Effect of injury and infection on visceral metabolism and circulation

D. W. Wilmore, C. W. Goodwin, L. H. Aulick, M. C. Powanda, A. D. Mason, B. A. Pruitt

Research output: Contribution to journalArticle

229 Scopus citations


To characterize the role of the liver and kidney in the metabolic response to injury and infection, selective catheterization of the hepatic (42 veins) and renal veins (21 veins) was performed in 31 burn patients (mean burn size: 51% TBS), studied 4-129 days postinjury. Blood flow was determined by standard clearance techniques (ICG and PAH), and simultaneous arterial and hepatic and/or renal vein blood was obtained for oxygen, glucose, lactate, pyruvate, and amino acids. Patients studied in the first to third weeks postinjury were classified as noninfected (8 studies), bacteremic (8 studies), or bacteremic with complications (5 studies). There was no difference in age, weight, mean burn size, pulse rate, blood pressure, rectal temperature, total body oxygen consumption, or cardiac index among these groups. Estimated hepatic blood flow (EHBF) and hepatic substrate balance of these patients were compared with postabsorptive normal subjects in the literature (mean ± SEM or range).

Original languageEnglish (US)
Pages (from-to)491-504
Number of pages14
JournalUnknown Journal
Issue number4
StatePublished - Jan 1 1980


ASJC Scopus subject areas

  • Surgery

Cite this

Wilmore, D. W., Goodwin, C. W., Aulick, L. H., Powanda, M. C., Mason, A. D., & Pruitt, B. A. (1980). Effect of injury and infection on visceral metabolism and circulation. Unknown Journal, 192(4), 491-504. https://doi.org/10.1097/00000658-198010000-00008