Affiliation:
1. The Anesthesia and CCM Research Laboratories, Department of Anesthesiology and Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A.
Abstract
Cerebrovascular dilation over PaO2 ranging from hyperoxia to moderate hypoxia is unexplained. We hypothesize that tissue acidosis is the cause. Local cortical cerebral blood flow (LCBF), tissue hydrogen ion concentration [H+]t, and tissue Po2 (Pto2) were measured with microelectrodes in the parietal cortex of 18 rats during a 30-min steady state on 60 to 10% inspired O2 (Pao2, 300 to 40 torr) during 40% N2O analgesia. Five rats kept on 60% O2/40% N2O served as controls. In 18 rats at a Pao2 of 275 ± 7 torr (X̄ ± SEM) and Paco2 of 35 ±1 torr, cerebral values were: LCBF = 129 ± 23 (X̄ ± SEM) ml · 100 g−1 · min−1; [H+], = 62 ± 6 n M; and Pto2 = 25 ± 3 torr. As Pao2 was reduced from about 300 to 40 torr, changes in these variables in percentage of control with respect to Pao2, were described by the following equations, all at P < 0.0001: LCBF = 85.9 + 5,572/Pao2; [H+]t = 97.15 + 1,012/Pao2; and = 108.8 − 3,492/Pao2. Simultaneous solution of the LCBF and [H+]t equations at various Pao2 revealed a slope of 8.82%/n M. Direct correlation between LCBF in ml · 100 g−1 · min−1 and [H+]t in n M revealed a linear relationship defined by the equation Y = − 7.472 + 1.6705 X ( r = 0.6426) for [H+]t between 56 and 160 n M (pH = 7.25 and 6.80) but no correlation at [H+]t values between 56 and 32 n M (pH = 7.25 to 7.50). Cerebrovascular tone is directly correlated with [H+]t during progressive, 30-min steady-state reduction in Pao2 from 350 to 40 torr.
Subject
Cardiology and Cardiovascular Medicine,Neurology (clinical),Neurology
Cited by
36 articles.
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