Effect of hemoglobin concentration on critical cardiac output and oxygen transport

1989 ◽  
Vol 256 (2) ◽  
pp. H527-H532 ◽  
Author(s):  
F. Heusser ◽  
J. T. Fahey ◽  
G. Lister
Keyword(s):  
Cardiac Output ◽  
Lactate Concentration ◽  
Blood Lactate Concentration ◽  
Hemoglobin Concentration ◽  
Base Line ◽  
O2 Consumption ◽  
Arterial Blood ◽  
O2 Transport ◽  
O2 Extraction ◽  
The Right

We previously found limited tolerance to acute reduction in cardiac output in lambs at the nadir of their physiological anemia [Am. J. Physiol. 253 (Heart Cir. Physiol. 12): H100-H106, 1987]. To determine the effect of hemoglobin concentration [Hb] on critical cardiac output, critical systemic O2 transport, and peripheral O2 extraction, we performed 31 experiments in 12 one-mo-old lambs at four [Hb] (means +/- SD in g/dl): 7.4 +/- 0.6, 10.5 +/- 0.5, 14.5 +/- 0.5, and 16.5 +/- 0.6. Desired [Hb] was obtained by exchange transfusion with packed red cells or plasma. Cardiac output was reduced by inflation of a balloon-tipped catheter in the right atrium, and critical levels were defined at the point where O2 consumption decreased and/or arterial blood lactate concentration increased in response. With lower [Hb], cardiac output was unchanged, systemic O2 transport was reduced, and fractional O2 extraction was increased, keeping O2 consumption constant at base line. As [Hb] was reduced, critical cardiac output was significantly higher, whereas critical systemic O2 transport was independent of [Hb], as were fractional O2 extraction and mixed venous PO2 at the critical point. Thus peripheral O2 extraction was not affected by changes in [Hb] during progressive decreases in cardiac output. We conclude that 4-wk-old lambs have decreased tolerance to reductions in cardiac output and systemic O2 transport because their relative anemia provides them with a base-line cardiac output and systemic O2 transport close to the critical level.

Effect of pentoxiphylline on oxygen transport during hypothermia

1989 ◽  
Vol 66 (1) ◽  
pp. 96-101 ◽  
Author(s):  
M. B. Hershenson ◽  
J. A. Schena ◽  
P. A. Lozano ◽  
M. J. Jacobson ◽  
R. K. Crone
Keyword(s):  
Cardiac Output ◽  
Blood Viscosity ◽  
Critical Level ◽  
Hemoglobin Concentration ◽  
Base Line ◽  
Mechanically Ventilated ◽  
O2 Transport ◽  
O2 Extraction ◽  
O2 Delivery ◽  
Mixed Venous

At least two investigators have demonstrated a reduction in O2 extraction during induced hypothermia (Cain and Bradley, J. Appl. Physiol. 55: 1713–1717, 1983; Schumacker et al., J. Appl. Physiol. 63: 1246–1252, 1987). We hypothesized that administration of pentoxiphylline (PTX), a theobromine that lowers blood viscosity and has vasodilator effects, would increase O2 extraction during hypothermia. To test this hypothesis, we studied O2 transport in anesthetized, paralyzed, mechanically ventilated beagles exposed to hypoxic hypoxia during either 1) normothermia (38 degrees C), 2) hypothermia (30 degrees C), or 3) hypothermia + PTX (30 degrees C and PTX, 20 mg.kg-1.h-1). Measurements included arterial and mixed venous PO2, hemoglobin concentration and saturation, cardiac output, systemic vascular resistance (SVR), blood viscosity, and O2 consumption (VO2). Critical levels of O2 delivery (DO2, the product of arterial O2 content and cardiac output) were determined by a system of linear regression. Hypothermia significantly decreased base line cardiac output (-35%), DO2 (-37%), and VO2 (-45%), while increasing SVR and blood viscosity. Addition of PTX increased cardiac output (35%) and VO2 (14%), and returned SVR and blood viscosity to normothermic levels. Hypothermia alone failed to significantly reduce the critical level of DO2, but addition of PTX did [normothermia, 11.4 +/- 4.2 (SD) ml.kg-1.min-1; hypothermia, 9.3 +/- 3.6; hypothermia + PTX, 6.6 +/- 1.3; P less than 0.05, analysis of variance]. The O2 extraction ratio (VO2/DO2) at the critical level of DO2 was decreased during hypothermia alone (normothermia, 0.60 +/- 0.13; hypothermia, 0.42 +/- 0.16; hypothermia + PTX, 0.62 +/- 0.19; P less than 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)

