Biomedical subjects

D E Leith

Publications and source records attributed to D E Leith.

At least 19 recordsLinked to original sources

PubMed1995

Complications with the use of carfentanil citrate and xylazine hydrochloride to immobilize domestic horses.

Carfentanil citrate, the only opioid approved in the United States for immobilizing large exotic animals, increasingly has been used to chemically restrain exotic horses, such as Prezwalski's horses (Equus przewalskii) and wild horses (E caballus). Because carfentanil's duration of action is long and renarcotization may develop 2 to 24 hours after administration of antagonists, a study was designed to compare the physiologic effects of opioid antagonists, using domestic horses chemically restrained with xylazine hydrochloride and carfentanil. The study was terminated after the initial 3 horses developed severe tachycardia and hypertension, which resulted in the death of 1 horse from pulmonary edema. Although it was possible that the clinical findings in these horses may have resulted from use of an inadequate dosage of carfentanil or xylazine, or both, analysis of the results more likely indicated that domestic and exotic horses may respond differently to carfentanil, and domestic horses may not be a good model for use in studies of carfentanil.

Analgesics, Opioid↗

PubMed1995

Ventilation and carbon dioxide exchange in exercising horses: effect of inspired oxygen fraction.

Thoroughbred horses (TB) have no ventilatory response to added CO2 during near-maximal exercise. To see whether that reflects mechanical limits to ventilation or the control of breathing, we examined the effects of varying inspired O2 fraction (0.16, 0.21, or 0.30) in five normal TB standing quietly and galloping at 10 and 14 m/s on a level treadmill. We measured gas exchange (O2 consumption and CO2 production) and ventilation with a flow-through mask system. We also measured PO2, PCO2, and O2 contents in arterial and mixed venous blood and calculated cardiac output by using the Fick equation. Low inspired O2 fraction (0.16 vs. 0.21) had significant effects in TB galloping at 14 m/s. Arterial PO2 then was 38 Torr compared with 56 Torr for horses on air. Tidal volume and minute ventilation were 20% greater than their corresponding values on air, which were 12 liters and 1,475 l/min, respectively, whereas respiratory frequency did not change. O2 consumption and CO2 production were unchanged, but alveolar ventilation was 6% greater, despite increased alveolar and physiological dead spaces, so arterial PCO2 was lower (45 vs. 50 Torr on air). Thus, hypoxia was an effective stimulus to breathing, and minute ventilation was not mechanically limited in TB breathing air at the speeds studied.

Animals↗

PubMed1994

Does peak inspiratory flow contribute to setting VO2max? A test of symmorphosis.

Symmorphosis predicts that animal design is optimized in such a way that structure 'statisfies but does not exceed' functional requirements. To provide one test of this hypothesis, we examined peak inspiratory flow and its relation to maximum oxygen uptake in humans. We measured maximal forced (peak) inspiratory flow (VImax) and maximum oxygen uptake (VO2max) via cycle ergometry in well trained (VO2max > 65 ml O2.kg-1.min-1) and untrained (VO2max < 45 ml O2.kg-1.min-1) male subjects. Tests of VImax and peak oxygen uptake (VO2peak) were made while the subjects were breathing through inspiratory orifices differing in area. VImax varied as an identical function of orifice diameter in both groups of subjects. However, VO2peak was more sensitive to decreasing orifice diameter in trained endurance athletes than it was in untrained individuals. The diameter of the largest orifice that caused a reduction in oxygen uptake was over two times larger for trained than for untrained subjects, corresponding to about a four-fold difference in resistance at any flow rate. These results suggest that the structures setting VImax (airway resistance and inspiratory muscle strength) are not matched to oxygen demand (VO2max) in humans. While these structures seem to be 'over-built' and hence do not likely contribute to setting the limits to aerobic performance in most humans, they may be among the primary limiting factors in the most elite endurance athletes.

Adaptation, Physiological↗

PubMed1994

Dynamic moduli of rabbit lung tissue and pigeon ligamentum propatagiale undergoing uniaxial cyclic loading.

