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Vet Med Int. 2014;2014:710394. doi: 10.1155/2014/710394. Epub 2014 May 19.

Effects of acute bleeding followed by hydroxyethyl starch 130/0.4 or a crystalloid on propofol concentrations, cerebral oxygenation, and electroencephalographic and haemodynamic variables in pigs.

Author information

  • 1Toxicology Department, REQUIMTE, Faculdade de Farmacia, Universidade do Porto, Rua de Jorge Viterbo Ferreira, No. 228, 4050-313 Porto, Portugal.
  • 2Universidad de Leon, Avenida Facultad de Veterinaria, No. 25, 24004 León, Spain.
  • 3Centre for the Research and Technology of Agro-Environmental and Biological Sciences (CITAB), Animal Science Department, University of Tras-os-Montes and Alto Douro, Quinta de Prados, 5000-801 Vila Real, Portugal.
  • 4Unidade Academica de Medicina Veterinária, Universidade Federal de Campina Grande, Patos, Rua Sinfrônio Nazaré, 1 Centro, 58800-240 Sousa, PB, Brazil.
  • 5Chemistry Department, Faculdade de Ciencias e Tecnologia, Universidade Nova de Lisboa, EQUIMTE/CBQF, Quinta da Torre, 2829-516 Caparica, Portugal.
  • 6Anaesthesiology Department, Hospital Geral de Santo Antonio, 4099-001 Porto, Portugal.
  • 7Veterinary Sciences Research Center (CICV), Faculdade de Medicina Veterinaria, Universidade Lusófona de Humanidades e Tecnologias, Campo Grande 376, 1749-024 Lisboa, Portugal.

Abstract

Bleeding changes the haemodynamics, compromising organ perfusion. In this study, the effects of bleeding followed by replacement with hydroxyethyl starch 130/0.4 (HES) or lactated Ringer's (LR) on cerebral oxygenation and electroencephalogram-derived parameters were investigated. Twelve young pigs under propofol-remifentanil anaesthesia were bled 30 mL/kg and, after a 20-minute waiting period, volume replacement was performed with HES (GHES; N = 6) or LR (GRL; N = 6). Bleeding caused a decrease of more than 50% in mean arterial pressure (P < 0.01) and a decrease in cerebral oximetry (P = 0.039), bispectral index, and electroencephalogram total power (P = 0.04 and P < 0.01, resp.), while propofol plasma concentrations increased (P < 0.01). Both solutions restored the haemodynamics and cerebral oxygenation similarly and were accompanied by an increase in electroencephalogram total power. No differences between groups were found. However, one hour after the end of the volume replacement, the cardiac output (P = 0.03) and the cerebral oxygenation (P = 0.008) decreased in the GLR and were significantly lower than in GHES (P = 0.02). Volume replacement with HES 130/0.4 was capable of maintaining the cardiac output and cerebral oxygenation during a longer period than LR and caused a decrease in the propofol plasma concentrations.

PMID:
24971192
[PubMed]
PMCID:
PMC4055214
Free PMC Article
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