Regional cerebral blood flow following hemorrhage during isoflurane anesthesia in the rabbit: comparison of techniques to support blood pressure. 1989

T S Ruta, and W A Mutch
Department of Anesthesia, St. Boniface General Hospital, Winnipeg Manitoba, Canada.

The authors investigated whether the increase in cerebral blood flow (CBF) when pressure passive following hemorrhage was dependent on the technique used to increase cerebral perfusion pressure (CPP). Twenty-one New Zealand white rabbits anesthetized with isoflurane in oxygen were studied with four regional blood flow determinations in each. Blood flow was determined by injection of radioactive microspheres during the following experimental conditions: Injection 1: 1 h after 1.0% inspired isoflurane; injection 2: 25 min after hypotension (MAP 50 mmHg) was induced by isoflurane; injection 3: 10-15 min after superimposed hemorrhagic hypotension to a MAP of 30 mmHg; injection 4: 25 min after restoring MAP to 50 mmHg by one of three techniques: decreasing inspired isoflurane concentration (group 1); restoration of blood volume (group 2); and phenylephrine infusion (group 3). Normocapnia was maintained throughout (35.8-38.4 mmHg). There was no group X time interaction (treatment effect) for total CBF (tCBF) (P = 0.309) or for any supratentorial region (frontal, parietal, occipital cortex P = 0.821, 0.413 and 0.342 respectively) for the three techniques used to increase CPP. A significant group X time interaction was seen for infratentorial structures (P = 0.002 for cerebellum and P = 0.035 for brain stem). When MAP was increased by decreasing the inspired isoflurane concentration significantly lower rCBF to infratentorial structures was seen compared with that following the other two techniques. A significant group X time interaction was seen for cardiac output following hemorrhage (P = 0.052) being significantly higher with blood volume expansion versus phenylephrine infusion. A group X time interaction was not seen for renal blood flow (P = 0.0306).

UI MeSH Term Description Entries
D007530 Isoflurane A stable, non-explosive inhalation anesthetic, relatively free from significant side effects.
D010656 Phenylephrine An alpha-1 adrenergic agonist used as a mydriatic, nasal decongestant, and cardiotonic agent. (R)-3-Hydroxy-alpha-((methylamino)methyl)benzenemethanol,Metaoxedrin,Metasympatol,Mezaton,Neo-Synephrine,Neosynephrine,Phenylephrine Hydrochloride,Phenylephrine Tannate,Neo Synephrine,Tannate, Phenylephrine
D011817 Rabbits A burrowing plant-eating mammal with hind limbs that are longer than its fore limbs. It belongs to the family Leporidae of the order Lagomorpha, and in contrast to hares, possesses 22 instead of 24 pairs of chromosomes. Belgian Hare,New Zealand Rabbit,New Zealand Rabbits,New Zealand White Rabbit,Rabbit,Rabbit, Domestic,Chinchilla Rabbits,NZW Rabbits,New Zealand White Rabbits,Oryctolagus cuniculus,Chinchilla Rabbit,Domestic Rabbit,Domestic Rabbits,Hare, Belgian,NZW Rabbit,Rabbit, Chinchilla,Rabbit, NZW,Rabbit, New Zealand,Rabbits, Chinchilla,Rabbits, Domestic,Rabbits, NZW,Rabbits, New Zealand,Zealand Rabbit, New,Zealand Rabbits, New,cuniculus, Oryctolagus
D012079 Renal Circulation The circulation of the BLOOD through the vessels of the KIDNEY. Kidney Circulation,Renal Blood Flow,Circulation, Kidney,Circulation, Renal,Blood Flow, Renal,Flow, Renal Blood
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D001810 Blood Volume Volume of circulating BLOOD. It is the sum of the PLASMA VOLUME and ERYTHROCYTE VOLUME. Blood Volumes,Volume, Blood,Volumes, Blood
D002302 Cardiac Output The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat). Cardiac Outputs,Output, Cardiac,Outputs, Cardiac
D002560 Cerebrovascular Circulation The circulation of blood through the BLOOD VESSELS of the BRAIN. Brain Blood Flow,Regional Cerebral Blood Flow,Cerebral Blood Flow,Cerebral Circulation,Cerebral Perfusion Pressure,Circulation, Cerebrovascular,Blood Flow, Brain,Blood Flow, Cerebral,Brain Blood Flows,Cerebral Blood Flows,Cerebral Circulations,Cerebral Perfusion Pressures,Circulation, Cerebral,Flow, Brain Blood,Flow, Cerebral Blood,Perfusion Pressure, Cerebral,Pressure, Cerebral Perfusion
D006470 Hemorrhage Bleeding or escape of blood from a vessel. Bleeding,Hemorrhages
D000769 Anesthesia, Inhalation Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract. Insufflation Anesthesia,Anesthesia, Insufflation,Inhalation Anesthesia

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