In fibrous connective tissue networks, mechanical loads may be transferred from one fiber to the next by friction between slipping fibers (J. Appl. Physiol. 74: 665-681, 1993). Here we tested that hypothesis; it predicts that elastance of fibrous networks increases with increasing frequency, decreases with increasing strain amplitude (delta epsilon), and decreases with tissue swelling by solvent. Similarly, it predicts that hysteresivity (eta) decreases with increasing frequency, increases with increasing delta epsilon, decreases with tissue swelling, and, importantly, exceeds that of isolated fibrous constituents of the matrix. Elastance and eta of two structurally dissimilar connective tissues were measured, the rabbit lung parenchymal strip (a loose collagenous tissue) and the pigeon ligamentum propatagiale (an elastin-rich tissue). Experiments covered the frequency range 0.03125-3.125 Hz. Elastance of lung parenchyma was substantially lower than that of propatagial ligament, increased linearly with the logarithm of frequency, and decreased with delta epsilon; that of ligamentum propatagiale was insensitive to both frequency and delta epsilon. eta of lung parenchyma decreased moderately with increasing frequency and assumed values of approximately 0.1, but eta of ligamentum propatagiale was frequency and delta epsilon invariant and assumed values an order of magnitude smaller. These tissues also showed disparate mechanical responses when exposed to hypertonic bath solutions. Although there were some quantitative differences between predictions and experimental observations, the dynamic behavior of lung parenchyma was generally consistent with that of a network in which load is transferred from one fiber to the next by the agency of friction acting at slipping interface surfaces.

Animals↗

PubMed1994

Influence of treadmill exercise on pituitary-adrenal secretions, other blood constituents, and meat quality of sheep.

Whether lambs were used to evaluate the influence of treadmill exercise (TME) on physiological responses and meat quality. Lambs were exercised at either 5.6, 7.2, or 8.8 km/h on a 9 degrees incline for 10 min, followed by a 10-min walk at 4.0 km/h and 0 degrees incline, or were unexercised controls (C; n = 3/treatment). Heart rates were determined at -15, 1, 3, 6, 10, and 15 min relative to the onset of exercise. Blood was collected at 2.5-min intervals during and after exercise for determination of plasma concentrations of ACTH, cortisol, and lactate. In addition, blood collected during exercise was evaluated for hematocrit and for concentrations of glucose, hemoglobin, and total protein. Exercised lambs had greater (P < .01) heart rates than C lambs during and after exercise. Blood from TME lambs also had greater (P < .001) hematocrit percentages, total protein, and hemoglobin concentrations. Areas under the ACTH and cortisol response curves were greater (P < .001) for TME than for C lambs. Areas under glucose response curves were greater for all TME treatments (P < .001) than for C and greater (P < .001) for lambs exercised at 8.8 km/h than for lambs exercised at 5.6 km/h. Areas beneath lactate response curves were greater (P < .001) for lambs exercised at 8.8 km/h than for lambs exercised at 7.2 km/h and C lambs. Carcasses from lambs exercised at 5.6 km/h had lesser (P < .05) longissimus muscle (LM) glycogen concentrations at slaughter than carcasses from lambs exercised at either 7.2 or 8.8 km/h and C lambs.(ABSTRACT TRUNCATED AT 250 WORDS)

Adrenocorticotropic Hormone↗

PubMed1994

Mechanical connections between elastin and collagen.

The ligament supporting the leading edge of birds' wings is a connective tissue structure with unusual morphologic and elastic features. Its center section is made of a highly extensible composite of elastin and collagen fibers and its two end sections of nearly inextensible pure collagen; these are joined end-to-end in short interdigitating junctions. Substantial forces are transmitted through the junctions showing that collagen and elastin are mechanically connected. The junctions and elastic segment are sufficiently strong that when the intact ligament is maximally strained, the point of failure is commonly in the collagenous segments or their attachments to the tissues of origin or insertion. Here we outline the morphology and describe static force-length properties of this ligament.

Animals↗

PubMed1992

Ventilatory and P0.1 response to hypercapnia in quadriplegia.

Unlike individuals with comparable degrees of respiratory muscle weakness from other causes, quadriplegic patients have a blunted ventilatory and P0.1 response to hypercapnia. This suggests that the diminished response in quadriplegia is due, in part, to an alteration in respiratory drive. We measured the hypercapnic response in 9 subjects with chronic quadriplegia (Q) and 8 normal controls (N). Ventilatory muscle strength, maximum voluntary ventilation (MVV), and lung volumes were measured in all subjects. The ventilatory response (HCVR) in Q was significantly less than in N (0.73 +/- 0.37 vs 2.95 +/- 0.4 L.min-1.mmHg-1; P less than 0.001), even when normalized for indices of respiratory muscle performance (e.g., vital capacity, MVV). There was no significant change in the HCVR in Q after the administration of naloxone. We also serially studied 2 subjects with acute quadriplegia, and found that despite progressive improvement in respiratory muscle performance, there was no accompanying increase in the response to hypercapnia. These data suggest that muscle weakness alone cannot explain the blunted hypercapnic response in quadriplegia, and are consistent with the hypothesis that these subjects have a reduced ventilatory drive.

