Hemodilution does not alter the coronary vasodilating effects of endogenous or exogenous nitric oxide

Introduction: It is well known that hemoglobin is a scavenger of nitric oxide (NO). The present study used a canine model to test the hypothesis that acute normovolemic hemodilution (ANH) affects NO-mediated coronary vasodilation. Methods: Studies were performed in 18 open-chest, anesthetized dogs....

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Canadian journal of anesthesia 2008-08, Vol.55 (8), p.507-514
Hauptverfasser: Crystal, George J., El-Orbany, Mohammad, Zhou, Xiping, Salem, M. Ramez, Kim, Song-Jung
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 514
container_issue 8
container_start_page 507
container_title Canadian journal of anesthesia
container_volume 55
creator Crystal, George J.
El-Orbany, Mohammad
Zhou, Xiping
Salem, M. Ramez
Kim, Song-Jung
description Introduction: It is well known that hemoglobin is a scavenger of nitric oxide (NO). The present study used a canine model to test the hypothesis that acute normovolemic hemodilution (ANH) affects NO-mediated coronary vasodilation. Methods: Studies were performed in 18 open-chest, anesthetized dogs. In Series 1, the contribution of endogenous NO to coronary vasodilatation during ANH with 5% dextran-40 (reduction in hematocrit by 50%) was assessed. This was accomplished by comparing myocardial blood flow (MBF; radioactive microspheres) in the left anterior descending (LAD) region, which was treated with the NO synthase inhibitor, N G -nitro-Larginine methyl ester (L-NAME), to that in the circumflex (control) region. In Series 2, the LAD was perfused via a controlledpressure extracorporeal system with coronary blood flow (CBF) measured with an ultrasonic, transit-time flow transducer. The dose-dependent increases in CBF caused by acetylcholine (ACh), which releases endogenous NO from the vascular endothelium, and sodium nitroprusside (SNP), which provides exogenous NO, were compared before and during ANH. Results: Acute normovolemic hemodilution caused similar (approximately twofold) increases in MBF ( P
doi_str_mv 10.1007/BF03016670
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69375702</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69375702</sourcerecordid><originalsourceid>FETCH-LOGICAL-c414t-fda1f2949c03e45ab5430cdfc5b2b2354f7bd3440cdd1ecd3751bc7e685eb12a3</originalsourceid><addsrcrecordid>eNpt0E2LFDEQBuAgijuuXvwBEgQ9KK2Vz-4-6uK6woIXBW9NOqmMWXqSNUnL-u_NMKMD4ilU8qSqeAl5yuANA-jfvr8EAUzrHu6RDZOj7oaxV_fJBgbBO83g2xl5VMoNAAxaDQ_JGRt0r8WgNgSvcJdcWNYaUqQuYaExVWqWipnW70htyima_Iv-NGUPTQ1xS9F7tLXQ5ClGl7YY09qqTPHuTxFDzcHSdBccPiYPvFkKPjme5-Tr5YcvF1fd9eePny7eXXdWMlk77wzzfJSjBYFSmVlJAdZ5q2Y-c6Gk72cnpGx3jqF1oldstj3qQeHMuBHn5OWh721OP1YsddqFYnFZTMS206TH9qUH3uDzf-BNWnNsu00j55KBEGNDrw7I5lRKRj_d5rBrWUwMpn3y0yn5hp8dO67zDt2JHqNu4MURmGLN4rOJNpS_joNSTA_7qa8PrrSnuMV8Wu0_Y38D5euZ5A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>922410339</pqid></control><display><type>article</type><title>Hemodilution does not alter the coronary vasodilating effects of endogenous or exogenous nitric oxide</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Crystal, George J. ; El-Orbany, Mohammad ; Zhou, Xiping ; Salem, M. Ramez ; Kim, Song-Jung</creator><creatorcontrib>Crystal, George J. ; El-Orbany, Mohammad ; Zhou, Xiping ; Salem, M. Ramez ; Kim, Song-Jung</creatorcontrib><description>Introduction: It is well known that hemoglobin is a scavenger of nitric oxide (NO). The present study used a canine model to test the hypothesis that acute normovolemic hemodilution (ANH) affects NO-mediated coronary vasodilation. Methods: Studies were performed in 18 open-chest, anesthetized dogs. In Series 1, the contribution of endogenous NO to coronary vasodilatation during ANH with 5% dextran-40 (reduction in hematocrit by 50%) was assessed. This was accomplished by comparing myocardial blood flow (MBF; radioactive microspheres) in the left anterior descending (LAD) region, which was treated with the NO synthase inhibitor, N G -nitro-Larginine methyl ester (L-NAME), to that in the circumflex (control) region. In Series 2, the LAD was perfused via a controlledpressure extracorporeal system with coronary blood flow (CBF) measured with an ultrasonic, transit-time flow transducer. The dose-dependent increases in CBF caused by acetylcholine (ACh), which releases endogenous NO from the vascular endothelium, and sodium nitroprusside (SNP), which provides exogenous NO, were compared before and during ANH. Results: Acute normovolemic hemodilution caused similar (approximately twofold) increases in MBF ( P &lt;0.01) in the absence and presence of L-NAME, and it did not affect the dose-related increases in CBF caused by ACh and SNP. Conclusions: Series 1: under baseline conditions, hemoglobin in red blood cells does not limit the coronary vasodilatation resulting from tonic release of NO; NO does not mediate coronary vasodilation during ANH. Series 2: ANH does not influence the coronary vasodilating effects of increased levels of NO, whether due to endogenous release (ACh) or infusion of an NO donor (SNP).