Effects of small changes of blood volume on oxygen delivery and tissue oxygenation.
Circulatory effects of small (approximately 10%) changes in blood volume were examined in resting and exercising dogs: controls; group A (-200 ml blood); group B (+200 ml blood); group C (+200 ml 6% dextran). In exercise, cardiac output (Q) increased more in Group A than controls (510.4 ml . kg-1 . min-1 compared to 429.6 ml . kg-1 . min-1; P less than 0.05); oxygen delivery (cardiac output x arterial O2 content) and mixed venous oxygen tension (PVO2) were unchanged from exercising controls. Hypervolemia (group B) did not change Q or O2 delivery compared to controls, but caused a greater reduction in exercise PVO2 (29.3 mmHg compared to 33.1 mmHg in controls; P less than 0.01). Resting PVO2 as raised in group C (50.0 mmHg compared to 46.3 mmHg; P less than 0.05) and exercise PVO2 was reduced less (35.5 mmHg compared to 33.1 mmHg in controls; P less than 0.05). O2 delivery in exercise was higher than in controls (123.4 ml . kg-1 . min-1 compared to 94.3 ml . kg-1 . min-1; P less than 0.001). During exercise, O2 consumption was raised from base line to 34.9 ml . kg-1 . min-1 in controls and raised further to 41.4 ml . kg-1 . min-1 in group A, 44.4 ml . kg-1 . min-1 in group B, and 41.2 ml . kg-1 . min-1 in group C (P less than 0.01). Changes of blood volume that lie within physiological limits thus significantly modify the circulatory response to changed O2 requirements, and also change the metabolic cost of exercise.
D000818:Animals; D001803:Blood Transfusion; D001810:Blood Volume; D002302:Cardiac Output; D003911:Dextrans / Q000494:pharmacology; D004285:Dogs; D005260:Female; D006339:Heart Rate; D006400:Hematocrit; D008297:Male; D008433:Mathematics; D010101:Oxygen Consumption; D005082:Physical Exertion; D010952:Plasma Substitutes; D012119:Respiration
D003911:Dextrans; D010952:Plasma Substitutes