Plasma catecholamine and free fatty acid levels during infusion of lipid emulsion in critically ill patients

M. Lindholm, J. O. Eklund, B. Hamberger, P. O. Jarnberg

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

The fractional elimination rate of exogenous fat, and fat-mobilizing lipolysis in relation to plasma catecholamine (CA) levels were studied in seven ventilator-treated ICU patients. Blood levels of CA, triglycerides, cholesterol and free fatty acids (FFA) were also analyzed before and during constant infusion of a soybean oil emulsion (Intralipid). Triglyceride concentrations rose significantly during the infusion. FFA levels also increased significantly within 30 min after the infusion was begun, reflecting fatty acids derived from Intralipid triglycerides. Plasma norepinephrine levels showed large interindividual variations and were inversely related to FFA concentrations. No correlation was found between plasma CA levels and the fractional removal rate of fat. These data suggest a deficiency of substrate in these critically ill patients.

Original languageEnglish (US)
Pages (from-to)953-956
Number of pages4
JournalCritical care medicine
Volume12
Issue number11
DOIs
StatePublished - 1984
Externally publishedYes

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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