Abstract
Multiple organ failure (MOF) is just thirty years old. Tilney and colleagues were the first to describe the syndrome as a lethal consequence of surgery to repair abdominal aortic aneurysms [2]. Despite the timely and appropriate application of organ support, affected patients could not be rescued. Frustration in this field persists. The purpose of this chapter is to explore how interactions among the vital organs may regulate function and, reciprocally, how functions may regulate those interactions.
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References
Henderson LJ, Palmer WW (1914) On the several factors of acid secretion. J Biol Chem 17:305–315
Tilney NL, Bailey GL, Morgan AP (1973) Sequential system failure after rupture of abdominal aortic aneurysms: an unsolved problem in postoperative care. Ann Surg 178:117–122
Bernard C (1879) Leçons sur les Phénomènes de la Vie Communs aux Animaux et aux Végétaux. JB Balliere, Paris
Einstein A (1905) Ãœber einen die erzeugung und Verwandlung des lichtes betreffenden heuristischen gesichtspunkt. Annalen der Physik 17:132
Schrodinger E (1945) What is Life? The Physical Aspect of the Living Cell. Macmillan, New York
Cowan G (1994) Opening Remarks. In: Cowan G, Pines D, Meltzer D (eds) Complexity: Metaphors, Models and Reality. Addison-Wesley, Boston, p. 2
Wolfe EL, Barger CA, Benison S (2000) Walter B. Cannon, Science and Society. Harvard University Press, Boston, p 162
Godin PJ, Buchman TG (1996) Uncoupling of biological oscillators: a complementary hypothesis concerning the pathogenesis of multiple organ dysfunction syndrome. Crit Care Med 24:1107–1116
Schäfer C, Rosenblum MG, Kurths J, Abel HH (1998) Heartbeat synchronized with ventilation. Nature 392:239–240
Müller EE, Locatelli V, Cocchi D (1999) Neuroendocrine control of growth hormone secretion. Physiol Rev 79:511–607
Fry DE, Pearlstein L, Fulton RL, Polk HC Jr (1980) Multiple system organ failure; the role of uncontrolled infection. Arch Surg 115:136–140
Groeneveld ABJ, Schneider AJ, Thijs LG (1991) Cardiac alteration in septic shock: pathophysiology, diagnosis, prognostic and therapeutic implications. In: Vincent JL (ed) Update in Intensive Care and Emergency Medicine. Springer-Verlag, Heidelberg, pp: 126–136
Parrillo JE (1993) Pathogenic mechanisms of septic shock. N Engl J Med 328:1471–1477
Revelly JP, Ayuse T, Brienza N, Robotham JL (1995) Dysregulation of the veno-arterial response in the superior mesenteric artery during endotoxic shock. Crit Care Med 23: 1519–1527
Godin PJ, Fleisher LA, Eidsath A, et al (1996) Experimental human endotoxemia increases cardiac regularity: results from a prospective, randomized, crossover trial. Crit Care Med 24:1117–1124
Bunnell E, Lynn M, Habet K, et al (2000) A lipid A analog, E5531, blocks the endotoxin response in human volunteers with experimental endotoxemia. Crit Care Med 28: 2713–2720
Gutierrez G, Marini C, Acero AL, Lund N (1990) Skeletal muscle PO2 during hypoxemia and isovolemic anemia. J Appl Physiol 68:2047–2053
Ince C, Sinaasappel M (1999) Microcirculatory oxygenation and shunting in sepsis and shock. Crit Care Med 27:1369–1377
Shepherd AP, Kiel JW (1992) A model of counter-current shunting of oxygen in the intestinal villus. Am J Physiol 262:H1136–H1142
Hiltebrand LB, Krejci V, Banic A, Erni D, Wheatley AM, Sigurdsson GH (2000) Dynamic study of the distribution of microcirculatory blood flow in multiple splanchnic organs in septic shock. Crit Care Med 28:3233–3241
Cardenas A, Uriz J, Gines P, Arroyo V (2000) Hepatorenal syndrome. Liver Transplant 6: S63–S71
Gines P, Arroyo V (1999) Hepatorenal syndrome. J Am Soc Nephrol 10:1833–1839
Rydell R, Hoffbauer FW (1956) Multiple pulmonary arteriovenous fistulas in juvenile cirrhosis. Am J Med 21:450–459
Scott VL, Dodson SF, Kang Y (1900) The hepatopulmonary syndrome. Surg Clin North Am 79:23–41
Krowka MJ (2000) Hepatopulmonary syndromes. Gut 46:1–4
Duncan BW, Kneebone JM, Chi EY, et al (1999) A detailed histologic analysis of pulmonary arteriovenous malformations in children with cyanotic congenital heart disease. J Thorac Cardiovasc Surg 117:931–938
Hasselgren PO, James JH, Benson DW, et al (1989) Total and myofibrillar protein breakdown in different types of rat skeletal muscle: effects of sepsis and regulation by insulin. Metabolism 38:634–640
Vary TC, Kimball SR (1992) Sepsis-induced changes in protein synthesis: differential effects on fast-and slow-twitch muscles. Am J Physiol 262:C1513–C1519
Streat SJ, Plank LD, Hill GL (2000) Overview of modern management of patients with critical injury and severe sepsis. World J Surg 24:655–663
Planck LD, Hill GL (2000) Sequential metabolic changes following induction of systemic inflammatory response in patients with severe sepsis or major blunt trauma. World J Surg 24:630–638
Chen MD, Ordog T, O’Byrne KT, Goldsmith JR, Connaughton MA, Knobil E (1996) The insulin hypoglycemia-induced inhibition of gonadotropin-releasing hormone pulse generator activity in the rhesus monkey: roles of vasopressin and corticotropin-releasing factor. Endocrinology 137:2012–2021
