Left ventricular systolic and diastolic function is unaltered during propofol infusion in newborn swine

Anesthesia and Analgesia
M R GrahamW A Mutch

Abstract

Propofol is a cardiac depressant with minimal diastolic effects in the adult myocardium. Cardiac effects of propofol in the newborn are unknown. We examined hemodynamic variables and systolic and diastolic left ventricular function in 12 newborn pigs exposed to propofol at three different infusion rates (7.5, 15, and 30 mg x kg(-1) x h(-1)) in random order with a background of fentanyl (100 microg x kg(-1) x h(-1)). Left ventricular (LV) pressure (Plv) and LV anterior-posterior dimension, determined by sonomicrometry, were continuously monitored. Mean arterial pressure (MAP), heart rate (HR), and LV end-diastolic pressure (LVEDP) were determined at every infusion. Systolic function was assessed by the maximal pressure-time derivative (dP/dt(max)), the slope of the end-systolic pressure-dimension relationship (ESP-D), and by the preload recruitable stroke work index (PRSWI). Diastolic function was assessed by relaxation indices, the minimal pressure-time derivative (dP/dt(min)) and the relaxation time constant (tau), and by a stiffness index, the slope of the EDP-D relationship. MAP decreased approximately 25%, from 75.9 +/- 15.6 to 56.3 +/- 14.8 mm Hg (P < 0.05) with propofol, with no dose effect. HR and LVEDP were unchanged fr...Continue Reading

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Citations

Apr 3, 2009·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Pierre CoutureJean-Claude Tardif
Jun 2, 2010·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Mark LeeCharles Marsh
Oct 10, 2012·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Zhichun Lan, Yongfei Bai
Aug 25, 2005·Clinical Therapeutics·K J S AnandGary A Walco
May 17, 2015·Journal of Cardiothoracic and Vascular Anesthesia·David R McIlroyChris Durkin
Aug 5, 2011·Anesthesia and Analgesia·Robina MatyalFeroze Mahmood
Mar 18, 2011·The Cochrane Database of Systematic Reviews·Prakeshkumar S Shah, Vibhuti S Shah

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