</description><identifier>ISSN: 0832-610X</identifier><identifier>EISSN: 1496-8975</identifier><identifier>DOI: 10.1007/BF03016670</identifier><identifier>PMID: 18676385</identifier><identifier>CODEN: CJOAEP</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Acetylcholine - pharmacology ; Adenosine - pharmacology ; Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthesiology ; Animals ; Biological and medical sciences ; Blood Gas Analysis ; Blood Pressure - drug effects ; Cardiology ; Circulatory system ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - drug effects ; Critical Care Medicine ; Dogs ; Enzyme Inhibitors - pharmacology ; Female ; Free Radical Scavengers - pharmacology ; Heart Rate - drug effects ; Hemodilution - adverse effects ; Hemodilution - methods ; Intensive ; Male ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Models, Animal ; NG-Nitroarginine Methyl Ester - pharmacology ; Nitric oxide ; Nitric Oxide - pharmacology ; Nitric Oxide - physiology ; Nitric Oxide Synthase - antagonists &amp; inhibitors ; Nitroprusside - pharmacology ; Pain Medicine ; Pediatrics ; Pneumology/Respiratory System ; Radionuclide Imaging ; Reports Of Original Investigations ; Treatment Outcome ; Vasodilator Agents - pharmacology</subject><ispartof>Canadian journal of anesthesia, 2008-08, Vol.55 (8), p.507-514</ispartof><rights>Canadian Anesthesiologists 2008</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-fda1f2949c03e45ab5430cdfc5b2b2354f7bd3440cdd1ecd3751bc7e685eb12a3</citedby><cites>FETCH-LOGICAL-c414t-fda1f2949c03e45ab5430cdfc5b2b2354f7bd3440cdd1ecd3751bc7e685eb12a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/BF03016670$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/BF03016670$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20551689$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18676385$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Crystal, George J.</creatorcontrib><creatorcontrib>El-Orbany, Mohammad</creatorcontrib><creatorcontrib>Zhou, Xiping</creatorcontrib><creatorcontrib>Salem, M. Ramez</creatorcontrib><creatorcontrib>Kim, Song-Jung</creatorcontrib><title>Hemodilution does not alter the coronary vasodilating effects of endogenous or exogenous nitric oxide</title><title>Canadian journal of anesthesia</title><addtitle>Can J Anesth</addtitle><addtitle>Can J Anaesth</addtitle><description>Introduction: It is well known that hemoglobin is a scavenger of nitric oxide (NO). The present study used a canine model to test the hypothesis that acute normovolemic hemodilution (ANH) affects NO-mediated coronary vasodilation. Methods: Studies were performed in 18 open-chest, anesthetized dogs. In Series 1, the contribution of endogenous NO to coronary vasodilatation during ANH with 5% dextran-40 (reduction in hematocrit by 50%) was assessed. This was accomplished by comparing myocardial blood flow (MBF; radioactive microspheres) in the left anterior descending (LAD) region, which was treated with the NO synthase inhibitor, N G -nitro-Larginine methyl ester (L-NAME), to that in the circumflex (control) region. In Series 2, the LAD was perfused via a controlledpressure extracorporeal system with coronary blood flow (CBF) measured with an ultrasonic, transit-time flow transducer. The dose-dependent increases in CBF caused by acetylcholine (ACh), which releases endogenous NO from the vascular endothelium, and sodium nitroprusside (SNP), which provides exogenous NO, were compared before and during ANH. Results: Acute normovolemic hemodilution caused similar (approximately twofold) increases in MBF ( P &lt;0.01) in the absence and presence of L-NAME, and it did not affect the dose-related increases in CBF caused by ACh and SNP. Conclusions: Series 1: under baseline conditions, hemoglobin in red blood cells does not limit the coronary vasodilatation resulting from tonic release of NO; NO does not mediate coronary vasodilation during ANH. Series 2: ANH does not influence the coronary vasodilating effects of increased levels of NO, whether due to endogenous release (ACh) or infusion of an NO donor (SNP).