Alveolar gas composition and exchange during deep breath-hold diving and dry breath holds in elite divers

1991 ◽  
Vol 70 (2) ◽  
pp. 794-802 ◽  
Author(s):  
G. Ferretti ◽  
M. Costa ◽  
M. Ferrigno ◽  
B. Grassi ◽  
C. Marconi ◽  
...  
Keyword(s):  
Lactate Concentration ◽  
Blood Lactate Concentration ◽  
Breath Hold ◽  
O2 Consumption ◽  
Gas Composition ◽  
Arterial Blood ◽  
Co2 Output ◽  
Before And After ◽  
Volume Blood ◽  
End Tidal

End tidal O2 and CO2 (PETCO2) pressures, expired volume, blood lactate concentration ([Lab]), and arterial blood O2 saturation [dry breath holds (BHs) only] were assessed in three elite breath-hold divers (ED) before and after deep dives and BH and in nine control subjects (C; BH only). After the dives (depth 40-70 m, duration 88-151 s), end-tidal O2 pressure decreased from approximately 140 Torr to a minimum of 30.6 Torr, PETCO2 increased from approximately 25 Torr to a maximum of 47.0 Torr, and expired volume (BTPS) ranged from 1.32 to 2.86 liters. Pulmonary O2 exchange was 455-1,006 ml. CO2 output approached zero. [Lab] increased from approximately 1.2 mM to at most 6.46 mM. Estimated power output during dives was 513-929 ml O2/min, i.e. approximately 20-30% of maximal O2 consumption. During BH, alveolar PO2 decreased from approximately 130 to less than 30 Torr in ED and from 125 to 45 Torr in C. PETCO2 increased from approximately 30 to approximately 50 Torr in both ED and C. Contrary to C, pulmonary O2 exchange in ED was less than resting O2 consumption, whereas CO2 output approached zero in both groups. [Lab] was unchanged. Arterial blood O2 saturation decreased more in ED than in C. ED are characterized by increased anaerobic metabolism likely due to the existence of a diving reflex.

Role of tissue hypoxia as the mechanism of lactic acidosis during E. coli endotoxemia

1992 ◽  
Vol 72 (5) ◽  
pp. 1895-1901 ◽  
Author(s):  
F. J. Hurtado ◽  
A. M. Gutierrez ◽  
N. Silva ◽  
E. Fernandez ◽  
A. E. Khan ◽  
...  
Keyword(s):  
Skeletal Muscle ◽  
Cardiac Output ◽  
Lactate Concentration ◽  
High Energy ◽  
High Energy Phosphates ◽  
Arterial Lactate ◽  
E Coli ◽  
O2 Extraction ◽  
The Right

We compared the hemodynamic and metabolic alterations produced in rabbits by similar decreases in cardiac output created by inflating a balloon placed in the right ventricle (n = 6) with those produced by an intravenous bolus of Escherichia coli lipopolysaccharide (LPS; SEP group; n = 6). We measured O2 consumption (VO2), O2 transport (TO2), and O2 extraction ratio (ERO2) for the whole animal and also for the left hindlimb. Both groups experienced similar decreases in cardiac output, systemic TO2, and VO2 and similar increases in ERO2. For the hindlimb, TO2 was similar, but VO2 and ERO2 were lower for the SEP group 30 min after LPS administration (P less than 0.05); however, this difference disappeared during the remainder of the experiment. Arterial lactate concentration was greater (P less than 0.05) for the SEP group. There were no differences in skeletal muscle PO2, measured with a multiwire surface electrode, or in cardiac and skeletal muscle concentrations of high-energy phosphates. We hypothesize that a direct effect of LPS on cellular metabolism may have resulted in greater arterial lactate concentration for the SEP group.

