scholarly journals Mathematically arterialised venous blood is a stable representation of patient acid–base status at steady state following acute transient changes in ventilation

Author(s):  
Lisha Shastri ◽  
Søren Kjærgaard ◽  
Peter Søndergaard Thyrrestrup ◽  
Stephen Edward Rees ◽  
Lars Pilegaard Thomsen
1987 ◽  
Vol 410 (3) ◽  
pp. 257-262 ◽  
Author(s):  
Y. L. Hoogeveen ◽  
J. P. Zock ◽  
P. Rispens ◽  
W. G. Zijlstra

1989 ◽  
Vol 33 (6) ◽  
pp. 339 ◽  
Author(s):  
H. J. ADROGUE ◽  
N. RASHAD ◽  
A. B. GORIN ◽  
J. YACOUB ◽  
N. E. MADIAS

Shock ◽  
1995 ◽  
Vol 3 (5) ◽  
pp. 73
Author(s):  
G. Zunic ◽  
Z. Todorović ◽  
M. Prostran ◽  
S. Vujnov ◽  
J. Savić ◽  
...  

2005 ◽  
Vol 62 (4) ◽  
pp. 273-280 ◽  
Author(s):  
Gordana Zunic ◽  
Predrag Romic ◽  
Marina Vuceljic ◽  
Olivera Jovanikic

Background. In our previous experimental studies, we found evidence for the increase of nitric oxide (NO) formation immediately after blast injury. In the present study we investigated whether NO overproduction was a trait for the period immediately after blast injury in humans. Concomitant metabolic disturbances were also studied, and compared to the alterations in other traumatized patients. Methods. Blast casualties (group B, n = 13), surgical patients with the hip replacement or fractures, not exposed to blast effects (group S, n = 7) and healthy volunteers as controls (group C, n = 10), were examined. Both arterial and venous blood samples were taken within 6 hours, and 24 hours after blast injuries or surgical procedures, respectively. Plasma levels of nitrite/nitrate (NOx), superoxyde anion (O2.-), sulfhydrils (SH), malondialdehyde (MDA) as well as acid-base status and other biochemical parameters (glucose, urea, creatinine, total proteins, albumin) were measured. Results. Significant, but transient increase in plasma NOx levels occurred only in group B. It was associated with the significant increase of hemoglobin oxygen (sO2) saturation of the venous blood and the concomitant decrease of its arterial - venous difference. In group S the venous sO2 decreased, its arterial - venous difference increased, while NOx levels were within the control limits. In both groups, other parameters of arterial acid-base status were kept within the control limits throughout the examined period. The decrease of SH levels were similar in the examined groups, while the increase of O2 .- was greater in group B. Conclusion. Early NO overproduction was a trait of blast injuries in humans, contributing to the reduction of tissue the oxygenation and intensifying the oxidative cell damage that had to be considered in the therapy of casualties with blast injuries. These alterations were different from those observed in other surgical patients without blast injuries.


1986 ◽  
Vol 61 (5) ◽  
pp. 1914-1919 ◽  
Author(s):  
T. I. Musch ◽  
D. B. Friedman ◽  
G. C. Haidet ◽  
J. Stray-Gundersen ◽  
T. G. Waldrop ◽  
...  

The objective of this study was to determine whether arterial PCO2 (PaCO2) decreases or remains unchanged from resting levels during mild to moderate steady-state exercise in the dog. To accomplish this, O2 consumption (VO2) arterial blood gases and acid-base status, arterial lactate concentration ([LA-]a), and rectal temperature (Tr) were measured in 27 chronically instrumented dogs at rest, during different levels of submaximal exercise, and during maximal exercise on a motor-driven treadmill. During mild exercise [35% of maximal O2 consumption (VO2 max)], PaCO2 decreased 5.3 +/- 0.4 Torr and resulted in a respiratory alkalosis (delta pHa = +0.029 +/- 0.005). Arterial PO2 (PaO2) increased 5.9 +/- 1.5 Torr and Tr increased 0.5 +/- 0.1 degree C. As the exercise levels progressed from mild to moderate exercise (64% of VO2 max) the magnitude of the hypocapnia and the resultant respiratory alkalosis remained unchanged as PaCO2 remained 5.9 +/- 0.7 Torr below and delta pHa remained 0.029 +/- 0.008 above resting values. When the exercise work rate was increased to elicit VO2 max (96 +/- 2 ml X kg-1 X min-1) the amount of hypocapnia again remained unchanged from submaximal exercise levels and PaCO2 remained 6.0 +/- 0.6 Torr below resting values; however, this response occurred despite continued increases in Tr (delta Tr = 1.7 +/- 0.1 degree C), significant increases in [LA-]a (delta [LA-]a = 2.5 +/- 0.4), and a resultant metabolic acidosis (delta pHa = -0.031 +/- 0.011). The dog, like other nonhuman vertebrates, responded to mild and moderate steady-state exercise with a significant hyperventilation and respiratory alkalosis.(ABSTRACT TRUNCATED AT 250 WORDS)


