Soluble gas exchange in the pulmonary airways of sheep

2004 ◽  
Vol 97 (5) ◽  
pp. 1702-1708 ◽  
Author(s):  
Carmel Schimmel ◽  
Susan L. Bernard ◽  
Joseph C. Anderson ◽  
Nayak L. Polissar ◽  
S. Lakshminarayan ◽  
...  
Keyword(s):  
Gas Exchange ◽  
Partial Pressure ◽  
Bronchial Artery ◽  
Left Pulmonary Artery ◽  
Inert Gases ◽  
Bronchial Circulation ◽  
Arterial Blood ◽  
Pulmonary Airways ◽  
Airway Gas Exchange

We studied the airway gas exchange properties of five inert gases with different blood solubilities in the lungs of anesthetized sheep. Animals were ventilated through a bifurcated endobronchial tube to allow independent ventilation and collection of exhaled gases from each lung. An aortic pouch at the origin of the bronchial artery was created to control perfusion and enable infusion of a solution of inert gases into the bronchial circulation. Occlusion of the left pulmonary artery prevented pulmonary perfusion of that lung so that gas exchange occurred predominantly via the bronchial circulation. Excretion from the bronchial circulation (defined as the partial pressure of gas in exhaled gas divided by the partial pressure of gas in bronchial arterial blood) increased with increasing gas solubility (ranging from a mean of 4.2 × 10−5 for SF6 to 4.8 × 10−2 for ether) and increasing bronchial blood flow. Excretion was inversely affected by molecular weight (MW), demonstrating a dependence on diffusion. Excretions of the higher MW gases, halothane (MW = 194) and SF6 (MW = 146), were depressed relative to excretion of the lower MW gases ethane, cyclopropane, and ether (MW = 30, 42, 74, respectively). All results were consistent with previous studies of gas exchange in the isolated in situ trachea.

Tracheal gas exchange: perfusion-related differences in inert gas elimination

1995 ◽  
Vol 79 (3) ◽  
pp. 918-928 ◽  
Author(s):  
J. E. Souders ◽  
S. C. George ◽  
N. L. Polissar ◽  
E. R. Swenson ◽  
M. P. Hlastala
Keyword(s):  
Gas Exchange ◽  
Partial Pressure ◽  
Positive Function ◽  
Inert Gases ◽  
Inert Gas ◽  
Blood Gas ◽  
Fluorescent Microspheres ◽  
Conducting Airways ◽  
Airway Gas Exchange

Exchange of inert gases across the conducting airways has been demonstrated by using an isolated dog tracheal preparation and has been characterized by using a mathematical model (E. R. Swenson, H. T. Robertson, N. L. Polissar, M. E. Middaugh, and M. P. Hlastala, J. Appl. Physiol. 72: 1581–1588, 1992). Theory predicts that gas exchange is both diffusion and perfusion dependent, with gases with a higher blood-gas partition coefficient exchanging more efficiently. The present study evaluated the perfusion dependence of airway gas exchange in an in situ canine tracheal preparation. Eight dogs were studied under general anesthesia with the same isolated tracheal preparation. Tracheal perfusion (Q) was altered from control blood flow (Qo) by epinephrine or papaverine instilled into the trachea and was measured with fluorescent microspheres. Six inert gases of differing blood-gas partition coefficients were used to measure inert gas elimination. Gas exchange was quantified as excretion (E), equal to exhaled partial pressure divided by arterial partial pressure. Data were plotted as ln [E/(l-E)] vs. In (Q/Qo), and the slopes were determined by least squares. Excretion was a positive function of Q, and the magnitude of the response of each gas to changes in Q was similar and highly significant (P < or = 0.0002). These results confirm a substantial perfusion dependence of airway gas exchange.