Effect of flow on O2 consumption during progressive hypoxemia

1988 ◽  
Vol 65 (2) ◽  
pp. 601-607 ◽  
Author(s):  
G. Gutierrez ◽  
R. J. Pohil ◽  
R. Strong
Keyword(s):  
Venous Blood ◽  
Blood Gases ◽  
Low Flow ◽  
Base Line ◽  
O2 Consumption ◽  
Experimental Protocol ◽  
O2 Transport ◽  
O2 Extraction ◽  
O2 Diffusion ◽  
Arterial Po2

Rabbit hindlimb preparations perfused with blood from donor rabbits were used to determine whether O2 consumption (VO2) during hypoxemia is limited by total O2 transport (TO2) or by capillary O2 driving pressure, as reflected by the venous PO2 (PVO2). The preparations were randomized into two groups: low flow (LF) and high flow (HF), perfused at 18 and 32 ml.min-1.kg of preparation wt-1, respectively. After a 1-h base-line period with arterial PO2 (PaO2) greater than 100 Torr, both groups were exposed to progressive decrements in PaO2 to less than 10 Torr. Sequential sets of arterial and venous blood gases were obtained, and VO2, TO2, and O2 extraction ratio (ERO2) were calculated. A plot of PVO2 vs. TO2 showed higher levels of PVO2 (P less than 0.05) in LF than HF, when compared at similar levels of TO2. Therefore the experimental protocol allowed the comparison of the separate effects of TO2 or PVO2 on VO2. Plotting VO2 as a function of TO2 revealed two distinct curves (P less than 0.05), with LF having a greater VO2 than HF at a given TO2. Conversely, a plot of VO2 as a function of PVO2 did not show a difference between the groups. The ERO2 of LF was greater than HF when compared at similar levels of TO2 (P less than 0.05). We conclude from these data that during progressive hypoxemia VO2 appears to be primarily limited by factors that determine capillary O2 diffusion. This conclusion supports the Kroghian theory of capillary O2 exchange.

Effects of exercise on maximal instantaneous muscular power of humans

1987 ◽  
Vol 62 (6) ◽  
pp. 2288-2294 ◽  
Author(s):  
G. Ferretti ◽  
M. Gussoni ◽  
P. E. Di Prampero ◽  
P. Cerretelli
Keyword(s):  
Anaerobic Power ◽  
Lactate Concentration ◽  
Blood Lactate Concentration ◽  
Base Line ◽  
O2 Consumption ◽  
Muscular Power ◽  
Muscle Ph ◽  
Steady Level ◽  
Muscle Concentration ◽  
Priming Exercise

The maximal instantaneous anaerobic power (w), as determined during a high jump off both feet on a force platform, was measured on eight subjects starting from a resting base line; a base line of steady-state cycloergometric exercise requiring 30, 50, and 70% of individual maximum O2 consumption (VO2max); and a base line of maximal and supramaximal exercise (100 and 120% of VO2max). In addition, w was also measured during the VO2 transients from rest to each of the above work loads. Blood lactate concentration ([Lab]) was determined before and 8 min after the end of each priming load. After the onset of any priming load, w decreases with time reaching in 2 min a steady level that is lower the higher the VO2. For the three lowest work rates, the steady w level is unchanged by increasing the duration of the priming exercise up to 30 min. For low work levels, the decrease of w as a function of VO2 is essentially parallel to that of estimated muscle concentration of ATP ([ATP]). For work levels greater than 60% of VO2max involving a substantial accumulation of lactate, the decrease of w becomes smaller than the estimated drop of muscle [ATP]. This finding is tentatively attributed to an increase of either the mechanical equivalent or of the velocity constant of ATP splitting brought about by the lowering of intracellular muscle pH after lactate accumulation.(ABSTRACT TRUNCATED AT 250 WORDS)

Increased hemoglobin O2 affinity does not improve O2 consumption in hypoxemia

1989 ◽  
Vol 66 (2) ◽  
pp. 837-843 ◽  
Author(s):  
G. Gutierrez ◽  
J. M. Andry
Keyword(s):  
Hemoglobin Concentration ◽  
Resonance Spectroscopy ◽  
O2 Consumption ◽  
Comparable Rate ◽  
Perfusion Flow ◽  
O2 Transport ◽  
O2 Extraction ◽  
O2 Diffusion ◽  
Arterial O2 Saturation ◽  
Arterial Po2

