Non-steady state, continuous measurement of O/sub 2/ uptake and Co/sub 2/ production during general anesthesia in man using the capnomac ultimxrm and a mini bypass mixing chamber

Author(s):  
V. Kapur ◽  
S. Gregoretti ◽  
G. Ritchie ◽  
D.D. Doblar
2016 ◽  
Vol 31 (4) ◽  
pp. 851-860 ◽  
Author(s):  
Ana Castro ◽  
Fernando Gomes de Almeida ◽  
Pedro Amorim ◽  
Catarina S. Nunes

1971 ◽  
Vol 34 (8) ◽  
pp. 479-482 ◽  
Author(s):  
Stojan Jeretin ◽  
Leonardo R. Martinez ◽  
Tadeusz Wandycz

2009 ◽  
Vol 110 (5) ◽  
pp. 1026-1035 ◽  
Author(s):  
Richard R. McNeer ◽  
Jorge Bohórquez ◽  
Özcan Özdamar

Background The auditory middle-latency response (transient) and the 40-Hz auditory steady state response (ASSR) are modulated by anesthetics. However, the quantitative relation between these evoked responses is difficult to obtain because of technical limitations of the recording methods used to obtain transients at high stimulation rates. This study uses continuous-loop averaging deconvolution to fill this technical gap and to study the relation between the transient and ASSR waveform during general anesthesia. Methods The authors recorded 5- and 40-Hz transients and 40-Hz ASSRs in 13 subjects during general anesthesia. The 5- and 40-Hz transients were used to predict the 40-Hz ASSR by linearly superimposing the transient waveforms. The predicted and recorded ASSRs were analyzed and compared using phasor and Hotelling T(2) analyses. Results Grand-averaged recordings revealed differences in the early middle-latency peaks between 5- and 40-Hz transients, e.g., the peak P(x) was present only in 5-Hz transient. Only the predicted 40-Hz ASSR derived from the 40-Hz transient matched the actual ASSR. Phasor analysis showed that the early peaks contribute significantly to the steady state waveform, and this explains why 5-Hz transient does not predict the 40-Hz ASSR. Oscillations in both the 5- and 40-Hz transients were observed during anesthesia. Discussion The 40-Hz ASSR represents a composite waveform and arises when transient waveforms elicited with a 40-Hz stimulation rate are overlapped and superimposed. During general anesthesia, the morphology of the transient is dependent on the rate of stimulus presentation. The composite nature of the ASSR may explain nonmonotonic anesthetic dose-response relations observed by others.


1987 ◽  
Vol 73 (2) ◽  
pp. 177-182 ◽  
Author(s):  
Margaret S. Jacobi ◽  
Vincent I. Iyawe ◽  
Chandu P. Patil ◽  
Andrew R. C. Cummin ◽  
Kenneth B. Saunders

1. Rapid steady-state CO2 responses were determined in six normal subjects at rest and five subjects at four different work loads up to 125 W, by injecting pure CO2 at constant flow into a small mixing chamber in the inspiratory limb of a breathing circuit. 2. The time course of the response of ventilation (V) and mean alveolar Pco2 (Paco2) was checked in separate experiments, where the flow rate of injected CO2 was changed abruptly and the effects were followed for 10 min. 3. V and Paco2 were measured every breath, and the results ensemble-averaged for each subject (two or three runs per subject) and then for the groups as a whole, in 30 s or 60 s time bins. 4. Paco2 during exercise was estimated by graphical reconstruction from the sloping alveolar plateau, and separately by the empirical equation of Jones, Robertson & Kane [1]. At rest, Paco2 was assumed equal to end-tidal Pco2 (Petco2). 5. With the constant inflow technique, 4 min was required to reach steady-state V and Paco2 during exercise, and 6 min at rest. 6. At rest, with 4 min steps (doubtful steady state) the averaged CO2 response was concave up. With 6 min steps the response was almost linear. In neither case was the deviation from linearity statistically significant. 7. During exercise, the averaged CO2 responses were essentially isocapnic at work loads greater than 75 W with either method of deriving Paco2.


1981 ◽  
Vol 241 (2) ◽  
pp. H228-H234 ◽  
Author(s):  
D. W. Busija ◽  
D. D. Heistad ◽  
M. L. Marcus

We have developed a method for virtually continuous measurement of changes in cerebral blood flow (CBF) in cats and dogs. CBF was computed by multiplying cross-sectional area (CSA) and mean blood velocity in a pial artery. CSA was determined by measuring pial artery diameter with an electronic micrometer every 2-4 s through a cranial window. Velocity was measured continuously with a pulsed Doppler crystal positioned under a pial artery. CBF was determined in 12 anesthetized cats during 1) control, 2) hypocapnia, 3) hypercapnia, and 4) hypercapnia plus hypertension. Microspheres were injected under steady-state conditions to compare the two methods. During control, the diameter of the cerebral arteries observed was 388 +/- 28 (SE) micrometers, and CBF measured with microspheres was 40 +/- 4 ml.min-1.100 g-1. CBF decreased 18 +/- 2% during hypocapnia and increased 152 +/- 36% during hypercapnia. During steady-state conditions, the correlation coefficient between changes in CBF (CSA X velocity and microspheres) was 0.94, and the slope of the regression line was 1.02. In similar studies on seven anesthetized dogs, the correlation coefficient between CSA X velocity and microspheres was 0.98, and the slope of the regression line was 0.94. We conclude that the product of CSA and blood velocity of a pial artery provides accurate on-line measurement of changes in CBF.


1962 ◽  
Vol 17 (1) ◽  
pp. 1-5 ◽  
Author(s):  
R. S. Cosby ◽  
E. C. Stowell ◽  
D. M. Morrison ◽  
M. Mayo ◽  
F. B. Ruymann ◽  
...  

In 18 normal subjects continuous alveolo-arterial differences were measured at decreasing levels of inspired pO2 from ambient to 12% oxygen. A mean difference of 12.1 mm Hg decreased gradually to virtual obliteration of the gradient at low levels of inspired pO2. A modified Clark electrode lying within a Riley needle continuously recorded arterial O2 tensions and, together with a recording alveolar O2 electrode, inscribed a continuous visual alveolo-arterial difference. The response of arterial pO2 to an anoxic level, though maximal in the 1st min (74% of the total change in 4 min), continued to change at the rate of 2 frac12%/min during and after the 4th min. Continuously changing levels of ventilation and arterial pO2 and pCO2, as described, make it unlikely that the steady state is ever truly present during acute exposure to anoxia. Submitted on April 17, 1961


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