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正常血容量大鼠氯胺酮麻醉期间的心输出量组织灌注与分布

Tissue perfusion and distribution of cardiac output during ketamine anesthesia in normovolemic rats.

作者信息

Idvall J, Aronsen K F, Stenberg P

出版信息

Acta Anaesthesiol Scand. 1980 Jun;24(3):257-63. doi: 10.1111/j.1399-6576.1980.tb01546.x.

Abstract

Based on previous clinical experience, an anesthetic technique for the rat, using ketamine, has been evaluated. The method comprised an i.v. bolus injection of 30 mg/kg for induction and an i.v. continuous infusion of 1.5 mg/kg/min for maintenance of anesthesia. Minor differences in ketamine metabolism between man and the rat are discussed. It appears that a higher ketamine concentration at the receptor site was required in the rat as compared to man. During ketamine anesthesia in the rat, fractional distribution of cardiac output and regional tissue perfusion were determined with the aid of the microsphere method. The study showed increased fractions to the heart, brain and tongue. The carcass fraction was elevated shortly after induction but reduced during steady-state anesthesia. Stomach, bowel and kidneys received reduced fractions early, but after these fractions returned to their initial levels. As a consequence of the increased cardiac output, regional tissue perfusion was increased in practically all organs.

摘要

基于以往的临床经验,对一种使用氯胺酮的大鼠麻醉技术进行了评估。该方法包括静脉推注30mg/kg用于诱导,静脉持续输注1.5mg/kg/min用于维持麻醉。讨论了人与大鼠之间氯胺酮代谢的微小差异。与人类相比,大鼠似乎需要在受体部位有更高的氯胺酮浓度。在大鼠氯胺酮麻醉期间,借助微球法测定心输出量的分数分布和局部组织灌注。研究表明,心脏、大脑和舌头的分数增加。诱导后不久,躯体分数升高,但在稳态麻醉期间降低。胃、肠和肾脏早期接受的分数减少,但这些分数恢复到初始水平后。由于心输出量增加,几乎所有器官的局部组织灌注都增加了。

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