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British Journal of Anaesthesia, Vol 75, Issue 1 51-54, Copyright © 1995 by The Board of Management and Trustees of the British Journal of Anaesthesia


CLINICAL INVESTIGATIONS

Effect of labetalol on cerebral blood flow, oxygen metabolism and autoregulation in healthy humans

K. S. Olsen, L. B. Svendsen, F. S. Larsen and O. B. Paulson
Department of Anaesthesia, Rigshospitalet, Copenhagen, Denmark; Department of Medicine A, Rigshospitalet, Copenhagen, Denmark; Department of Neurology, Rigshospitalet, Copenhagen, Denmark

We have studied the effects of labetalol on cerebral blood flow (CBF) and cerebral oxygen metabolism (CMRO2) in eight healthy volunteers. CBF was measured by single photon emission computerized tomography before and during infusion of labetalol. CMRO2 was calculated as CBF x cerebral arteriovenous oxygen content difference (CaO2-CvO2). CBF autoregulation was tested during infusion of labetalol by changing arterial pressure and estimating relative changes in global CBF from changes in (CaO2-CvO2). CBF before and during infusion of labetalol was 67 and 65 ml/100 g min-1, respectively (P > 0.05). CMRO2 was 2.9 and 2.8 ml/100 g min-1, respectively (P > 0.05). CBF autoregulation was preserved in all subjects. The lower limit of CBF autoregulation was 88 mm Hg (94% of baseline mean arterial pressure). We conclude that labetalol did not influence global or regional CBF, or CMRO2, and CBF autoregulation was preserved.
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