Gas Exchange

2017 ◽  
Author(s):  
John W. Kreit
Keyword(s):  
Carbon Dioxide ◽  
Gas Exchange ◽  
Partial Pressure ◽  
Capillary Blood ◽  
Pressure Gradients ◽  
Arterial Blood ◽  
Pulmonary Capillary ◽  
Partial Pressures ◽  
Pulmonary Capillary Blood ◽  
And Diffusion

Gas Exchange explains how four processes—delivery of oxygen, excretion of carbon dioxide, matching of ventilation and perfusion, and diffusion—allow the respiratory system to maintain normal partial pressures of oxygen (PaO2) and carbon dioxide (PaCO2) in the arterial blood. Partial pressure is important because O2 and CO2 molecules diffuse between alveolar gas and pulmonary capillary blood and between systemic capillary blood and the tissues along their partial pressure gradients, and diffusion continues until the partial pressures are equal. Ventilation is an essential part of gas exchange because it delivers O2, eliminates CO2, and determines ventilation–perfusion ratios. This chapter also explains how and why abnormalities in each of these processes may reduce PaO2, increase PaCO2, or both.

Modeling bronchial circulation with application to soluble gas exchange: description and sensitivity analysis

1998 ◽  
Vol 84 (6) ◽  
pp. 2070-2088 ◽  
Author(s):  
Thien D. Bui ◽  
Donald Dabdub ◽  
Steven C. George
Keyword(s):  
Sensitivity Analysis ◽  
Gas Exchange ◽  
Pulmonary Circulation ◽  
Blood Flow Rate ◽  
Latin Hypercube Sampling ◽  
Inert Gases ◽  
Phase Iii ◽  
Model Parameters ◽  
Bronchial Circulation ◽  
Wide Range

The steady-state exchange of inert gases across an in situ canine trachea has recently been shown to be limited equally by diffusion and perfusion over a wide range (0.01–350) of blood solubilities (βblood; ml ⋅ ml−1 ⋅ atm−1). Hence, we hypothesize that the exchange of ethanol (βblood = 1,756 at 37°C) in the airways depends on the blood flow rate from the bronchial circulation. To test this hypothesis, the dynamics of the bronchial circulation were incorporated into an existing model that describes the simultaneous exchange of heat, water, and a soluble gas in the airways. A detailed sensitivity analysis of key model parameters was performed by using the method of Latin hypercube sampling. The model accurately predicted a previously reported experimental exhalation profile of ethanol ( R 2= 0.991) as well as the end-exhalation airstream temperature (34.6°C). The model predicts that 27, 29, and 44% of exhaled ethanol in a single exhalation are derived from the tissues of the mucosa and submucosa, the bronchial circulation, and the tissue exterior to the submucosa (which would include the pulmonary circulation), respectively. Although the concentration of ethanol in the bronchial capillary decreased during inspiration, the three key model outputs (end-exhaled ethanol concentration, the slope of phase III, and end-exhaled temperature) were all statistically insensitive ( P > 0.05) to the parameters describing the bronchial circulation. In contrast, the model outputs were all sensitive ( P < 0.05) to the thickness of tissue separating the core body conditions from the bronchial smooth muscle. We conclude that both the bronchial circulation and the pulmonary circulation impact soluble gas exchange when the entire conducting airway tree is considered.

Pulmonary gas exchange during exercise in athletes. I. Ventilation-perfusion mismatch and diffusion limitation

1994 ◽  
Vol 77 (2) ◽  
pp. 912-917 ◽  
Author(s):  
S. R. Hopkins ◽  
D. C. McKenzie ◽  
R. B. Schoene ◽  
R. W. Glenny ◽  
H. T. Robertson
Keyword(s):  
Gas Exchange ◽  
Aerobic Capacity ◽  
Maximal Exercise ◽  
Cycle Ergometer ◽  
Pulmonary Gas Exchange ◽  
Inert Gases ◽  
Inert Gas ◽  
Diffusion Limitation ◽  
Maximal Aerobic Capacity ◽  
Arterial Blood