Goldsmith SR, Dodge D, Cowley AW (1989) The effect of moderate hypotension on arginine vasopressin levels in normal humans. Am J Med Sci 298:295–298
Chapleau MW, Hajduczok G, Abboud FM (1989) Pulsatile activation of baroreceptors causes central facilitation of baroreflex. Am J Physiol 256: H1735–H1741
Buijk SE, Bruining HA (1998) Vasopressin deficiency contributes to the vasodilation of septic shock. Circulation 98:187
Landry DW, Levin HR, Gallant EM, et al (1997) Vasopressin deficiency contributes to the vasodilation of septic shock. Circulation 95:1122–1125
Lim TW, Lee S, NG KS (2000) Vasopressin effective in reversing catecholamine-resistant vasodilatory shock. Anaesth Intensive Care 28:313–317
Schwartz J, Keil LC, Maselli J, Reid IA (1983) Role of vasopressin in blood pressure regulation during adrenal insufficiency. Endocrinology 112:234–238
Rozenfeld V, Cheng JW (2000) The role of vasopressin in the treatment of vasodilation in shock states. Ann Pharmacother 34:250–254
Romand JA, Treggiari-Venzi M (1999) Is vasopressin an ideal vasopressor to treat hypotension in septic shock? Intensive Care Med 25:763–764
Malcolm DS, Zaloga GP, Holaday JW (1989) Calcium administration increases the mortality of endotoxic shock in rats. Crit Care Med 17:900–903
Carlstedt F, Eriksson M, Kiiski R, Larsson A, Lind L (2000) Hypocalcemia during porcine endotoxemic shock: effects of calcium administration. Crit Care Med 28:2909–2914
Suter PM (2000) Increasing arterial oxygenation with knobs and tricks: lipstick cosmetics or real improvement of outcome? Crit Care Med 28:3083–3084
Glass L, Mackey M (1988): From Clocks to Chaos: The Rhythms of Life. Princeton University Press, Princeton
Pincus SM, Goldberger AL (1994) Physiological time-series analysis: what does regularity quantify? Am J Physiol 266:H1643–H1656
Silipo R, Deco G, Vergassola R, Gremigni C (1999) A characterization of HRV’s nonlinear hidden dynamics by means of Markov models. IEEE Trans Biomed Eng 46:978–986
Pincus SM (1994) Greater signal regularity may indicate increased system isolation. Math Biosci 122:161–181
Pincus SM (1994) Quantification of evolution from order to randomness in practical time series analysis. Methods Enzymol 240:68–89
Kresh JY, Izrailtyan I (1998) Evolution in functional complexity of heart rate dynamics: a measure of cardiac allograft adaptability. Am J Physiol 275:R720–R727
Toweill D, Sonnenthal K, Kimberly B, Lai S, Goldstein B (2000) Linear and nonlinear analysis of hemodynamic signals during sepsis and septic shock. Crit Care Med 28:2051–2057
Annane D, Trabold F, Sharshar T, et al (1999) Inappropriate sympathetic activation at onset of septic shock: a spectral analysis approach. Am J Respir Crit Care Med 160:458–465
Goldstein B, Mickelsen D, Want A, Tipton R, Cox C, Woolf PD (1999) Effect of N(G)-nitro-L-arginine methyl ester on autonomic modulation of heart rate variability during hypovolemic shock. Crit Care Med 27:2239–2245
Tang GJ, Kuo CD (1996) Heart rate variability correlates negatively with cardiac index in patients with sepsis. Intensive Care Med 22:514
Goldstein B, Toweill D, Lai S, Sonnenthal K, Kimberly B (1998) Uncoupling of the autonomic and cardiovascular systems in acute brain injury. Am J Physiol 275:R1287–R1292
Wada T, Ono K, Hadama T, Uchida Y, Shimada T, Arita M (1999) Detection of acute cardiac rejection by analysis of heart rate variability in heterotopically transplanted rats. J Heart Lung Transplant 18:499–509
Stys A, Stys T (1998) Current clinical applications of heart rate. Clin Cardiol 21:719–724
Winchell RJ, Hoyt DB (1996) Spectral analysis of heart rate variability in the ICU: a measure of autonomic function. J Surg Res 63:11–6
Fleisher LA, Fleckenstein JF, Frank SM, Thuluvath PJ (2000) Heart rate variability as a predictor of autonomic dysfunction in patients awaiting liver transplantation. Dig Dis Sci 45:340–344
Pincus SM (2000) Orderliness of hormone release. Novartis Found Symp 227:82–96
Pincus SM, Keefe DL (1992) Quantification of hormone pulsatility via an approximate entropy algorithm. Am J Physiol 262:E741–E754
Hollingdal M, Juhl CB, Pincus SM, et al (2000) Failure of physiological plasma glucose excursions to entrain high-frequency pulsatile insulin secretion in type 2 diabetes. Diabetes 49:1334–1340
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Wizorek, J.J., Buchman, T.G. (2002). Organ-Organ Interactions in Multiple Organ Failure. In: Evans, T.W., Fink, M.P. (eds) Mechanisms of Organ Dysfunction in Critical Illness. Update in Intensive Care and Emergency Medicine, vol 38. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56107-8_11
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DOI: https://doi.org/10.1007/978-3-642-56107-8_11
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-42692-9
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