Mh. Shyr et al., Power spectral analysis of arterial and central venous pressure signals during graded hemorrhage in anesthetized rats, SHOCK, 11(3), 1999, pp. 187-192
Based on simultaneous power spectral analysis of systemic arterial pressure
(SAP) and central venous pressure (CVP) signals in rats anesthetized with
pentobarbital sodium, we assessed the hypotheses that subtle changes in the
SAP spectrum exist during hemorrhagic shock, and that the CVP spectrum is
a feasible index for central blood volume during acute graded blood loss. D
uring Stage I hemorrhagic shock seen after reduction in 10% of total blood
volume (TBV), there was a significant increase in the power of both the ver
y low frequency (VLF, 0-.25 Hz) and low frequency (LF, .25-.8 Hz) component
s, along with a moderate decrease in the very high frequency (VHF, 5-9 Hz)
component, of SAP signals. Substantial reduction in VLF, LF, and VHF compon
ents in the SAP spectrum occurred after a blood loss of 25% of TBV (Stage I
I), which persisted during Stage III hemorrhagic shock when the withdrawn b
lood reached 50% of TBV and the mean SAP maintained at 40 mmHg, The depress
ed SAP-VLF and SAP-LF components sustained the period of spontaneous recove
ry and subsequent retransfusion of shed blood, although the power of SAP-VH
F component gradually elevated during these two periods. The power of the h
igh-frequency (HF, .8-2.4 Hz) component of SAP signals increased discernibl
y only during Stage ill, became significant on spontaneous recovery, and de
clined during retransfusion, Although CVP and CVP-VHF component progressive
ly declined, the power of the CVP-HF component manifested a gradual increas
e that was significantly and reversely correlated with the reduction in TBV
. We conclude that differential changes in individual components of the SAP
spectrum occur during hemorrhagic shock, and that the CVP-HF component may
be a reliable indicator for central blood volume during acute graded blood
loss.