To investigate pulmonary gas exchange during exercise in athletes, 10 high aerobic capacity athletes (maximal aerobic capacity = 5.15 +/- 0.52 l/min) underwent testing on a cycle ergometer at rest, 150 W, 300 W, and maximal exercise (372 +/- 22 W) while trace amounts of six inert gases were infused intravenously. Arterial blood samples, mixed expired gas samples, and metabolic data were obtained. Indexes of ventilation-perfusion (VA/Q) mismatch were calculated by the multiple inert gas elimination technique. The alveolar-arterial difference for O2 (AaDO2) was predicted from the inert gas model on the basis of the calculated VA/Q mismatch. VA/Q heterogeneity increased significantly with exercise and was predicted to increase the AaDO2 by > 17 Torr during heavy and maximal exercise. The observed AaDO2 increased significantly more than that predicted by the inert gas technique during maximal exercise (10 +/- 10 Torr). These data suggest that this population develops diffusion limitation during maximal exercise, but VA/Q mismatch is the most important contributor (> 60%) to the wide AaDO2 observed.

Conducting airway gas exchange: diffusion-related differences in inert gas elimination

1992 ◽  
Vol 72 (4) ◽  
pp. 1581-1588 ◽  
Author(s):  
E. R. Swenson ◽  
H. T. Robertson ◽  
N. L. Polissar ◽  
M. E. Middaugh ◽  
M. P. Hlastala
Keyword(s):  
Gas Exchange ◽  
Exchange Capacity ◽  
Inert Gases ◽  
Inert Gas ◽  
Diffusion Resistance ◽  
Molecular Weights ◽  
Conducting Airway ◽  
Group 2 ◽  
Airway Gas Exchange ◽  
Group 1

We studied CO2 and inert gas elimination in the isolated in situ trachea as a model of conducting airway gas exchange. Six inert gases with various solubilities and molecular weights (MW) were infused into the left atria of six pentobarbital-anesthetized dogs (group 1). The unidirectionally ventilated trachea behaved as a high ventilation-perfusion unit (ratio = 60) with no appreciable dead space. Excretion of higher-MW gases appeared to be depressed, suggesting a MW dependence to inert gas exchange. This was further explored in another six dogs (group 2) with three gases of nearly equal solubility but widely divergent MWs (acetylene, 26; Freon-22, 86.5; isoflurane, 184.5). Isoflurane and Freon-22 excretions were depressed 47 and 30%, respectively, relative to acetylene. In a theoretical model of airway gas exchange, neither a tissue nor a gas phase diffusion resistance predicted our results better than the standard equation for steady-state alveolar inert gas elimination. However, addition of a simple ln (MW) term reduced the remaining residual sum of squares by 40% in group 1 and by 83% in group 2. Despite this significant MW influence on tracheal gas exchange, we calculate that the quantitative gas exchange capacity of the conducting airways in total can account for less than or equal to 16% of any MW-dependent differences observed in pulmonary inert gas elimination.

scholarly journals Changes in bronchial and pulmonary arterial blood flow with progressive tension pneumothorax

1996 ◽  
Vol 81 (4) ◽  
pp. 1664-1669 ◽  
Author(s):  
Paula Carvalho ◽  
Jacob Hildebrandt ◽  
Nirmal B. Charan
Keyword(s):  
Blood Flow ◽  
Gas Exchange ◽  
Tension Pneumothorax ◽  
Blood Gases ◽  
Left Pulmonary Artery ◽  
Arterial Blood Flow ◽  
Mechanically Ventilated ◽  
Arterial Blood ◽  
Flow Through ◽  
Pulmonary Arterial

Carvalho, Paula, Jacob Hildebrandt, and Nirmal B. Charan.Changes in bronchial and pulmonary arterial blood flow with progressive tension pneumothorax. J. Appl. Physiol. 81(4): 1664–1669, 1996.—We studied the effects of unilateral tension pneumothorax and its release on bronchial and pulmonary arterial blood flow and gas exchange in 10 adult anesthetized and mechanically ventilated sheep with chronically implanted ultrasonic flow probes. Right pleural pressure (Ppl) was increased in two steps from −5 to 10 and 25 cmH2O and then decreased to 10 and −5 cmH2O. Each level of Ppl was maintained for 5 min. Bronchial blood flow, right and left pulmonary arterial flows, cardiac output (Q˙t), hemodynamic measurements, and arterial blood gases were obtained at the end of each period. Pneumothorax resulted in a 66% decrease inQ˙t, bronchial blood flow decreased by 84%, and right pulmonary arterial flow decreased by 80% at Ppl of 25 cmH2O ( P < 0.001). At peak Ppl, the majority ofQ˙t was due to blood flow through the left pulmonary artery. With resolution of pneumothorax, hemodynamic parameters normalized, although abnormalities in gas exchange persisted for 60–90 min after recovery and were associated with a decrease in total respiratory compliance.

