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Effect of flunarizine on canine cerebral cortical blood flow and vascular resistance post cardiac arrest

โœ Scribed by Blaine C. White; Daniel S. Gadzinski; Paul J. Hoehner; Charles Krome; Thomas Hoehner; John D. White; John H. Trombley Jr


Publisher
Elsevier Science
Year
1982
Tongue
English
Weight
676 KB
Volume
11
Category
Article
ISSN
1097-6760

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โœฆ Synopsis


Twelve clogs were anesthetized and instrumented for determination of CVP, arterial pressure, intracranial pressure, left atrial pressure, and frontal cerebral cortical blood flow (CCBF) by the thermal method. A catheter was introduced into the venous return of the cerebral confluence to allow deterruination of cerebral A-V oxygen saturation differences. The animals were placed on cardiac bypass using a circuit from the right atrium to the pulmonary artery and a second circuit from the left ventricular apex to the left femoral artery. A heat exchanger was used to maintain a constant blood temperature of 37 C in the output of the left side bypass circuit. All animals were heparinized during bypass. Ventricular fibrillation was induced after completion of the bypass surgery. TWo dogs served as controls. Pre-arrest determinations of hemoglobin, glucose, CCBE and cerebral A-V oxygen ch'fferences were taken. Full circulatory arrest was carried out for 20 minutes by shutting off the cardiac bypass. Resuscitation was achieved by resumption of bypass perfusion. Acid-base balance was corrected quickly, and prearrest perfusion pressure was achieved and maintained for 90 minutes. All pressure parameters were monitored continuously. All pre-arrest determinations were repeated at 20, 40, 60, and 90 minutes post resuscitation. Five clogs were treated with 6 ~g/kg flunarizine administered IV drip over 10 minutes immediately post reperfusion. Five dogs were not treated post arrest. Treated animals hacl a prompt return of CCBF rates equal to or greater than pre-arrest flow, which persisted throughout the period of post-arrest observation. Untreated animals had markedly reduced CCBF and increased resistance. CCBF uniformly proceeded to near zero flow by 90 minutes. The ICP was not significantly altered by treatment.


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