Arterial Blood Oxygenation during and after Endotracheal Suctioning in the Apneic Patient

1970 ◽  
Vol 32 (2) ◽  
pp. 114-118 ◽  
Author(s):  
Azmy R. Boutros
Keyword(s):  
Blood Oxygenation ◽  
Endotracheal Suctioning ◽  
Arterial Blood

scholarly journals Is the resting rate of oxygen consumption of locomotor muscles in crustaceans limited by the low blood oxygenation strategy?

2001 ◽  
Vol 204 (5) ◽  
pp. 933-940 ◽  
Author(s):  
J. Forgue ◽  
A. Legeay ◽  
J.C. Massabuau
Keyword(s):  
Blood Oxygenation ◽  
Whole Body ◽  
Blood Gas ◽  
Astacus Leptodactylus ◽  
Night Time ◽  
Arterial Blood ◽  
Rate Of Oxygen Consumption ◽  
Locomotor Muscles

Numerous water-breathers exhibit a gas-exchange regulation strategy that maintains O(2) partial pressure, P(O2), in the arterial blood within the range 1–3 kPa at rest during the daytime. In a night-active crustacean, we examined whether this could limit the rate of O(2)consumption (M(O2)) of locomotor muscles and/or the whole body as part of a coordinated response to energy conservation. In the crayfish Astacus leptodactylus, we compared the in vitro relationship between the M(O2) of locomotor muscles as a function of the extracellular P(O2) and P(CO2) and in vivo circadian changes in blood gas tensions at various values of water P(O2). In vitro, the M(O2) of locomotor muscle, either at rest or when stimulated with CCCP, was O(2)-dependent up to an extracellular P(O2) of 8–10 kPa. In vivo, the existence of a night-time increase in arterial P(O2) of up to 4 kPa at water P(O2) values of 20 and 40 kPa was demonstrated, but an experimental increase in arterial P(O2) during the day did not lead to any rise in whole-body M(O2). This suggested that the low blood P(O2) in normoxia has no global limiting effect on daytime whole-body M(O2). The participation of blood O(2) status in shaping the circadian behaviour of crayfish is discussed.

Endotracheal suctioning: ventilator vs manual delivery of hyperoxygenation breaths

1996 ◽  
Vol 5 (3) ◽  
pp. 192-197 ◽  
Author(s):  
MJ Grap ◽  
C Glass ◽  
M Corley ◽  
T Parks
Keyword(s):  
Clinical Practice ◽  
Lung Injury ◽  
Arterial Pressure ◽  
Oxygen Saturation ◽  
Arterial Oxygen ◽  
Suction Catheter ◽  
Endotracheal Suctioning ◽  
Arterial Blood ◽  
Before And After ◽  
The Impact

BACKGROUND: Despite a large number of studies on endotracheal suctioning, there is little data on the impact of clinically practical hyperoxygenation techniques on physiologic parameters in critically ill patients. OBJECTIVE: To compare the manual and mechanical delivery of hyperoxygenation before and after endotracheal suctioning using methods commonly employed in clinical practice. METHODS: A quasi-experimental design was used, with twenty-nine ventilated patients with a lung injury index of 1.54 (mild-moderate lung injury). Three breaths were given before and after each of two suction catheter passes using both the manual resuscitation bag and the ventilator. Arterial pressure, capillary oxygen saturation, heart rate, and cardiac rhythm were monitored for 1 minute prior to the intervention to obtain a baseline, continuously throughout the procedure, and for 3 minutes afterward. Arterial blood gases were collected immediately prior to the suctioning intervention, immediately after, and at 30, 60, 120, and 180 seconds after the intervention. Data were analyzed with repeated measures analysis of variance. RESULTS: Arterial oxygen partial pressures were significantly higher using the ventilator method. Peak inspiratory pressures during hyperoxygenation were significantly higher with the manual resuscitation bag method. Significant increases were observed in mean arterial pressure during and after suctioning, with both delivery methods, with no difference between methods. Maximal increases in arterial oxygen partial pressure and arterial oxygen saturation occurred 30 seconds after hyperoxygenation, falling to baseline values at 3 minutes for both methods. CONCLUSION: Using techniques currently employed in clinical practice, these findings support the use of the patient's ventilator for hyperoxygenation during suctioning.

