Ventilatory equivalents

Author(s):  
William J.M. Kinnear ◽  
James H. Hull

This chapter shows how dividing the minute ventilation (VE) by the volume of carbon dioxide exhaled, or the volume of oxygen taken up, gives the ventilatory equivalents (VeqCO2 or VeqO2, respectively). VeqCO2 show how much ventilation is needed to get a given volume of carbon dioxide out of the body. In a normal subject, the VeqCO2 fall gradually during exercise, as ventilation–perfusion matching improves, to a value of <30. In lung disease, the lowest value remains >30. Beyond the anaerobic threshold (AT), VE increases in order to get rid of CO2 produced from buffering of lactic acid. Since there is no corresponding increase in VO2, the VeqO2 start to rise, giving one of several ways of looking at the AT.

The type of exercise studied in former papers of this series involves the activity of the body as a whole. The characteristic of all such forms of exercise is the free and vigorous movement of nearly all the muscles in the body. Since nearly all the muscles were in activity and behaving in a similar way it was more easy to compare their behaviour with that of an isolated muscle, and in previous papers it has been shown how closely the phenomena of muscular exercise in the body as a whole resemble those accompanying severe exercise in the isolated muscle. As far as concerns the observations described in the succeeding pages, the most pertinent conclusions of the former papers are as follows: (1) Provided that the exercise was not too severe, there occurred what has been called a steady state, in which recovery balanced breakdown in a manner analogous to that shown by Fletcher to occur in isolated frog’s muscle; (2) in severe exercise a considerable proportion of the energy employed is derived, not from contemporary oxidation, but by lactic acid formation on what may be called a “credit” of oxygen secured on the oxidation occurring in the recovery process later; (3) the most severe exercise can be maintained only for about 30 seconds, which corresponds to the time when the lactic acid concentration in the active muscle, as measured by the magnitude of the oxygen debt, may reach a value of about 0·3 per cent., the maximum value found to occur in the isolated frog’s muscle.


(A) The relation between oxygen intake and severity of exertion . — When muscular exercise commences, the ventilation of the lungs, the oxygen intake and the carbon dioxide output rise rapidly, in a period of about 2½ minutes, to values characteristic of the severity of the exercise; at these values they remain approximately constant. If the exercise be moderate, i. e ., if the oxygen intake does not approach the maximum for the subject investigated, then the exercise may be continued for a long time: the body is able, so to speak, to provide the energy required “out of income.” If, however, the effort be excessive, the condition of exercise is not stable, the ventilation, the oxygen intake and the carbon dioxide output tend to attain their maximum values, and fatigue and exhaustion gradually or rapidly set in. The relation between these quantities and the magnitude of the effort made is clearly shown in Table I, especially in the series of 14 experiments made on A. V. H. running; at speeds from 2·86 to 4·7 metres per second. These results are plotted as double circles in fig. 1; the other points shown are the results obtained with S., W., and J. (who have approximately the same body-weight and build as A. V. H.), and with C. N. H. L. and H. L. (who are lighter). The observations on the two latter have been “reduced” to the same body-weight as A. V. H. before plotting. The running was on an open-air grass track, about 90 metres round, the speed being kept constant by an observer calling the times of successive laps. In every case the collection of expired gases was preceded by a sufficient foreperiod of exercise (2½ minutes or more) to ensure that a steady condition was reached. The following conclusions may be drawn from these observations:— (1) At low speeds the ventilation is small and the respiratory quotient is low: the oxygen supply is adequate to the needs of the body, lactic acid does not accumulate, and a steady state is soon attained.


1979 ◽  
Vol 69 (3) ◽  
pp. 459-467 ◽  
Author(s):  
G. A. Vale

AbstractThe numbers of Glossina morsitans morsitans Westw. and G. pallidipes Aust. attracted to odour at a distance were studied by catches in Zimbabwe-Rhodesia from an electrocuting net near a stationary odour source. Also, the numbers of flies attracted to an ox and the proportion of flies engorging on it when it was sprayed with L-lactic acid were assessed from the numbers of fed and unfed flies caught by a pair of nets around the penned bait. The body odour of men depressed by up to four-fifths the numbers attracted to ox odour from a distance. Lactic acid, which was shown to occur on human skin, produced a similar effect, and when sprayed on an ox it reduced by about half the proportion of attracted flies that engorged. Human breath was mildly attractive, due largely or entirely to its content of carbon dioxide.


2016 ◽  
Vol 124 (3) ◽  
pp. 674-682 ◽  
Author(s):  
Vittorio Scaravilli ◽  
Stefan Kreyer ◽  
Slava Belenkiy ◽  
Katharina Linden ◽  
Alberto Zanella ◽  
...  

