Effect of Diamox (Acetazoleamide) on the Carbon Dioxide Tension of the Urine

1957 ◽  
Vol 191 (1) ◽  
pp. 55-58 ◽  
Author(s):  
Nicholas E. Capeci ◽  
Oscar R. Kruesi ◽  
Davis C. Weaver ◽  
James G. Hilton
Keyword(s):  
Carbon Dioxide ◽  
Intravenous Administration ◽  
Venous Blood ◽  
Carbon Dioxide Tension ◽  
Urine Flow ◽  
Arterial Blood ◽  
Before And After

In the anesthetized dog the pCO2 of the urine, arterial blood, and renal venous blood was measured before and after the intravenous administration of Diamox (acetazoleamide). The pCO2 of the urine always rose to a much greater degree than did the pCO2 of the arterial or renal venous blood This rise in urinary pCO2 could be explained satisfactorily neither by a rise in intracellular pCO2 nor by an increase in the rate of urine flow, but seemed best explained by the fact that Diamox itself acted as a urinary buffer.

Clinical evaluation of an instrument to measure carbon dioxide tension at the oxygenator gas outlet in cardiopulmonary bypass

Perfusion ◽  
2006 ◽  
Vol 21 (1) ◽  
pp. 21-26 ◽  
Author(s):  
Frode Kristiansen ◽  
Jan Olav Høgetveit ◽  
Thore H Pedersen
Keyword(s):  
Carbon Dioxide ◽  
Cardiopulmonary Bypass ◽  
Venous Blood ◽  
Carbon Dioxide Tension ◽  
Circuit Board ◽  
Separate Analysis ◽  
Blood Gas ◽  
Arterial Blood ◽  
Gas Measurement ◽  
Venous Blood Gas

This paper presents the clinical testing of a new capno-graph designed to measure the carbon dioxide tension at the oxygenator exhaust outlet in cardiopulmonary bypass (CPB). During CPB, there is a need for reliable, accurate and instant estimates of the arterial blood CO2 tension (PaCO2) in the patient. Currently, the standard practice for measuring PaCO2 involves the manual collection of intermittent blood samples, followed by a separate analysis performed by a blood gas analyser. Probes for inline blood gas measurement exist, but they are expensive and, thus, unsuitable for routine use. A well-known method is to measure PexCO2, ie, the partial pressure of CO2 in the exhaust gas output from the oxygenator and use this as an indirect estimate for PaCO2. Based on a commercially available CO2 sensor circuit board, a laminar flow capnograph was developed. A standard sample line with integrated water trap was connected to the oxygenator exhaust port. Fifty patients were divided into six different groups with respect to oxygenator type and temperature range. Both arterial and venous blood gas samples were drawn from the CPB circuit at various temperatures. Alfa-stat corrected pCO2 values were obtained by running a linear regression for each group based on the arterial temperature and then correcting the PexCO2 accordingly. The accuracy of the six groups was found to be (±SD): ±4.3, ±4.8, ±5.7, ±1.0, ±3.7 and ±2.1%. These results suggest that oxygenator exhaust capnography is a simple, inexpensive and reliable method of estimating the PaCO2 in both adult and pediatric patients at all relevant temperatures.

A New Open-Circuit Method for Estimating Carbon Dioxide Tension in Mixed Venous Blood

1977 ◽  
Vol 52 (4) ◽  
pp. 377-382 ◽  
Author(s):  
Reiah Al-Dulymi ◽  
R. Hainsworth
Keyword(s):  
Carbon Dioxide ◽  
Venous Blood ◽  
Carbon Dioxide Tension ◽  
Open Circuit ◽  
Mixed Venous Blood ◽  
Arterial Blood ◽  
Venous Pco2 ◽  
Rebreathing Methods ◽  
Mixed Venous ◽  
Good Agreement

1. A new open-circuit respiratory method was developed to estimate mixed venous Pco2 more rapidly and accurately than is possible with rebreathing techniques. 2. The subject breathes a mixture of CO2 in air from an open circuit. Carbon dioxide is added to the air flowing through the circuit at a rate such that the Pco2 in the inspired and expired gases (recorded continuously with a CO2 analyser) are almost identical. 3. Results from respiratory and cardiac patients showed that equilibrium occurred in less than 10 s. There was good agreement between the tensions of CO2 in the respiratory plateaux and in mixed venous and arterial blood withdrawn during equilibrium. 4. During exercise, the tensions of CO2 of the plateaux and arterial blood at equilibrium also showed good agreement. 5. It is suggested that the new method represents an improvement over rebreathing methods as equilibrium is achieved rapidly before the mixed venous tension rises from recirculation.

