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正常犊牛清醒和麻醉状态下的血流动力学差异。

Hemodynamic differences between the awake and anesthetized conditions in normal calves.

作者信息

Takaseya Tohru, Fujiki Masako, Shiose Akira, Kim Hyun-Il, Kobayashi Mariko, Massiello Alex L, Dessoffy Raymond, Al-Ruzzeh Sharif, Fukamachi Kiyotaka

机构信息

Department of Biomedical Engineering/ND20, Lerner Research Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

出版信息

J Artif Organs. 2012 Sep;15(3):225-30. doi: 10.1007/s10047-012-0636-6. Epub 2012 Mar 24.

Abstract

There is insufficient information in the literature about baseline circulatory parameters in normal calves in the anesthetized versus postoperative awake conditions under which a large volume of medical research is conducted. Eleven calves (mean body weight, 78.1 ± 14.3 kg) were implanted with a flow probe and fluid-filled pressure lines to measure cardiac output (CO), aortic (AoP), central venous (CVP), pulmonary arterial (PAP), and left atrial pressures (LAP). Systemic (SVR) and pulmonary vascular resistance (PVR) were also calculated. We obtained the above hemodynamic data (n = 11) and epicardial echocardiography (n = 7) during open-chest surgery under isoflurane anesthesia. After full recovery from surgery, animals were evaluated in the awake condition on postoperative days 6-9 using transthoracic echocardiography (n = 7) and the hemodynamic monitoring lines and probes noted (n = 11). CO, AoP, and PAP levels in the anesthetized condition were significantly lower than in the awake condition. Other hemodynamic parameters (CVP, LAP, SVR, and PVR) were not significantly different. In conclusion, data from this study quantify changes in CO, AoP, and PAP in anesthetized calves that may affect the hemodynamic response to experimental therapeutics such as new cardiac assist devices, prosthetic valves, and surgical interventions. Our study also provides baseline data for the translation of the hemodynamic data obtained in acute in vivo calf studies to that of an awake subject.

摘要

在大量医学研究开展所依据的麻醉状态与术后清醒状态下,关于正常犊牛的基线循环参数,文献中提供的信息不足。11头犊牛(平均体重78.1±14.3千克)植入了流量探头和充液压力线,以测量心输出量(CO)、主动脉压(AoP)、中心静脉压(CVP)、肺动脉压(PAP)和左心房压(LAP)。还计算了体循环血管阻力(SVR)和肺血管阻力(PVR)。在异氟烷麻醉下的开胸手术期间,我们获取了上述血流动力学数据(n = 11)和心外膜超声心动图数据(n = 7)。手术完全恢复后,在术后第6 - 9天的清醒状态下,使用经胸超声心动图(n = 7)以及上述血流动力学监测线和探头对动物进行评估(n = 11)。麻醉状态下的CO、AoP和PAP水平显著低于清醒状态。其他血流动力学参数(CVP、LAP、SVR和PVR)无显著差异。总之,本研究的数据量化了麻醉犊牛中CO、AoP和PAP的变化,这些变化可能会影响对新型心脏辅助装置、人工瓣膜和手术干预等实验性治疗的血流动力学反应。我们的研究还为将急性体内犊牛研究中获得的血流动力学数据转化为清醒受试者的血流动力学数据提供了基线数据。

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