Arterial hematocrit and separation of cells and plasma in the dog kidney

1964 ◽  
Vol 207 (1) ◽  
pp. 128-132 ◽  
Author(s):  
Francis P. Chinard ◽  
Theodore Enns ◽  
Mary F. Nolan
Keyword(s):  
Blood Flow ◽  
Volume Of Distribution ◽  
Human Albumin ◽  
Indicator Dilution ◽  
Regression Equations ◽  
Dilution Technique ◽  
Transit Times ◽  
Dog Kidney ◽  
The Mean ◽  
The Difference

With the indicator-dilution technique, the mean transit times of cells (tr) labeled with Cr51 and of plasma (tpl) labeled with T-1824 or as human albumin-I131 decrease as the arterial hematocrit (Hct) decreases. The regression equations are: tr = 0.0388 Hct + 1.73 and tpl = 0.0596 Hct + 1.69. The separation of cells and plasma labels, as measured by the difference of the mean transit times (Δt), is also related to the hematocrit. Δt = 0.00895 Hct + 0.269. There is an excess plasma label volume of distribution per 100 g kidney, ΔVpl, which may be intra- or extravascular. ΔVpl = QrΔt (1 - Hct), where Qr is blood flow per 100 g kidney. ΔVpl is independent of tr and of Hct. However, ΔVpl increases with Qr. ΔVpl = 0.127 Qr + 1.79. The hypothesis that the separation of cells and plasma results from transcapillary passage of the plasma labels is consistent with but is not established by the data.

Measurement of pulmonary blood flow during exercise using nitrous oxide

1962 ◽  
Vol 17 (4) ◽  
pp. 579-586 ◽  
Author(s):  
Margaret R. Becklake ◽  
C. J. Varvis ◽  
L. D. Pengelly ◽  
S. Kenning ◽  
M. McGregor ◽  
...  
Keyword(s):  
Blood Flow ◽  
Steady State ◽  
Dilution Technique ◽  
Fick Principle ◽  
Pulmonary Capillary Blood Flow ◽  
Time Period ◽  
Pulmonary Capillary ◽  
Wide Range ◽  
Pulmonary Capillary Blood ◽  
The Difference

Pulmonary capillary blood flow (Qc) in the exercising subject was calculated from the rate of disappearance of N2O during steady state breathing of an N2O-He-O2 mixture. Measurements were made after alveolar rinsing (reciprocal of N2 washout) had occurred, and up to 30 sec, a time period accompanied by minimal recirculation, since FaNN2O during this period did not rise significantly. Repeatability of the method, judged as the difference of a second estimate from a first on the same subject, was comparable to that reported for the direct Fick technique in resting subjects (31 of 33 paired observations agreed within 20%). Results over a wide range agreed with almost simultaneous measurements by a dye dilution technique (24 of 26 paired observations agreed within 20%), and when related to pulse rate and to Vo2, were comparable to those of the other workers whose subjects were studied in a similar posture. Indeed, this technique (using the indirect Fick principle under “steady state” conditions) probably attains its greatest accuracy during exercise when other methods become less easily applicable. Submitted on December 18, 1961

Resin Haemoperfusion in Levomepromazine Poisoning: Evaluation of Effect on Plasma Drug and Metabolite Levels

1984 ◽  
Vol 3 (6) ◽  
pp. 497-503 ◽  
Author(s):  
P.-A. Hals ◽  
D. Jacobsen
Keyword(s):  
Blood Flow ◽  
Plasma Levels ◽  
Apparent Volume ◽  
Volume Of Distribution ◽  
The Body ◽  
Metabolic Clearance ◽  
Plasma Drug ◽  
The Mean ◽  
Apparent Volume Of Distribution

1 Plasma levels of levomepromazine and two of its major metabolites N-desmethyl-levomepromazine and levomepromazine sulphoxide were studied in two poisoned patients treated with resin haemoperfusion at a constant blood flow of 200 ml/min. 2 The mean haemoperfusion clearance of levomepromazine, N-desmethyl-levomepromazine and levomepromazine sulphoxide was 114, 123 and 151 ml/min, respectively, in patient no. 1, and 153, 148 and 184 ml/min, respectively, in patient no. 2. Patient no. 2 had also ingested amitriptyline, and the mean haemoperfusion clearance of amitriptyline and its metabolite nortriptyline was 183 and 183 ml/min respectively. 3 Haemoperfusion did not seem to alter the elimination profile of levomepromazine or the two metabolites in either patient. 4 We conclude that haemoperfusion is of little value in removing levomepromazine, N-desmethyl-levomepromazine or levomepromazine sulphoxide from the body. This is probably due to the large apparent volume of distribution and the high intrinsic hepatic metabolic clearance of these compounds.

