Theissen J L, Traber L D, Herndon D N, Traber D L
Klinik und Poliklinik für Anästhesiologie und operative Intensivmedizin, Westfälische Wilhelms-Universität Münster.
Anasthesiol Intensivmed Notfallmed Schmerzther. 1991 Apr;26(2):90-5. doi: 10.1055/s-2007-1000543.
Controversies exist over the influence of inhalation anaesthesia on blood flow regulation in response to local alveolar hypoxia. This study investigates the blood flow diversion from a hypoxic to an oxygenated lung in anaesthetized and ventilated animals in comparison to unanaesthetized animals. Chronically instrumented adult ewes (n = 14, 32-45 kg) were intubated one week after surgery with a modified Carlen's tube, allowing separate ventilation of the left and right lung. In the awake state (n = 7) or after one hour of constant anaesthetic conditions (n = 7, halothane 1.6% and 2.4%), cardiac output (thermodilution) and left pulmonary blood flow (ultrasonic transit time) were evaluated. Then, under identical ventilatory conditions, the left or right lung, alternately, was rendered hypoxic for 10 min by ventilation with nitrogen. The contralateral lung was ventilated with oxygen. After 10 min, haemodynamics were again recorded. The changes in left pulmonary blood flow under unilateral lung hypoxia were similar either in the awake or the anaesthetized state. Thus, we conclude that, under these experimental conditions, halothane anaesthesia and mechanical ventilation have no influence on blood flow regulation under unilateral lung hypoxia.
关于吸入麻醉对机体响应局部肺泡缺氧时血流调节的影响,目前仍存在争议。本研究通过对比未麻醉动物,探究麻醉且通气的动物中从缺氧肺到氧合肺的血流转向情况。成年母羊(n = 14,体重32 - 45千克)在手术后一周通过改良的卡伦氏管插管,可实现左右肺的单独通气。在清醒状态(n = 7)或恒定麻醉状态1小时后(n = 7,氟烷浓度为1.6%和2.4%),评估心输出量(热稀释法)和左肺血流量(超声渡越时间)。随后,在相同通气条件下,交替使用氮气对左肺或右肺进行10分钟的缺氧通气,对侧肺则用氧气通气。10分钟后,再次记录血流动力学参数。单侧肺缺氧时,左肺血流量的变化在清醒或麻醉状态下相似。因此,我们得出结论,在这些实验条件下,氟烷麻醉和机械通气对单侧肺缺氧时的血流调节没有影响。