REGULATION OF CORONARY BLOOD FLOW DURING ETHER AND HALOTHANE ANAESTHESIA

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Abstract
The effects of ether (6–10%) and halothane (1–2%) were studied on coronary flow regulation in dogs. In one group of experiments the kft coronary artery was perfused mechanically, coronary perfusion pressure being either kept constant or adjusted to aortic pressure, and the heart itself had to pump the blood to all other arteries. The preload on the heart was changed by varying die intravascular volume. In another group, bodi coronary arteries were perfused mechanically under constant pressure; the other arteries were also perfused mechanically by a cardiopulmonary bypass. In this group measurements were carried out on the empty beating heart. Halothane had a direct effect on die heart, myocardial contractility was reduced, cardiac work and myocardial oxygen consumption were diminished and coronary vasoconstriction followed. Edier effects on the heart were principally die same as diose due to halodiane, but to a lesser degree. Coronary vasoconstriction caused by halodiane did not produce myocardial hypoxia. Coronary vasoconstriction occurred as an autorcgulatory mechanism preventing “unnecessary ” hyperperfusion as long as cardiac work and oxygen consumption were diminished. Bodi edier and halodiane reduced systemic vascular resistance.

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