“…The concurrent induction of hemorrhage and endotoxemia sought to induce a state of severe shock, conceivably simulating a condition consistent with penetrating trauma, associated with acute hemorrhagic shock and contamination, requiring surgical intervention for damage control (10,31). Indeed, the present model produced a state of severe hemodynamic shock, with a definite decrease in cardiac preload, accompanied by metabolic and respiratory dysfunctions and ultimately a high mortality rate in the absence of treatment.…”