Effects of Intravenous and Intracerebroventricular Theophylline on Hypoxic Ventilatory Depression in Anesthetized Cats

• Published in: Medical principles and practice Vol. 13; no. 5; pp. 277 - 281
• Main Authors: Yelmen, N.K., Turgut, G., Şahin, G., Oruç, T.
• Format: Journal Article
• Language: English
• Published: Basel, Switzerland 01.01.2004
• Subjects: Anesthesia, General; Animals; Blood Pressure - drug effects; Bronchodilator Agents - administration & dosage; Cats; Hypoxia, Brain - etiology; Hypoxia, Brain - physiopathology; Injections, Intravenous; Injections, Intraventricular; Original Paper; Pulmonary Ventilation - drug effects; Purinergic P1 Receptor Antagonists; Respiratory Insufficiency - complications; Respiratory Insufficiency - physiopathology; Theophylline - administration & dosage; Tidal Volume - drug effects; Hypoxic depression of ventilation; Theophylline; Moderate hypoxia
• ISSN: 1011-7571; 1423-0151
• DOI: 10.1159/000079527

Objective: The present study was undertaken to investigate the ventilatory response due to sustained isocapnic moderate hypoxia and the possible role of adenosine in hypoxic depression in anesthetized cats. Materials and Methods: Cats anesthetized with pentothal sodium (30 mg kg –1 i.p.) were divided into two groups: treated (n = 11) and control (n = 15). Respiratory frequency (f), tidal volume (V T ), minute volume (v̇E) and systemic arterial blood pressure were recorded during air and 20 min of breathing hypoxic gas mixture (14% O 2 -86% N 2 ). Isocapnia was maintained by adding fractions of 1% CO 2 to the inspired hypoxic gas mixture. The PaO 2 and PaCO 2 were determined. Results: On hypoxic gas mixture breathing, V T and v̇E values of the control animals increased significantly, at 5 min to 50 ± 6 and 53 ± 6%, respectively, above the prehypoxic air phase value (p < 0.001). After that, the magnitude of increase in V T and v̇E declined gradually. At 20 min of hypoxia, V T and v̇E were less than those in prehypoxic air phase (17 ± 7, 16 ± 7%, respectively). In cats injected with an adenosine antagonist (theophylline 13.6 mg kg –1 i.v.), f, V T and v̇E increased significantly at 5 min of hypoxia (p < 0.001). At 20 min of hypoxia, f, V T and v̇E were 8 ± 2, 30 ± 8, and 39 ± 8%, respectively, higher than corresponding values of the prehypoxic stage. In cats injected with theophylline (0.5 mg kg –1 ) by cisternal puncture V T and v̇E increased significantly at 5 min of hypoxia. At 20 min of hypoxia, V T and v̇E were 27 ± 7 and 31 ± 8% higher than those in the prehypoxic air phase. Conclusion: The results of this study show that accumulation of adenosine in the brain during hypoxia seems to reduce the response of the central mechanisms to chemoreceptor impulses.