scholarly journals Microvascular experimental evidence on the relative significance of restoring oxygen carrying capacity vs. blood viscosity in shock resuscitation

2008 ◽  
Vol 1784 (10) ◽  
pp. 1421-1427 ◽  
Author(s):  
Beatriz Y. Salazar Vázquez ◽  
Reto Wettstein ◽  
Pedro Cabrales ◽  
Amy G. Tsai ◽  
Marcos Intaglietta
1988 ◽  
Vol 33 (4) ◽  
pp. 298-299 ◽  
Author(s):  
A.R. Turner ◽  
G.D.O. Lowe ◽  
C.D. Forbes ◽  
J. G. Pollock

Patients with intermittent claudication frequently have high-normal levels of haematocrit and hence blood viscosity, which may contribute to decreased calf blood flow on exercise, and hence to the symptom of claudication. Reduction in haematocrit and viscosity by serial venesection in eight patients with stable claudication and high-normal haematocrit (mean 0.50) was performed, and the effects on claudication, calf blood flow, and calf oxygen delivery were studied. Following reduction in haematocrit to low-normal levels (mean 0.44), resting calf blood flow was unchanged; peak flow after ischaemic exercise increased slightly (+17%), but peak oxygen delivery (peak flow × haemoglobin concentration) was unchanged. Hence any increase in calf blood flow in the symptomatic leg is balanced by a decrease in oxygen-carrying capacity after venesection. No increase in claudication time would therefore be expected, and none was observed in the present study.


2011 ◽  
Vol 59 (1) ◽  
pp. 26 ◽  
Author(s):  
Michael J. Simmonds ◽  
Oguz K. Baskurt ◽  
Herbert J. Meiselman ◽  
Michael Pyne ◽  
Michael Kakanis ◽  
...  

The blood of two Australian marsupials, the eastern grey kangaroo (Macropus giganteus) and the Tasmanian devil (Sarcophilus harrisii), has been reported to have greater oxygen-carrying capacity (i.e. haemoglobin content) when compared with that of placental mammals. We investigated whether alterations of blood rheological properties are associated with the increased oxygen-carrying capacity of these marsupials. Eastern grey kangaroos (n = 6) and Tasmanian devils (n = 4) were anaesthetised for blood sampling; human blood (n = 6) was also sampled for comparison. Laboratory measurements included blood and plasma viscosity, red blood cell (RBC) deformability, RBC aggregation and the intrinsic tendency of RBC to aggregate, RBC surface charge and haematological parameters. Scanning electron micrographs of RBC from each species provided morphological information. High-shear blood viscosity at native haematocrit was highest for the Tasmanian devil. When haematocrit was adjusted to 0.4 L L–1, lower-shear blood viscosity was highest for the eastern grey kangaroo. RBC deformability was greatly reduced for the Tasmanian devil. Eastern grey kangaroo blood had the highest RBC aggregation, whereas Tasmanian devil RBC did not aggregate. The surface charge of RBC for marsupials was ~15% lower than that of humans. The dependence of oxygen-delivery effectiveness on haemoglobin concentration (i.e. oxygen content) and blood viscosity was quantitated by calculating the haematocrit to blood viscosity ratio and was 15–25% lower for marsupials compared with humans. Our results suggest that environmental pressures since the marsupial–monotreme divergence have influenced the development of vastly different strategies to maintain a match between oxygen demand and delivery.


1965 ◽  
Vol 20 (1) ◽  
pp. 16-18 ◽  
Author(s):  
D. F. J. Halmagyi ◽  
B. Starzecki ◽  
G. J. Horner

Hemoglobin levels in sheep was found to be related inversely to the logarithm of cardiac index and directly to the calculated systemic and pulmonary arterial resistances over a wide spectrum of hemoglobin concentrations including the normal range. It appeared to be based on changes in blood viscosity produced by a varying red cell concentration. The continuous adjustment of hemoglobin levels and cardiac output may account for the variability of cardiac output values in normal laboratory animals and may represent a mechanism maintaining oxygen delivery to the tissues in the presence of changing oxygen carrying capacity. blood viscosity; vascular resistance; oxygen carrying capacity Submitted on May 15, 1964


RSC Advances ◽  
2016 ◽  
Vol 6 (65) ◽  
pp. 59984-59987 ◽  
Author(s):  
Lijun Sun ◽  
Yannan Lu ◽  
Zhongqin Pan ◽  
Tingting Wu ◽  
Xiaojun Liu ◽  
...  

