Acta Cirúrgica Brasileira (Nov 2014)

Effects of catecholamines on volemic replacement with saline solution and the impact on heart rate variability in rabbits subjected to hemorrhage. A study by spectral analysis

  • José Mariano Soares de Moraes,
  • Matheus Fachini Vane,
  • Denise de Fátima Rodrigues,
  • Cristiano Teixeira Mostarda,
  • Thiago Soares Mendes Moreira de Moraes,
  • Lucas Fachini Vane,
  • Eliana Marisa Ganem,
  • Ismar Lima Cavalcanti,
  • Norma Sueli Pinheiro Módolo,
  • Luiz Antonio Vane

DOI
https://doi.org/10.1590/S0102-86502014001800002
Journal volume & issue
Vol. 29, no. 11
pp. 703 – 710

Abstract

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PURPOSE: To verify the effects of different catecholamines on volemic expansion and on the autonomic nervous system in rabbits that were subjected to hemorrhage.METHODS: Twenty four rabbits subjected to hemorrhage (with a 25% loss of blood volume) and were randomly divided into four experimental groups: 1) HEMO Group underwent replacement with their own blood in an equal volume; 2) SS Group underwent replacement with saline solution (SS) in a volume that corresponded to three times the removed blood volume; 3) ISP Group underwent replacement with SS and isoprenaline; 4) FNL Group underwent replacement with SS and phenylephrine. Spectral Analysis of the heart rate and heart rate variability were performed from the recorded data. Hematocrit was measured throughout the experiment.RESULTS:Replacement with SS and an α- or β-agonist did not produce differences in the intravascular retention compared to replacement with SS alone. An analysis of HRV showed that the FNL group maintained the LF/HF ratio better than ISP and SS.CONCLUSIONS: No difference in vascular retention when α- or β- agonists were added to SS during post-hemorrhagic recovery. The animals in the FNL group maintained the integrity of the autonomic response within normal physiological standards during hemorrhagic stress.

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