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1 Department of Anesthesiology,
The effects of the NO synthase inhibitor
NG-nitro-L-arginine
methyl ester (L-NAME) and the NO
donor sodium nitroprusside (SNP) on whole body
O2 consumption
(
O2) were assessed in 16 dogs anesthetized with fentanyl or isoflurane. Cardiac output (CO) and
mean arterial pressure (MAP) were measured with standard methods and
were used to calculate
O2
and systemic vascular resistance (SVR). Data were obtained in each dog
under the following conditions: 1)
Control 1, 2) SNP (30 µg · kg
1 · min
1
iv) 3) Control 2, 4)
L-NAME (10 mg/kg iv), and
5) SNP and adenosine (30 and 600 µg · kg
1 · min
1
iv, respectively) after L-NAME.
SNP reduced MAP by 29 ± 3% and SVR by 47 ± 3%, while it
increased CO by 39 ± 9%.
L-NAME had opposite effects; it
increased MAP and SVR by 24 ± 4% and 103 ± 11%, respectively, and it decreased CO by 37 ± 3%. Neither agent changed
O2 from the baseline value
of 4.3 ± 0.2 ml · min
1 · kg
1,
since the changes in CO were offset by changes in the arteriovenous O2 difference. Both SNP and
adenosine returned CO to
pre-L-NAME values, but
O2 was unaffected. We
conclude that 1) basally released endogenous NO had a tonic systemic vasodilator effect, but it had no
influence on
O2;
2) SNP did not alter
O2 before or after
inhibition of endogenous NO production;
3) the inability of
L-NAME to increase
O2 was not because CO,
i.e., O2 supply, was reduced below
the critical level.
oxygen metabolism; sodium nitroprusside; NG-nitro-L-arginine methyl ester; nitric oxide synthase
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