Durán W N, Kraven T, Durán-Núñez W E, Bolanowski P J
Microcirc Endothelium Lymphatics. 1984 Aug;1(4):453-63.
We tested the hypothesis that different anesthetic may produce different effects on the ability of the myocardium to recruit capillaries. The experiments were performed on the isolated hearts of five dogs anesthetized with sodium pentobarbital (Nembutal), and six dogs anesthetized with chloralose. The isolated hearts were perfused with heparinized blood at controlled flows from a support dog anesthetized with the same agent. The adaptive capacity of the heart to recruit capillaries in response to rising left ventricular pressure (LVP) was determined by measuring the permeability-surface area product. (PS) of 22Na and 51Cr-ethylenediamine tetraacetic acid (EDTA). The myocardial ability to recruit functional capillary perfusion and transport was estimated by the ratio of the PS-Na (and EDTA) obtained at a given LVP to the PS-Na (and EDTA) at LVP = 0. In chloralose-anesthetized dogs there was a gradual increase in PS as a function of LVP. At systolic LVP ranges of 60-120 mm Hg and 130-200 mm Hg, mean PS-Na ratios were 1.15 and 1.60, while mean PS-EDTA ratios were 1.10 and 1.50, respectively. In Nembutal-anesthetized dogs there was no increase in PS associated with the increases in LVP. For the same range of LVP, the mean PS ratios for both Na and EDTA varied between 1.05 and 1.18. The results show the inhibition of capillary recruitment in Nembutal anesthetized dogs for LVP of 130-200 mm Hg. They also support the concept that Nembutal inhibits the ability of the myocardium to increase blood tissue transport of nutrients in response to increased metabolic demands.
我们验证了不同麻醉剂可能对心肌募集毛细血管的能力产生不同影响这一假设。实验在五只戊巴比妥钠(戊巴比妥)麻醉的犬和六只水合氯醛麻醉的犬的离体心脏上进行。用来自用相同药物麻醉的辅助犬的肝素化血液以控制流量灌注离体心脏。通过测量²²Na和⁵¹Cr - 乙二胺四乙酸(EDTA)的通透表面积乘积(PS)来确定心脏在左心室压力(LVP)升高时募集毛细血管的适应能力。通过在给定LVP下获得的PS - Na(和EDTA)与LVP = 0时的PS - Na(和EDTA)的比值来估计心肌募集功能性毛细血管灌注和运输的能力。在水合氯醛麻醉的犬中,PS随LVP逐渐增加。在收缩期LVP范围为60 - 120 mmHg和130 - 200 mmHg时,平均PS - Na比值分别为1.15和1.60,而平均PS - EDTA比值分别为1.10和1.50。在戊巴比妥麻醉的犬中,PS没有随LVP的增加而增加。对于相同的LVP范围,Na和EDTA的平均PS比值在1.05和1.18之间变化。结果显示,戊巴比妥麻醉的犬在LVP为130 - 200 mmHg时毛细血管募集受到抑制。它们还支持戊巴比妥抑制心肌在代谢需求增加时增加营养物质血液组织运输能力的概念。