scholarly journals EFFECT OF AN INCREASE IN CARDIAC OUTPUT ON THE IN VIVO CO2 TITRATION CURVE OF MIXED VENOUS BLOOD

1975 ◽  
Vol 25 (3) ◽  
pp. 263-273 ◽  
Author(s):  
Nariko TAKANO ◽  
Emiko NAKANO
Keyword(s):  
Cardiac Output ◽  
Titration Curve ◽  
Venous Blood ◽  
Mixed Venous Blood ◽  
Mixed Venous

The Co2 Titration Curve of Mixed Venous Blood

1972 ◽  
Vol 43 (4) ◽  
pp. 553-559 ◽  
Author(s):  
C. T. Kappagoda ◽  
J. B. Stoker ◽  
H. M. Snow ◽  
R. J. Linden
Keyword(s):  
Titration Curve ◽  
Venous Blood ◽  
Mixed Venous Blood ◽  
Ph Values ◽  
Titration Curves ◽  
Mixed Venous

1. Simultaneous CO2 titration curves of arterial and mixed venous blood were determined in both dog and man in vivo. 2. The slopes of the CO2 titration curves of mixed venous blood were significantly less than those of the corresponding arterial curves. 3. The non-respiratory pH values of the CO2 titration curves of mixed venous blood were significantly greater than those of the corresponding arterial curves. 4. The theoretical explanations of these differences have been discussed.

Respiratory measurements of cardiac output: from elegant idea to useful test

2004 ◽  
Vol 96 (2) ◽  
pp. 428-437 ◽  
Author(s):  
Gabriel Laszlo
Keyword(s):  
Cardiac Output ◽  
Human Subjects ◽  
Venous Blood ◽  
The Body ◽  
Mixed Venous Blood ◽  
Indirect Determination ◽  
Arterial Blood ◽  
Pulmonary Capillary ◽  
Pulmonary Arterial ◽  
Mixed Venous

The measurement of cardiac output was first proposed by Fick, who published his equation in 1870. Fick's calculation called for the measurement of the contents of oxygen or CO2 in pulmonary arterial and systemic arterial blood. These values could not be determined directly in human subjects until the acceptance of cardiac catheterization as a clinical procedure in 1940. In the meanwhile, several attempts were made to perfect respiratory methods for the indirect determination of blood-gas contents by respiratory techniques that yielded estimates of the mixed venous and pulmonary capillary gas pressures. The immediate uptake of nonresident gases can be used in a similar way to calculate cardiac output, with the added advantage that they are absent from the mixed venous blood. The fact that these procedures are safe and relatively nonintrusive makes them attractive to physiologists, pharmacologists, and sports scientists as well as to clinicians concerned with the physiopathology of the heart and lung. This paper outlines the development of these techniques, with a discussion of some of the ways in which they stimulated research into the transport of gases in the body through the alveolar membrane.

Influence of changes in cardiac output on the acid-base status of arterial and mixed venous blood

1987 ◽  
Vol 410 (3) ◽  
pp. 257-262 ◽  
Author(s):  
Y. L. Hoogeveen ◽  
J. P. Zock ◽  
P. Rispens ◽  
W. G. Zijlstra
Keyword(s):  
Cardiac Output ◽  
Venous Blood ◽  
Mixed Venous Blood ◽  
Acid Base ◽  
Acid Base Status ◽  
Mixed Venous

In Vivo CO2 Buffer Curves of Arterial and Mixed Venous Blood

1971 ◽  
Vol 137 (1) ◽  
pp. 237-242 ◽  
Author(s):  
A. C. Garcia ◽  
Y. L. Lai ◽  
B. A. Attebery ◽  
E. B. Brown
Keyword(s):  
Venous Blood ◽  
Mixed Venous Blood ◽  
Mixed Venous

Lactate, pyruvate, glucose, and free fatty acid in mixed venous and arterial blood

1963 ◽  
Vol 18 (5) ◽  
pp. 933-936 ◽  
Author(s):  
P. Harris ◽  
T. Bailey ◽  
M. Bateman ◽  
M. G. Fitzgerald ◽  
J. Gloster ◽  
...  
Keyword(s):  
Fatty Acids ◽  
Cardiac Output ◽  
Fatty Acid ◽  
Free Fatty Acid ◽  
Venous Blood ◽  
Average Concentration ◽  
Mixed Venous Blood ◽  
Arterial Blood ◽  
Acquired Heart Disease ◽  
Mixed Venous

