Effect of high PaCO2 and time on cerebrospinal fluid and intraocular pressure in halothane-anesthetized horses

Abstract

SUMMARY The effects of different arterial carbon dioxide tensions (Pa CO 2 ) on cerebrospinal fluid pressure ( csfp ) and intraocular pressure ( iop ) were studied in 6 male halothane-anesthetized horses positioned in left lateral recumbency. Steady-state anesthetic conditions (1.06% end-tidal halothane concentration) commenced 60 minutes following anesthetic induction with only halothane in oxygen. During atracurium neuromuscular blockade, horses were ventilated, and respiratory rate and peak inspiratory airway pressure were maintained within narrow limits. The csfp and iop were measured at 3 different levels of Pa CO 2 (approx 40, 60, and 80 mm of Hg). The Pa CO 2 sequence in each horse was determined from a type of switchback design with the initial Pa CO 2 (period 1), established 30 minutes after the commencement of steady-state anesthesia, being repeated in the middle (period 3) and again at the end (period 5) of the experiment. Measurements taken from the middle 3 periods (2, 3, and 4) would form a Latin square design replicated twice. The interval between each period was approximately 45 minutes. Data from periods 2, 3, and 4 indicated that csfp ( P < 0.05) and mean systemic arterial pressure increased significantly ( P < 0.05) with high Pa CO 2 . Mean central venous pressure, heart rate, and iop did not change significantly during these same conditions. Measurements taken during periods 1, 3, and 5 were compared to assess the time-related responses to anesthesia and showed a significant increase in csfp , a significant decrease in mean central venous pressure, and a small (but not statistically significant) increase in mean systemic arterial pressure.