CARDIOVASCULAR EFFECTS OF PROPOFOL AND OF THIOPENTONE ANESTHESIA IN THE SHEEP

被引:48
作者
RUNCIMAN, WB [1 ]
MATHER, LE [1 ]
SELBY, DG [1 ]
机构
[1] FLINDERS UNIV,FLINDERS MED CTR,DEPT ANAESTHESIA & INTENS CARE,BEDFORD PK,SA 5042,AUSTRALIA
基金
英国医学研究理事会;
关键词
Anaesthetics; intravenous:; propofol; thiopentone; Heart: mean arterial pressure; heart rate; cardiac output; Kidney: renal blood flow; Liver: hepatic blood flow;
D O I
10.1093/bja/65.3.353
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We have examined the effects on the cardiovascular system and on regional blood flow of propofol and thiopentone when administered with IPPV (FlO2 0.4). A longitudinal study design was used in which 16 studies were performed in eight sheep for 30 min before, during the last 30 min of 70 min anaesthesia, and for 6 h after anaesthesia. During anaesthesia with propofol and thiopentone, mean total body oxygen consumption decreased, respectively, by 47% (P < 0.001) and 24% (P < 0.01) of pre-anaesthesia baseline values, mean heart rate increased by approximately 50% (P < 0.05) with both agents, mean arterial pressures increased by approximately 50% (P < 0.05) with both agents and the mean cardiac output was unaltered with propofol anaesthesia but was decreased by 20% (P < 0.05) with thiopentone anaesthesia. The changes in arterial pressure and heart rate were unexpected and may have been a result of a species-specific effect. Mean hepatic blood flow decreased consistently by a mean of 17% (P < 0.01) during propofol anaesthesia, and inconsistently during thiopentone anaesthesia so that it was not significantly different from baseline values. Mean renal blood flow decreased during propofol anaesthesia by 7% (P < 0.05) and by 27% (P < 0.001) during thiopentone anaesthesia. Whereas most variables returned to baseline values within 2 h after propofol anaesthesia, this took 5 h after thiopentone anaesthesia. © 1990 Copyright: 1990 British Journal of Anaesthesia.
引用
收藏
页码:353 / 359
页数:7
相关论文
共 23 条
[1]  
BECKER KE, 1978, ANESTHESIOLOGY, V49, P192, DOI 10.1097/00000542-197809000-00008
[2]  
BUNKER JP, 1964, EFFECTS ANESTHETICS, P244
[3]   HEMODYNAMIC-CHANGES DURING ANESTHESIA INDUCED AND MAINTAINED WITH PROPOFOL [J].
CLAEYS, MA ;
GEPTS, E ;
CAMU, F .
BRITISH JOURNAL OF ANAESTHESIA, 1988, 60 (01) :3-9
[4]   HYPNOTICS IN INFUSION ANESTHESIA - WITH PARTICULAR REFERENCE TO THIOPENTONE [J].
CRANKSHAW, DP .
ANAESTHESIA AND INTENSIVE CARE, 1987, 15 (01) :90-96
[5]   PLASMA DRUG EFFLUX - A NEW APPROACH TO OPTIMIZATION OF DRUG INFUSION FOR CONSTANT BLOOD-CONCENTRATION OF THIOPENTAL AND METHOHEXITAL [J].
CRANKSHAW, DP ;
BOYD, MD ;
BJORKSTEN, AR .
ANESTHESIOLOGY, 1987, 67 (01) :32-41
[6]  
Dundee JW, 1974, INTRAVENOUS ANAESTHE
[7]   A COMPARISON OF THE INDUCTION CHARACTERISTICS OF THIOPENTONE AND PROPOFOL (2, 6-DI-ISOPROPYL PHENOL) [J].
FAHY, LT ;
VANMOURIK, GA ;
UTTING, JE .
ANAESTHESIA, 1985, 40 (10) :939-944
[8]  
FRAGEN RJ, 1986, CARDIOVASCULAR ACTIO, V1, P51
[9]   THE HEMODYNAMIC-EFFECTS OF INTRAVENOUS INDUCTION - COMPARISON OF THE EFFECTS OF THIOPENTONE AND PROPOFOL [J].
GROUNDS, RM ;
TWIGLEY, AJ ;
CARLI, F ;
WHITWAM, JG ;
MORGAN, M .
ANAESTHESIA, 1985, 40 (08) :735-740
[10]  
HABIF DV, 1951, SURGERY, V30, P241