</description><subject>Acetylcholine - pharmacology</subject><subject>Adenosine - pharmacology</subject><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthesiology</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Blood Gas Analysis</subject><subject>Blood Pressure - drug effects</subject><subject>Cardiology</subject><subject>Circulatory system</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Coronary Vessels - drug effects</subject><subject>Critical Care Medicine</subject><subject>Dogs</subject><subject>Enzyme Inhibitors - pharmacology</subject><subject>Female</subject><subject>Free Radical Scavengers - pharmacology</subject><subject>Heart Rate - drug effects</subject><subject>Hemodilution - adverse effects</subject><subject>Hemodilution - methods</subject><subject>Intensive</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Models, Animal</subject><subject>NG-Nitroarginine Methyl Ester - pharmacology</subject><subject>Nitric oxide</subject><subject>Nitric Oxide - pharmacology</subject><subject>Nitric Oxide - physiology</subject><subject>Nitric Oxide Synthase - antagonists &amp; inhibitors</subject><subject>Nitroprusside - pharmacology</subject><subject>Pain Medicine</subject><subject>Pediatrics</subject><subject>Pneumology/Respiratory System</subject><subject>Radionuclide Imaging</subject><subject>Reports Of Original Investigations</subject><subject>Treatment Outcome</subject><subject>Vasodilator Agents - pharmacology</subject><issn>0832-610X</issn><issn>1496-8975</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpt0E2LFDEQBuAgijuuXvwBEgQ9KK2Vz-4-6uK6woIXBW9NOqmMWXqSNUnL-u_NMKMD4ilU8qSqeAl5yuANA-jfvr8EAUzrHu6RDZOj7oaxV_fJBgbBO83g2xl5VMoNAAxaDQ_JGRt0r8WgNgSvcJdcWNYaUqQuYaExVWqWipnW70htyima_Iv-NGUPTQ1xS9F7tLXQ5ClGl7YY09qqTPHuTxFDzcHSdBccPiYPvFkKPjme5-Tr5YcvF1fd9eePny7eXXdWMlk77wzzfJSjBYFSmVlJAdZ5q2Y-c6Gk72cnpGx3jqF1oldstj3qQeHMuBHn5OWh721OP1YsddqFYnFZTMS206TH9qUH3uDzf-BNWnNsu00j55KBEGNDrw7I5lRKRj_d5rBrWUwMpn3y0yn5hp8dO67zDt2JHqNu4MURmGLN4rOJNpS_joNSTA_7qa8PrrSnuMV8Wu0_Y38D5euZ5A</recordid><startdate>20080801</startdate><enddate>20080801</enddate><creator>Crystal, George J.</creator><creator>El-Orbany, Mohammad</creator><creator>Zhou, Xiping</creator><creator>Salem, M. Ramez</creator><creator>Kim, Song-Jung</creator><general>Springer-Verlag</general><general>Canadian Anesthesiologists' Society</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20080801</creationdate><title>Hemodilution does not alter the coronary vasodilating effects of endogenous or exogenous nitric oxide</title><author>Crystal, George J. ; El-Orbany, Mohammad ; Zhou, Xiping ; Salem, M. Ramez ; Kim, Song-Jung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-fda1f2949c03e45ab5430cdfc5b2b2354f7bd3440cdd1ecd3751bc7e685eb12a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Acetylcholine - pharmacology</topic><topic>Adenosine - pharmacology</topic><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthesiology</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Blood Gas Analysis</topic><topic>Blood Pressure - drug effects</topic><topic>Cardiology</topic><topic>Circulatory system</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Coronary Vessels - drug effects</topic><topic>Critical Care Medicine</topic><topic>Dogs</topic><topic>Enzyme Inhibitors - pharmacology</topic><topic>Female</topic><topic>Free Radical Scavengers - pharmacology</topic><topic>Heart Rate - drug effects</topic><topic>Hemodilution - adverse effects</topic><topic>Hemodilution - methods</topic><topic>Intensive</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Models, Animal</topic><topic>NG-Nitroarginine Methyl Ester - pharmacology</topic><topic>Nitric oxide</topic><topic>Nitric Oxide - pharmacology</topic><topic>Nitric Oxide - physiology</topic><topic>Nitric Oxide Synthase - antagonists &amp; inhibitors</topic><topic>Nitroprusside - pharmacology</topic><topic>Pain Medicine</topic><topic>Pediatrics</topic><topic>Pneumology/Respiratory System</topic><topic>Radionuclide Imaging</topic><topic>Reports Of Original Investigations</topic><topic>Treatment Outcome</topic><topic>Vasodilator Agents - pharmacology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Crystal, George J.</creatorcontrib><creatorcontrib>El-Orbany, Mohammad</creatorcontrib><creatorcontrib>Zhou, Xiping</creatorcontrib><creatorcontrib>Salem, M. Ramez</creatorcontrib><creatorcontrib>Kim, Song-Jung</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Canadian Business &amp; Current Affairs Database</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Canadian journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Crystal, George J.