British Journal of Anaesthesia, 1995, Vol. 74, No. 5 616-618
© 1995 The Board of Management and Trustees of the British Journal of Anaesthesia
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Hyperventilation reverses the nitrous oxide-induced increase cerebral blood flow velocity in human volunteers
Department of Anaesthesia, University of Innsbruck Anichstrasse 35, A-6020 Innsbruck, Austria
Department of Neurology, University of Innsbruck Anichstrasse 35, A-6020 Innsbruck, Austria
Department of Neurosurgery, University of Innsbruck Anichstrasse 35, A-6020 Innsbruck, Austria
Correspondence to A. B.
Because hypocapnia is routine during general anaesthesia for intracranial procedures, we have compared, in 1 3 healthy volunteers, the effect of normocapnia (PE'CO2 5.3 kPa) and hypocapnia (PE'CO2 3.3 kPa) on mean blood flow velocity in the middle cerebral artery (Vmca) during normoventilation and hyperventilation with air and with 50% nitrous oxide in oxygen. After replacement of air with 50% nitrous oxide in oxygen, there was an increase in mean Vmca during normoventilation (air: mean 68.23 (SD 16.98) cm s1 vs nitrous oxide in oxygen: 90.69 (20.41) cm s1; P < 0.01), whereas during hyperventilation mean Vmca values were similar regardless of the inhaled gas mixture (air: 43.46 (9.97) cm s1 vs nitrous oxide in oxygen: 41.69 (8.08) cm s1 Our data suggest that the nitrous oxide-induced increase in mean Vmca can be blocked by hyperventilation. (Br. J. Anaesth. 1995; 74: 616618)
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