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Anesth Analg 1988; 67:170-174
© 1988 International Anesthesia Research Society
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Systolic Pressure Variation Is Greater during Hemorrhage than during Sodium Nitroprusside-Induced Hypotension in Ventilated Dogs

Reuven Pizov, MD, Yosef Ya'ari, MD, and Azriel Perel, MD

Received from the Department of Anesthesiology, Trauma Research Center, Hebrew University-Hadassah Medical School, Jerusalem, Israel.

Abstract

The systolic pressure variation (5PV), which is the difference between the maximal and minimal values of the systolic blood pressure (SBP) after one positive-pressure breath, was studied in ventilated dogs subjected to hypotension. Mean arterial pressure was decreased to 50 mm Hg for 30 minutes either by hemorrhage (HEM, n = 7) or by continuous infusion of sodium nitroprusside (SNP, n = 7). During HEM-induced hypotension the cardiac output was significantly lower and systemic vascular resistance higher compared with that in the SNP group. The systemic, central venous, pulmonary capillary wedge pressures, and heart rates, were similar in the two groups. Analysis of the respiratory changes in the arterial pressure waveform enabled differentiation between the two groups. The SPV during hypotension was 15.7 ± 6.7 mm Hg in the HEM group, compared with 9.1 ± 2.0mm Hg in the SNP group (P < 0.02). The {bigtriangleup}down, which is the measure of decrease of SBP after a mechanical breath, was 20.3 ± 8.4 and 10.1 ± 3.8 mm Hg in the HEM and SNP groups, respectively, during hypotension (P < 0.02). It is concluded that increases in the SPV and the {bigtriangleup}down are characteristic of a hypotensive state due to a predominant decrease in preload. They are thus more important during absolute hypovolemia than during deliberate hypotension.

Key Words: BLOOD PRESSURE—shock and induced hypotension. • ANESTHETIC TECHNIQUES—induced hypotension. • SHOCK— systolic blood pressure.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1988 by the International Anesthesia Research Society.