</au><au>El-Orbany, Mohammad</au><au>Zhou, Xiping</au><au>Salem, M. Ramez</au><au>Kim, Song-Jung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hemodilution does not alter the coronary vasodilating effects of endogenous or exogenous nitric oxide</atitle><jtitle>Canadian journal of anesthesia</jtitle><stitle>Can J Anesth</stitle><addtitle>Can J Anaesth</addtitle><date>2008-08-01</date><risdate>2008</risdate><volume>55</volume><issue>8</issue><spage>507</spage><epage>514</epage><pages>507-514</pages><issn>0832-610X</issn><eissn>1496-8975</eissn><coden>CJOAEP</coden><abstract>Introduction: It is well known that hemoglobin is a scavenger of nitric oxide (NO). The present study used a canine model to test the hypothesis that acute normovolemic hemodilution (ANH) affects NO-mediated coronary vasodilation. Methods: Studies were performed in 18 open-chest, anesthetized dogs. In Series 1, the contribution of endogenous NO to coronary vasodilatation during ANH with 5% dextran-40 (reduction in hematocrit by 50%) was assessed. This was accomplished by comparing myocardial blood flow (MBF; radioactive microspheres) in the left anterior descending (LAD) region, which was treated with the NO synthase inhibitor, N G -nitro-Larginine methyl ester (L-NAME), to that in the circumflex (control) region. In Series 2, the LAD was perfused via a controlledpressure extracorporeal system with coronary blood flow (CBF) measured with an ultrasonic, transit-time flow transducer. The dose-dependent increases in CBF caused by acetylcholine (ACh), which releases endogenous NO from the vascular endothelium, and sodium nitroprusside (SNP), which provides exogenous NO, were compared before and during ANH. Results: Acute normovolemic hemodilution caused similar (approximately twofold) increases in MBF ( P &lt;0.01) in the absence and presence of L-NAME, and it did not affect the dose-related increases in CBF caused by ACh and SNP. Conclusions: Series 1: under baseline conditions, hemoglobin in red blood cells does not limit the coronary vasodilatation resulting from tonic release of NO; NO does not mediate coronary vasodilation during ANH. Series 2: ANH does not influence the coronary vasodilating effects of increased levels of NO, whether due to endogenous release (ACh) or infusion of an NO donor (SNP).</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>18676385</pmid><doi>10.1007/BF03016670</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0832-610X
ispartof Canadian journal of anesthesia, 2008-08, Vol.55 (8), p.507-514
issn 0832-610X
1496-8975
language eng
recordid cdi_proquest_miscellaneous_69375702
source MEDLINE; Springer Nature - Complete Springer Journals
subjects Acetylcholine - pharmacology
Adenosine - pharmacology
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthesiology
Animals
Biological and medical sciences
Blood Gas Analysis
Blood Pressure - drug effects
Cardiology
Circulatory system
Coronary Vessels - diagnostic imaging
Coronary Vessels - drug effects
Critical Care Medicine
Dogs
Enzyme Inhibitors - pharmacology
Female
Free Radical Scavengers - pharmacology
Heart Rate - drug effects
Hemodilution - adverse effects
Hemodilution - methods
Intensive
Male
Medical sciences
Medicine
Medicine & Public Health
Models, Animal
NG-Nitroarginine Methyl Ester - pharmacology
Nitric oxide
Nitric Oxide - pharmacology
Nitric Oxide - physiology
Nitric Oxide Synthase - antagonists & inhibitors
Nitroprusside - pharmacology
Pain Medicine
Pediatrics
Pneumology/Respiratory System
Radionuclide Imaging
Reports Of Original Investigations
Treatment Outcome
Vasodilator Agents - pharmacology
title Hemodilution does not alter the coronary vasodilating effects of endogenous or exogenous nitric oxide
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T12%3A19%3A07IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Hemodilution%20does%20not%20alter%20the%20coronary%20vasodilating%20effects%20of%20endogenous%20or%20exogenous%20nitric%20oxide&rft.jtitle=Canadian%20journal%20of%20anesthesia&rft.au=Crystal,%20George%20J.&rft.date=2008-08-01&rft.volume=55&rft.issue=8&rft.spage=507&rft.epage=514&rft.pages=507-514&rft.issn=0832-610X&rft.eissn=1496-8975&rft.coden=CJOAEP&rft_id=info:doi/10.1007/BF03016670&rft_dat=%3Cproquest_cross%3E69375702%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=922410339&rft_id=info:pmid/18676385&rfr_iscdi=true