Ingwersen W, Allen D G, Dyson D H, Black W D, Goldberg M T, Valliant A E
Department of Clinical Studies, Ontario Veterinary College, University of Guelph.
Can J Vet Res. 1988 Oct;52(4):428-33.
The cardiopulmonary effects of a halothane/oxygen combination were studied in eight cats subjected to a 25% whole blood volume loss. Test parameters included cardiac output measured via thermodilution, heart rate, respiratory rate, arterial blood pressure (systolic, diastolic and mean) and blood gas analysis. Values for cardiac index, stroke volume and systemic vascular resistance were calculated from these data. Posthemorrhage cardiac output, cardiac index, stroke volume and measurements of arterial blood pressure were significantly decreased (p less than 0.05). Heart rate remained unchanged. Following induction of halothane anesthesia the above parameters experienced a further significant decline (p less than 0.05) from their immediate preanesthetic (i.e. posthemorrhage) values. Heart rate also significantly decreased (p less than 0.05). Thirty minutes following the cessation of halothane anesthesia these values returned to near-hemorrhage levels, being above their respective preanesthetic values. Systemic vascular resistance initially rose, peaking ten minutes into halothane anesthesia, before gradually falling to prehemorrhage values at the end of halothane anesthesia. Following hemorrhage, respiratory rate demonstrated a transient increase, associated with an arterial CO2 tension fall, before returning to initial values at the preanesthetic time. During halothane anesthesia respiratory rate remained unchanged whereas arterial CO2 tension rose significantly (p less than 0.05) and pH declined slightly from preanesthetic readings. These returned to prehemorrhage values 30 minutes following the cessation of halothane anesthesia.
在八只失血量达全血量25%的猫身上研究了氟烷/氧气组合的心肺效应。测试参数包括通过热稀释法测量的心输出量、心率、呼吸频率、动脉血压(收缩压、舒张压和平均压)以及血气分析。根据这些数据计算心脏指数、每搏输出量和全身血管阻力的值。出血后的心输出量、心脏指数、每搏输出量和动脉血压测量值显著降低(p<0.05)。心率保持不变。诱导氟烷麻醉后,上述参数相对于麻醉前即刻(即出血后)的值进一步显著下降(p<0.05)。心率也显著降低(p<0.05)。停止氟烷麻醉30分钟后,这些值恢复到接近出血时的水平,高于各自的麻醉前值。全身血管阻力最初升高,在氟烷麻醉10分钟时达到峰值,然后在氟烷麻醉结束时逐渐降至出血前的值。出血后,呼吸频率短暂增加,与动脉血二氧化碳分压下降相关,然后在麻醉前时间恢复到初始值。在氟烷麻醉期间,呼吸频率保持不变,而动脉血二氧化碳分压显著升高(p<0.05),pH值较麻醉前读数略有下降。停止氟烷麻醉30分钟后,这些值恢复到出血前的值。