Evidence map›Paper›PMID 41670978›Full record

ArticleShock (Augusta, Ga.)2026

Effects of Dobutamine and Vasopressin on Microcirculation and Mitochondrial Function in the Liver and Colon of Septic Rats: A Randomized Placebo-Controlled Trial.

Carsten Marcus, Stefan Hof, Philisa Thelen, Alena Gesing, Antonia Vocke, Sarah Orzol, Jan Schulz, Richard Truse, Christian Vollmer, Inge Bauer and 2 more

Abstract read
In one paragraph

Article in Shock (Augusta, Ga.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Carsten MarcusDepartment of Anesthesiology, University Hospital Duesseldorf, Duesseldorf, Germany.
Stefan HofDepartment of Anesthesiology, University Hospital Duesseldorf, Duesseldorf, Germany.
Philisa ThelenDepartment of Anesthesiology, University Hospital Duesseldorf, Duesseldorf, Germany.
Alena GesingDepartment of Anesthesiology, University Hospital Duesseldorf, Duesseldorf, Germany.
Antonia VockeDepartment of Anesthesiology, University Hospital Duesseldorf, Duesseldorf, Germany.
Sarah OrzolDepartment of Anesthesiology, University Hospital Duesseldorf, Duesseldorf, Germany.
Jan SchulzDepartment of Anesthesiology, University Hospital Duesseldorf, Duesseldorf, Germany.
Richard TruseDepartment of Anesthesiology, University Hospital Duesseldorf, Duesseldorf, Germany.
Christian VollmerDepartment of Anesthesiology, University Hospital Duesseldorf, Duesseldorf, Germany.
Inge BauerDepartment of Anesthesiology, University Hospital Duesseldorf, Duesseldorf, Germany.
Olaf PickerDepartment of Anesthesiology, University Hospital Duesseldorf, Duesseldorf, Germany.
Anna HerminghausDepartment of Anesthesiology, University Hospital Duesseldorf, Duesseldorf, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSepsis is characterized by systemic inflammation and microcirculatory dysfunction, contributing to multiorgan failure. In the gastrointestinal tract, impaired microcirculation and mitochondrial dysfunction promote barrier failure and bacterial translocation. While dobutamine is commonly used to augment cardiac output in septic shock, its direct effects on intestinal microcirculation and mitochondrial respiration remain unclear. The microcirculatory impact of adjunctive low-dose vasopressin is similarly uncertain.

methodsTwenty-four hours after colon ascendens stent peritonitis or sham surgery, 88 male Wistar rats were randomized to receive vehicle, vasopressin, dobutamine, or their combination under septic or sham conditions. Colonic and hepatic microcirculatory oxygenation (µHbO 2 ) and microvascular blood flow (µFlow) were measured for 90 minutes using tissue-reflectance spectrophotometry and laser Doppler flowmetry. Mitochondrial respiration was assessed in colon and liver homogenates of septic animals by high-resolution respirometry. Microcirculatory data were analyzed using mixed-effects models with Tukey's and Dunnett's post hoc tests. Mitochondrial data were analyzed using the Kruskal-Wallis test. A two-sided P < 0.05 was considered statistically significant.

resultsIn septic rats, dobutamine significantly improved colonic microvascular oxygenation (∆µHbO 2 10.2% ± 13.4% vs. -2.3% ± 4.4% in controls and vs. baseline, P < 0.05) and microvascular blood flow (∆µFlow 30 ± 20 arbitrary units vs. baseline, P < 0.05). Combined dobutamine and vasopressin increased microvascular blood flow (∆µFlow 28 ± 27 arbitrary units vs. baseline, P < 0.05) but did not improve tissue oxygenation. Hepatic microcirculation and mitochondrial respiration remained largely unaltered.

conclusionsDobutamine improves colonic microcirculation in sepsis, whereas concomitant vasopressin attenuates its oxygenation effects.

Indexed as

ColonDobutamineLiverMicrocirculationMitochondriaSepsisVasopressinsAnimalsMaleRatsRats, WistarShock, SepticDobutamineVasopressinsCASPhemodynamic supportinflammationinotrope agentsorgan dysfunctionshockvasopressor therapy

Identifiers

PMID41670978
PMCPMC12952480

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.