The concentrations of lactic acid, pyruvic acid, glucose, and free fatty acids have been measured simultaneously in the blood from the pulmonary and brachial arteries at rest and during exercise in a group of patients with acquired heart disease. The arteriovenous differences in the concentration of lactate, pyruvate, and free fatty acid were such as could be attributed to chance. The average concentration of glucose was slightly but significantly higher in the brachial arterial blood than in the mixed venous blood. cardiac output; lung metabolism; exercise Submitted on January 15, 1963

Physiological evidence for the occurrence of pathways shunting blood away from the secondary lamellae of eel gills

1982 ◽  
Vol 98 (1) ◽  
pp. 277-288
Author(s):  
G. M. Hughes ◽  
C. Peyraud ◽  
M. Peyraud-Waitzenegger ◽  
P. Soulier
Keyword(s):  
Cardiac Output ◽  
Venous Blood ◽  
Mixed Venous Blood ◽  
Intravenous Injections ◽  
Fick Principle ◽  
Secondary Lamellae ◽  
Circulatory Change ◽  
Before And After ◽  
Gill Filaments ◽  
Mixed Venous

1. Several cardiovascular and respiratory measurements have been performed in eels before and after intravenous injections of adrenaline. These experiments have allowed a comparison to be made of values for the cardiac output determined directly (Q) and using the Fick principle (QF) on individual fish under these two conditions. 2. Under control conditions it was shown that QF/Q = 0.72, indicating that about 30% of the mixed venous blood afferent to the gills is returned directly to the heart and bypasses the lamellar circulation via veno-venous anastomoses between the afferent filament arteries and the central venous space of the gill filaments. 3. Adrenaline, which during winter only has its action due to stimulation of alpha-adrenoreceptors, induced a hypoventilation but no changes in cardiac output in spite of a bradycardia. The oxygen content of the mixed venous blood was markedly increased whereas Ca,O2 remained unchanged as did the percentage utilization of oxygen from the water as it passed over the gills. The efferent blood flow from the gills after injection of adrenaline was almost equal to the total cardiac output. It is suggested that such a circulatory change was due to adrenaline-mediated constriction of veno-venous anastomoses in the gills of the eel.

In vivo regulation of plasma [H+] in ponies during acute changes in PCO2

1990 ◽  
Vol 68 (1) ◽  
pp. 316-321 ◽  
Author(s):  
H. V. Forster ◽  
C. L. Murphy ◽  
A. G. Brice ◽  
L. G. Pan ◽  
T. F. Lowry
Keyword(s):  
Venous Blood ◽  
Strong Ion Difference ◽  
Mixed Venous Blood ◽  
Arterial Pco2 ◽  
Acute Changes ◽  
Different Levels ◽  
In Vitro Data ◽  
Mixed Venous

The major objective of this study was to test the hypothesis that in ponies the change in plasma [H+] resulting from a change in PCO2 (delta H+/delta PCO2) is less under acute in vivo conditions than under in vitro conditions. Elevation of inspired CO2 and lowering of inspired O2 (causing hyperventilation) were used to respectively increase and decrease arterial PCO2 (Paco2) by 5-8 Torr from normal. Arterial and mixed venous blood were simultaneously sampled in 12 ponies during eucapnia and 5-60 min after Paco2 had changed. In vitro data were obtained by equilibrating blood in a tonometer at five different levels of PCO2. The in vitro slopes of the H+ vs. PCO2 relationships were 0.73 +/- 0.01 and 0.69 +/- 0.01 neq.1-1.Torr-1 for oxygenated and partially deoxygenated blood, respectively. These slopes were greater (P less than 0.001) than the in vivo H+ vs. PCO2 slopes of 0.61 +/- 0.03 and 0.57 +/- 0.03 for arterial and mixed venous blood, respectively. The delta HCO3-/delta pH (Slykes) was 15.4 +/- 1.1 and 17.0 +/- 1.1 for in vitro oxygenated and partially deoxygenated blood, respectively. These values were lower (P less than 0.001) than the in vivo values of 23.3 +/- 2.7 and 25.2 +/- 4.7 Slykes for arterial and mixed venous blood, respectively. In vitro, plasma strong ion difference (SID) increased 4.5 +/- 0.2 meq/l (P less than 0.001) when Pco2 was increased from 25 to 55 Torr. A 3.5-meq/l decrease in [Cl-] (P less than 0.001) and a 1.3 +/- 0.1 meq/l increase in [Na+] (P less than 0.001) accounted for the SID change.(ABSTRACT TRUNCATED AT 250 WORDS)