1986 ◽  
Vol 123 (1) ◽  
pp. 93-121 ◽  
Author(s):  
C. L. Milligan ◽  
C. M. Wood

Exhaustive exercise induced a severe short-lived (0–1 h) respiratory, and longer-lived (0–4 h) metabolic, acidosis in the extracellular fluid of the rainbow trout. Blood ‘lactate’ load exceeded blood ‘metabolic acid’ load from 1–12 h after exercise. Over-compensation occurred, so that by 8–12 h, metabolic alkalosis prevailed, but by 24 h, resting acid-base status had been restored. Acid-base changes were similar, and lactate levels identical, in arterial and venous blood. However, at rest venous RBC pHi was significantly higher than arterial (7.42 versus 7.31). After exercise, arterial RBC pHi remained constant, whereas venous RBC pHi fell significantly (to 7.18) but was fully restored by 1 h. Resting mean whole-body pHi, measured by DMO distribution, averaged approx. 7.25 at a pHe of approx. 7.82 and fell after exercise to a low of 6.78 at a pHe of approx. 7.30. Whole-body pHi was slower to recover than pHe, requiring up to 12 h, with no subsequent alkalosis. Whole-body ECFV decreased by about 70 ml kg-1 due to a fluid shift into the ICF. Net H+ excretion to the water increased 1 h after exercise accompanied by an elevation in ammonia efflux. At 8–12 h, H+ excretion was reduced to resting levels and at 12–24 h, a net H+ uptake occurred. Lactate excretion amounted to approx. 1% of the net H+ excretion and only approx. 2% of the whole blood load. Only a small amount of the anaerobically produced H+ in the ICF appeared in the ECF and subsequently in the water. By 24 h, all the H+ excreted had been taken back up, thus correcting the extracellular alkalosis. The bulk of the H+ load remained intracellular, to be cleared by aerobic metabolism.


2015 ◽  
Vol 77 (7) ◽  
pp. 865-869 ◽  
Author(s):  
Jun TAMURA ◽  
Takaharu ITAMI ◽  
Tomohito ISHIZUKA ◽  
Sho FUKUI ◽  
Kenjirou MIYOSHI ◽  
...  

1991 ◽  
Vol 261 (1) ◽  
pp. R239-R246 ◽  
Author(s):  
H. O. Portner ◽  
D. M. Webber ◽  
R. G. Boutilier ◽  
R. K. O'Dor

Squid (Illex illecebrosus, Loligo pealei) were cannulated in the vena cava and swum in a Beamish-type respirometer. Gas tensions and acid-base variables as well as octopine levels were estimated in samples of the mantle and of venous blood collected from quiescent, exercised, and recovered animals. When exhausted, both species exhibited a decrease in vena cava oxygen tensions and a slight alkalosis. With high swimming speeds prior to exhaustion in Illex a slight acidosis developed in the blood, which was linked to a severe intracellular acidosis. Generally, the drop in intracellular pH was linearly correlated with octopine accumulation in this species. Metabolic proton (and end-product) release from the mantle, however, was minimal, thus protecting arterial oxygen binding. High PCO2 values in the mantle of both species lead to the conclusion that the vena cava values analyzed in this and all literature studies on unrestrained cephalopods may not reflect the scope of respiratory acid-base changes in venous blood. Although metabolic changes in blood acid-base status are negligible, the respiratory acidification of venous mantle blood may allow for a classical function of Bohr and Haldane effects in these animals.


1987 ◽  
Vol 67 (2) ◽  
pp. 427-436 ◽  
Author(s):  
A. L. SCHAEFER ◽  
H. DOORNENBAL ◽  
A. K. W. TONG ◽  
A. C. MURRAY ◽  
A. P. SATHER

In an effort to elucidate physiological factors involved in the development of pale-soft-exudative pork, blood acid base status was assessed in swine from two genetic lines of pigs and their F1 cross. The lines consisted of: (1) pigs that reacted positively (skeletal muscle rigidity) to the respiratory administration of halothane (halothane positive (H+)) based on Pietrain × Lacombe breed crosses, (2) Purebred Lacombe pigs that did not react positively to halothane anesthesia (Lac) and (3) pigs which were the progeny of crossbreeding (C) between halothane positive and negative animals. In addition, time off feed prior to slaughter (0, 24 or 48 h) was imposed as a stressor in order to test response differences among the three lines. The venous blood PCO2, total CO2, bicarbonate ion levels, standard bicarbonate and base excess levels were found to be higher in the H + pigs compared to either Lac or C pigs. All pig lines displayed higher blood pH, total CO2, bicarbonate ion, standard bicarbonate and base excess yet lower PO2 at 24 h off feed compared to 0 h off feed. These data suggest that H+ pigs have a greater tendency toward hypercapnia and a blood base excess than either Lac or C pigs. In addition, the incidence of hypercapnia and blood base excess for H +, Lac and C pigs was greatest at 24 h off feed. Key words: Acid-base stability, pig genotypes, fasting


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