animals received I-hr infusions of norepinephrine (0.5 mu g/kg/min), epinephrine (0.5 mu g/kg/min), d opamine (10 mu g/kg/min), or dobutamine (10 mu g/kg/min). Measurements and Main Results: A 7-Fr pulmonary artery catheter was placed in a pr oximal location to measure cardiac output and pressure in a large pulm onary vein (Ppw) after balloon inflation. Another catheter wedged in a small pulmonary artery measured pressure in a small pulmonary vein (P dw). A third catheter measured left atrial pressure (PLA). This method was able to detect the pulmonary venoconstrictive effects of histamin e in a separate group of six animals. Pdw-PLa increased from a mean of 2.0 +/- 1.7 to 3.0 +/- 1.5 (so) cm H2O (p <.01), 2.3 +/- 1.6 to 4.4 /- 1.3 cm H2O (p <.01), and 1.7 +/- 1.0 to 3.5 +/- 2.2 cm H2O (p <0.05 ) with norepinephrine, epinephrine, and dopamine, respectively. All of these drugs increased Pdw-Ppw, but only norepinephrine and epinephrin e increased Ppw-PLA. No change in either pressure difference was obser ved with dobutamine. Elevation of cardiac output alone could not accou nt for these findings since the increase in cardiac output induced by fluid infusion did not change the pressure differences. Conclusion: No repinephrine, epinephrine, and dopamine at doses commonly used in huma ns increase pulmonary venous tone in sheep.