Effect of carbon dioxide on systemic oxygenation, oxygen consumption, and blood lactate levels after bidirectional superior cavopulmonary anastomosis*

2005 ◽  
Vol 33 (5) ◽  
pp. 984-989 ◽  
Author(s):  
Jia Li ◽  
Aparna Hoskote ◽  
Chantal Hickey ◽  
Derek Stephens ◽  
Desmond Bohn ◽  
...  
2000 ◽  
Vol 203 (12) ◽  
pp. 1809-1815
Author(s):  
D.A. Scholnick ◽  
T.T. Gleeson

During recovery from even a brief period of exercise, metabolic rate remains elevated above resting levels for extended periods. The intensity and duration of exercise as well as body temperature and hormone levels can influence this excess post-exercise oxygen consumption (EPOC). We examined the influence of activity before exercise (ABE), commonly termed warm-up in endotherms, on EPOC in the desert iguana Dipsosaurus dorsalis. The rate of oxygen consumption and blood lactate levels were measured in 11 female D. dorsalis (mass 41.1 +/− 3.0 g; mean +/− s.e.m.) during rest, after two types of ABE and after 5 min of exhaustive exercise followed by 60 min of recovery. ABE was either single (15 s of maximal activity followed by a 27 min pause) or intermittent (twelve 15 s periods of exercise separated by 2 min pauses). Our results indicate that both single and intermittent ABE reduced recovery metabolic rate. EPOC volumes decreased from 0.261 to 0.156 ml of oxygen consumed during 60 min of recovery when lizards were subjected to intermittent ABE. The average cost of activity (net V(O2) during exercise and 60 min of recovery per distance traveled) was almost 40 % greater in lizards that exercised without any prior activity than in lizards that underwent ABE. Blood lactate levels and removal rates were greatest in animals that underwent ABE. These findings may be of particular importance for terrestrial ectotherms that typically use burst locomotion and have a small aerobic scope and a long recovery period.


1992 ◽  
Vol 262 (5) ◽  
pp. R771-R778 ◽  
Author(s):  
R. V. Baudinette ◽  
G. K. Snyder ◽  
P. B. Frappell

Rates of oxygen consumption and blood lactate levels were measured in tammar wallabies (Macropus eugenii) trained to hop on a treadmill. In addition, the work required to overcome wind resistance during forward locomotion was measured in a wind tunnel. Up to approximately 2.0 m/s, rates of oxygen consumption increased linearly with speed and were not significantly different from rates of oxygen consumption for a quadruped of similar body mass. Between 2.0 and 9.4 m/s, rates of oxygen consumption were independent of hopping speed, and between 3.9 and 7.9 m/s, the range over which samples were obtained, blood lactate levels were low (0.83 +/- 0.13 mmol.min-1.kg-1) and did not increase with hopping speed. The work necessary to overcome drag increased exponentially with speed but increased the energy cost of locomotion by only 10% at the average speed attained by our fast hoppers. Thus, during hopping, the energy cost of locomotion is effectively independent of speed. At rates of travel observed in the field, the estimated energy cost of transport in large macropods is less than one-third the cost for a quadruped of equivalent body mass. The energetic savings associated with this unique form of locomotion may have been an important physiological adaptation, enabling large macropods to efficiently cover the distances necessary to forage in the semiarid landscapes of Australia.


Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Ichiro Hirayama ◽  
Toshifumi Asada ◽  
Miyuki Yamamoto ◽  
Naoki Hayase ◽  
Takahiro Hiruma ◽  
...  

Abstract Background Several clinical guidelines recommend monitoring blood lactate levels and central venous oxygen saturation for hemodynamic management of patients with sepsis. We hypothesized that carbon dioxide production (VCO2) and oxygen extraction (VO2) evaluated using indirect calorimetry (IC) might provide additional information to understand the dynamic metabolic changes in sepsis. Methods Adult patients with sepsis who required mechanical ventilation in the intensive care unit (ICU) of our hospital between September 2019 and March 2020 were prospectively enrolled. Sepsis was diagnosed according to Sepsis-3. Continuous measurement of VCO2 and VO2 using IC for 2 h was conducted within 24 h after tracheal intubation, and the changes in VCO2 and VO2 over 2 h were calculated as the slopes by linear regression analysis. Furthermore, temporal lactate changes were evaluated. The primary outcome was 28-day survival. Results Thirty-four patients with sepsis were enrolled, 26 of whom survived 76%. Significant differences in the slope of VCO2 (− 1.412 vs. − 0.446) (p = 0.012) and VO2 (− 2.098 vs. − 0.851) (p = 0.023) changes were observed between non-survivors and survivors. Of note, all eight non-survivors and 17 of the 26 survivors showed negative slopes of VCO2 and VO2 changes. For these patients, 17 survivors had a median lactate of − 2.4% changes per hour (%/h), whereas non-survivors had a median lactate of 2.6%/hr (p = 0.023). Conclusions The non-survivors in this study showed temporal decreases in both VCO2 and VO2 along with lactate elevation. Monitoring the temporal changes in VCO2 and VO2 along with blood lactate levels may be useful in predicting the prognosis of sepsis.


2021 ◽  
Author(s):  
Megumi Hoshiai ◽  
Kaori Ochiai ◽  
Yuma Tamura ◽  
Tomoki Tsurumi ◽  
Masato Terashima ◽  
...  

AbstractNeuromuscular electrical stimulation has been used to treat cardiovascular diseases and other types of muscular dysfunction. A novel whole-body neuromuscular electrical stimulation (WB-NMES) wearable device may be beneficial when combined with voluntary exercises. This study aimed to investigate the safety and effects of the WB-NMES on hemodynamics, arrhythmia, and sublingual microcirculation. The study included 19 healthy Japanese volunteers, aged 22–33 years, who were not using any medication. Electrocardiogram (ECG), echocardiography, and blood sampling were conducted before a 20-min WB-NMES session and at 0 and 10 min after termination of WB-NMES. Their tolerable maximum intensity was recorded using numeric rating scale. Arrhythmia was not detected during neuromuscular electrical stimulation or during 10 min of recovery. Blood pressure, heart rate, left ventricular ejection fraction, and diastolic function remained unchanged; however, mild mitral regurgitation was transiently observed during WB-NMES in a single male participant. A decrease in blood glucose and an increase in blood lactate levels were observed, but no changes in blood fluidity, sublingual microcirculation, blood levels of noradrenaline, or oxidative stress were shown. WB-NMES is safe and effective for decreasing blood glucose and increasing blood lactate levels without changing the blood fluidity or microcirculation in healthy people.


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