HEMODYNAMIC-RESPONSES DURING ACUTE NORMOVOLEMIC HEMODILUTION IN ANESTHETIZED DOGS

被引:11
作者
FAHIM, M
SINGH, M
机构
[1] Department of Physiology, Vallabhbhai Patel Chest Institute, University of Delhi
关键词
NORMOVOLEMIC ANEMIA; CARDIOVASCULAR REFLEX REGULATION; HEMODILUTION;
D O I
10.2170/jjphysiol.42.753
中图分类号
Q4 [生理学];
学科分类号
071003 ;
摘要
Acute normovolemic hemodilution was induced by progressive replacement of blood by dextran (molecular weight 150,000) in anesthetized artificially ventilated dogs. Experiments were performed on dogs with intact autonomic innervation, dogs with beta-adrenergic blockade, dogs with cholinergic blockade, dogs with bilateral vagotomy, and dogs with combined bilateral vagotomy plus beta-adrenergic blockade. Hemodilution induced an increase in cardiac-output in all the groups. However, in dogs with low control heart rate (dogs with intact autonomic innervation, and dogs with beta-adrenergic blockade), cardiac-output increase was almost wholly due to an increase in heart rate. Whereas, in dogs with high control heart rate (dogs with cholinergic blockade, dogs with bilateral vagotomy, and dogs with combined bilateral vagotomy plus beta-adrenergic blockade), the increase in cardiac-output was almost wholly due to an increase in the stroke-volume. The increase in heart rate in dogs with intact autonomic innervation was not significantly different from the heart rate increase in dogs with beta-adrenergic blockade. In dogs with low control heart rate (beta-receptor blockade), hemodilution induced tachycardia, which was not significantly different from the response induced in intact dogs. This shows that the cardioacceleration was primarily mediated through the efferent vagus nerves, and the efferent sympathetic nerves did not make significant contribution in the reflex.
引用
收藏
页码:753 / 763
页数:11
相关论文
共 43 条
[31]   Acute normovolemic hemodilution (ANH) in surgery of the thoraco-abdominal aorta -: A cohort study to evaluate coagulation parameters and blood products utilization [J].
Cinà, CS ;
Bruin, G .
JOURNAL OF CARDIOVASCULAR SURGERY, 1999, 40 (01) :37-43
[32]   Acute normovolemic hemodilution and nitroglycerin-induced hypotension:: Comparative effects on tissue oxygenation and allogeneic blood transfusion requirement in total hip arthroplasty [J].
Karakaya, D ;
Üstün, E ;
Baris, S ;
Sarihasan, B ;
Sahinoglu, H ;
Güldogus, F .
JOURNAL OF CLINICAL ANESTHESIA, 1999, 11 (05) :368-374
[33]   Regional and systemic hemodynamics during hemodilution with isovolemic hydroxyethyl starch solution alone and in combination with sodium nitroprusside- or isoflurane-induced controlled hypotension in isoflurane-anesthetized dogs [J].
Kobori, M ;
Negishi, H ;
Nagai, H ;
Iyama, K .
CURRENT THERAPEUTIC RESEARCH-CLINICAL AND EXPERIMENTAL, 2000, 61 (07) :469-476
[34]   The accuracy of non-invasively continuous total hemoglobin measurement by pulse CO-Oximetry undergoing acute normovolemic hemodilution and reinfusion of autologous blood [J].
Saito, Junichi ;
Kitayama, Masato ;
Oishi, Masafumi ;
Kudo, Tomoyuki ;
Sawada, Masahiro ;
Hashimoto, Hiroshi ;
Hirota, Kazuyoshi .
JOURNAL OF ANESTHESIA, 2015, 29 (01) :29-34
[35]   A comparative study of stored arterial versus venous blood collected using the acute normovolemic hemodilution method in coronary artery bypass grafting patients in Iran [J].
Mansouri, Mojtaba ;
Yazdani, Alireza ;
Masoumi, Gholamreza ;
Mirmohammadsadeghi, Mohsen ;
Mirmohammadsadeghi, Amir .
ACUTE AND CRITICAL CARE, 2023, 38 (03) :353-361
[36]   The accuracy of non-invasively continuous total hemoglobin measurement by pulse CO-Oximetry undergoing acute normovolemic hemodilution and reinfusion of autologous blood [J].
Junichi Saito ;
Masato Kitayama ;
Masafumi Oishi ;
Tomoyuki Kudo ;
Masahiro Sawada ;
Hiroshi Hashimoto ;
Kazuyoshi Hirota .
Journal of Anesthesia, 2015, 29 :29-34
[37]   Mild volume acute normovolemic hemodilution is associated with lower intraoperative transfusion and postoperative pulmonary infection in patients undergoing cardiac surgery - a retrospective, propensity matching study [J].
Zhou, Zhen-feng ;
Jia, Xiu-ping ;
Sun, Kai ;
Zhang, Feng-jiang ;
Yu, Li-na ;
Xing, Tian ;
Yan, Min .
BMC ANESTHESIOLOGY, 2017, 17
[38]   Mild volume acute normovolemic hemodilution is associated with lower intraoperative transfusion and postoperative pulmonary infection in patients undergoing cardiac surgery -- a retrospective, propensity matching study [J].
Zhen-feng Zhou ;
Xiu-ping Jia ;
Kai Sun ;
Feng-jiang Zhang ;
Li-na Yu ;
Tian Xing ;
Min Yan .
BMC Anesthesiology, 17
[39]   Renal tissue PO2 sensing during acute hemodilution is dependent on the diluent [J].
Abrahamson, Jessica R. ;
Read, Austin ;
Chin, Kyle ;
Mistry, Nikhil ;
Joo, Hannah ;
Desjardins, Jean-Francois ;
Liu, Elaine ;
Thai, Kerri ;
Wilson, David F. ;
Vinogradov, Sergei A. ;
Maynes, Jason T. ;
Gilbert, Richard E. ;
Connelly, Kim A. ;
Baker, Andrew J. ;
Mazer, C. David ;
Hare, Gregory M. T. .
AMERICAN JOURNAL OF PHYSIOLOGY-REGULATORY INTEGRATIVE AND COMPARATIVE PHYSIOLOGY, 2020, 318 (04) :R799-R812
[40]   Low central venous pressure versus acute normovolemic hemodilution versus conventional fluid management for reducing blood loss in radical retropubic prostatectomy: a randomized controlled trial [J].
Habib, Ashraf S. ;
Moul, Judd W. ;
Polascik, Thomas J. ;
Robertson, Cary N. ;
Roche, Anthony M. ;
White, William D. ;
Hill, Stephen E. ;
Nosnick, Israel ;
Gan, Tong J. .
CURRENT MEDICAL RESEARCH AND OPINION, 2014, 30 (05) :937-943