Grandy J L, Hodgson D S, Dunlop C I, Curtis C R, Heath R B
Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins 80523.
Am J Vet Res. 1989 Oct;50(10):1729-32.
The cardiopulmonary effects of 2 planes of halothane anesthesia (halothane end-tidal concentrations of 1.78% [light anesthesia] and 2.75% [deep anesthesia]) and 2 ventilatory modes (spontaneous ventilation [SV] or mechanically controlled ventilation [CV]) were studied in 8 cats. Anesthesia was induced and maintained with halothane in O2 only, and each cat was administered each treatment according to a Latin square design. Cardiac output, arterial blood pressure, pulmonary arterial pressure, heart rate, respiratory frequency, and PaO2, PaCO2, and pH were measured during each treatment. Stroke volume, cardiac index, and total peripheral resistance were calculated. A probability value of less than 5% was accepted as significant. In the cats, cardiac output, cardiac index, and stroke volume were reduced by deep anesthesia and CV, although only the reduction attributable to CV was significant. Systemic arterial pressure was significantly reduced by use of deep anesthesia and CV. Respiratory frequency was significantly lower during CV than during SV. Arterial PO2 was significantly decreased at the deeper plan of anesthesia, compared with the lighter plane. At the deeper plane of anesthesia, arterial PCO2 and pulmonary arterial pressure were significantly lower during CV than during SV. The deeper plane of halothane anesthesia depressed cardiopulmonary function in these cats, resulting in hypotension and considerable hypercapnia. Compared with SV, CV significantly reduced circulatory variables and should be used with care in cats. Arterial blood pressure was judged to be more useful for assessing anesthetic depth than was heart rate or respiratory frequency.
在8只猫身上研究了两个氟烷麻醉平面(呼气末氟烷浓度分别为1.78%[浅麻醉]和2.75%[深麻醉])和两种通气模式(自主通气[SV]或机械控制通气[CV])对心肺的影响。仅用氧气中的氟烷诱导并维持麻醉,每只猫按照拉丁方设计接受每种处理。在每种处理过程中测量心输出量、动脉血压、肺动脉压、心率、呼吸频率以及动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)和pH值。计算每搏输出量、心脏指数和总外周阻力。概率值小于5%被认为具有显著性。在这些猫中,深麻醉和CV使心输出量、心脏指数和每搏输出量降低,尽管仅CV导致的降低具有显著性。使用深麻醉和CV使体循环动脉压显著降低。CV期间的呼吸频率显著低于SV期间。与浅麻醉平面相比,在深麻醉平面时动脉血氧分压显著降低。在深麻醉平面,CV期间的动脉血二氧化碳分压和肺动脉压显著低于SV期间。氟烷深麻醉平面抑制了这些猫的心肺功能,导致低血压和相当程度的高碳酸血症。与SV相比,CV显著降低循环变量,在猫中使用时应谨慎。与心率或呼吸频率相比,动脉血压被认为更有助于评估麻醉深度。