Hepatic Flow Changes
Conditions
Brief summary
Hepatic artery and portal flows are both regulated to assume the whole hepatic blood flow. Each counts for respectively 25% and 75%. That so-called buffer response assumes that when portal flow increases, hepatic artery flow decreases. During fluid challenge in intensive care unit, fluid challenge is often administered to improve hepatic perfusion. That observation is not demonstrated. The aim of the study is to test buffer response and portal flow during fluid challenge.
Detailed description
Prospective monocentric study at Amiens Hospital University. 20 volunteers subjects will be include after providing informed consent. Fluid challenge will be performed with 500 ml of intra venous NaCl (0.9%). Hepatic blood flow measurement will be performed using MRI.
Interventions
Fluid challenge will be performed with 500 ml of intra venous NaCl (0.9%). Hepatic blood flow measurement will be performed using MRI.
Sponsors
Study design
Eligibility
Inclusion criteria
* Fasting for the last 12 hours.
Exclusion criteria
* Claustrophobia * Any previous medical history disease; * Any abdominal surgical disease * Pregnancy or breastfeeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Portal blood flow measure before and after fluid challenge | Two hours: the difference in hepatic portal flow before and after a volume expansion of 500 ml NaCl 0.9%. | Fluid challenge will be performed with 500 ml of intra venous NaCl (0.9%). Hepatic blood flow measurement will be performed using MRI (magnetic resonance imaging). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hepatic artery blood flow measure before and after fluid challenge | Two hours | Hepatic artery blood flow measure before and after a volume expansion of 500 ml NaCl 0.9%. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Flow ratio of portal flow on hepatic artery flow | Two hours | Flow ratio of portal flow on hepatic artery flow before and after a volume expansion of 500 ml NaCl 0.9%. |
Countries
France