Modulation of blood components, both red blood cells and plasma, particularly affects on circulatory system. This study investigated the load-dependent cardiac function and systemic changes after normovolemic hemodilution with four different transfusion fluids in anesthetized Golden Syrian hamsters. The investigation was performed in anesthetized 60-70 g male Golden Syrian hamsters. Animal handling and care followed the US National Institute of Health Guide for Care and Use of Laboratory Animals. Twelve hamsters were randomly divided into 4 groups (n=3 for each group). Anesthesia was induced by intraperitoneal injection of sodium pentobarbital (50 mg/kg) and core body temperature was maintained using a heating pad. Animal surgical preparation included: (i) left jugular vein for transfusion fluid injection, (ii) right common carotid artery for a pressure-volume conductance catheterization, (iii) left femoral artery for blood withdrawal, and (iv) tracheotomy with polyethylene-90 tube to facilitate spontaneous breathing. Normovolemic hemodilution was performed by the exchange of 40% of the animal’s blood volume with transfusion fluid. Four different transfusion fluids included 3-week stored blood, dextran 70 kDa (viscosity 3.0 cP), low viscosity plasma volume expander (LVPE; 2% dextran 2000 kDa, viscosity 2.2 cP), and high viscosity plasma volume expander (HVPE; 6% dextran 2000 kDa, viscosity 6.4 cP). Left ventricular cardiac systolic function was quantitatively assessed with a pressure-volume conductance catheter. Values are means ± S.D., compared by ANOVA. Plasma viscosity after hemodiluted with HVPE was 2.12±0.10 CP after hemodilution while other groups were 1.01±0.10 (stored blood), 1.27±0.03 (dextran 70 kDa) and 1.21±0.05 cP (LVPE). Cardiac output at the end of experiment increased from baseline in the group hemodiluted with HVPE (10.35±2.38 ml/min at baseline vs 13.10±4.02 ml/min at the end of experiment) and dextran 70 kDa (10.685±2.62 ml/min at baseline vs 12.49±1.64 ml/min at the end of experiment). On the other hand, cardiac output in the group hemodiluted with LVPE was less than baseline (13.11±0.49 ml/min at baseline vs 10.96±0.91 ml/min at the end of experiment) that was similar to the group exchanged with stored (8.40±3.49 ml/min at baseline vs 6.76±2.85 ml/min at the end of experiment). Stroke work relative to baseline in the group hemodiluted with HVPE significantly increased compared to those in the group hemodiluted with LVPE (HVPE: 1.23±0.14 vs. LVPE: 0.81±0.15, p<0.05). These data suggest that modulation of plasma expander viscosity affects load dependent cardiac function. Stored blood reduces load dependent cardiac function when compared to baseline condition.
37th Congress of IUPS (Birmingham, UK) (2013) Proc 37th IUPS, PCA011
Poster Communications: The effects of blood components modulation on load-dependent cardiac function during an acute hemodilution
S. Chatpun1, P. Cabrales2
1. Institute of Biomedical Engineering, Prince of Songkla University, Hatyai, Songkhla, Thailand. 2. Bioengineering Department, University of California, San Diego, La Jolla, California, United States.
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Where applicable, experiments conform with Society ethical requirements.