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Biomedical subjects

D Chenoweth

Publications and source records attributed to D Chenoweth.

At least 37 records · Page 2Linked to original sources

Biocompatibility of artificial organs: an overview.

Papers that are presented in this symposium on biocompatibility of foreign surfaces used in artificial organs are commented upon and set in an overall context of the biocompatibility of foreign surfaces to blood. A working formulation of the events comprising lack of biocompatibility of hemodialysis membranes to the complement system is given as a possible model to which other foreign surfaces may be compared.

Animals

Pulmonary leukosequestration without hypoxemia during hemodialysis.

Dialysis-associated hypoxemia is frequently of clinically significant magnitude and is incompletely understood. In order to investigate the hypoxemia directly we labelled a patient's white blood cells with 111Indium-oxine prior to hemodialysis with acetate or bicarbonate baths. Both dialysate buffers were associated with similar degrees of early peripheral neutropenia, complement activation and elevation of lactoferrin levels, with simultaneous lung localization of radionuclide activity. However, there was not widening of the alveolar to arterial oxygen gradient, or increased wasted ventilatory fraction during this early time period. Significant hypoxemia occurred later in the dialysis, was associated with a decreased respiratory exchange ratio and only occurred with the acetate dialysate buffer. Thus, initial pulmonary leukosequestration was documented but did not have an adverse impact on gas exchange. Hypoxemia during acetate dialysis occurred instead as a consequence of alveolar hypoventilation.

Humans