Sepsis‐induced acute kidney injury: a disease of the microcirculation

S Ma, RG Evans, N Iguchi, M Tare… - …, 2019 - Wiley Online Library
AKI is a common complication of sepsis and is significantly associated with mortality. Sepsis
accounts for more than 50% of the cases of AKI, with a mortality rate of up to 40%. The …

The effect of dexmedetomidine and clonidine on the inflammatory response in critical illness: a systematic review of animal and human studies

CA Flanders, AS Rocke, SA Edwardson, JK Baillie… - Critical Care, 2019 - Springer
Background The α2 agonists, dexmedetomidine and clonidine, are used as sedative drugs
during critical illness. These drugs may have anti-inflammatory effects, which might be …

The effect of propofol and dexmedetomidine sedation on norepinephrine requirements in septic shock patients: a crossover trial

A Morelli, F Sanfilippo, P Arnemann… - Critical care …, 2019 - journals.lww.com
Objectives: Propofol-based sedation may increase hemodynamic instability by decreasing
vascular tone and venous return. Incremental exogenous catecholamines doses may be …

[HTML][HTML] Renal perfusion, oxygenation, and sympathetic nerve activity during volatile or intravenous general anaesthesia in sheep

N Iguchi, J Kosaka, LC Booth, Y Iguchi… - British journal of …, 2019 - Elsevier
Background Global and intra-renal perfusion and oxygenation may be affected by the choice
of anaesthetic. We compared the effects of isoflurane with those of propofol and fentanyl on …

[HTML][HTML] Dexmedetomidine reduces norepinephrine requirements and preserves renal oxygenation and function in ovine septic acute kidney injury

YR Lankadeva, S Ma, N Iguchi, RG Evans, SG Hood… - Kidney international, 2019 - Elsevier
Norepinephrine exacerbates renal medullary hypoxia in experimental septic acute kidney
injury. Here we examined whether dexmedetomidine, an α2-adrenergic agonist, can restore …

Renal medullary hypoxia: a new therapeutic target for septic acute kidney injury?

YR Lankadeva, N Okazaki, RG Evans, R Bellomo… - Seminars in …, 2019 - Elsevier
Renal tissue hypoxia has been implicated as a critical mediatory factor in multiple forms of
acute kidney injury (AKI), including in sepsis. In sepsis, whole-kidney measures of …

Furosemide reverses medullary tissue hypoxia in ovine septic acute kidney injury

N Iguchi, YR Lankadeva, TA Mori… - American Journal …, 2019 - journals.physiology.org
In experimental sepsis, the rapid development of renal medullary hypoxia precedes the
development of acute kidney injury (AKI) and may contribute to its pathogenesis. We …

Effects of clonidine on the cardiovascular, renal, and inflammatory responses to experimental bacteremia

P Calzavacca, LC Booth, YR Lankadeva, SR Bailey… - Shock, 2019 - journals.lww.com
Methods: In conscious sheep, with implanted renal and pulmonary artery flow probes, sepsis
was induced by infusion of live Escherichia coli. At 24 h, a high clinical dose of clonidine …

Modulation of peroxynitrite reduces norepinephrine requirements in ovine MRSA septic shock

S Fukuda, K Ihara, CR Andersen, AC Randolph… - Shock, 2019 - journals.lww.com
Vascular hypo-responsiveness to vasopressors during septic shock is a challenging
problem. This study is to test the hypothesis that reactive nitrogen species (RNS), such as …

Pharmacologic agents for the treatment of vasodilatory shock

H Knotzer, B Poidinger… - Current pharmaceutical …, 2019 - ingentaconnect.com
Vasodilatory shock is a life-threatening syndrome in critically ill patients and is characterized
by severe hypotension and resultant tissue hypoperfusion. This shock state requires the use …