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戊巴比妥钠辅助麻醉诱导犬后肢动静脉吻合及毛细血管血流的早期紊乱

Early derangements of arteriovenous anastomotic and capillary blood flow in the canine hindlimb induced by supplemental pentobarbital anesthesia.

作者信息

Kazmers A, Whitehouse W M, Zelenock G B, Cronenwett J L, Lindenauer S M, Stanley J C

出版信息

J Surg Res. 1984 Feb;36(2):102-7. doi: 10.1016/0022-4804(84)90074-x.

Abstract

Vasoactive effects of supplemental pentobarbital anesthesia in the canine hindlimb microcirculation were documented in two groups of animals previously anesthetized with 30 mg/kg pentobarbital: Group I with a 5 mg/kg intravenous (iv) bolus of pentobarbital (n = 8) and Group II with a 5 mg/kg 2-min iv infusion of pentobarbital (n = 7). In Group I, measurements at baseline (BL) and 5, 15, 20, and 30 min (min) following pentobarbital administration included cardiac output, mean arterial pressure, total peripheral vascular resistance, common femoral artery flow (CFAQ) and resistance (CFAR), percentage hindlimb arteriovenous anastomotic shunt (AVA%), absolute shunt flow (AVAQ), and hindlimb nutrient capillary flow (NCQ). In Group II these same measurements were made, but the study was continued until all hindlimb hemodynamic parameters returned to control values. CFAQ, AVA%, AVAQ, and NCQ were significantly increased, and CFAR was decreased in both groups. CFAQ and NCQ remained significantly elevated at 30 min in Group I. In Group II CFAR, AVA%, and AVAQ remained elevated at 30 min, but did return to BL by 40 min, as did all other hindlimb hemodynamic parameters measured. Pentobarbital resulted in both AVA and arteriolar dilation, with an increase in the percentage total flow distributed to AVAs. These alterations of microcirculatory flow should be considered during investigations of the distribution of peripheral blood flow, as well as during metabolic studies assessing arteriovenous substrate differences, if interpretative errors are to be avoided.

摘要

在两组先前用30mg/kg戊巴比妥麻醉的动物中,记录了补充戊巴比妥麻醉对犬后肢微循环的血管活性作用:第一组静脉注射5mg/kg戊巴比妥推注(n = 8),第二组静脉输注5mg/kg戊巴比妥2分钟(n = 7)。在第一组中,戊巴比妥给药后基线(BL)以及5、15、20和30分钟(min)时的测量包括心输出量、平均动脉压、总外周血管阻力、股总动脉流量(CFAQ)和阻力(CFAR)、后肢动静脉吻合分流百分比(AVA%)、绝对分流流量(AVAQ)和后肢营养毛细血管流量(NCQ)。在第二组中进行了相同的测量,但研究持续进行直至所有后肢血流动力学参数恢复到对照值。两组的CFAQ、AVA%、AVAQ和NCQ均显著增加,CFAR降低。第一组在30分钟时CFAQ和NCQ仍显著升高。在第二组中,CFAR、AVA%和AVAQ在30分钟时仍升高,但在40分钟时恢复到BL,所有其他测量的后肢血流动力学参数也是如此。戊巴比妥导致AVA和小动脉扩张,分配到AVA的总流量百分比增加。如果要避免解释错误,在研究外周血流分布以及评估动静脉底物差异的代谢研究期间,应考虑微循环血流的这些改变。

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