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The effect of hypertonic saline dextran solutions on hypoxic pulmonary vasoconstriction in anaesthetised piglets

¹ Dépt d'Anesthésie-Réanimation Adulte, Groupe Hospitalier de La Timone, and ² Dépt d'Anesthésie-Réanimation, Hôpital d'Instruction des Armées Laveran, Marseille, France

CORRESPONDENCE: M. Bellezza, Dépt d'Anesthésie-Réanimation Adulte, Groupe Hospitalier de La Timone, 264 rue Saint Pierre, 13385, Marseille Cedex 05, France. Fax: 33 491385850. E-mail: m-bel@club-internet.fr

Keywords: dextran, hypertonic solution, hypoxia, pigs

Received: June 18, 2001
Accepted April 15, 2002

Hypoxic pulmonary vasoconstriction (HPV) is a regulatory mechanism by which blood is diverted from poorly ventilated to better ventilated areas of the lung. The aim of the present study was to assess the extent to which hypertonic saline dextran and dextran solutions modify the magnitude of HPV during isovolumic haemodilution in intact acutely instrumented piglets.

Eighteen large white piglets were anesthetised and assigned to two groups. Mean pulmonary arterial pressure (PAP) and cardiac output (Q), systemic arterial pressure and left arterial pressure (LAP) were measured. A decrease in Q was obtained by reducing venous return. This enabled measurement of transpulmonary pressures (mean PAP minus LAP) at four levels of Q in hyperoxia (inspiratory oxygen fraction (F_i,O2)=0.4), then in hypoxia (F_i,O2=0.1) in the two groups before blood soustraction (10 mL·kg^–1) and after loading with sodium chloride (NaCl) 7.5% and dextran 6% or with dextran 6% alone. Dextran alone led to a decrease in mean PAP–LAP/Q values, and NaCl with dextran was associated with a significant shift of mean PAP–LAP/Q plots to higher pressures in hypoxia.

Hypertonic saline dextran solution, as replacement fluid in isovolaemic haemodilution increased the magnitude of hypoxic pulmonary vasoconstriction, whereas dextran solution reduced it.