Hemodilution significantly decreases tolerance to isoflurane-induced cardiovascular depression

Acta Anaesthesiologica Scandinavica

Volumn 41, Issue 2, 1997, Pages 218-228

  Schou, H ^a   Perez De Sa V ^a   Larsson, A ^a   Roscher, R ^a   Kongstad, L ^a   Werner, O ^a  

^a LUND UNIVERSITY HOSPITAL   (Sweden)

Author keywords

anemia; anesthetics, gases, isoflurane; blood, lactate; coronary circulation; hemodilution; hemodynamics; myocardial contraction; oxygen consumption

Indexed keywords

FENTANYL; ISOFLURANE; MIDAZOLAM; PANCURONIUM;

ANIMAL EXPERIMENT; ARTICLE; BLOOD PRESSURE; CARDIOVASCULAR RESPONSE; CONTROLLED STUDY; FEMALE; HEART OUTPUT; HEMODILUTION; HEMODYNAMICS; HYPERLACTATEMIA; INHALATIONAL DRUG ADMINISTRATION; MALE; NONHUMAN; OXYGEN CONSUMPTION; PRIORITY JOURNAL; SWINE; VASODILATATION;

EID: 0031057059     PISSN: 00015172     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1399-6576.1997.tb04669.x     Document Type: Article

References (41)

