Polarigraphic microelectrodes were used to study the distribution of oxygen tension (pO(2)) in arterioles (lumen diameters 8-80 microm) and venules (lumen diameters 8-120 microm) in the rat cerebral cortex during acute reductions in blood hemoglobin ([Hb]). Isovolumic hemodilution with 5% albumin solution was performed in steps from an initial [Hb] of 14.1 +/- 0.3 g/dl (control) to 9.8 +/- 0.3 g/dl (step 1), 6.6 +/- 0.4 g/dl (step 2), and 4.6 +/- 0.3 g/dl (step 3). Mild anemia (step 1, hematocrit 30%) led to an increase in pO(2) in the arterial side of the microcirculatory bed, with virtually no change in pO(2) in the venous side. Step 2 (hematocrit 20%) was accompanied by a further insignificant increase in pO(2) in arterioles, while there was a significant reduction (on average to 32 mmHg) in venules. Step 3 (hematocrit 13-14%) led to a (statistically insignificant) increase in pO(2) in arterioles. pO(2) in venules decreased, on average, to 27 mmHg; the proportion of smallest venules with low pO(2) values (less than 20 mmHg) increased to 31% (from 3% in controls). In some capillaries, pO(2) was 5-10 mmHg, which was an indicator of the presence of hypoxic zones in brain tissues. These zones primarily arose close to the smallest capillary and venous microvessels, with slowed or impaired blood flow.

Acute anemia (stages 1 and 2) led to decreases in pO2 at the walls of radial venules (lumen diameter 13.1 +/- 0.5 microm) and in the tissues at distances of up to 40 mum from the walls, indicating increased extraction of oxygen from the blood by the smallest microvessels. Further decreases in the blood hemoglobin concentration (stage 3) did not produce any significant changes in the nature of tissue pO2 profiles close to the walls of these microvessels. In the intercapillary space, tissue pO2 decreased in proportion to the decrease in the systemic blood hemoglobin concentration, though tissue hypoxia (p(t)O2 < or = 8-10 mmHg) was seen only in tissue in which the microvessels had inadequate (decreased) blood flow responses.

No abstract