Acid-base changes in blood and cerebrospinal fluid during altered ventilation

1961 ◽  
Vol 16 (6) ◽  
pp. 1016-1018 ◽  
Author(s):  
C. R. Merwarth ◽  
H. O. Sieker
Keyword(s):  
Carbon Dioxide ◽  
Cerebrospinal Fluid ◽  
Venous Blood ◽  
Clinical Importance ◽  
Carbon Dioxide Tension ◽  
Acid Base ◽  
Sagittal Sinus ◽  
Arterial Blood ◽  
Arterial Ph ◽  
The Central Nervous System

Functional abnormalities of the central nervous system are observed with hypo- and hyperventilation. This study correlates changes of pH, carbon dioxide tension and carbon dioxide content in arterial and cerebral venous blood and cerebrospinal fluid during altered ventilation. With the experimental design in which ventilation was controlled and the sagittal sinus, femoral artery, and cisterna magna were cannulated, a slight metabolic acidosis was found. With 10% CO2 inhalation acidosis occurred in both blood and spinal fluid and early in the period of inhalation, the usual cerebrospinal-arterial fluid pCO2 gradient was reversed. With hyperventilation, pH and pCO2 changes were more pronounced in the arterial blood but, as hyperventilation was continued, the arterial-cerebrospinal fluid difference decreased. It appeared likely that brain tissue acts as an important buffer, absorbing and releasing CO2 during states of altered ventilation. CO2 diffuses rapidly across cell boundaries, whereas bicarbonate crosses more slowly, thus providing an explanation for the differences noted between blood and cerebrospinal fluid. The particular clinical importance of these observations is that arterial pH, pCO2, and CO2 content may not accurately reflect changes within the cerebrospinal fluid or brain when ventilation is altered. Submitted on May 1, 1961

scholarly journals Subdiaphragmatic venous stasis and tissular hypoperfusion as sources of metabolic acidosis during passive portal-jugular and caval-jugular bypasses in dogs

2000 ◽  
Vol 15 (2) ◽  
pp. 94-101 ◽  
Author(s):  
Antônio Roberto de Barros Coelho ◽  
Álvaro Antônio Bandeira Ferraz ◽  
Renato Dornelas Câmara Neto ◽  
Ayrton Ponce de Souza ◽  
Edmundo Machado Ferraz
Keyword(s):  
Carbon Dioxide ◽  
Liver Transplantation ◽  
Metabolic Acidosis ◽  
Venous Blood ◽  
Blood Stasis ◽  
Carbon Dioxide Tension ◽  
Base Deficit ◽  
Venous Stasis ◽  
Acid Base ◽  
Arterial Blood

Subdiafragmatic venous decompression during anhepatic stage of canine orthotopic liver transplantation attenuates portal and caval blood stasis and minimize hipoperfusion and metabolic acidosis observed with occlusion of portal and caval veins. During two hours, six dogs submitted to portal-jugular and caval-jugular passive shunts, with maintenance of arterial hepatic flow, were evaluated for pH, carbon dioxide tension (PCO2), base deficit (BD) and oxygen tension (PO2) in portal, caval and systemic arterial blood, as well as for increments of BD (DBD) in portal and caval blood. With a confidence level of 95%, the results showed that: 1. There were not changes of pH anDBD in portal and systemic arterial blood in the majority of studied times; 2. There was metabolic acidosis in caval blood; 3. The negative increments of BD (DBD) were higher in caval blood than in splancnic venous blood at T10, T30 and T105; and, 4. Deoxigenation of portal and caval blood were detected. Acid-base metabolism and oxigenation monitoring of subdiaphramatic venous blood can constitute an effective way to evaluate experimental passive portal-jugular and caval-jugular bypass in dogs.

The Significance of the Bohr Effect in the Respiration and Asphyxiation of the Squid, Loligo Pealei

1929 ◽  
Vol 6 (4) ◽  
pp. 340-349 ◽  
Author(s):  
ALFRED C. REDFIELD ◽  
ROBERT GOODKIND
Keyword(s):  
Carbon Dioxide ◽  
Toxic Effect ◽  
Venous Blood ◽  
Bohr Effect ◽  
Reciprocal Effects ◽  
Cent Oxygen ◽  
Carbon Dioxide Content ◽  
Arterial Blood ◽  
Loligo Pealei

1. The oxygen and carbon-dioxide content of the arterial and venous blood of the squid, Loligo pealei, have been measured. 2. Using a nomographic method of analysis it is shown that the reciprocal effects of oxygen and carbon dioxide upon the respiratory properties of squid haemocyanin account for one-third of the respiratory exchange. 3. The venous blood is estimated to be 0.13 pH unit more acid than the arterial blood. 4. Death from asphyxiation occurs when the oxygen and carbon-dioxide pressures are such that the arterial blood can combine with only 0.5 to 1.5 volumes per cent, oxygen. Carbon dioxide exerts no toxic effect except through its influence on the oxygenation of the blood. 5. The haemocyanin of the blood is of vital necessity to the squid, because the amount of oxygen which can be physically dissolved in blood is less than the amount which is necessary for the maintenance of life.

