Blood flow resistance during hemodilution: effect of plasma composition

Cardiovascular Research
A R PriesP Gaehtgens

Abstract

To investigate the causes of wide variations in reported effects of hemodilution on flow resistance of vascular beds. (a) In a meta-analysis of 28 prior studies, resistance values at hematocrits of zero (R0) and 0.45 (R0.45) were derived. Study design characteristics (presence of vasodilatory reserve or leukocytes, species, tissue, hemodiluent) were tested by ANOVA for their relation to the ratio R0/R0.45. (b) Experiments were performed to determine flow resistance during hemodilution in the rat mesentery with (n = 8) and without (n = 11) pretreatment with heparinase, which modifies the endothelial glycocalyx. (c) A mathematical flow simulation for mesenteric microvascular networks was used to predict resistance effects of hemodilution and of a hypothetical layer on the endothelial surface. (a) In prior studies using native plasma for hemodilution R0 averaged 50 +/- 8% of R0.45, while in studies using artificial solutions R0 averaged 32 +/- 12% of R0.45. The larger reduction of flow resistance upon dilution with artificial media is independent of viscosity and oncotic pressure. Other design characteristics did not show strong significant effects. (b) Present experiments showed large reductions of flow resistance with saline hem...Continue Reading

Citations

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