Adult↗

PubMed1992

Effect of fatigue on maximal inspiratory pressure-flow capacity.

The inspiratory muscles can be fatigued by repetitive contractions characterized by high force (inspiratory resistive loads) or high velocities of shortening (hyperpnea). The effects of fatigue induced by inspiratory resistive loaded breathing (pressure tasks) or by eucapnic hyperpnea (flow tasks) on maximal inspiratory pressure-flow capacity and rib cage and diaphragm strength were examined in five healthy adult subjects. Tasks consisted of sustaining an assigned breathing frequency, duty cycle, and either a "pressure-time product" of esophageal pressure (for the pressure tasks) or peak inspiratory flow rate (for the flow tasks). Esophageal pressure was measured during maximal inspiratory efforts against a closed glottis (Pesmax), maximal transdiaphragmatic pressure was measured during open-glottis expulsive maneuvers (Pdimax), and maximal inspiratory flow (VImax) was measured during maximal inspiratory efforts with no added external resistance before and after fatiguing pressure and flow tasks. The reduction in Pesmax) with pressure fatigue (-25 +/- 7%) was significantly greater than the change in Pesmax with flow fatigue (-8 +/- 8%, P less than 0.01). In contrast, the reductions in Pdimax (-11 +/- 8%) and VImax (-16 +/- 3%) with flow fatigue were greater than the changes in Pdimax (-0.6 +/- 4%, P less than 0.05) or VImax (-3 +/- 4%, P less than 0.05) with pressure fatigue. We conclude that respiratory muscle performance is dependent not only on the presence of fatigue but whether fatigue was induced by pressure tasks or flow tasks. The specific impairment of Pesmax and not of Pdimax or flow with pressure fatigue may reflect selective fatigue of the rib cage muscles.(ABSTRACT TRUNCATED AT 250 WORDS)

Airway Resistance↗

PubMed1992

Acid-base changes in the running greyhound: contributing variables.

To determine the factors responsible for changes in [H+] during and after sprint exercise in the racing greyhound, Stewart's quantitative acid-base analysis was applied to arterial blood plasma samples taken at rest, at 8-s intervals during exercise, and at various intervals up to 30 min after a 402-m spring (approximately 30 s) on the track. [Na+], [K+], [Cl-], [total Ca], [lactate], [albumin], [Pi], PCO2, and pH were measured, and the [H+] was calculated from Stewart's equations. This short sprint caused all measured variables to change significantly. Maximal changes were strong ion difference decreased from 36.7 meq/l at rest to 16.1 meq/l; [albumin] increased from 3.1 g/dl at rest to 3.7 g/dl; PCO2, after decreasing from 39.6 Torr at rest to 27.9 Torr immediately prerace, increased during exercise to 42.8 Torr and then again decreased to near 20 Torr during most of recovery; and [H+] rose from 36.6 neq/l at rest to a peak of 76.6 neq/l. The [H+] calculated using Stewart's analysis was not significantly different from that directly measured. In addition to the increase in lactate and the change in PCO2, changes in [albumin], [Na+], and [Cl-] also influenced [H+] during and after sprint exercise in the running greyhound.

Acid-Base Equilibrium↗

PubMed1991

Restraining hamsters alters their breathing pattern.

Does the restraint required for head or nose-only exposure of rodents to inhaled aerosols or gases alter their breathing pattern? And does prior exercise training, which may increase muscle strength, affect this response to restraint? To answer those questions, we measured breathing pattern in 11 adult male hamsters while they were either 1) free to move in small cages or 2) closely restrained in head-out cones. The measurements were repeated after hamsters spent 6 wk either sedentary in standard cages or in cages with exercise wheels. Hamsters were placed in a plethysmograph to measure respiratory frequency (f) and tidal volume (VT). Their product is minute volume (V). When restrained, f and V were 1.9 and 1.7 times, respectively, greater than when hamsters were free, but VT did not change. After 6 wk, the sedentary group responded differently to restraint; f increased 3-fold, VT decreased by one-half, and V increased 1.6-fold. Exercised hamsters increased f 2.3-fold and decreased VT by one-third; V increased by 1.5-fold. In inhalation studies, changes in breathing pattern would significantly influence the amount of material inhaled, the fraction retained, and thus the amount and distribution of material deposited in the lungs.

Animals↗

PubMed1989

Oxygen cost of breathing during fatiguing inspiratory resistive loads.

