Davis G C, Paulsen A W, Frederickson E L
Anesth Analg. 1977 Jan-Feb;56(1):68-77. doi: 10.1213/00000539-197701000-00017.
To investigate the effect of different anesthetics on the flow properties of the central circulation, curves were obtained by the multiple indocyanine-green indicator-dilution technic from 7 dogs anesthetized with halothane or pentobarbital. The width of the curve provided a measure of the dispersion of indicator particles during passage through the central circulation. The vascular resistance of the animals was altered by the administration of methoxamine and sodium nitroprusside. The authors found that dispersion in the central circulation is linearly related to the total peripheral resistance (TPR). For any value of TPR, the amount of dispersion of indicator particles passing through the central circulation was greater with halothane plus pentobarbital anesthesia than with pentobarbital only. The study indicates that the type of anesthesia influences the dispersion of indicator particles passing through the central circulation. A better under standing of this process will be helpful in interpreting the results of indicator-dilution cardiac-output determinations performed in persons under general anesthesia.
为研究不同麻醉剂对中心循环血流特性的影响,采用多次吲哚菁绿指示剂稀释技术,从7只接受氟烷或戊巴比妥麻醉的犬获取曲线。曲线宽度可衡量指示剂颗粒在通过中心循环时的分散程度。通过给予甲氧明和硝普钠改变动物的血管阻力。作者发现,中心循环中的分散与总外周阻力(TPR)呈线性相关。对于任何TPR值,与仅使用戊巴比妥麻醉相比,氟烷加戊巴比妥麻醉时通过中心循环的指示剂颗粒分散量更大。该研究表明,麻醉类型会影响通过中心循环的指示剂颗粒的分散。更好地理解这一过程将有助于解释在全身麻醉患者中进行的指示剂稀释心输出量测定结果。