Amory H, Linden A S, Desmecht D J, Rollin F A, McEntee K, Lekeux P M
Department of Physiology, Faculty of Veterinary Medicine, University of Liège, Belgium.
Vet Res Commun. 1992;16(5):391-401. doi: 10.1007/BF01839188.
The purpose of this study was (1) to evaluate the technical and methodological problems associated with invasive haemodynamic measurements in unsedated cattle; (2) to assess the reproducibility of such measurements both within and between days; and (3) to compare the values with those previously reported. Twenty-one healthy calves, aged from 5.5 to 12 months, were studied. The central venous, the right ventricular, the pulmonary arterial, the pulmonary capillary wedge and the systemic arterial pressures were obtained by means of fluid-filled catheters, and the cardiac output was measured by the thermodilution technique. The heart rate, the stroke volume, the pulmonary and systemic vascular resistances and the pulmonary and systemic ventricular workloads were calculated. An adverse reaction, consisting of severe pulmonary hypertension, tachycardia, tachypnoea and transient weakness, occurred in 7 calves during the catheterization procedures. Such a reaction might be due to a local reflex induced by stimulation of mechano-receptors by the catheter tip. It should be avoided by reducing the manipulation of the catheter as much as possible and by inflating the tip of the balloon when moving it forwards. A comparison of the vascular pressures with those previously reported was difficult because of methodological or technical limitations, such as, for instance, a lack of standardization of the baseline. The reproducibility of the haemodynamic measurements obtained was satisfactory, in contrast to previous studies performed in conscious animals. This was attributed to our animals being better trained to the experimental conditions and emphasizes the importance of reducing mental stress in obtaining reliable haemodynamic measurements in unsedated and potentially uncooperative animals.
(1)评估未镇静牛有创血流动力学测量相关的技术和方法问题;(2)评估此类测量在日内和日间的可重复性;(3)将这些值与先前报道的值进行比较。对21头年龄在5.5至12个月的健康犊牛进行了研究。通过充液导管获取中心静脉压、右心室压、肺动脉压、肺毛细血管楔压和体动脉压,并采用热稀释技术测量心输出量。计算心率、每搏量、肺血管阻力和体血管阻力以及肺心室和体心室工作负荷。在插管过程中,7头犊牛出现了由严重肺动脉高压、心动过速、呼吸急促和短暂虚弱组成的不良反应。这种反应可能是由于导管尖端刺激机械感受器引起的局部反射所致。应通过尽可能减少导管操作并在向前移动导管时使球囊尖端充气来避免这种反应。由于方法或技术限制,如缺乏基线标准化等,很难将血管压力与先前报道的压力进行比较。与先前在清醒动物中进行的研究相比,所获得的血流动力学测量的可重复性令人满意。这归因于我们的动物对实验条件训练得更好,并强调了在未镇静且可能不合作的动物中获得可靠血流动力学测量时减少精神压力的重要性。