Influence of ketamine anesthesia on cardiac output and tissue perfusion in rats subjected to hemorrhage. 1981

J Idvall

Ketamine anesthesia has been considered suitable for use in patients suffering from acute hypovolemia. Using a microsphere technique, fractional distribution of cardiac output and tissue perfusion were determined in rats subjected to moderate (10 ml/kg), or severe (bled to 60 torr systolic arterial pressure) hemorrhage. In the moderate bleeding bleeding experiments, rats under ketamine anesthesia were compared to awake rats as well as to awake normovolemic rats. In the severe bleeding experiments, rats under ketamine anesthesia were compared to rats under barbiturate anesthesia. Following moderate bleeding the ketamine group had a significantly large cardiac output and higher arterial pressure than the unanesthetized group. There were no major differences in the fractional distribution of cardiac output, although tissue perfusion in the ketamine group was significantly larger in heart, kidneys, skin, and small intestine. The shed blood volume necessary to reach 60 torr in systolic arterial pressure was 36 per cent of normal blood volume in the ketamine group, and 23 per cent in the barbiturate group. In spite of the greater blood loss, rats under ketamine anesthesia displayed significantly larger cardiac output and a higher elevation of arterial pressure 20 min after the hemorrhage. In the ketamine group, fractional distribution of cardiac output favored the internal organs as opposed to an increase in the carcass in the barbiturate group. The ketamine anesthetized rats had a significantly larger perfusion to most organs, including heart, kidneys, and brain. It is concluded from this study that in rats experiencing acute hypovolemia blood flow to vital organs and cardiac output are well maintained under ketamine anesthesia.

UI MeSH Term Description Entries
D007649 Ketamine A cyclohexanone derivative used for induction of anesthesia. Its mechanism of action is not well understood, but ketamine can block NMDA receptors (RECEPTORS, N-METHYL-D-ASPARTATE) and may interact with sigma receptors. 2-(2-Chlorophenyl)-2-(methylamino)cyclohexanone,CI-581,Calipsol,Calypsol,Kalipsol,Ketalar,Ketamine Hydrochloride,Ketanest,Ketaset,CI 581,CI581
D008297 Male Males
D001775 Blood Circulation The movement of the BLOOD as it is pumped through the CARDIOVASCULAR SYSTEM. Blood Flow,Circulation, Blood,Blood Flows,Flow, 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
D006470 Hemorrhage Bleeding or escape of blood from a vessel. Bleeding,Hemorrhages
D000768 Anesthesia, General Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery. Anesthesias, General,General Anesthesia,General Anesthesias
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D001463 Barbiturates A class of chemicals derived from barbituric acid or thiobarbituric acid. Many of these are GABA MODULATORS used as HYPNOTICS AND SEDATIVES, as ANESTHETICS, or as ANTICONVULSANTS.
D051381 Rats The common name for the genus Rattus. Rattus,Rats, Laboratory,Rats, Norway,Rattus norvegicus,Laboratory Rat,Laboratory Rats,Norway Rat,Norway Rats,Rat,Rat, Laboratory,Rat, Norway,norvegicus, Rattus

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