Hemodynamic changes of abdominal organs in the early stage of septic mice induced by cecal ligation and puncture

AIM: To characterize the hemoperfusion of abdominal organs in the early stage of sepsis in mice. METHODS: Health male Kunming mice were used in the study (n=100). The techniques of 2D, M-mode and pulse-wave Doppler were applied to evaluate the systolic functions of the heart and the blood flow of abdominal aorta, right renal artery and portal vein before cecal ligation and puncture (CLP) as the baseline and at the time points of 12 h, 24 h, 36 h, 48 h and 60 h after CLP. The mice survived for 7 d were considered as survivals. All data were compared with the baseline values.RESULTS: The cardiac output of the CLP mice remained in normal or hyperdynamic levels in the early stage of sepsis. Compensatory responses of systolic functions were observed. The levels of blood flow in abdominal aorta were increased first and then decreased. Resistent index (RI) and pulsatility index (PI) of abdominal aorta began to increase at the time point of 24 h. Blood flow of right renal artery showed a significant decline from the beginning to the end of our observation. No significant difference of the right arteriorenal RI and PI was observed. Portal venous flow increased significantly at 12 h, and decreased at 24 h after CLP. Congestion index of the portal vein was distinctly increased from 12 h to the end of the observation. CONCLUSION: The hemodynamics of abdominal organs in early stage of septic mice shows specific changes, indicating an important role in evaluating the mechanism of sepsis.