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Effects of anaesthesia induction drugs on circulation in denervated intestinal loop preparation.

作者信息

Tverskoy M, Gelman S, Fowler K C, Bradley E L

出版信息

Can Anaesth Soc J. 1985 Sep;32(5):516-24. doi: 10.1007/BF03010802.

Abstract

The effect of anaesthesia induction drugs on the intestinal circulation was evaluated in an isolated loop preparation in 28 dogs. Selected intestinal loops were perfused with aortic blood by a pump at a constant pressure of 100 mmHg. A mixture of 86Rb and 9 microns spheres labeled with 141Ce was injected into the arterial cannula supplying the intestinal segment while mesenteric venous blood was collected for activity counting. Diazepam in a dose of 3 mg X kg-1 was accompanied by a significantly lower clearance (Cl-Rb), and permeability-surface area product (PS) than pentobarbitone; there were no differences between diazepam and pentobarbitone in total blood flow (BF), vascular resistance (VR) and oxygen consumption in the intestinal segments. Circulatory variable observed after midazolam, 8 mg X kg-1 and an additional 16 mg X kg-1, did not significantly differ from those seen during pentobarbitone. Ketamine in a dose of 8 mg X kg-1 was accompanied by a significantly lower BF, Cl-Rb, microsphere entrapment (Cl-Sph), PS, and higher VR and arterio-venous oxygen content difference. Sixteen mg X kg-1 of ketamine did not lead to any additional changes in determined variables of the intestinal circulation. Alpha-adrenoceptor blockade completely abolished vasoconstriction caused by ketamine, suggesting that the long-lasting vasoconstricting effect of ketamine on the intestinal circulation is mediated through catecholamines.

摘要

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