One versus Two MAC Halothane Anesthesia Does Not Alter the Left Ventricular Diastolic Pressure‐Volume Relationship
作者:
Elliott,
Greene John,
期刊:
Anesthesiology
(OVID Available online 1986)
卷期:
Volume 64,
issue 2
页码: 230-237
ISSN:0003-3022
年代: 1986
出版商: OVID
关键词: Anesthetics, volatile: halothane;Blood pressure: pulmonary capillary wedge; left ventricular end-diastolic;Heart: compliance; preload; volume
数据来源: OVID
摘要:
Previous studies on halotane's on effect on left ventricular diastolic compliance (LVDC) not only have had conflicting results, but are not directly applicable to most intraoperative settings. Therefore, the authors examined in dogs whether the depth of halothane anesthesia alters LVDC under surgical conditions over a wide range of hemodynamic stresses with the cardiovascular reflexes intact. The left ventricular diastolic pressure-volume relation was examined at 1 MAC and 2 MAC halothane in seven dogs over wide ranges of preload and afterload during left thoracotomy. Pulmonary capillary wedge pressure (PCWP), left ventricular end-diastolic pressure (LVEDP), and echocardiographic left ventricular end-diastolic volume (LVEDV) were analyzed with the exponential pressure-volume relation P = AeBV(where P = pressure, V = volume, and A and B are empirically derived coefficients). Multivariate analysis showed no significant differences for diastolic pressure-volume relations, comparing both levels of halothane using either PCWP or LVEDP for pressure. The authors conclude that in the intact cardiovascular system in the healthy open-chest dog: 1) LVDC does not change with the depth of halothane between 1 and 2 MAC (it is still possible LVDC changed between 0 and 1 MAC), and 2) PCWP does reflect the LVEDV during halothane anesthesia (between 1 and 2 MAC) under surgical conditions over a wide range of cardiovascular stresses.
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