Document Detail


PAO2-PaO2 relationship for the entire therapeutic range of oxygen in acute respiratory failure.
MedLine Citation:
PMID:  918965     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The PAO2-PaO2 relationship was studied for the entire therapeutic range of oxygen in patients and animals in acute respiratory failure. The method is based on the assumption that the steady state values of PaO2 may be obtained as a mean of the two PaO2 values at an identical F1O2, one obtained 6 min after the F1O2 was raised from a lower level, the other obtained 6 min after the F1O2 was reduced from the higher level. We found that the shunts were large in the low F1O2 range (170 mmHg and below), took a minimum value in the moderate PAO2 range (170 to 300 mmHg), and increased again in the high PAO2 range (300 to 700 mmHg). A similar pattern was observed in the animal experiments, two or more hr following experimentally produced produced aspiration pneumonitis. In contrast, the dogs with bilateral pneumothorax showed a pattern which followed the isoshunt line closely. It was concluded that patients with acute respiratory failure requiring artificial ventilation have two componenents of the pulmonary shunt, one parallel with and the other inversely related with the PAO2. Possible mechanisms for the former were discussed.
Authors:
K Suwa
Related Documents :
18340535 - Impact of positive end-expiratory pressure during heterogeneous lung injury: insights f...
14722635 - Effects of protective and conventional mechanical ventilation on pulmonary function and...
12352025 - Effects of positive end-expiratory pressure on gas exchange and expiratory flow limitat...
8084535 - Effects of isoprenaline on the responses of slowly adapting pulmonary stretch receptors...
12825545 - A system for integrated measurement of ventilator settings, lung volume change and bloo...
15502065 - The laryngeal mask airway unique versus the soft seal laryngeal mask: a randomized, cro...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Tohoku journal of experimental medicine     Volume:  122     ISSN:  0040-8727     ISO Abbreviation:  Tohoku J. Exp. Med.     Publication Date:  1977 Jul 
Date Detail:
Created Date:  1977-12-29     Completed Date:  1977-12-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417355     Medline TA:  Tohoku J Exp Med     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  275-86     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Animals
Blood Pressure
Dogs
Female
Humans
Male
Mathematics
Middle Aged
Oxygen / blood*
Oxygen Inhalation Therapy
Pneumonia, Aspiration / physiopathology
Pneumothorax, Artificial
Pulmonary Circulation
Respiratory Insufficiency / physiopathology*,  therapy
Chemical
Reg. No./Substance:
7782-44-7/Oxygen

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


Previous Document:  A simple method of cell-mediated cytotoxic assay by postlabeling of tritiated thymidine.
Next Document:  Effects of gastrointestinal hormones on the electrical and mechanical activity of the cat stomach.