Modeling steady-state inert gas exchange in the canine trachea

1995 ◽  
Vol 79 (3) ◽  
pp. 929-940 ◽  
Author(s):  
S. C. George ◽  
J. E. Souders ◽  
A. L. Babb ◽  
M. P. Hlastala
Keyword(s):  
Blood Flow ◽  
Gas Exchange ◽  
Sulfur Hexafluoride ◽  
Functional Dependence ◽  
Inert Gases ◽  
Diffusing Capacity ◽  
Relative Contribution ◽  
Airway Gas Exchange ◽  
And Diffusion

The functional dependence between tracheal gas exchange and tracheal blood flow has been previously reported using six inert gases (sulfur hexafluoride, ethane, cyclopropane, halothane, ether, and acetone) in a unidirectionally ventilated (1 ml/s) canine trachea (J. E. Souders, S. C. George, N. L. Polissar, E. R. Swenson, and M. P. Hlastala. J. Appl. Physiol. 79: 918–928, 1995). To understand the relative contribution of perfusion-, diffusion- and ventilation-related resistances to airway gas exchange, a dynamic model of the bronchial circulation has been developed and added to the existing structure of a previously described model (S. C. George, A. L. Babb, and M. P. Hlastala. J. Appl. Physiol. 75: 2439–2449, 1993). The diffusing capacity of the trachea (in ml gas.s-1.atm-1) was used to optimize the fit of the model to the experimental data. The experimental diffusing capacities as predicted by the model in a 10-cm length of trachea are as follows: sulfur hexafluoride, 0.000055; ethane, 0.00070; cyclopropane, 0.0046; halothane, 0.029; ether, 0.10; and acetone, 1.0. The diffusing capacities are reduced relative to an estimated diffusing capacity. The ratio of experimental to estimated diffusing capacity ranges from 4 to 23%. The model predicts that over the ventilation-to-tracheal blood flow range (10–700) attained experimentally, tracheal gas exchange is limited primarily by perfusion- and diffusion-related resistances. However, the contribution of the ventilation-related resistance increases with increasing gas solubility and cannot be neglected in the case of acetone. The increased role of diffusion in tracheal gas exchange contrasts with perfusion-limited alveolar exchange and is due primarily to the increased thickness of the bronchial mucosa.

scholarly journals Passive body movement and gas exchange in the frilled lizard (Chlamydosaurus kingii) and goanna (Varanus gouldii).

1998 ◽  
Vol 201 (15) ◽  
pp. 2307-2311 ◽  
Author(s):  
P B Frappell ◽  
J P Mortola
Keyword(s):  
Gas Exchange ◽  
Partial Pressure ◽  
Body Mass ◽  
Time Course ◽  
Body Movement ◽  
Blood Gases ◽  
Pulmonary Gas Exchange ◽  
Body Movements ◽  
Arterial Blood Gas ◽  
Arterial Blood

