EFFECT OF NIMODIPINE ON THE AUTOREGULATION OF CEREBRAL BLOOD-FLOW STUDIED BY LASER-DOPPLER FLOWMETRY

The present work examines whether nimodipine impairs autoregulation of CBF during hypotension. The CBF of 16 anesthetized rabbits was measured with a laser-Doppler flowmetry probe placed on the external surface of a plexiglas window, chronically inserted in the skull. Autoregulation was triggered by aortic bleeding. First, the effects of three doses of nimodipine (1, 3 and 10 mug/kg) and the solvent were studied in 10 rabbits in which MABP was maintained at 50 mmHg for one minute. Second, 10 mug/kg i.v. nimodipine was administered to 6 rabbits in which MABP was kept at 30 mmHg for one minute. Before bleeding, the 10 mug/kg dose significantly decreased MABP (from 96 +/- 11 mmHg to 81 +/- 11 mmHg, P < 0.01) and increased CBF (from 104 +/- 20% to 147 +/- 25%, P < 0.01) as compared to the solvent. In the first set of experiments, only the 10 mug/kg dose suppressed the autoregulatory vasodilation, but CBF was not different from control (84 +/- 17% versus 87 +/- 12%), probably because of the previous induced vasodilation. In the second set of experiments, active vasodilation occurred and the CBF during hypotension was not different from control (72 +/- 26% versus 65 +/- 11%). We conclude that under nimodipine the triggering of the active autoregulatory vasodilation is dependent on both the severity of hypotension and the previous nimodipine-induced vasodilation.