Breathing in brief exercise

1960 ◽  
Vol 15 (4) ◽  
pp. 583-588 ◽  
Author(s):  
F. N. Craig ◽  
E. G. Cummings
Keyword(s):  
Carbon Dioxide ◽  
Oxygen Uptake ◽  
Respiratory Exchange Ratio ◽  
Metabolic Cost ◽  
Carbon Dioxide Tension ◽  
Minute Volume ◽  
Carbon Dioxide Output ◽  
Respiratory Minute Volume ◽  
Before And After

Two men ran for 20 or 60 seconds while inhaling air, oxygen or 4% carbon dioxide. Inspired respiratory minute volume was determined for each breath. Ventilation increased suddenly in the first breath with minimal changes in end-expiratory carbon dioxide tension and respiratory exchange ratio to a rate that remained constant for 20 seconds before increasing further. The rate of carbon dioxide output was uniform during the first 20 seconds. A 12% grade did not increase ventilation or oxygen uptake during runs of 20 seconds, but in the first minute of recovery, ventilation was 64% greater than after level runs. Inhalation of oxygen inhibited ventilation by 24% in the 20-second periods before and after the end of a 60-second run. Inhalation of carbon dioxide begun at rest produced increments in ventilation and end-expiratory carbon dioxide tension that varied little during running and recovery. In the 20-second runs ventilation varied with speed but appeared independent of ultimate metabolic cost. Submitted on January 21, 1960

Adrenocortical response during corrected and uncorrected hypercapnic acidosis

1962 ◽  
Vol 202 (2) ◽  
pp. 334-336 ◽  
Author(s):  
Arnold Mittelman ◽  
Serge J. Dos ◽  
Harold G. Barker ◽  
Gabriel G. Nahas
Keyword(s):  
Flow Rate ◽  
Venous Blood ◽  
Concomitant Administration ◽  
Cortisol Secretion ◽  
Hypercapnic Acidosis ◽  
Sharp Reduction ◽  
Venous Flow ◽  
Arterial Blood ◽  
Blood Ph ◽  
Before And After

Adrenal venous flow rate and cortisol synthesis have been measured in dogs subjected to hypercapnic acidosis before and after intravenous administration of 0.34 mm/kg of tris (hydroxymethyl) amino methane (THAM). A comparison was made of adrenal venous, peripheral venous, and arterial blood, pH, pCO2 and O2 saturation. During uncorrected hypercapnic acidosis the concentration of cortisol increased while adrenal venous flow rate decreased, but there was a significant increase in the minute output of cortisol. With the concomitant administration of 0.34 mM/kg THAM, adrenal venous flow rate doubled. However, since this enhanced flow rate was accompanied by a sharp reduction in cortisol secretion, the minute output of cortisol returned to control levels. The possibility of a direct effect of THAM on the adrenal vascular bed and synthetic processes is discussed. Throughout all the above experiments adrenal venous blood resembled arterial blood rather than peripheral blood in its pCO2, O2 saturation and pH.

scholarly journals The Effect of Intravenous Histamine Administration on the Level of the White Blood Count in the Peripheral Blood

Blood ◽  
1951 ◽  
Vol 6 (10) ◽  
pp. 926-935 ◽  
Author(s):  
HOWARD R. BIERMAN ◽  
KEITH H. KELLY ◽  
NICHOLAS L. PETRAKIS ◽  
FAUNO CORDES ◽  
MARILEE FOSTER ◽  
...  
Keyword(s):  
Intravenous Administration ◽  
Peripheral Blood ◽  
Pulmonary Circulation ◽  
White Cell Count ◽  
Venous Blood ◽  
Peripheral Circulation ◽  
White Blood Count ◽  
Clotting Time ◽  
Arterial Blood ◽  
Leukocyte Number

Abstract 1. By simultaneously sampling venous and arterial blood by cardiac catheterization or vessel cannulation, the number of leukocytes entering and leaving the lungs was observed in 12 patients on 14 occasions. 2. The intravenous administration of histamine phosphate in doses of 0.1 to 0.3 mg. (as base) over 10 to 60 seconds, was accompanied by a prompt decrease in leukocyte number in the arterial blood 20 to 60 seconds before the venous white cell count fell. This was interpreted as demonstrating that the leukocytes were removed from tine peripheral blood in the pulmonary circulation. The granulocytic series appeared to be more involved in the leukopenia, although a similar but less apparent change was noted in the agranulocytes. 3. The leukopenia persisted for 40 to 180 seconds following which the arterial leukocyte count exceeded that in the venous blood indicating a return of leukocytes from the lungs into the peripheral circulation. 4. The intravenous administration of histamine also resulted in an immediate decrease in clotting time as determined both by glass and siliconed tube technics. 5. The intravenous injection of histamine affords a relatively simple technic to study one type of leukocyte removal mechanism present in the pulmonary circulation.

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