Circulatory effects and kinetics following acute administration of carbon monoxide in a porcine model.

• Carbon monoxide is produced in the endothelial cells and has possible vasodilator activity through three different pathways. The aim of this study was to demonstrate circulatory effects after administration of saturated carbon monoxide blood and to describe the pharmacokinetics of carbon monoxide. Six pigs were anesthetized and 150 ml blood was removed. This blood was bubbled with carbon monoxide until the carboxyhemoglobin (COHb) levels were 90-99%. A specific amount of this blood was then injected back to the animal. At predetermined times; arterial and mixed venous blood was drawn and analyzed for carbon monoxide. Systemic and pulmonary vascular resistance index (SVRi and PVRi) were measured and exhaled air was sampled and measured for carbon monoxide. Blood samples were gathered over 300 minutes along with measurements of invasive pressures, heart rate, cardiac output, oxygen saturation (SpO2), Hb, temperature and blood gases. We conclude that this type of exposure to carbon monoxide appears to have little or no effect on general vasomotor tone and, after correcting for basal levels of carbon monoxide, elimination occurs through the lungs as predicted by a single compartment model. The half-life of carbon monoxide was determined to be 60.5 minutes (SEM 4.7).

Nyckelord

Animals

Blood Gas Analysis

Body Temperature/drug effects

Carbon Monoxide/blood/*pharmacokinetics/*pharmacology

Carbon Monoxide Poisoning/*blood/*physiopathology

Cardiac Output/drug effects

Chromium Radioisotopes/blood

Disease Models; Animal

Dose-Response Relationship; Drug

Female

Heart Rate/drug effects

Hemoglobins/drug effects

Oxygen/blood

Sus scrofa

Time Factors

Vascular Resistance/drug effects/physiology

Publikations- och innehållstyp

ref (ämneskategori)

art (ämneskategori)