Abstract Background The authors studied the effects on membrane lung carbon dioxide extraction (VCO2ML), spontaneous ventilation, and energy expenditure (EE) of an innovative extracorporeal carbon dioxide removal (ECCO2R) technique enhanced by acidification (acid load carbon dioxide removal [ALCO2R]) via lactic acid. Methods Six spontaneously breathing healthy ewes were connected to an extracorporeal circuit with blood flow 250 ml/min and gas flow 10 l/min. Sheep underwent two randomly ordered experimental sequences, each consisting of two 12-h alternating phases of ALCO2R and ECCO2R. During ALCO2R, lactic acid (1.5 mEq/min) was infused before the membrane lung. Caloric intake was not controlled, and animals were freely fed. VCO2ML, natural lung carbon dioxide extraction, total carbon dioxide production, and minute ventilation were recorded. Oxygen consumption and EE were calculated. Results ALCO2R enhanced VCO2ML by 48% relative to ECCO2R (55.3 ± 3.1 vs. 37.2 ± 3.2 ml/min; P less than 0.001). During ALCO2R, minute ventilation and natural lung carbon dioxide extraction were not affected (7.88 ± 2.00 vs. 7.51 ± 1.89 l/min, P = 0.146; 167.9 ± 41.6 vs. 159.6 ± 51.8 ml/min, P = 0.063), whereas total carbon dioxide production, oxygen consumption, and EE rose by 12% each (223.53 ± 42.68 vs. 196.64 ± 50.92 ml/min, 215.3 ± 96.9 vs. 189.1 ± 89.0 ml/min, 67.5 ± 24.0 vs. 60.3 ± 20.1 kcal/h; P less than 0.001). Conclusions ALCO2R was effective in enhancing VCO2ML. However, lactic acid caused a rise in EE that made ALCO2R no different from standard ECCO2R with respect to ventilation. The authors suggest coupling lactic acid–enhanced ALCO2R with active measures to control metabolism.


Author(s):  
William J.M. Kinnear ◽  
James H. Hull

This chapter describes how carbon dioxide is produced from metabolism and also from buffering of lactic acid. The volume of carbon dioxide exhaled (VCO2) is calculated from the concentration in exhaled gas and minute ventilation. If the lungs are less efficient than normal, with a high dead space, the amount of ventilation needed to achieve any given VCO2 is much higher. This index, known as the ventilatory equivalent for carbon dioxide, is an important prognostic marker. Early on in a cardiopulmonary exercise test (CPET), VCO2 is slightly less than the oxygen uptake (VO2). As exercise reaches its maximum, VCO2 increases more quickly when acidaemia starts to stimulate ventilation.


Author(s):  
William J.M. Kinnear ◽  
James H. Hull

This chapter describes the changes that occur when anaerobic processes start to supplement aerobic metabolism during a cardiopulmonary exercise test (CPET). Lactic acid is produced, which is buffered by bicarbonate to produce carbon dioxide and water. The anaerobic threshold (AT) should be seen when VO2 is at least 40% of predicted maximum oxygen uptake (VO2max). A low AT indicates poor oxygen delivery to muscles. This can be seen in heart disease, peripheral vascular disease or anaemia. AT is useful for predicting operative risk.


1984 ◽  
Vol 67 (2) ◽  
pp. 229-236 ◽  
Author(s):  
D. A. Smith ◽  
T. V. O'Donnell

1. Six healthy male subjects followed a programme of endurance training for 36 weeks. At 12 week intervals each underwent an incremental exercise test to maximum on a treadmill. Minute ventilation, cardiac frequency, expired and end-tidal concentrations of oxygen and carbon dioxide, oxygen uptake and carbon dioxide output were measured continuously during each test. 2. Anaerobic threshold (AT) was determined non-invasively as the onset of sustained increases in each of the ventilatory equivalent for oxygen, expired and end-tidal concentrations of oxygen followed by an increase in ventilatory equivalent for carbon dioxide after a brief delay due to isocapnic buffering. A new computerized cumulative-sum method was employed. 3. Significant increases in maximum oxygen uptake (Vo2 max.) of 13.6%, AT (32.3%) and % AT/Vo2 max. (17.0%) and a significant decrease (10.2%) in cardiac frequency at an oxygen uptake of 1.0 litres/min (fc1.0) were observed at the completion of the training programme. 4. The time courses of the changes for each of AT, Vo2 max. and fc1.0 were not identical during the training. Compared with Vo2 max. the disproportionate increases in AT occurred earlier and were usually completed within 12 weeks. Vo2 max. increased for the first 24 weeks of training, but showed no further increase over the final 12 weeks. fc1.0 decreased through the whole training period. 5. The improved AT after training is more likely to be related to improved peripheral utilization of oxygen than to an improved oxygen delivery to muscles.


RSC Advances ◽  
2015 ◽  
Vol 5 (46) ◽  
pp. 36320-36324 ◽  
Author(s):  
Junsong Li ◽  
Guangjian He ◽  
Xia Liao ◽  
Hao Xu ◽  
Qi Yang ◽  
...  

The random nanocells and the radial needle-like cells are formed in the interlamellar amorphous regions of spherulites in PLLA.


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