EFFECT OF Paco ON CEREBRAL BLOOD FLOW DISTRIBUTION DURING HALOTHANE COMPARED WITH ISOFLURANE ANAESTHESIA IN THE RAT
Open Access
- 1 October 1991
- journal article
- research article
- Published by Elsevier in British Journal of Anaesthesia
- Vol. 67 (4) , 440-446
- https://doi.org/10.1093/bja/67.4.440
Abstract
In order to examine anaesthetic effects on the distribution of cerebral blood flow (CBF) during normo- and hypocapnia, male adult Sprague-Dawley rats were allocated randomly to four groups in a 2×2 factorial design, using PaC(,2 value and anaesthetic agent as between-group factors. Animals were anaesthetized with either 1.38%isoflurane (inspired) or 1.05% halothane (inspired) and the lungs ventilated mechanically at either normocapnia (PaC0) 5.1–5.6kPa) or hypocapnia (?aCOl 3.1–3.3 kPa) for 1 h. CBF was measured using 14C-iodoantipyrine autoradio-graphy. Local CBF in selected cortical and subcortical regions of interest and area - weighted mean global CBF were calculated. Data were compared by analysis of variance. Normocapnic (mean (SE)) CBF for halothane (n = 6) and isoflurane (n = 7) was 120 (8) ml/100 g min−1 (Paco, 5.6 (0.49) kPa) and 117 (9) mil 100 g min−1 (PaC0} 5.4 (0.5) kPa), respectively. Hypocapnic CBF for halothane (n = 6) and isoflurane (n = 6) was 82 (7) ml/100 g min−1 (PaC0} 3.3 (0.12) kPa) and 82 (6) ml/ 100 g min−1 (PaCOl3.2 (0.12) kPa), respectively. Hypocapnia reduced global CBF for both groups by 30% (P < 0.001), but there was no difference between anaesthetic agents (P >0.8). Hypocapnia decreased CBF in all local structures examined. Although subcortical structures had similar CBF at both normocapnia and hypocapnia, CBF in three cortical samples was greater (P −1 mm Hg). We conclude that halothane is a selective cortical vasodilator compared with isoflurane, but both agents have similar effects on global CBF and local and global CBF reactivity to changes in PacoKeywords
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