Effect of flunarizine on canine cerebral cortical blood flow and vascular resistance post cardiac arrest
โ 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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โฆ 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.
๐ SIMILAR VOLUMES
EEG activity and regional cerebral blood flow were studied during 5 h of maintenance following 12-16 min of cardiac arrest in 33 anesthetized dogs. Group I received no treatment. Group II received dextran 40. Group III were given both dextran 40 and streptokinase. In Group III the duration of flat E
## Abstract Benidipine hydrochloride is a calcium antagonist with a 1,4โdihydropyridine derivative structure, and exhibits longโlasting antihypertensive effects by inhibiting the voltagedependent Ca^2+^ channels. This study was undertaken to examine the effect of benidipine on central haemodynamics