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  4. Effects of Isoflurane Anesthesia on Aortic Compliance and Systemic Hemodynamics in Compliant and Noncompliant Aortas
 
research article

Effects of Isoflurane Anesthesia on Aortic Compliance and Systemic Hemodynamics in Compliant and Noncompliant Aortas

Ioannou, Christos V.
•
Stergiopulos, Nikos  
•
Georgakarakos, Efstratios
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2013
Journal Of Cardiothoracic And Vascular Anesthesia

Objectives: To investigate the effect of general anesthesia on aortic compliance and other cardiovascular hemodynamics in chronically instrumented pigs with compliant and noncompliant (stiff) aortas. Design: Experimental study. Setting: University animal laboratory. Participants: Twelve adult Yucatan miniature pigs. Interventions: Chronic instrumentation of a compliant (control; n = 7) and noncompliant (n = 5) group to measure pressure and flow in the ascending aorta. A Teflon prosthesis was wrapped around the aorta (noncompliant group) to limit wall compliance. Measurements and Main Results: Hemodynamic parameters were recorded on the 15th postoperative day, both awake and after general anesthesia. Banding the aorta caused a significant decrease in arterial compliance (-49%, p < 0.001) and increases in systolic blood pressure (SBP: +38%, p = 0.001) and pulse pressure (+107%, p < 0.01). Induction of anesthesia in the control group produced a 15% increase in arterial compliance (p < 0.05), resulting in a subtle decrease in SBP (-12%), diastolic blood pressure (DBP: -13%) and mean blood pressure (MBP; -12%). Induction of anesthesia in the noncompliant group also caused a significant increase in arterial compliance (17%, p < 0.001), but caused significant decreases in SBP (21%, p < 0.01), DBP (23%, p < 0.01) and MBP (22%, p < 0.01) as compared with controls. Conclusions: Induction of general anesthesia caused a similar increase in total arterial compliance and was associated with a decrease in SBP that was more pronounced in animals with noncompliant aortas. These results indicated that anesthesia caused a greater hemodynamic effect on noncompliant (stiff) aortas and may explain the extensive hemodynamic fluctuation and instability often observed in atherosclerotic, elderly patients with stiff aortas. (C) 2013 Elsevier Inc. All rights reserved.

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Type
research article
DOI
10.1053/j.jvca.2013.04.015
Web of Science ID

WOS:000328181700033

Author(s)
Ioannou, Christos V.
Stergiopulos, Nikos  
Georgakarakos, Efstratios
Chatzimichali, Ekaterini
Katsamouris, Asterios N.
Morel, Denis R.
Date Issued

2013

Publisher

W B Saunders Co-Elsevier Inc

Published in
Journal Of Cardiothoracic And Vascular Anesthesia
Volume

27

Issue

6

Start page

1282

End page

1288

Subjects

hemodynamics

•

arterial compliance

•

vascular prosthesis

•

hypertension

•

isoflurane

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LHTC  
Available on Infoscience
January 9, 2014
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/99203
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