Abstract
Abstract Cerebral blood flow (CBF) and cerebral metabolic rate of oxygen (CMRo2) have been determined by the nitrous oxide method in five cases of severe barbiturate poisoning (blood barbiturate level 2.2−15.2 mg/100 ml). All cases needed prolonged artificial ventilation (IPPV) to survive. Mean CBF was 30±9 ml/100 g/min and mean CMRo2 was 1.5±0.4 ml/100 g/min. Within the temperature range studied, 31.7°C−37.8°C, body temperature (BT) was correlated to CMRo2 according to the equation BT = 6.6 × CMRo2 + 25, the correlation coefficient being 0.96 (p<0.01). A similar correlation was found between CBF and BT (r=0.93, p<0.05). The cerebral arteriovenous oxygen difference was normal and rather constant in spite of generally low values for arterial Pco2. There was no indication of inadequate oxygen supply to the brain.
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