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Internal Medicine Department, School of Medicine, University of Campinas, 13081-970 Campinas, SP Brazil
Studies were carried out to determine the
relative importance of volume and hemodilution on hemodynamic
adjustments to acute volume expansion. Systemic and renal hemodynamics
were monitored in unanesthetized and unrestrained rats during
progressive and equivalent blood volume expansion with saline (Sal; 1, 2, and 4% body wt), 7% BSA solution (0.35, 0.7, and 1.4% body wt),
and reconstituted whole blood from donor rats (WBL; 0.35, 0.7, and 1.4% body wt). Mean arterial pressure remained unchanged in Sal and
BSA but increased progressively in WBL-expanded rats (from 92 to 106 mmHg after maximal expansion). In Sal and BSA-expanded rats, cardiac
output (CO) and renal blood flow (RBF) increased (CO: Sal from 19 to
20, 22, and 25; BSA from 21 to 23, 27, and 31; RBF: Sal from 1.6 to
1.8, 2.2, and 2.5; BSA from 2 to 2.4, 2.7, and 3.1 ml · min
1 · 100 g body
wt
1), whereas total peripheral (TPR) and renal vascular
(RVR) resistance decreased in parallel with the expansions. After
expansion with WBL, CO increased progressively but less extensively
than in cell-free expanded rats (21 to 22, 24, and 26 ml · min
1 · 100 g body
wt
1), whereas TPR and RVR remained unchanged. Systemic
hematocrit (Hct) decreased approximately the same after expansion with
Sal or BSA solutions but remained unchanged after expansion with WBL. Isovolemic hemodilution to Hct levels comparable to those seen after
maximal expansion with cell-free solutions also reduced SVR and RVR,
although less extensively. These findings suggest that in
unanesthetized rats hemodilution plays a major role in the systemic and
renal hemodynamics during expansion.
volume expansion; systemic vascular resistance; blood rheology
This article has been cited by other articles:
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T. Johannes, E. G. Mik, B. Nohe, K. E. Unertl, and C. Ince Acute decrease in renal microvascular PO2 during acute normovolemic hemodilution Am J Physiol Renal Physiol, February 1, 2007; 292(2): F796 - F803. [Abstract] [Full Text] [PDF] |
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