SYNOPSIS Alterations in cerebral blood flow produced by controlled episodes of hypotension were studied in 12 juvenile monkeys using a thermocouple technique. The qualitative changes observed agreed closely with those obtained from an earlier study employing [14C]antipyrine autoradiographic methods. The present study extends the validity of the earlier antipyrine investigations by means of the continuous recording. The advantages and disadvantages of the thermocouple technique are examined.Determinations of simultaneous changes in blood flow to discrete neuroanatomical structures (L-CBF) associated with regulated episodes of hypotension have been carried out for the first time just recently (Gamache et al., 1975b). L-CBF determinations which employ the [14C]-antipyrine modification of the autoradiographic method for measuring L-CBF (Sokoloff, 1961;Reivich, 1972), as in the above study, do not permit serial determinations of blood flow in the same animal. They require large numbers of animals for study and very meticulous, laborious analysis. However, the antipyrine method offers the advantage of accurate quantitation of blood flow to specific neuroanatomical structures for any chosen instant of time. We were interested in discovering whether we could reproduce the general results of our earlier studies with a less sophisticated technique that would monitor the continuous dynamic record of tissue perfusion in the same animal, and one that might also offer clinical application because of its simplicity.The variety of methods employed clinically and experimentally to measure cerebral blood flow (CBF) speaks for the lack of superiority of one technique above all others. Nevertheless, we decided to employ (and slightly modify) the familiar method of Gibbs (1933) to record (Accepted 28 March 1975.) 765 changes in cortical blood flow associated with episodes of hypotension. The present study indeed reproduces and complements qualitatively the impressions obtained by the earlier antipyrine investigations, but extends the validity of those studies by virtue of the continuous recording. However, the difficulties of quantitating CBF and the ambiguous results produced by probe-tissue interactions with the use of the thermocouple technique are stressed.
METHODSTwelve juvenile monkeys (Macaca mulatta) weighing 3.2-6.0 kg were used. Each was anaesthetized with pentobarbitone, 30 mg/kg intravenously, and prepared for study as described earlier (Gamache et al., 1975a), including mechanical ventilation. Control values for physiological parameters were established for 60 minutes before beginning the experiments. Mean arterial blood pressure was abruptly lowered to 25 mmHg with a trimetaphan infusion (2 mg/ml) and maintained at this level for 30 minutes. Pressure was then returned to and maintained at prehypotensive levels with a phenylephrine drip (0.02 mg/ml) (Gamache et al., 1975a). Arterial gas tension and pH were maintained at all times at pre-insult levels.MEASUREMENT OF CBF Thermocouple probe construction Two 80 mm length...