scholarly journals Perfusion heterogeneity in the pulmonary acinus

1998 ◽  
Vol 84 (3) ◽  
pp. 933-938 ◽  
Author(s):  
Nobuhiro Tanabe ◽  
Thomas M. Todoran ◽  
Gerald M. Zenk ◽  
Brenda R. Bunton ◽  
Wiltz W. Wagner ◽  
...  
Keyword(s):  
Blood Flow ◽  
Fluorescence Microscopy ◽  
Capillary Blood ◽  
Fluorescent Dye ◽  
Time Difference ◽  
Appearance Time ◽  
Pulmonary Acinus ◽  
The Mean ◽  
The Difference ◽  
Dilution Curves

There is little information on the distribution of acinar perfusion because it is difficult to resolve blood flow within such small regions. We hypothesized that the known heterogeneity of arteriolar blood flow and capillary blood flow would result in heterogeneous acinar perfusion. To test this hypothesis, the passage of fluorescent dye boluses through the subpleural microcirculation of isolated dog lobes was videotaped by using fluorescence microscopy. As the videotapes were replayed, dye-dilution curves were recorded from each of the tributary branches of Y-shaped venules that drained an acinus. From the dye curves, we calculated the mean appearance time of each curve. The difference in mean appearance times between venular tributary branches was small in most cases. In 43% of the observed venular branch pairs, the dye curves were essentially superimposable (the mean appearance-time difference was <5%); and in another 42%, the mean appearance-time difference between curves was 5–10%. From these results, we conclude that acinar perfusion is unexpectedly homogeneous.

scholarly journals Arterio–venous differences to study macronutrient metabolism: introduction and overview

1999 ◽  
Vol 58 (4) ◽  
pp. 871-875 ◽  
Author(s):  
I. A. Macdonald
Keyword(s):  
Blood Flow ◽  
Venous Drainage ◽  
Volume Of Distribution ◽  
Tissue Metabolism ◽  
Unidirectional Flux ◽  
Arterial Blood ◽  
Transit Times ◽  
Arterial Concentration ◽  
Flow Through ◽  
Different Tissues

The arterio-venous difference technique is now well established in the study of organ and tissue metabolism. This technique requires samples to be obtained of the arterial blood supplying and the venous drainage from a tissue, together with a measurement of the blood flow through the tissue. The technique is most appropriate when the arterial concentration and tissue metabolism of a substance are constant, and when the blood flow is stable. If these criteria are not satisfied, care is needed in the interpretation of the results obtained. It should be recognized that the arterio-venous difference technique only measures the net exchange of a substance with the tissue, and that tracers are needed if unidirectional flux needs to be estimated. The other factors which must be borne in mind when intending to use this technique are the transit times of blood and the substance of interest through a tissue, the volume of distribution of the substance in the tissue, and the possibility that the venous samples obtained are derived from a mixture of different tissues.

scholarly journals Comparison of pulsed versus continuous convective flow for central nervous system tissue perfusion

2012 ◽  
Vol 117 (6) ◽  
pp. 1150-1154 ◽  
Author(s):  
Edjah K. Nduom ◽  
Stuart Walbridge ◽  
Russell R. Lonser
Keyword(s):  
White Matter ◽  
Continuous Infusion ◽  
Gray Matter ◽  
Convective Flow ◽  
Tissue Injury ◽  
Tissue Perfusion ◽  
Volume Of Distribution ◽  
Histological Evidence ◽  
The Mean ◽  
The Difference

Object Although pulsatile and continuous infusion paradigms have been described for convective delivery of drugs, the effectiveness and properties of each flow paradigm are unknown. To determine the effectiveness and properties of pulsatile and continuous convective infusion paradigms, the authors compared these convective flow methods in the gray and white matter of primates. Methods Six primates (Macaca mulatta) underwent convective infusion of Gd-DPTA (5 mM) into the cerebral gray matter (thalamus) or white matter (frontal lobe) using pulsed (intermittent pulses of 15 μl/min) or continuous (1 μl/min) convective flow. Results were assessed by clinical MRI and histological analyses. Results Distribution of Gd-DTPA infusate in gray and white matter by pulsed and continuous flow was clearly identified using MRI, which revealed that both convective flow methods demonstrated an increase in the volume of distribution (Vd) with increasing volume of infusion (Vi) in the surrounding gray and white matter. Although the mean (± SD) gray matter Vd:Vi ratio for the pulsed infusions (4.2 ± 0.5) was significantly lower than the mean Vd:Vi ratio for continuous infusions (5.4 ± 0.5; a 22% difference [p = 0.0006]), the difference between pulsed (3.8 ± 0.4) and continuous (4.3 ± 1.2) infusions in white matter was not significantly different (p = 0.3). Pulsed infusions were associated with more leakback (12.3% ± 6.4% of Vi) than continuous infusions (3.9% ± 7.8%), although this difference was not significant (p = 0.2). All animals tolerated the infusions and there was no histological evidence of tissue injury at the infusion sites. Conclusions Although pulsed and continuous infusion flow paradigms can be safely and effectively used for convective delivery into both gray and white matter, continuous infusion is associated with a higher Vd:Vi ratio than pulsatile infusion in gray matter. High rates of infusion (15 μl/min) can be used to deliver infusate without any significant leakback and without any clinical or histological evidence of injury.

