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British Journal of Anaesthesia, 1995, Vol. 74, No. 6 686-690
© 1995 The Board of Management and Trustees of the British Journal of Anaesthesia

other

Cerebral blood flow distribution during induced hypotension with haemorrhage, trimetaphan or nitroprusside in rats

T. TSUTSUI, MD, T. MAEKAWA, MD, C. GOODCHILD, MA, PHD, FRCA and J. G. JONES, MD, FRCP, FRCA, FANZCA

Department of Anesthesiology, Yamaguchi University School of Medicine Yamaguchi, Japan

correspondence to T.T.

Local cerebral blood flow (CBF) during three types of profound hypotension were compared using the quantitative autoradiographic [14]-C iodo-anti-pyrine method. Rats were rendered hypotensive to a mean arterial pressure of 30 mm Hg for 30 min by haemorrhage, trimetaphan or nitroprusside during 0.8% halothane anaesthesia. During haemorrhagic hypotension, mean local CBF was reduced significantly in all except two pontine regions. This reduction in flow ranged from 83% to 41% compared with the normotensive control group, with the neocortex and telencephalon most affected. During trimetaphan-induced hypotension, local CBF was reduced to the same degree and in the same pattern as that during haemorrhagic hypotension. In contrast, during nitroprusside-induced hypotension, local CBF in many regions of the brain was well maintained (57–101%); although local CBF was significantly below control in all cortical and telencephalic regions, it was significantly greater in the majority of these regions than in the other two hypotensive groups. We conclude that local CBF was significantly reduced in the neocortex and telencephalon by hypotension of this degree induced by all three methods, but nitroprusside preserved local CBF significantly better than the other methods, in these, as in most other regions.

Present address: Department of Anaesthesia, Monash University, Clayton, Victoria 3168, Australia


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