Department of Anesthesiology, The Fourth Affiliated Hospital, Harbin Medical University, Harbin, China.
PLoS One. 2013;8(4):e60625. doi: 10.1371/journal.pone.0060625. Epub 2013 Apr 5.
Studies have suggested that the caudal ventral artery is a potential site for continuous arterial blood pressure monitoring in rats. However, the agreement of mean arterial pressure values between the femoral artery and the caudal ventral artery has not been investigated. This study was performed to identify whether the caudal ventral artery could be safely used for continuous blood pressure monitoring as an alternative site to the femoral artery.
Rats were randomized into four groups: Sprague Dawley rats under normothermia; Wistar rats under normothermia; Sprague Dawley rats under hypothermia; Wistar rats under hypothermia. Each rat underwent simultaneous monitoring of blood pressure using femoral artery and caudal ventral artery catheterization during a stable hemodynamic state and three periods of acute severe hemodynamic changes. The effects of rat strain, rectal temperature, experimental time course and hemodynamic factors on pressure gradients, the concordance of mean arterial pressure values between the femoral artery and the caudal ventral artery, and the rates of distal ischemia after surgery were determined.
There was a significant difference in the rate of distal ischemia between femoral and caudal ventral arteries after catheterization (25% vs 5%, P<0.05). The overall mean gradient and the mean gradient under a steady hemodynamic state were 4.9±3.7 mm Hg and 5.5±2.5 mm Hg, respectively. The limits of agreement (bias±1.96 SD) were (-2.5 mm Hg, 12.3 mm Hg) and (-0.5 mm Hg, 10.5 mm Hg), respectively. Although the concordance decreased during the first 30 sec of each period of severe hemodynamic changes, the degree of agreement was acceptable regardless of the effects of rat strain and rectal temperature.
Based on the degree of agreement and the safety of catheterization, the caudal ventral artery may be a preferred site for continuous arterial blood pressure monitoring without acute severe hemodynamic changes.
研究表明,尾侧腹动脉是大鼠连续动脉血压监测的潜在部位。然而,股动脉和尾侧腹动脉的平均动脉压值之间的一致性尚未得到研究。本研究旨在确定尾侧腹动脉是否可作为股动脉的替代部位安全地用于连续血压监测。
将大鼠随机分为四组:常温下的 Sprague Dawley 大鼠;常温下的 Wistar 大鼠;低温下的 Sprague Dawley 大鼠;低温下的 Wistar 大鼠。在稳定的血流动力学状态和三个急性严重血流动力学变化期间,每个大鼠都通过股动脉和尾侧腹动脉导管同时监测血压。确定大鼠品系、直肠温度、实验时间过程和血流动力学因素对压力梯度、股动脉和尾侧腹动脉平均动脉压值之间的一致性以及手术后远端缺血率的影响。
导管插入后股动脉和尾侧腹动脉远端缺血率有显著差异(25%比 5%,P<0.05)。总的平均梯度和稳定血流动力学状态下的平均梯度分别为 4.9±3.7 mmHg 和 5.5±2.5 mmHg。一致性的界限(偏差±1.96 SD)分别为(-2.5 mmHg,12.3 mmHg)和(-0.5 mmHg,10.5 mmHg)。尽管在每个严重血流动力学变化的前 30 秒期间,一致性降低,但无论大鼠品系和直肠温度的影响如何,一致性程度都可以接受。
基于一致性程度和导管插入的安全性,尾侧腹动脉可能是在没有急性严重血流动力学变化的情况下进行连续动脉血压监测的首选部位。