British Journal of Anaesthesia, Vol 75, Issue 4 452-456, Copyright © 1995 by The Board of Management and Trustees of the British Journal of Anaesthesia
A. Holzmann, H. Schmidt, M. M. Gebhardt and E. Martin
To investigate the effects of propofol on small vessels, we have measured
changes in diameter and blood flow in microcirculatory venules and
arterioles. Studies were carried out in the dorsal skinfold chamber of
hamsters by intravital fluorescence microscopy. A bolus injection of
propofol 25 mg kg-1 dilated small and collecting venules by a mean value of
18% and arterioles by 13%. Blood flow in venules increased by up to 69%.
Intralipid dilated arterioles and post-capillary venules by 26% and 30%,
respectively. After 4 h of continuous infusion (0.2-0.8 mg kg-1), only
blood flow in post-capillary venules increased (66% propofol and 92%
Intralipid). Post-capillary and collecting venules dilated in both groups.
Therefore, propofol and Intralipid induced venodilatation and enhanced
blood flow after bolus administration. After 4 h, despite dilatation in
both groups, only post-capillary venules showed enhanced blood flow. These
observations suggest redistribution of blood flow after prolonged
administration of propofol.
LABORATORY INVESTIGATIONS
Propofol-induced alterations in the microcirculation of hamster striated muscle
Department of Anaesthesiology and Intensive Care Medicine, University of Heidelberg, Germany; Department of Experimental Surgery, University of Heidelberg, Germany
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