Covert R F, Drummond W H, Gimotty P A, Carter R L
Department of Pediatrics, University of Florida College of Medicine, Gainesville 32610.
Pediatr Res. 1989 Apr;25(4):389-95. doi: 10.1203/00006450-198904000-00017.
We studied the effects of chloralose anesthesia on the basal hemodynamic state and on the cardiovascular response to alveolar hypoxia in chronically instrumented, spontaneously breathing lambs, compared with responses to the saline vehicle. Chloralose significantly increased heart rate (23%), mean systemic arterial pressure (11%), systemic vascular resistance (21%), mean pulmonary arterial pressure (23%), and pulmonary vascular resistance (46%) (n = 30, p less than 0.05, ANOVA). These changes were unrelated to baseline tone of the circulation, cardiac output, mean left atrial pressure, or physiologically important changes in arterial blood gas tensions. In addition, chloralose-treated lambs had increased heart rate, systemic vascular resistance, and pulmonary vascular resistance compared to controls during alveolar hypoxia (13-15% FiO2). Importantly, chloralose-treated lambs did not increase their cardiac output during alveolar hypoxia as did control lambs. During hypoxia, systemic vascular resistance remained elevated in chloralose-treated lambs, but declined in control lambs. Chloralose has been recommended as an ideal anesthetic agent for cardiovascular experimentation. Our data suggest that chloralose-induced alterations in basal hemodynamics and in cardiovascular responses to alveolar hypoxia represent an uncontrolled variable in acute experimental studies. Complex cardiovascular alterations caused by anesthesia should be considered in experimental design.
我们研究了水合氯醛麻醉对长期植入仪器、自主呼吸的羔羊基础血流动力学状态以及对肺泡低氧血症心血管反应的影响,并与生理盐水对照的反应进行了比较。水合氯醛显著增加了心率(23%)、平均体循环动脉压(11%)、体循环血管阻力(21%)、平均肺动脉压(23%)和肺血管阻力(46%)(n = 30,p < 0.05,方差分析)。这些变化与循环的基线张力、心输出量、平均左心房压或动脉血气张力的生理重要变化无关。此外,在肺泡低氧血症(13 - 15% FiO₂)期间,与对照组相比,水合氯醛处理的羔羊心率、体循环血管阻力和肺血管阻力增加。重要的是,水合氯醛处理的羔羊在肺泡低氧血症期间不像对照羔羊那样增加心输出量。在低氧血症期间,水合氯醛处理的羔羊体循环血管阻力仍然升高,但对照羔羊则下降。水合氯醛已被推荐为心血管实验的理想麻醉剂。我们的数据表明,水合氯醛引起的基础血流动力学改变以及对肺泡低氧血症的心血管反应代表了急性实验研究中一个未受控制的变量。在实验设计中应考虑麻醉引起的复杂心血管改变。