We perfused an isolated rabbit hindlimb preparation with suspensions of human erythrocytes (RBC) having different O2 affinities. Our objective was to compare the effect of changes in P50, the PO2 at which hemoglobin is 50% saturated, on tissue O2 consumption during severe hypoxemia. A high-affinity (HA) group (n = 9) was perfused with RBC incubated in NaCNO (P50 = 21.4 +/- 1.9 Torr). This was compared with a low-affinity (LA) group (n = 9) perfused with rejuvenated RBC (P50 = 31.1 +/- 1.8 Torr). The arterial PO2 of the perfusate was decreased to approximately 24 Torr in both preparations. Perfusion flow and hemoglobin concentration were maintained constant. During hypoxemia arterial O2 saturation and total O2 transport (TO2) were greater in the HA than the LA group (P less than 0.05). O2 consumption and effluent venous PO2 decreased with hypoxemia in both groups to similar levels. Consequently, the LA group showed a greater O2 extraction ratio than the HA group (P less than 0.05). The ratio of phosphocreatine to inorganic phosphate, measured with 31P magnetic resonance spectroscopy, decreased at a comparable rate in both groups. As shown by a mathematical model of peripheral O2 transport, these experimental results can be explained on the basis of peripheral limitation to O2 diffusion. We conclude that increased hemoglobin affinity does not appreciably improve tissue oxygenation in hypoxemia, since the increase in TO2 is offset by diffusion limitation at the tissues.

A simple method for reducing cardiac output in the conscious lamb

1985 ◽  
Vol 249 (1) ◽  
pp. H188-H192 ◽  
Author(s):  
J. T. Fahey ◽  
G. Lister
Keyword(s):  
Cardiac Output ◽  
Foley Catheter ◽  
Lactate Concentration ◽  
Balloon Inflation ◽  
Simple Method ◽  
Arterial Lactate ◽  
O2 Extraction ◽  
Systemic Venous Return ◽  
Metabolic Variables ◽  
The Right

We have developed a method for reducing cardiac output in a controlled stepwise fashion using awake, intact, unsedated lambs. The method involves placing a balloon-tipped (Foley) catheter into the right atrium from a jugular vein isolated by a small neck incision. Systemic venous return and cardiac output are limited by balloon inflation. With each balloon inflation the animal reaches a new and stable cardiac output, which allows the measure of steady-state hemodynamic and metabolic variables. We have been able to decrease cardiac output to as low as 20% of the resting cardiac output and maintain a stable preparation. The reductions in cardiac output are quickly reversible by balloon deflation. Animal survival allows repeated study. We present data from five lambs studied between 26 and 36 days of age. Alterations in O2 consumption, O2 transport, O2 extraction, blood pressure, and arterial lactate concentration are examined in response to decrements in systemic blood flow and are consistent with changes seen in response to a reduction of cardiac output by other methods.

Gastrointestinal blood flow and oxygen consumption in awake newborn piglets: effect of feeding

1983 ◽  
Vol 245 (5) ◽  
pp. G697-G702 ◽  
Author(s):  
P. T. Nowicki ◽  
B. S. Stonestreet ◽  
N. B. Hansen ◽  
A. C. Yao ◽  
W. Oh
Keyword(s):  
Blood Flow ◽  
Cardiac Output ◽  
O2 Consumption ◽  
Gi Tract ◽  
Local Blood Flow ◽  
O2 Uptake ◽  
O2 Extraction ◽  
Gastrointestinal Blood Flow ◽  
O2 Delivery ◽  
Effect Of Feeding

Regional and total gastrointestinal (GI) blood flow, O2 delivery, and whole-gut O2 extraction and O2 consumption were measured before and 30, 60, and 120 min after feeding in nonanesthetized, awake 2-day-old piglets. Cardiac output and blood flow to kidneys, heart, brain, and liver were also determined. Blood flow was measured using the radiolabeled microsphere technique. In the preprandial condition, total GI blood flow was 106 +/- 9 ml X min-1 X 100 g-1, while O2 extraction was 17.2 +/- 0.9% and O2 consumption was 1.99 +/- 0.19 ml O2 X min-1 X 100 g-1. Thirty minutes after slow gavage feeding with 30 ml/kg artificial pig milk, O2 delivery to the GI tract and O2 extraction rose significantly (P less than 0.05) by 35 +/- 2 and 33 +/- 2%, respectively. The increase in O2 delivery was effected by a significant increase in GI blood flow, which was localized to the mucosal-submucosal layer of the small intestine. O2 uptake by the GI tract increased 72 +/- 4% 30 min after feeding. Cardiac output and blood flow to non-GI organs did not change significantly with feeding, whereas arterial hepatic blood flow decreased significantly 60 and 120 min after feeding. The piglet GI tract thus meets the oxidative demands of digestion and absorption by increasing local blood flow and tissue O2 extraction.