Hemoglobin-coated microspheres with one layer and five layers were fabricated by layer-by-layer assembly.


1967 ◽  
Vol 126 (6) ◽  
pp. 1127-1142 ◽  
Author(s):  
S. Frederick Rabiner ◽  
J. Raymond Helbert ◽  
Harry Lopas ◽  
Lila H. Friedman

The preparation of large quantities of a stable, stroma-free hemoglobin solution without coagulant activity is described. Following infusion of this solution into phlebotomized dogs, there is no methemoglobin formation, no adverse effects on vital signs, and no demonstrable activation of blood coagulation. The hemoglobin maintains its oxygen-carrying capacity and liberates oxygen into tissues. Acute and chronic effects on renal function following infusion of this preparation were also studied and no effect on clearance of urea, creatinine, or P.A.H. could be demonstrated. There was no change in urinary output and histological sections revealed no lesions attributable to hemoglobin toxicity. It is concluded that a stroma-free hemoglobin solution may have use as a plasma expander.


1990 ◽  
Vol 4 (6) ◽  
pp. 676-680
Author(s):  
Koichi Kobayashi ◽  
Masazumi Watanabe ◽  
Toshinori Hashizume ◽  
Masabumi Kawamura ◽  
Ryoichi Kato ◽  
...  

2000 ◽  
Vol 48 (4) ◽  
pp. 347 ◽  
Author(s):  
Cristina Davey ◽  
Alan Lill ◽  
John Baldwin

Parameters that influence blood oxygen carrying capacity (whole-blood haemoglobin content, haematocrit and red blood cell count) were measured in samples of 30 breeding, adult short-tailed shearwaters (Puffinus tenuirostris) on Phillip Island, Victoria at seven key stages of their reproductive cycle. The aim of the investigation was to determine whether variation in blood oxygen carrying capacity during the birds’ 7-month breeding cycle was correlated with variation in the energy demands they experienced or was an incidental by-product of other physiological changes. All the blood parameters varied significantly during breeding, but the pattern of variation was only partly correlated with the likely pattern of changing energy demand imposed on parents by their schedule of breeding activities. The main trend conceivably related to energy demand was that significantly higher values were recorded for these blood parameters during the nestling stage than earlier in the breeding cycle. This could have reflected the high costs of the very long foraging trips undertaken by parents feeding nestlings, but it could also have occurred in preparation for the long migration undertaken soon after breeding finished. It involved an ~10% increase in blood oxygen carrying capacity above the lowest mean value recorded during the breeding cycle and so other mechanisms must also be employed to achieve the increase in aerobic metabolism likely to be required at this stage. The lack of adjustment of blood oxygen carrying capacity to energy demand early in the breeding cycle suggests that either oxygen delivery was not a rate-limiting process for aerobic metabolism at that time or that delivery was enhanced through other mechanisms. At egg laying, females had a lower haematocrit and erythrocyte count than males, which could be attributable to either estrogenic suppression of erythropoiesis or an increase in osmotic pressure of the blood associated with yolk synthesis. Immature, non-breeding birds attending the colony were of similar mass to adults, but did not show the increase in the parameters determining blood oxygen carrying capacity that occurred in adults later in the breeding cycle. Factors other than changing energy requirements (dehydration, burrow hypoxia and differential responsiveness to capture stress) that might have influenced the pattern of variation in blood oxygen carrying capacity of adults during breeding are discussed.


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