Catecholamines inhibit growth in fetal sheep in the absence of hypoxemia

1998 ◽  
Vol 274 (6) ◽  
pp. R1536-R1545 ◽  
Author(s):  
John M. Bassett ◽  
Clifford Hanson
Keyword(s):  
Growth Hormone ◽  
Weight Gain ◽  
Plasma Glucose ◽  
Fetal Development ◽  
Plasma Insulin ◽  
Blood Oxygenation ◽  
Fetal Sheep ◽  
Inhibition Of Growth ◽  
Arterial Blood ◽  
Chronic Hypoxemia

To evaluate contributions of catecholamines to inhibition of growth during chronic hypoxemia or severe undernutrition, epinephrine (Epi; 0.25–0.35 μg ⋅ kg−1 ⋅ min−1) or norepinephrine (NE; 0.5–0.7 μg ⋅ kg−1 ⋅ min−1) was administered to normoxemic fetuses in twin-pregnant ewes for 8–12 days, from 125 to 127 days of gestation. Both had similar effects and decreased fetal weight by ∼20% relative to control twins ( P < 0.01). Weight gain ceased during infusion of Epi or NE (−21 ± 14.8 or 14 ± 20.9 g/day), whereas controls gained 93 ± 13.2 g/day ( P < 0.01). Effects on tissues and organs varied, spleen and thymus being most retarded, whereas brain weight and skeletal measures were affected little. Selected muscles from infused fetuses weighed 72% of those in controls. Growth ceased during infusion ( P < 0.001). Weight gain of hindlimb bones was negligible, but length increased at 56% of control rates. Arterial blood CO2and plasma insulin were decreased ( P< 0.001), but plasma glucose, growth hormone, and blood oxygenation increased ( P < 0.001). Actions of Epi and NE could underlie asymmetrical growth retardation occurring in many adverse physiological situations during fetal development.

An Integrated I2C Sensor Network for Transcatheter Heart Valves

2020 ◽  
Author(s):  
Thomas W. Secord ◽  
Lucas J. Koerner ◽  
Robert J. Kopas
Keyword(s):  
Pulse Wave Velocity ◽  
Sensor Network ◽  
Wave Velocity ◽  
Pulse Wave ◽  
Severe Aortic Stenosis ◽  
Blood Oxygenation ◽  
Circuit Board ◽  
Measurement Unit ◽  
Propagation Time ◽  
Arterial Blood

Abstract Transcathether aortic heart valve replacement (TAVR) is a widespread approach to treating patients with severe aortic stenosis. A TAVR implant is ideally positioned to access numerous clinically relevant signals including arterial blood pressure, pulse wave velocity, electrocardiogram (ECG), patient motion, heart rate, respiration, and blood oxygenation. Unlike medical devices such as pacemakers, TAVR implants are purely mechanical structures with no sensing capabilities. In this work, we address this unmet clinical need by incorporating an Inter-Integrated Circuit (I2C) sensor network within a TAVR stent frame and designing sensor modules that can physically connect to the network at various landing zones. To illustrate this approach, we designed and built a sensor circuit board populated with a commercial inertial measurement unit (IMU) that can detect clinically useful metrics including pulse wave velocity at the aortic root. We use two spatially separated accelerometers to measure pulse wave propagation time with a standard deviation of 140 μs, which translates to an uncertainty of the pulse wave velocity of ±0.2 m/s. The sensor modules connect to a customized stent frame containing the necessary I2C conductors. Our data suggest that a fully instrumented TAVR paradigm is feasible using this frame design and modular sensor approach.

scholarly journals The Various Oximetric Techniques Used for the Evaluation of Blood Oxygenation

Sensors ◽  
2020 ◽  
Vol 20 (17) ◽  
pp. 4844
Author(s):  
Meir Nitzan ◽  
Itamar Nitzan ◽  
Yoel Arieli
Keyword(s):  
Oxygen Saturation ◽  
Pulse Oximetry ◽  
Near Infrared ◽  
Light Transmission ◽  
Venous Blood ◽  
Blood Oxygenation ◽  
Infrared Light ◽  
Cerebral Tissue ◽  
Peripheral Muscle ◽  
Arterial Blood

Adequate oxygen delivery to a tissue depends on sufficient oxygen content in arterial blood and blood flow to the tissue. Oximetry is a technique for the assessment of blood oxygenation by measurements of light transmission through the blood, which is based on the different absorption spectra of oxygenated and deoxygenated hemoglobin. Oxygen saturation in arterial blood provides information on the adequacy of respiration and is routinely measured in clinical settings, utilizing pulse oximetry. Oxygen saturation, in venous blood (SvO2) and in the entire blood in a tissue (StO2), is related to the blood supply to the tissue, and several oximetric techniques have been developed for their assessment. SvO2 can be measured non-invasively in the fingers, making use of modified pulse oximetry, and in the retina, using the modified Beer–Lambert Law. StO2 is measured in peripheral muscle and cerebral tissue by means of various modes of near infrared spectroscopy (NIRS), utilizing the relative transparency of infrared light in muscle and cerebral tissue. The primary problem of oximetry is the discrimination between absorption by hemoglobin and scattering by tissue elements in the attenuation measurement, and the various techniques developed for isolating the absorption effect are presented in the current review, with their limitations.

