Regional blood flow during periodic acceleration

Citation
Ja. Adams et al., Regional blood flow during periodic acceleration, CRIT CARE M, 29(10), 2001, pp. 1983-1988
Citations number
22
Categorie Soggetti
Aneshtesia & Intensive Care
Journal title
CRITICAL CARE MEDICINE
ISSN journal
00903493 → ACNP
Volume
29
Issue
10
Year of publication
2001
Pages
1983 - 1988
Database
ISI
SICI code
0090-3493(200110)29:10<1983:RBFDPA>2.0.ZU;2-3
Abstract
Objective. To determine whether a motion platform that imparts noninvasive periodic acceleration (pGz) forces to the body causes systemic vasodilation and changes local organ blood flow. Design. Prospective paired blocked design. Setting., Medical center research laboratory. Subjects., Juvenile Yorkshire pigs. Interventions. Juvenile pigs (12 kg) were anesthetized, paralyzed, and plac ed on a motion platform that oscillated at a frequency of 4 Hz and a force of similar to0.4 G. Measurements and Main Results. Regional blood flows, as assessed by colored microspheres, increased during pGz relative to values obtained before pGz. Blood flow (mL.min(-1).100 g(-1)) significantly increased to the epicardiu m (71%), endocardium (93%), cerebrum (183%), brain stem (177%), renal corte x (53%), ileal mucosa (69%), gastric antral mucosa (72%), and liver (86%). Spleen and skeletal muscle blood flow increased without statistical signifi cance, 38% and 158% with pGz, relative to paired control values. Regional b lood flows returned to baseline 10 mins after discontinuation of pGz, excep t in the myocardial layers, where blood flow remained significantly elevate d. There was no difference compared with baseline in heart rate, arterial b lood gases, and blood pressure, but serum nitrite concentration was signifi cantly higher (58%) during pGz. In another series of animals, pGz increased pulmonary artery blood flow directly proportional to the magnitude of the applied acceleration force with frequency held constant. Conclusions, Periodic sinusoidal inertial forces in the spinal axis increas e blood flow to tissues. The increased blood flow is reversible and may be caused by vasodilation secondary to local mediator release. These effects m ay be desirable in clinical conditions of low tissue oxygen delivery and pe rfusion.