A comparison of body fat determined by underwater weighing and volume displacement.

1978 ◽  
Vol 234 (1) ◽  
pp. E94
Author(s):  
A Ward ◽  
M L Pollock ◽  
A S Jackson ◽  
J J Ayres ◽  
G Pape
Keyword(s):  
Body Fat ◽  
Random Order ◽  
Percent Body Fat ◽  
Regression Equations ◽  
Water Displacement ◽  
State Test ◽  
The Mean ◽  
The Difference

Two hydrostatic techniques, underwater weighing and water displacement, were used to determine body fat for 67 volunteer men between 25 and 61 yr of age (-/x=41 yr). All tests were administered in random order in the morning on the same day while subjects were in the postabsorptive state. Test-retest reliabilities for the underwater weighing and water displacement techniques were 0.995 and 0.96, respectively. The correlation between the two hydrostatic techniques was r=0.96. The mean percent fat determined by underwater weighing (-/x=20.1 +/- 6.4) and water displacement (-/x=19.4 +/- 6.1) were significantly different (t=28.16; df=65; P less than 0.001). These analyses showed that both techniques were reliable in measuring percent body fat, but produced slight systematic differences. Regression equations were provided to adjust for the difference.

Pharmacokinetics of Prilocaine after Intravenous Administration in Volunteers 

1999 ◽  
Vol 90 (4) ◽  
pp. 988-992 ◽  
Author(s):  
Auke Dirk van der Meer ◽  
Anton G. L. Burm ◽  
Rudolf Stienstra ◽  
Jack W. van Kleef ◽  
Arie A. Vletter ◽  
...  
Keyword(s):  
Intravenous Administration ◽  
High Performance ◽  
Equilibrium Dialysis ◽  
Plasma Concentrations ◽  
Volume Of Distribution ◽  
Metabolic Clearance ◽  
Unbound Fraction ◽  
Blood Samples ◽  
The Mean ◽  
The Difference

Background Prilocaine exists in two stereoisomeric configurations, the enantiomers S(+)- and R(-)-prilocaine. The drug is clinically used as the racemate. This study examined the pharmacokinetics of the enantiomers after intravenous administration of the racemate. Methods Ten healthy male volunteers received 200 mg racemic prilocaine as a 10-min intravenous infusion. Blood samples were collected for 8 h after the start of the infusion. Plasma concentrations were measured by stereoselective high-performance liquid chromatography (HPLC). Unbound fractions of the enantiomers in blank blood samples, spiked with racemic prilocaine, were determined using equilibrium dialysis. Results The unbound fraction of R(-)-prilocaine (mean +/- SD, 70%+/-8%) was smaller (P &lt; 0.05) than that of S(+)-prilocaine (73%+/-5%). The total plasma clearance of R(-)-prilocaine (2.57+/-0.46 l/min) was larger (P &lt; 0.0001) than that of S(+)-prilocaine (1.91+/-0.30 l/min). The steady-state volume of distribution of R(-)-prilocaine (279+/-94 l) did not differ from that of S(+)-prilocaine (291+/-93 l). The terminal half-life of R(-)-prilocaine (87+/-27 min) was shorter (P &lt; 0.05) than that of S(+)-prilocaine (124+/-64 min), as was the mean residence time of R(-)-prilocaine (108+/-30 min) compared with S(+)-prilocaine (155+/-59 min; P &lt; 0.005). Conclusions The pharmacokinetics of prilocaine are enantioselective. The difference in clearance is most likely a result of a difference in intrinsic metabolic clearance. The difference in the pharmacokinetics of the enantiomers of prilocaine does not seem to be clinically relevant.

Minimal Transit Times

1978 ◽  
Vol 17 (05) ◽  
pp. 185-193
Author(s):  
L. E. Feinendegen
Keyword(s):  
Blood Flow ◽  
Gamma Camera ◽  
High Sensitivity ◽  
Maximal Velocity ◽  
Mean Velocity ◽  
Cardiac Blood ◽  
Digitalis Therapy ◽  
Transit Times ◽  
Myocardial Insufficiency ◽  
The Mean

Minimal cardiac transit times are an expression of the maximal velocity of cardiac blood flow. They are related to the mean velocity, and therefore to the ejection fraction. The transit times are easily measured with the help of short-lived radionuclides and with a fast gamma camera. Sensitivity, reproducibility and clinical usefulness of minimal cardiac transit times were proven in more than 4,000 measurements in patients with ischemic heart disease, with myocardial insufficiency with and without digitalis therapy, inpatients with valvular disease after surgical insertions of multiple valvula protheses, and in patients with hypothyroidism. Because of the high sensitivity of the method, minor alterations of cardiac function may be detected which are otherwise clinically not easily obtainable.

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