scholarly journals Open and Closed Endotracheal Suctioning and Arterial Blood Gas Values: A Single-Blind Crossover Randomized Clinical Trial

2015 ◽  
Vol 2015 ◽  
pp. 1-7
Author(s):  
Azam Faraji ◽  
Alireza Khatony ◽  
Gholamreza Moradi ◽  
Alireza Abdi ◽  
Mansour Rezaei
Keyword(s):  
Clinical Trial ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Blood Gases ◽  
Open Heart ◽  
Blood Gas ◽  
Open Technique ◽  
Endotracheal Suctioning ◽  
Arterial Blood Gas ◽  
Arterial Blood

Aim. This study was aimed at comparing the effects of the open and closed suctioning techniques on the arterial blood gas values in patients undergoing open-heart surgery.Methods. In a clinical trial, we recruited 42 patients after open-heart surgery in an educational hospital. Each patient randomly underwent both open and closed suctioning. ABGs, PaO2, SaO2, PaCO2, were analyzed before and one, five, and fifteen minutes after each suctioning episode.Results. At first the pressure of oxygen in arterial blood increased; however, this increase in the open technique was greater than that of the closed system(P<0.001). The pressure of oxygen decreased five and fifteen minutes after both suctioning techniques(P<0.05). The trends of carbon dioxide variations after the open and closed techniques were upward and downward, respectively. Moreover, the decrease in the level of oxygen saturation five and fifteen minutes after the open suctioning was greater than that of the closed suctioning technique(P<0.05).  Conclusion. Arterial blood gas disturbances in the closed suctioning technique were less than those of the open technique. Therefore, to eliminate the unwanted effects of endotracheal suctioning on the arterial blood gases, the closed suctioning technique is recommended.

Hyperacute Hemodynamic Effects of BiPAP Noninvasive Ventilation in Patients With Acute Heart Failure and Left Ventricular Systolic Dysfunction in Emergency Department

2017 ◽  
Vol 33 (2) ◽  
pp. 128-133 ◽  
Author(s):  
Cinzia Moret Iurilli ◽  
Natale Daniele Brunetti ◽  
Paola Rita Di Corato ◽  
Giuseppe Salvemini ◽  
Matteo Di Biase ◽  
...  
Keyword(s):  
Heart Failure ◽  
Emergency Department ◽  
Acute Heart Failure ◽  
Noninvasive Ventilation ◽  
Left Ventricular Systolic Dysfunction ◽  
Systolic Dysfunction ◽  
Left Ventricular ◽  
Blood Oxygenation ◽  
Ventricular Systolic Dysfunction ◽  
Arterial Blood

Background: Acute heart failure (AHF) is one of the leading causes of admission to emergency department (ED); severe hypoxemic AHF may be treated with noninvasive ventilation (NIV). Despite the demonstrated clinical efficacy of NIV in relieving symptoms of AHF, less is known about the hyperacute effects of bilevel positive airway pressure (BiPAP) ventilation on hemodynamics of patients admitted to ED for AHF. We therefore aimed to assess the effect of BiPAP ventilation on principal hemodynamic, respiratory, pulse oximetry, and microcirculation indexes in patients admitted to ED for AHF, needing NIV. Methods: Twenty consecutive patients admitted to ED for AHF and left ventricular systolic dysfunction, needing NIV, were enrolled in the study; all patients were treated with NIV in BiPAP mode. The following parameters were measured at admission to ED (T0, baseline before treatment), 3 hours after admission and initiation of BiPAP NIV (T1), and after 6 hours (T2): arterial blood oxygenation (pH, partial pressure of oxygen in the alveoli/fraction of inspired oxygen ratio, Paco2, lactate concentration, HCO3−), hemodynamics (tricuspid annular plane systolic excursion, transpulmonary gradient, transaortic gradient, inferior vena cava diameter, brain natriuretic peptide [BNP] levels), microcirculation perfusion (end-tidal CO2 [etco2], peripheral venous oxygen saturation [SpvO2]). Results: All evaluated indexes significantly improved over time (analysis of variance, P < .001 in quite all cases.). Conclusions: The BiPAP NIV may rapidly ameliorate several hemodynamic, arterial blood gas, and microcirculation indexes in patients with AHF and left ventricular systolic dysfunction.

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