首页   按字顺浏览 期刊浏览 卷期浏览 Hemodynamics of Increased Intra-abdominal PressureInteraction with Hypovolemia and Halo...
Hemodynamics of Increased Intra-abdominal PressureInteraction with Hypovolemia and Halothane Anesthesia

 

作者: Michael Diamant,   Jonathan Benumof,   Lawrence Saidman,  

 

期刊: Anesthesiology  (OVID Available online 1978)
卷期: Volume 48, issue 1  

页码: 23-27

 

ISSN:0003-3022

 

年代: 1978

 

出版商: OVID

 

关键词: Anesthetics, volatile, halothane;Hemorrhage;Heart, cardiac output;Gases, nonanesthetic, nitrogen;Surgery, pneumoperitoneum;Surgery, laparoscopy

 

数据来源: OVID

 

摘要:

The hemodynamic interaction of acute hypovolemia and halothane anesthesia in dogs with increased intra-abdominal pressure caused by intraperitoneal instillation of N2, N2O and CO2was studied. During normovolemia and just basal pentobarbital anesthesia, the response to increase of intra-abdominal pressure to 40 torr consisted of a 35 per cent decrease in cardiac output, which was equal to the decrease in magnitude of inferior vena caval blood flow. During basal pentobarbital anesthesia, the addition of halothane anesthesia (1 MAC) in combination with hypovolemia (15 per cent blood volume loss) depressed the pre-inflation cardiac output more than addition of halothane anesthesia alone or induction of hypovolemia alone. During each of these conditions, superimposition of increased intra-abdominal pressure to 40 torr caused a further 26-43 per cent decrease in cardiac output compared with the pre-inflation value. Therefore, the greatest cardiovascular depression occurred when the animals were both hypovolemic and anesthetized with halothane. There was no difference in the responses to increased intra-abdominal pressure with the different inflating gases at any time. These findings indicate that in the presence of halothane anesthesia or hypovolemia, induction of pneumoperitoneum may cause severe cardiovascular depression.

 

点击下载:  PDF (352KB)



返 回