1. Martin E, Hansen E, Peter K. Acute limited normovolemic hemodilution: A method for avoiding homologous transfusion. World J Surg 1987: 11: 53-59.
2. Lichtenstein A, Eckhart WF, Swanson KJ, Vacanti CA, Zapol WM. Unplanned intraoperative and postoperative hemodilution: Oxygen transport and consumption during severe anemia. Anesthesiology 1988: 69: 119-122.
3. Perez de Sá V, Békássy A, Schou H, Werner Mu, Werner O. Hemodilution during bone marrow harvesting in children. Anesth Analg 1991: 72: 645-650.
4. Perez de Sá V, Békássy A, Schou H, Werner O. Bone marrow harvesting in children managed without allogenic blood. Paediatric Anaesthesia 1994: 4: 375-381.
5. Fontana JL, Welborn L, Mongan P, Muldoon S. First studies in profound normovolemic hemodilution in man: Oxygen consumption and cardiac data in 5 children. Anesthesiology 1993: 79: 3A, A163.
6. Fontana JL, Welborn L, Morgan PD, Sturm P, Martin G, Bünger R. Oxygen consumption and cardiovascular function in children during profound intraoperative normovolemic hemodilution. Anesth Analg 1995: 80: 219-225.
7. Restorff WV, Höfling B, Holtz J, Bassenge E. Effect of increased blood fluidity through hemodilution on coronary circulation at rest and during exercise in dogs. Pflüger Arch 1975: 357: 15-24.
8. Restorff WV, Höfling B, Holtz J, Bassenge E. Effect of increased blood fluidity through hemodilution on general circulation at rest and during excercise in dogs. Pflügers Arch 1975: 357: 25-34.
9. Wilkerson DK, Rosen AL, Gould SA, Sehgal LR, Sehgal HL, Moss GS. Oxygen extraction ratio: A valid indicator of myocardial metabolism in anemia. J Surg Res 1987: 42: 629-634.
10. Jan K-M, Chien S. Effect of hematocrit variations on coronary hemodynamics and oxygen utilisation. Am J Physiol 1977: 233: H106-H113.
11. Dong WK, Bledsoe SW, Chadwick HS, Shaw C-M, Hornbein TF. Electrical correlates of brain injury resulting from severe hypotension and hemodilution in monkeys. Anesthesiology 1986: 65: 617-625.
12. Nöldge GFE, Priebe H-J, Geiger K. Splanchnic hemodynamics and oxygen supply during acute normovolemic hemodilution alone and with isoflurane-induced hypotension in the anesthetized pig. Anesth Analg 1992: 75: 660-674.
13. Nöldge GFE, Priebe H-J, Kopp K-H, Pelchen T, Riegel W, Geiger K. Differences in effects of isoflurane and enflurane on splanchnic oxygenation and hepatic metabolism in the pig. Anesth Analg 1990: 71: 258-267.
14. Andersen FR, Sejersted OM, Ilebekk A. A model for quantitative sampling of myocardial venous blood in the pig. Acta Physiol Scand 1983: 119: 187-195.
15. Ganz W, Tamura K, Marcus HS, Donoso R, Yoshida S, Swan HJC. Measurement of coronary sinus blood flow by continuous thermodilution in man. Circulation 1971: 44: 181-195.
16. Reiz S, Häggmark S. Coronary sinus catheterisation and measurement of coronary sinus blood flow by the continuous thermodilution method. In: Prys-Roberts C, Vickers MD, eds. Cardiovascular Measurement in Anesthesiology. Berlin: Springer, 1982: 174-182.
17. Lowry OH, Passonneau JV. A flexible system of enzymatic analysis. New York and London: Academic press, 1972: 194-199.
18. Christensen GC, Campeti FL. Anatomic and functional studies of the coronary circulation in the dog and pig. Am J Vet Res 1959: 20: 18-26.
19. Geary GG, Smith GT, McNamara JJ. Defining the anatomic perfusion bed of an occluded coronary artery and the region at risk to infarction. A comparative study in the baboon, pig and dog. Am J Cardiol 1981: 47: 1240-1247.
20. Weaver ME, Pantely GA, Bristow JD, Ladley HD. A quantitative study of the anatomy and distribution of coronary arteries in swine in comparison with other animals and man. Cardiovasc Res 1986: 20: 907-917.
21. Sjökvist PO, Duker G, Almgren O. Distribution of the collateral blood flow at the lateral border of the ischemic myocardium after acute coronary occlusion in the pig and the dog. Basis Res Cardiol 1984: 79: 164-175.
22. Sanders M, White C, Bloor C. Cardiovascular responses of dogs and pigs exposed to similar physiological stress. Comp Biochem Physiol 1977: 58A: 365-370.
23. Cain SM. Oxygen delivery and uptake in dogs during anemic and hypoxic hypoxia. J Appl Physiol 1977: 42: 228-234.
24. Schou H, Perez de Sá V, Sigurdadóttir M, Roscher R, Jonmarker C, Werner O. Circulatory effects of hypoxia, acute anemia, and their combination in anesthetized pigs. Anesthesiology 1996: 84: 1443-1454.
25. Schött U, Thorén T, Sjöstrand U, Berséus O, Söderholm B. Three percent dextran-60 as a plasma substitute in blood component therapy. Acta Anaesthesiol Scand 1985: 29: 775-781.
26. Liang C-S, Lowenstein JM. Metabolic control of the circulation. J Clin Invest 1978: 62: 1029-1038.
27. Priebe H-J, Föex P. Isoflurane causes regional myocardial dysfunction in dogs with critical coronary artery stenosis. Anesthesiology 1987: 66: 293-300.
28. Fowler NO, Holmes JC. Blood viscosity and cardiac output in acute experimental anemia. J Appl Physiol 1975: 39: 453-456.
29. Woerkens ECSM, Trouwborst A, Duncker DJGM, Koning MMG, Boomsma F, Verdouw PD. Catecholamines and regional hemodynamics during isovolemic hemodilution in anesthetized pigs. J Appl Physiol 1992: 72: 760-769.
30. Murray JF, Rapaport E. Coronary blood flow and myocardial metabolism in acute experimental anaemia. Cardiovasc Res 1972: 6: 360-367.
31. Lundeen G, Manohar M, Parks C. Systemic distribution of blood flow in swine while awake and during 1.0 and 1.5 MAC isoflurane anesthesia with or without 50% nitrous oxide. Anesth Analg 1983: 62: 499-512.
32. Eger EI II, Johnson BH, Weiskopf RB, Holmes MA, Yasuda N, Targ A, Rampil IJ. Minimum alveolar concentration of I-653 and isoflurane in pigs: Definition of a supramaximal stimulus. Anesth Analg 1988: 67: 1174-1176.
33. McEwan AI, Smith C, Dyar O, Goodman D, Smith LR, Glass PSA. Isoflurane minimum alveolar concentration reduction by fentanyl. Anesthesiology 1993: 78: 864-869.
34. Moon PF, Scarlett JM, Ludders JV, Conway TA, Lamb SV. Effect of fentanyl on the minimum alveolar concentration of isoflurane in swine. Anesthesiology 1995: 83: 535-542.
35. Hall RI, Schwieger IM, Hug CC. The anesthetic efficacy of midazolam in the enflurane-anesthetized dog. Anesthesiology 1988: 68: 862-866.
36. Forbes AR, Cohen NH, Eger EI II. Pancuronium reduces halothane requirement in man. Anesth Analg 1979: 58: 497-499.
37. Priebe H-J. Isoflurane and coronary hemodynamics. Anesthesiology 1989: 71: 960-976.
38. Priebe H-J. Differential effects of isoflurane on regional right and left ventricular performances, and on coronary, systemic, and pulmonary hemodynamics in the dog. Anesthesiology 1987: 66: 262-272.
39. Tarnow J, Eberlein HJ, Oser G, Patschke D, Schneider E, Schweichel E, Wilde J. Influence of modern inhalation anesthetics on hemodynamics, myocardial contractility, left ventricular volumes and myocardial oxygen supply. Anaesthetist 1977: 26: 220-230.
40. Alpert JS, Becker RC. Mechanisms and management of cardiogenic shock. In: Rackow EC, Astiz ME, eds. Critical Care Clinics, Circulatory shock. Philadelphia: WB Saunders, 1983: 205-218.
41. Cilley RE, Scharenberg AM, Bongiorno PF, Guire KE, Bartlett RH. Low oxygen delivery produced by anemia, hypoxia, and low cardiac output. J Surg Res 1991: 51: 425-433.