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* These authors contributed equally
This article demonstrates the use of laser Doppler flowmetry to evaluate the ability of the cerebral circulation to autoregulate its blood flow during reductions in arterial blood pressure.
When investigating the body's mechanisms for regulating cerebral blood flow, a relative measurement of microcirculatory blood flow can be obtained using laser Doppler flowmetry (LDF). This paper demonstrates a closed skull preparation that allows cerebral blood flow to be assessed without penetrating the skull or installing a chamber or cerebral window. To evaluate autoregulatory mechanisms, a model of controlled blood pressure reduction via graded hemorrhage can be utilized while simultaneously employing LDF. This enables the real time tracking of the relative changes in the blood flow in response to reductions in arterial blood pressure produced by the withdrawal of circulating blood volume. This paradigm is a valuable approach to study cerebral blood flow autoregulation during reductions in arterial blood pressure and, with minor modifications in the protocol, is also valuable as an experimental model of hemorrhagic shock. In addition to evaluating autoregulatory responses, LDF can be used to monitor the cortical blood flow when investigating metabolic, myogenic, endothelial, humoral, or neural mechanisms that regulate cerebral blood flow and the impact of various experimental interventions and pathological conditions on cerebral blood flow.
Autoregulatory mechanisms in the cerebral circulation play a crucial role in maintaining homeostasis and normal function in the brain. Autoregulation of the cerebral blood flow is affected by multiple factors including heart rate, blood velocity, perfusion pressure, the diameter of the cerebral resistance arteries, and the microcirculatory resistance, all of which play a role in maintaining the total cerebral blood flow constant in the brain over the physiological range of systemic blood pressures. When arterial pressure increases, these mechanisms constrict arterioles and resistance arteries to prevent dangerous increases in intracranial pressure. When arterial blood....
The Medical College of Wisconsin Institutional Animal Care and Use Committee (IACUC) approved all protocols described in this paper and all procedures are in compliance with the National Institutes of Health (NIH) Office of Laboratory Animal Welfare (OLAW) regulations.
1. Experimental animals and preparation for recording
Figure 2 summarizes the results of experiments conducted in 10 male Sprague-Dawley rats fed standard laboratory chow. In those experiments, mean LCBF was maintained within 20% of the prehemorrhage value following the first three blood volume withdrawals, until the mean arterial pressure reached the LLA. Subsequent blood volume withdrawals at pressures below the LLA caused a progressive reduction of LCBF, showing that the cerebral circulation was no longer able to produce a sufficient level o.......
Evaluation of Tissue Blood Flow Responses with Laser Doppler Flowmetry (LDF). As noted above, the LDF signal is proportional to the number and velocity of moving particles, in this case RBC, in the microcirculation. LDF readings in different organs are well correlated with whole organ blood flow assessed by established methods such as electromagnetic flow meters and radioactive microspheres30 and are generally consistent with studies evaluating the regulation of active tone in can.......
The authors express their sincere thanks to Kaleigh Kozak, Megan Stumpf, and Jack Bullis for their outstanding assistance in completing this study and preparing the manuscript. Grant Support: NIH #R01-HL128242, #R21-OD018309, and #R21-OD024781.
....Name | Company | Catalog Number | Comments |
3-0 braided black silk suture | Midwest Vet | 193.73000.2 | |
Arterial Pressure Transducer | Merit Medical | 041516504A | |
Automated Data Acquisition Systems (WINDAQ & BIOPAC system) | DATAQ Instruments | ||
Blood Pressure Display Unit | Stoelting | 50115 | |
Circulating warm water pump | Gaymar Industries | T-pump | |
End-tidal CO2 monitor | Stoelting | Capstar-100 | |
Heparin Sodium | Midwest Vet | 191.46720.3 | |
Kimwipe | Fisher Scientific | 06-666A | |
Laser Doppler Flow Meter | Perimed | PeriFlux 5000 LDPM | |
Laser Doppler Refill Motility Standard | Perimed | PF1001 | |
Polyethylene Tubing (PE240) (for trachea cannula) | VWR | 63018-828 | |
Polyethylene Tubing (PE50) (for femoral catheters) | VWR | 63019-048 | |
Rodent Ventilator | Cwe/Stoelting | SAR-830/P | |
Saline | Midwest Vet | 193.74504.3 | |
Sprague-Dawley Outbred Rats | Variable | N/A | Rats were ordered from various companies |
Standard Rat Chow | Dyets, Inc. | 113755 | |
Stereotaxic Instrument | Cwe/Stoelting | Clasic Lab Standard |
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