Respiratory-related arterial pressure variability as an indicator of graded blood loss: involvement of the autonomic nervous system

Clin Sci (Lond). 2003 Oct;105(4):491-7. doi: 10.1042/CS20030080.

Abstract

During positive pressure mechanical ventilation, percentile systolic pressure variation (%SPV) or respiratory-related arterial pressure variability (RAPV) have both been used in assessment of graded haemorrhage. We aimed to investigate whether changes in %SPV and RAPV are correlated during graded haemorrhage (by 5, 10 or 20% of the estimated blood volume) in anaesthetized positive pressure ventilated rats and to investigate the involvement of autonomic regulation. Saline vehicle or atropine produced no discernible effect on baseline %SPV or RAPV but, thereafter, %SPV and RAPV increased progressively with graded haemorrhage. Propranolol significantly decreased baseline %SPV and RAPV and changes induced in %SPV and RAPV by graded haemorrhage. Phentolamine significantly enhanced baseline %SPV and RAPV, and further enhancement of %SPV and RAPV by graded haemorrhage did not occur until 20% of the estimated blood volume was removed. RAPV was significantly correlated with %SPV in all experimental groups. We conclude that RAPV is comparable with%SPV as an indicator of graded haemorrhage and that, in anaesthetized and positive pressure ventilated rats, both are dependent on autonomic function, especially beta-adrenoceptors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic alpha-Antagonists / pharmacology
  • Adrenergic beta-Antagonists / pharmacology
  • Anesthesia
  • Animals
  • Arteries
  • Atropine / pharmacology
  • Autonomic Nervous System / physiology*
  • Blood Pressure / drug effects*
  • Heart Rate / drug effects
  • Hemorrhage / diagnosis*
  • Male
  • Parasympatholytics / pharmacology
  • Phentolamine / pharmacology
  • Positive-Pressure Respiration*
  • Propranolol / pharmacology
  • Rats
  • Rats, Sprague-Dawley
  • Signal Processing, Computer-Assisted*
  • Systole

Substances

  • Adrenergic alpha-Antagonists
  • Adrenergic beta-Antagonists
  • Parasympatholytics
  • Atropine
  • Propranolol
  • Phentolamine