When a subject breathes against an inspiratory resistance, the inspiratory pressure, the inspiratory flow, and the lung volume at which the breathing task takes place all interact to determine the length of time the task can be sustained (Tlim). We hypothesized that the mechanism actually limiting tasks in which these parameters were varied involved the rate of energy utilization by the inspiratory muscles. To test this hypothesis, we studied four experienced normal subjects during fatiguing breathing tasks performed over a range of pressures and flows and at two different lung volumes. We assessed energy utilization by measuring the increment in the rate of whole body O2 consumption due to the breathing task (VO2 resp). Power and mean esophageal pressure correlated with Tlim but depended also on lung volume and inspiratory flow rate. In contrast, VO2 resp closely correlated with Tlim, and this relationship was not systematically altered by inspiratory flow or lung volume. The shape of the VO2 resp vs. Tlim curve was approximately hyperbolic, with high rates of VO2 resp associated with short endurance times and lower rates of VO2 resp approaching an asymptotic value at high Tlim. These findings are consistent with a mechanism whereby a critical rate of energy utilization determines the endurance of the inspiratory pump, and that rate varies with pressure, flow, and lung volume.

Esophagus↗

PubMed1989

Adaptations to deep breath-hold diving: respiratory and circulatory mechanics.

Respiration and circulation in diving mammals are characterized by interrelated adaptations of structure, function, and behavior that are incompletely described and understood. This speculative survey touches some of them. a) Arterial blood flow can be controlled by vasoconstriction not only in arterioles but also in large arteries. The latter physiology is not well known. b) Mechanisms that might regulate and limit nitrogen uptake are not clear, although Scholander's suggestion that airspaces become gas-free during deep dives is still accepted. c) Systemic arterial retes may be able to store oxygenated blood in some diving mammals. If so, O2 in the lung might be "skimmed off" early in a dive, leaving the N2 behind. d) Variable clusters of interdependent adaptations in diving mammals include compliant chest walls that avoid thoracic squeeze; inspiratory breath holds that maintain high lung volumes; large tidal volumes that nearly empty the lung at end-expiration (so there is near-complete turnover of lung gas with each breath); airways that are "armored" by cartilage rings all the way out to the airspaces (so that they do not close and trap gas in the lung and do permit high expiratory flow rates even at very low lung volumes); submucosal vascular retes that may prevent airway squeeze; a puzzling difference in the cross-sectional areas of trachea and bony nares; and very large lungs in shallow divers (sea otters). Study of mammalian adaptations to deep diving promises to illuminate basic issues in physiology.

Adaptation, Physiological↗

PubMed1988

Increased lung volume limits endurance of inspiratory muscles.

We examined the influence of lung volume on the ability of normal subjects to sustain breathing against inspiratory resistive loading. Four normal subjects breathed on a closed circuit in which inspiration was loaded by a flow resistor. Subjects were assigned a series of breathing tasks over a range of pressures and flows. In each task there was a specified resistor and also targets for either mean esophageal or airway opening pressure, respiratory frequency, and duty cycle. Endurance was assessed as the length of time to failure of the assigned task. The prime experimental variable was lung volume, which was increased by approximately 1 liter during some tasks; 8 cmH2O continuous positive airway pressure was applied to increase lung volume without increasing elastic load. As previously shown (McCool et al.J. Appl. Physiol. 60: 299-303, 1986), for tasks that could be sustained for the same time, there was an inverse linear relationship of mean esophageal pressure with inspiratory flow rate. This trade-off of pressure and flow was apparent both with and without the increase of lung volume. Comparable tasks, however, could not be sustained as long at the higher lung volumes. This effect of volume on endurance was greater for tasks characterized by high inspiratory pressures and low flow rates than for tasks that could be sustained for the same time but that had lower inspiratory pressures and higher flow rates. This is probably due to the effects of shortening of the sarcomere on fatiguability. Increased lung volume, per se, may contribute to respiratory failure because of increased inspiratory muscle fatiguability by mechanisms independent of elastic load.

Airway Resistance↗

PubMed1988

Bracing arms increases the capacity for sustained hyperpnea.

Patients with severe chronic obstructive pulmonary disease (COPD) frequently lean forward, bracing their arms. We wondered whether the resulting shoulder girdle support improves the function of the ventilatory pump. We tested this possibility in 4 normal men by measuring the maximal ventilation that they could voluntarily sustain for 4 min while seated with their elbows braced firmly on a table and while seated with their elbows held just above the table. Bracing the arms increased ventilatory capacity significantly in all subjects, but the magnitude of the change was small (8%). We attribute the change to improved function of the accessory muscles that expand the rib cage. We speculate that this effect assumes greater importance in patients with COPD, whose diaphragms are flattened and ineffective, because such patients depend more on the inspiratory muscles of the rib cage.

