Cited by 125Gastrointestinal motility and disordersClinical Nutrition and GastroenterologyIntensive Care Unit Cognitive Disorders

Effect of dopamine on gastrointestinal motility during critical illness

Dive, A., Foret, F., Jamart, J., Bulpa, P., Installé, E.·2000·Intensive Care Medicine

Abstract

Objective To document the action of dopamine on gastrointestinal motility in mechanically ventilated patients.Design Crossover, randomized, placebo-controlled study.Setting General intensive care unit (ICU) in a university hospital.Patients Twelve mechanically ventilated patients in a stable hemodynamic condition, with no contraindication to enteral feeding.Interventions Dopamine (4 microg/kg per minute) and placebo were infused over 8 h (4 h fasting, followed immediately by 4 h nasogastric feeding at 100 kcal per hour) on two consecutive days, in a random order. Pressure changes in the gastric antrum (four sites) and in the duodenum (two sites) were recorded by perfused catheter manometry. Each session started with the institution of dopamine or placebo infusion.Measurements and results The migrating motor complex and its three successive phases were identified (phase I, period of quiescence; phase II, period of irregular contractile activity; phase III or activity front, period of high-frequency, regular contractions). Contractions and activity fronts at each site were quantified during fasting and feeding. The mean duration of the fasting migrating motor complex was determined in the duodenum, as well as the contribution of each phase (phases I, II, III) to the length of the complete cycle. The propagation characteristics of each activity front were assessed visually. The number of contractions was lower in the antrum (p = 0.024) and phase III motor activity higher in the duodenum [incidence of activity fronts (p = 0.008); number of phase III contractions (p = 0.009)] during dopamine infusion than with placebo. These modifications observed under dopamine were related to decreased antral contractions during fasting (p = 0.050), increased incidence of activity fronts during feeding (p = 0.031), and increased number of phase III contractions during fasting (p = 0.037). In both groups (placebo and dopamine) activity fronts rarely started in the antrum, and abnormally propagated activity fronts were found in the duodenum in some patients.Conclusions Low-dose dopamine adversely affects gastroduodenal motility in mechanically ventilated critically ill patients.

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Crossref · 10.1007/s001340051279

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  • In critically ill patients, transit time is substantially slowed by various pathophysiological and therapeutic factors.

    “In critically ill patients, transit time is substantially slowed by various pathophysiological (glucose and electrolyte disturbances8,9 and endogenous opioid production) and therapeutic (sedatives, opiates, and systemic catecholamines21) factors.”

    From The microbiome and critical illness (2016) · cites this paper as [21]

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Authors
Dive, A., Foret, F., Jamart, J., Bulpa, P., & Installé, E.
Affiliations
UCLouvain (BE)
Venue
Intensive Care Medicine
Published
2000-07-28
Volume
26
Issue
7
Pages
901-907
ISSN
  • 0342-4642 (ISSN-L)
  • 1432-1238
OpenAlex
W2008260145
Cited by
124
References
0
Citations by year
2026: 1 · 2025: 1 · 2023: 3 · 2022: 4 · 2021: 8 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 8 · 2016: 3 · 2015: 7 · 2014: 6 · 2013: 1 · 2012: 10
FWCI
5.69
Type
journal article
Language
en
Open access
closed
Locations
  • Intensive Care Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Digital Access to Libraries (Université catholique de Louvain (UCL), l'Université de Namur (UNamur) and the Université Saint-Louis (USL-B)) (submittedVersion)
Topics
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
Keywords
dopamine, gastrointestinal motility, migrating motor complex, gastroduodenal motility, mechanical ventilation, critically ill patients, enteral nutrition, gastric antrum, duodenum
MeSH terms
Adult, Aged, Dopamine, Duodenum, Enteral Nutrition, Female, Gastrointestinal Motility, Humans, Male, Manometry, Middle Aged, Pyloric Antrum, Respiration, Artificial, Vasodilator Agents, Myoelectric Complex, Migrating, Critical Illness, Cross-Over Studies, Statistics, Nonparametric

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