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Effects of acute bleeding followed by hydroxyethyl starch 130/0.4 or a crystalloid on propofol concentrations, cerebral oxygenation, and electroencephalographic and haemodynamic variables in pigs

dc.contributor.authorSilva, A.
dc.contributor.authorOrtiz, A.
dc.contributor.authorVenâncio, C.
dc.contributor.authorSouza, A.
dc.contributor.authorFerreira, L.
dc.contributor.authorBranco, P.
dc.contributor.authorde Pinho, P.
dc.contributor.authorAmorim, P.
dc.contributor.authorFerreira, D.
dc.date.accessioned2015-11-02T14:31:03Z
dc.date.available2015-11-02T14:31:03Z
dc.date.issued2014
dc.description.abstractBleeding changes the haemodynamics, compromising organ perfusion. In this study, the effects of bleeding followed by replacement with hydroxyethyl starch 130/0.4 (HES) or lactated Ringer's (LR) on cerebral oxygenation and electroencephalogram-derived parameters were investigated. Twelve young pigs under propofol-remifentanil anaesthesia were bled 30 mL/kg and, after a 20-minute waiting period, volume replacement was performed with HES (GHES; N = 6) or LR (GRL; N = 6). Bleeding caused a decrease of more than 50% in mean arterial pressure (P < 0.01) and a decrease in cerebral oximetry (P = 0.039), bispectral index, and electroencephalogram total power (P = 0.04 and P < 0.01, resp.), while propofol plasma concentrations increased (P < 0.01). Both solutions restored the haemodynamics and cerebral oxygenation similarly and were accompanied by an increase in electroencephalogram total power. No differences between groups were found. However, one hour after the end of the volume replacement, the cardiac output (P = 0.03) and the cerebral oxygenation (P = 0.008) decreased in the GLR and were significantly lower than in GHES (P = 0.02). Volume replacement with HES 130/0.4 was capable of maintaining the cardiac output and cerebral oxygenation during a longer period than LR and caused a decrease in the propofol plasma concentrations.pt_PT
dc.description.sponsorshipThis investigation was supported by FEDER funds through the COMPETE program and by national funds from Portuguese Foundation for Science and Technology, under the Projects SFRH/BPD/75697/2011, COMPETE: FCOMP-01-0124-FEDER-009525 (PTDC/CVT/101999/2008), and Pest C/EQB/LA0006/2011.pt_PT
dc.identifier10.1155/2014/710394
dc.identifier.citationVet Med Int. 2014;2014:710394pt_PT
dc.identifier.doi10.1155/2014/710394
dc.identifier.doi10.1155/2014/710394
dc.identifier.isbn2090-8113
dc.identifier.urihttp://hdl.handle.net/10400.16/1878
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherHindawi Publishing Corporationpt_PT
dc.relation.publisherversionhttp://www.hindawi.com/journals/vmi/2014/710394/pt_PT
dc.titleEffects of acute bleeding followed by hydroxyethyl starch 130/0.4 or a crystalloid on propofol concentrations, cerebral oxygenation, and electroencephalographic and haemodynamic variables in pigspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/5876-PPCDTI/PTDC%2FCVT%2F101999%2F2008/PT
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.titleVeterinary medicine internationalpt_PT
oaire.citation.volume2014pt_PT
oaire.fundingStream5876-PPCDTI
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isProjectOfPublication4a8bb216-d93b-4d8f-8032-393137062d5e
relation.isProjectOfPublication.latestForDiscovery4a8bb216-d93b-4d8f-8032-393137062d5e

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