Costal diaphragmatic O2 and lactate extraction in laryngeal hemiplegic ponies during exercise

1988 ◽  
Vol 65 (4) ◽  
pp. 1723-1728 ◽  
Author(s):  
M. Manohar ◽  
T. E. Goetz ◽  
D. Nganwa
Keyword(s):  
Maximal Exercise ◽  
Venous Blood ◽  
Lactate Concentration ◽  
Lactate Production ◽  
Hemoglobin Concentration ◽  
Insignificant Change ◽  
Resistive Breathing ◽  
O2 Extraction ◽  
Before And After ◽  
Arterial Po2

Diaphragmatic O2 and lactate extraction were examined in seven healthy ponies during maximal exercise (ME) carried out without, as well as with, inspiratory resistive breathing. Arterial and diaphragmatic venous blood were sampled simultaneously at rest and at 30-s intervals during the 4 min of ME. Experiments were carried out before and after left laryngeal hemiplegia (LH) was produced. During ME, normal ponies exhibited hypocapnia, hemoconcentration, and a decrease in arterial PO2 (PaO2) with insignificant change in O2 saturation. In LH ponies, PaO2 and O2 saturation decreased well below that in normal ponies, but because of higher hemoglobin concentration, arterial O2 content exceeded that in normal ponies. Because of their high PaCO2 during ME, acidosis was more pronounced in LH animals despite similar lactate values. Diaphragmatic venous PO2 and O2 saturation decreased with ME to 15.5 +/- 0.9 Torr and 18 +/- 0.5%, respectively, at 120 s of exercise in normal ponies. In LH ponies, corresponding values were significantly less: 12.4 +/- 1.3 Torr and 15.5 +/- 0.7% at 120 s and 9.8 +/- 1.4 Torr and 14.3 +/- 0.6% at 240 s of ME. Mean phrenic O2 extraction plateaued at 81 and 83% in normal and LH animals, respectively. Significant differences in lactate concentration between arterial and phrenic-venous blood were not observed during ME. It is concluded that PO2 and O2 saturation in the phrenic-venous blood of normal ponies do not reach their lowest possible values even during ME. Also, the healthy equine diaphragm, even with the added stress of inspiratory resistive breathing, did not engage in net lactate production.

Exercise recovery above and below anaerobic threshold following maximal work

1981 ◽  
Vol 51 (4) ◽  
pp. 840-844 ◽  
Author(s):  
B. A. Stamford ◽  
A. Weltman ◽  
R. Moffatt ◽  
S. Sady
Keyword(s):  
Blood Lactate ◽  
Anaerobic Threshold ◽  
Maximal Exercise ◽  
Lactate Concentration ◽  
Blood Lactate Concentration ◽  
Base Line ◽  
Exercise Recovery ◽  
O2 Uptake ◽  
Vo2 Max ◽  
Individual Subject

The purpose of this study was to determine the effects of resting and exercise recovery above [70% of maximum O2 uptake (VO2 max)] and below [40% of VO2 max] anaerobic threshold (AT) on blood lactate disappearance following maximal exercise. Blood lactate concentrations at rest (0.9 mM) and during exercise at 40% (1.3 mM) and 70% (3.5 mM) of VO2 max without preceding maximal exercise were determined on separate occasions and represented base lines for each condition. The rate of blood lactate disappearance from peak values was ascertained from single-component exponential curves fit for each individual subject for each condition using both the determined and resting base lines. When determined base lines were utilized, there were no significant differences in curve parameters between the 40 and 70% of VO2 max recoveries, and both were significantly different from the resting recovery. When a resting base line (0.9 mM) was utilized for all conditions, 40% of VO2 max demonstrated a significantly faster half time than either 70% of VO2 max or resting recovery. No differences were found between 70% of VO2 max and resting recovery. It was concluded that interpretation of the effectiveness of exercise recovery above and below AT with respect to blood lactate disappearance is influenced by the base-line blood lactate concentration utilized in the calculation of exponential half times.

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