Analysis of abnormalities of capillary CO2 exchange in vivo

1991 ◽  
Vol 70 (4) ◽  
pp. 1686-1699 ◽  
Author(s):  
A. Bidani
Keyword(s):  
Cardiac Output ◽  
Gas Exchange ◽  
Venous Blood ◽  
Co2 Exchange ◽  
Transport Processes ◽  
Complete Inhibition ◽  
Mixed Venous Blood ◽  
Moderate Exercise ◽  
Significant Chemical

Capillary CO2 exchange in vivo is affected by several interdependent reactions and transport processes. A mathematical model that includes all the significant chemical and transport events that are presumed to occur during capillary gas exchange has been used to investigate the effect of inhibition of 1) erythrocyte HCO(3-)-Cl- exchange, 2) lung carbonic anhydrase (CA) activity with access to plasma, and 3) erythrocyte CA activity on overall pulmonary CO2 excretion (VCO2) during rest and moderate exercise. Any decrement in VCO2 due to inhibition of HCO(3-)-Cl- exchange and/or CA activity, should result in compensatory alterations in cardiac output and/or an increase in the mixed venous blood-to-alveolar PCO2 gradient [(delta PCO2)V-A] to restore steady-state VCO2. Our computations show that complete inhibition of erythrocyte anion exchange would require a compensatory increment in cardiac output of approximately 30-40% or an increase in (delta PCO2)V-A from 6 to 8.3 Torr at rest and from 12 to 15.6 Torr during moderate exercise, if lung CA activity is intact. In the absence of availability of lung CA activity to plasma, the necessary (delta PCO2)V-A is 10.5 Torr at rest and 19.5 Torr during moderate exercise. Complete inhibition of lung and erythrocyte CA activity is predicted to require (delta PCO2)V-A of 39.1 Torr at rest and 74.2 Torr during moderate exercise. These results suggest that HCO(3-)-Cl- exchange might not be vital to maintenance of CO2 transfer and perhaps has a more important role in minimizing the changes in plasma pH associated with microvascular gas exchange in vivo.

scholarly journals Indirect calorimetry can be used to measure cardiac output in septic patients?

2008 ◽  
Vol 23 (suppl 1) ◽  
pp. 118-125 ◽  
Author(s):  
Maria Auxiliadora Martins ◽  
Francisco Antônio Coletto ◽  
Antônio Dorival Campos ◽  
Anibal Basile-Filho
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Output ◽  
Indirect Calorimetry ◽  
Venous Blood ◽  
Correlation Coefficients ◽  
University Hospital ◽  
Parallel Analysis ◽  
Monitoring Systems ◽  
Mixed Venous Blood ◽  
Mixed Venous

PURPOSE: The aim of this study was to compare two different cardiac output (CO) monitoring systems based on the thermodilution principle (Thermo-CO) and indirect calorimetry (Fick mixed-CO) in septic patients. METHODS: Prospective study in septic patients admitted in an intensive care unit of a university hospital. Nineteen patients aged on average 45.4 ± 21.5 years were enrolled in the study. Four series of hourly measurements by the two techniques were carried out simultaneously. RESULTS: No significant differences were observed between Thermo-CO and Fick mixed-CO (7.0 ± 1.8 L.min-1 and 6.4 ± 1.7 L.min-1.). Parallel analysis of Fick mixed-CO and Fick atrial-CO was performed introducing a correction factor for the eight atrial samples in order to adjust the values of oxygen saturation obtained from atrial blood (Fick corrected atrial-CO) to those obtained from mixed venous blood. No significant differences could be detected between Fick mixed-CO and Fick corrected atrial-CO. The correlation coefficients of Thermo CO/Fick mixed-CO and Fick mixed-CO/Fick corrected atrial-CO were 0.84 and 0.94, respectively. CONCLUSION: We observed that the agreement between the two methods was satisfactory on the basis of the decisions made for treatment. Indirect calorimetry is useful to measure CO in patients with septic shock.

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