Chi O Z, Wei H M, Klein S L, Weiss H R
Department of Anesthesia, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick 08903-0019.
Anesth Analg. 1994 Nov;79(5):860-6. doi: 10.1213/00000539-199411000-00008.
Heterogeneity of microregional O2 supply and consumption balance exists in the brain. Previous studies have shown that anesthetics such as pentobarbital and isoflurane, decrease the heterogeneity of O2 saturation in the small veins of the brain. This study was performed to determine whether ketamine, an anesthetic, would alter this heterogeneity. Rats were anesthetized with isoflurane for the cannulation of the femoral artery and vein. Ninety minutes after discontinuation of isoflurane, they either received injections with ketamine 100 mg/kg intraperitoneally (IP) (n = 7) or were used as conscious controls (n = 7). In each rat, regional cerebral blood flow (rCBF) was determined by 14C-iodoantipyrine autoradiography, and microregional arterial and venous (diameter 20-100 microns) O2 saturation was measured by microspectrophotometry in the anterior cortex, posterior cortex, and pons. The average rCBF and O2 consumption were similar between the two groups in each brain region except in the anterior cortex, where the O2 consumption of the ketamine group was slightly higher than that of the conscious animals. The average regional O2 supply-to-consumption ratios were similar in the three brain regions in both of the groups. However, there was heterogeneity of the O2 saturation in small veins in all the brain regions that we studied. The coefficient of variation [CV = (SD/mean X 100] of venous O2 saturation of the ketamine group in the anterior cortex (19.8 +/- 7.2), in the posterior cortex (18.8 +/- 9.4), and in the pons (16.7 +/- 6.5) was not significantly different from that in the conscious animals (22.8 +/- 6.4, 23.1 +/- 5.3, and 15.7 +/- 6.4, respectively).(ABSTRACT TRUNCATED AT 250 WORDS)
大脑中存在微区氧供应与消耗平衡的异质性。先前的研究表明,戊巴比妥和异氟烷等麻醉剂可降低大脑小静脉中氧饱和度的异质性。本研究旨在确定麻醉剂氯胺酮是否会改变这种异质性。大鼠用异氟烷麻醉以进行股动脉和静脉插管。停用异氟烷90分钟后,它们要么接受腹腔注射100mg/kg氯胺酮(n = 7),要么作为清醒对照(n = 7)。在每只大鼠中,通过14C-碘安替比林放射自显影术测定局部脑血流量(rCBF),并通过显微分光光度法测量前皮质、后皮质和脑桥中微区动脉和静脉(直径20 - 100微米)的氧饱和度。除前皮质外,两组在每个脑区的平均rCBF和氧消耗相似,前皮质中氯胺酮组的氧消耗略高于清醒动物。两组在三个脑区的平均局部氧供应与消耗比相似。然而,在我们研究的所有脑区的小静脉中都存在氧饱和度的异质性。氯胺酮组在前皮质(19.8 +/- 7.2)、后皮质(18.8 +/- 9.4)和脑桥(16.7 +/- 6.5)的静脉氧饱和度变异系数[CV =(SD/mean X 100)]与清醒动物(分别为22.8 +/- 6.4、23.1 +/- 5.3和15.7 +/- 6.4)相比无显著差异。(摘要截断于250字)