Chronic and Acute Effects of “Crack” Cocaine on Diffusing Capacity, Membrane Diffusion, and Pulmonary Capillary Blood Volume in the Lung

CHEST Journal ◽  
2002 ◽  
Vol 122 (2) ◽  
pp. 629-638 ◽  
Author(s):  
Eric C. Kleerup ◽  
Sankar N. Koyal ◽  
Jose A. Marques-Magallanes ◽  
Michael D. Goldman ◽  
Donald P. Tashkin
1985 ◽  
Vol 68 (1) ◽  
pp. 57-62 ◽  
Author(s):  
J. A. Wedzicha ◽  
F. E. Cotter ◽  
P. J. W. Wallis ◽  
A. C. Newland ◽  
D. W. Empey

1. The transfer factor for carbon monoxide and its subdivisions, the membrane diffusing capacity (Dm) and the pulmonary capillary blood volume (Vc), were measured in 16 patients with polycythaemia secondary to chronic hypoxic lung disease and in ten hypoxic non-polycythaemic control subjects. 2. The mean pulmonary capillary blood volume was significantly lower in the polycythaemic patients (31.6 ml, sd 11.2) compared with the control group (65.2 ml, sd 22.5) (P<0.001). 3. Erythrapheresis, as a method of isovolaemic haemodilution, was performed in 15 of the polycythaemic patients. The mean packed cell volume fell from 58 (sd 5)% to 47 (sd 5)% after treatment, with significant reductions in blood viscosity at both high and lower shear rates (P<0.001). 4. The mean pulmonary capillary blood volume increased from 32.3 ml (sd 11.3) before treatment to 48.7 ml (sd 18.7) after erythrapheresis (P<0.01), with no significant change in membrane diffusing capacity. 5. The rise in pulmonary capillary blood volume is another potential physiological advantage of the reduction of packed cell volume in patients with polycythaemia secondary to hypoxic lung disease.


1997 ◽  
Vol 82 (4) ◽  
pp. 1091-1097 ◽  
Author(s):  
Pierre Vaïda ◽  
Christian Kays ◽  
Daniel Rivière ◽  
Pierre Téchoueyres ◽  
Jean-Luc Lachaud

Vaı̈da, Pierre, Christian Kays, Daniel Rivière, Pierre Téchoueyres, and Jean-Luc Lachaud.Pulmonary diffusing capacity and pulmonary capillary blood volume during parabolic flights. J. Appl. Physiol. 82(4): 1091–1097, 1997.—Data from the Spacelab Life Sciences-1 (SLS-1) mission have shown sustained but moderate increase in pulmonary diffusing capacity (Dl). Because of the occupational constraints of the mission, data were only obtained after 24 h of exposure to microgravity. Parabolic flights are often used to study some effects of microgravity, and we measured changes in Dl occurring at the very onset of weightlessness. Measurements of Dl, membrane diffusing capacity, and pulmonary capillary blood volume were made in 10 male subjects during the 20-s 0-G phases of parabolic flights performed by the “zero-G” Caravelle aircraft. Using the standardized single-breath technique, we measured Dl for CO and nitric oxide simultaneously. We found significant increases indl for CO (62%), in membrane diffusing capacity for CO (47%), in Dl for nitric oxide (47%), and in pulmonary capillary blood volume (71%). We conclude that major changes in the alveolar membrane gas transfers and in the pulmonary capillary bed occur at the very onset of microgravity. Because these changes are much greater than those reported during sustained microgravity, the effects of rapid transition from hypergravity to microgravity during parabolic flights remain questionable.


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