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Isoflurane 농도증가에 의한 신혈류의 변화에 관한 연구
Changes in Renal Blood Flow with Increase in Isoflurane Concentration
고홍(Hong Ko),곽일용(Il Yong Kwak)
UCI I410-ECN-0102-2009-510-004586984
* 발행 기관의 요청으로 이용이 불가한 자료입니다.

To examine the effect of isoflurane on systemic hemodynamics and renal blood flow, the author measured mean arterial pressure, cardiac output, central venous pressure, renal blood flow and plasma renin activity by administration of 1 MAC and 2 MAC isoflurane with 50% nitrous oxide to dogs. From the above results total peripheral resistance and renal vascular resistance were calculated. The results are the following: 1) With an increse in isoflurane MAC, mean arterial pressure and cardiac output were decreased. 2) Total peripheral resistance did not differ between the control and 1 MAC isoflurane byt decreased with 2 MAC isoflurane. 3) With an increase in isoflurane MAC, renal blood flow and renal vascular resistance were decreassed but the decrease in renal blood flow was comparatively less than the decresses in mean arterial pressure and cardiac output. 4) Plasma renin activity was increased with an increase in isoflurane MAC. It is concluded that isoflurane decreases renal blood flow by decreasing mean arterial pressure and cardiac output in dogs, but is strongly suggested that renal blood flow does not decrease more markedly than expected from the decreases in mean arterial pressure and cardiac output by direct dilation of renal vasculature and/or autoreglation.

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