Cardiopulmonary response to an induced pulse in intracranial pressure

Proc Soc Exp Biol Med. 1986 May;182(1):100-6. doi: 10.3181/00379727-182-42316.

Abstract

Increased intracranial pressure may result in the Cushing response. We applied a short pulse of pressure to the cranial cavity of anesthetized cats which were intubated, curarized, ventilated, and the cranium exposed to an 80- to 100-msec pulse of pressure at 5.3 atm. The following significant increases developed: Intracranial pressure rose from 7.4 +/- 1.5 to 150.6 +/- 19.4 mm Hg, systolic arterial peak pressure from 130.7 +/- 8.1 to 299.0 +/- 11.4, pulmonary peak pressure from 18.9 +/- 1.9 to 42.9 +/- 4.9. Alveolar lavage protein in controls was 6.7 +/- 0.4 mg/g lung compared to 11.9 +/- 2.0 in the experimental group. Extravascular lung water/dry weight ratios increased from 3.36 +/- 0.04 in controls to 3.51 +/- 0.09 but varied inversely with pulmonary systolic peak pressure (r = 0.59). These results showed that a pulse of pressure applied to the cranium of cats produced lung edema which was inversely related to pulmonary artery pressures.

MeSH terms

  • Animals
  • Blood Pressure
  • Cats
  • Epinephrine / blood
  • Female
  • Heart / physiology*
  • Intracranial Pressure*
  • Lung / analysis
  • Lung / physiology*
  • Male
  • Norepinephrine / blood
  • Organ Size
  • Oxygen / blood
  • Pulmonary Artery / physiology
  • Pulmonary Edema / etiology

Substances

  • Oxygen
  • Norepinephrine
  • Epinephrine