Document Detail


Bronchoconstriction during alveolar hypocapnia and systemic hypercapnia in dogs with a cardiopulmonary bypass.
MedLine Citation:
PMID:  21034862     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The roles of the alveolar and systemic CO₂ on the lung mechanics were investigated in dogs subjected to cardiopulmonary bypass. Low-frequency pulmonary impedance data (Z(L)) were collected in open-chest dogs with an alveolar CO₂ level (FA(CO₂)) of 0.2-7% and during systemic hypercapnia before and after elimination of the vagal tone. Airway resistance (R(aw)), inertance (I(aw)), parenchymal damping (G) and elastance (H) were estimated from the Z(L). The highest R(aw) observed at 0.2% FA(CO₂),which decreased markedly up to a FA(CO₂) of 2% (212 ± 24%), and remained unchanged under normo- and hypercapnia (FA(CO₂) 2-7%). These changes were associated with smaller decreases in I(aw) (-16.6 ± 3.7%), mild elevations in G (25.7 ± 4.7%), and no change in H. Significant increases in all mechanical parameters were observed following systemic hypercapnia; atropine counteracted the R(aw) rises. We conclude that severe alveolar hypocapnia may contribute to minimization of the ventilation-perfusion mismatch by constricting the airways in poorly perfused lung regions. The constrictor potential of systemic hypercapnia is mediated by vagal reflexes.
Authors:
Eniko E Lele; Zoltán Hantos; Miklós Bitay; Brigitta Szívós; Gábor Bogáts; Ferenc Peták; Barna Babik
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-10-27
Journal Detail:
Title:  Respiratory physiology & neurobiology     Volume:  175     ISSN:  1878-1519     ISO Abbreviation:  Respir Physiol Neurobiol     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-20     Completed Date:  2011-04-15     Revised Date:  2011-09-09    
Medline Journal Info:
Nlm Unique ID:  101140022     Medline TA:  Respir Physiol Neurobiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  140-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2010. Published by Elsevier B.V.
Affiliation:
Department of Anesthesiology and Intensive Therapy, University of Szeged, Hungary.
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MeSH Terms
Descriptor/Qualifier:
Airway Resistance / physiology
Analysis of Variance
Animals
Bronchoconstriction / physiology*
Carbon Dioxide / metabolism
Cardiopulmonary Bypass / methods*
Dogs
Hypercapnia / physiopathology*,  surgery
Hypocapnia / physiopathology*,  surgery
Lung / cytology,  physiology
Pulmonary Alveoli / physiopathology*
Respiratory Mechanics / physiology*
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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