Stroke, Vol 9, 249-254, Copyright © 1978 by American Heart Association
NM Bandaranayake, EM Nemoto and SW Stezoski
Ischemic brain damage can be partially ameliorated by barbiturate therapy
applied postinsult. Catabolism-induced brain hyperosmolality during
ischemia may contribute to the development of brain edema after restoration
of circulation. To determine changes in brain osmolality during ischemia
and the effect of barbiturate anesthetics in altering its course, we
measured whole and regional (cerebral cortex, diencephalon-midbrain, and
cerebellum) brain osmolality for up to 2 hours after decapitation ischemia
in unanesthetized and pentobarbital anesthetized rats. Normal (nonischemic)
brain osmolality in pentobarbital anesthetized rats was 319 +/- 2 mOsm/1
(mean +/- SEM) and higher than in unanesthetized rats (307 +/- 6 mOsm/1).
The rate of increase in whole brain osmolality was 60% slower in
pentobarbital anesthetized rats in the first 60 minutes of ischemia and
regional brain osmolality increased by a maximum of 32 mOsm/1 compared to
45 mOsm/1 in unanesthetized rats. The potential for edema based on percent
change in brain osmolality as well as the rapidity of the change was
greater in unanesthetized rats. The significance of the increase in brain
osmolality with barbiturate anesthesia and its attenuation of the rate and
magnitude of increase during ischemia is discussed.
ARTICLES
Rat brain osmolality during barbiturate anesthesia and global brain ischemia
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