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Department of Anesthesia, University of Iowa College of Medicine, Iowa City, Iowa 52242
We hypothesized that
the response of cerebral blood flow (CBF) to changing viscosity would
be dependent on "baseline" CBF, with a greater influence of
viscosity during high-flow conditions. Plasma viscosity was adjusted to
1.0 or 3.0 cP in rats by exchange transfusion with red blood cells
diluted in lactated Ringer solution or with dextran. Cortical CBF was
measured by H2 clearance. Two groups of animals remained
normoxic and normocarbic and served as controls. Other groups were made
anemic, hypercapnic, or hypoxic to increase CBF. Under baseline
conditions before intervention, CBF did not differ between groups and
averaged 49.4 ± 10.2 ml · 100 g
1 · min
1 (±SD). In control
animals, changing plasma viscosity to 1.0 or 3.0 cP resulted in CBF of
55.9 ± 8.6 and 42.5 ± 12.7 ml · 100 g
1 · min
1, respectively (not
significant). During hemodilution, hypercapnia, and hypoxia with a
plasma viscosity of 1.0 cP, CBF varied from 98 to 115 ml · 100 g
1 · min
1. When plasma viscosity
was 3.0 cP during hemodilution, hypercapnia, and hypoxia, CBF ranged
from 56 to 58 ml · 100 g
1 · min
1 and was significantly
reduced in each case (P < 0.05). These results support
the hypothesis that viscosity has a greater role in regulation of CBF
when CBF is increased. In addition, because CBF more closely followed
changes in plasma viscosity (rather than whole blood viscosity), we
believe that plasma viscosity may be the more important factor in
controlling CBF.
brain; hemodilution; hypercapnia; hypoxia; oxygen
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