Adult↗

PubMed1987

Endogenous opioids and ventilatory adaptation to prolonged hypoxia in goats.

To investigate whether endogenous opioid peptides mediate time-dependent changes in ventilatory control during prolonged hypoxia, we studied four adult goats at rest during 14 days at simulated high altitude in a hypobaric chamber (PB approximately 450 Torr). Arterial PCO2 fell during the first several hours of hypoxia, remained stable over the next 7 days, and then rose slightly (but without statistical significance) by day 14. Ventilatory responsiveness to CO2 increased during the first week of hypoxia. By day 14, while still greater than control, the ventilatory response to CO2 was less than that observed on day 7. Immunoactive beta-endorphin levels in plasma and CSF did not change during the 14-day period. Administration of naloxone on day 14 did not restore the ventilatory response to CO2 to the level observed during the first week of acclimatization. We conclude that in adult goats, time-dependent changes in ventilatory response to CO2 during acclimatization to prolonged hypoxia are not primarily attributable to alterations in endogenous opioid peptide activity.

Adaptation, Physiological↗

PubMed1987

Detection of hypercapnia by normal subjects.

1. To investigate whether changes in PaCO2 can be detected independently of the CO2-induced changes in pulmonary ventilation, we tested five normal subjects for the ability to distinguish different levels of end-tidal PCO2 (PETCO2) while holding minute ventilation constant. 2. Helped by a visual feedback system, the subjects maintained a constant ventilation targeted at a level that was higher than that dictated by the chemical drive at PETCO2 = 50 mmHg (6.7 kPa). End-tidal PCO2 was held at 40 mmHg (5.3 kPa) during the first 2 min of each test trial ('control period'); then, for 4 min ('test period'), PETCO2 was either elevated to 50 mmHg or kept at 40 mmHg. Twelve runs were performed by each subject. 3. In 24 out of the total 30 trials (80%) in which PETCO2 was raised during the test period to 50 mmHg, the subjects detected the changes. There was one false positive result (3%), when PETCO2 kept at 40 mmHg during the test period was reported as different from control. In four out of the five subjects the ability to detect the change in PETCO2 from 40 to 50 mmHg was statistically significant. 4. We conclude that increases in PETCO2 can be detected independently of changes in the absolute level of ventilation.

Carbon Dioxide↗

PubMed1987

Pliometric activity of inspiratory muscles: maximal pressure-flow curves.

We tested the hypothesis that inspiratory muscles, like other skeletal muscles, would exert greater force under pliometric conditions (being lengthened while active) than under isometric or miometric (active shortening) conditions. Maximal inspiratory pressure-flow curves of the respiratory system are analogous to the force-velocity curves for isolated muscle (Agostoni and Fenn, J. Appl. Physiol. 15:349-353, 1960). We measured esophageal pressure (Pes) and plethysmographic flow (V) at relaxation volume of the respiratory system in six trained subjects inspiring maximally through graded resistors (miometric), against a closed airway (isometric), and while constant expiratory flows were forced by a reduced pressure source at the airway opening (pliometric). Pes varied inversely with V and this trend continued into the pliometric range. In addition we found that the pressure-flow characteristics of the rib cage and of the abdomen are similar to those for the chest wall as a whole. The mechanical and energetic advantages of muscle activity under pliometric conditions may be available to some inspiratory muscles in both normal and pathological situations.

Adult↗

PubMed1987

Pathophysiology of cough.

Mucous secretions are normally removed by ciliary beating. When this defense mechanism is impaired or overwhelmed by increased secretions, cough then becomes an important means of secretion removal. For cough to be effective, the linear velocity of gas traveling through the airways should be high. Since the linear velocity of gas is related to flow and the cross-sectional area of the airways, cough is most effective when expiratory flows are great (effort independent) and dynamic compression (effort dependent) leads to a reduction of the cross-sectional area of the larger downstream airways. Cough failures may be related to either inadequate generation of expiratory flow rates (that is, in obstructive lung disease or inspiratory muscle weakness), failure to dynamically compress the airways (that is, in expiratory muscle weakness or increased collapsibility), alterations in airway geometry (that is, in bronchiectasis), or abnormal quantity or quality of mucous production (that is, in chronic bronchitis).

Cough↗