The saccular lung in lizards is large and highly compliant compared with mammalian lungs, and these properties led us to question to what extent body movements could affect pulmonary gas exchange and the partial pressure of arterial blood gases. Specimens of two species of lizards, the frilled lizard (Chlamydosaurus kingii, approximately 600 g body mass) and the goanna (Varanus gouldii, approximately 1400 mass), were anaesthetised, maintained at approximately 36 degreesC and mechanically hyperventilated to lower the arterial partial pressure of carbon dioxide (PaCO2) to below apnoeic threshold. Respiratory system compliance (Crs) averaged 0. 112 ml kg-1 Pa-1 (goanna) and 0.173 ml kg-1 Pa-1 (frilled lizard), which is approximately 7-11 times the predicted value for a mammal of similar body mass. Mechanical ventilation was interrupted, and the changes in PaCO2 and PaO2 were monitored over the following 10 min as the animal was either left immobile or subjected to imposed lateral body movements. During the post-hyperventilation apnoea, PaCO2 increased whereas PaO2 did not always fall, sometimes even increasing, suggesting a reduction in the importance of pulmonary shunts. No significant differences were detected in the time course of changes in arterial blood gas levels or heart rate between runs with or without body movement. We conclude that in these species of lizards, despite the high Crs, lateral chest wall movements neither hinder nor favour pulmonary gas exchange.

IN SITU AND PILOT ORGAN PERFUSION TECHNIQUES FOR THE STUDY OF METABOLIC DYNAMICS

1972 ◽  
Vol 68 (2_Supplb) ◽  
pp. S9-S25 ◽  
Author(s):  
John Urquhart ◽  
Nancy Keller
Keyword(s):  
Cardiac Output ◽  
Large Fraction ◽  
Experimental Studies ◽  
Test Substance ◽  
Organ Perfusion ◽  
Systemic Blood ◽  
Experimental Control ◽  
Arterial Blood ◽  
Vascular Connections

ABSTRACT Two techniques for organ perfusion with blood are described which provide a basis for exploring metabolic or endocrine dynamics. The technique of in situ perfusion with autogenous arterial blood is suitable for glands or small organs which receive a small fraction of the animal's cardiac output; thus, test stimulatory or inhibitory substances can be added to the perfusing blood and undergo sufficient dilution in systemic blood after passage through the perfused organ so that recirculation does not compromise experimental control over test substance concentration in the perfusate. Experimental studies with the in situ perfused adrenal are described. The second technique, termed the pilot organ method, is suitable for organs which receive a large fraction of the cardiac output, such as the liver. Vascular connections are made between the circulation of an intact, anaesthetized large (> 30 kg) dog and the liver of a small (< 3 kg) dog. The small dog's liver (pilot liver) is excised and floated in a bath of canine ascites, and its venous effluent is continuously returned to the large dog. Test substances are infused into either the hepatic artery or portal vein of the pilot liver, but the small size of the pilot liver and its blood flow in relation to the large dog minimize recirculation effects. A number of functional parameters of the pilot liver are described.

Atrial fibrillation associated with carbon monoxide poisoning

2019 ◽  
pp. 203-206
Author(s):  
Mevlut Demir ◽  
◽  
Muslum Sahin ◽  
Ahmet Korkmaz ◽  
◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Carbon Monoxide ◽  
Sinus Rhythm ◽  
Partial Pressure ◽  
Motor Vehicle ◽  
Carbon Monoxide Poisoning ◽  
Venous Blood ◽  
Blood Gas ◽  
Arterial Blood Gas ◽  
Arterial Blood

Carbon monoxide intoxication occurs usually via inhalation of carbon monoxide that is emitted as a result of a fire, furnace, space heater, generator, motor vehicle. A 37-year-old male patient was admitted to the emergency department at about 5:00 a.m., with complaints of nausea, vomiting and headache. He was accompanied by his wife and children. His venous blood gas measures were: pH was 7.29, partial pressure of carbon dioxide (pCO2) was 42 mmHg, partial pressure of oxygen (pO2) was 28 mmHg, carboxyhemoglobin (COHb) was 12.7% (reference interval: 0.5%-2.5%) and oxygen saturation was 52.4%. Electrocardiogram (ECG) examination showed that the patient was not in sinus rhythm but had atrial fibrillation. After three hours the laboratory examination was repeated: Troponin was 1.2 pg/ml and in the arterial blood gas COHb was 3%. The examination of the findings on the monitor showed that the sinus rhythm was re-established. The repeated ECG examination confirmed the conversion to the sinus rhythm. He was monitored with the normobaric oxygen administration.

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