[Arterial blood gases (O2 partial pressure, CO2 partial pressure and pH)].
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Growth and product formation of actinomycetes cultivated at increased total pressure and oxygen partial pressure.
Influence of pressure (P) and oxygen partial pressure (PO2) on cultivation of various Streptomyces spp. and Micromonospora purpurea was examined in pressurized air-lift and stirred tank fermenters. The maximum PO2 was 2100 mbar. Growth and product formation of all cultures tested were markedly influenced by PO2 higher than 1000 mbar. There is evidence that wild strains are more oxygen tolerant than production strains. At a certain PO2 the metabolic activities of all cultures were inhibited. However, results obtained with S. aureofaciens and S. rimosus indicated an increase in specific product formation rate at elevated pressure. With increase in oxygen tension incorporation of oxygen into tetracycline molecules was enhanced. Since elevated oxygen tension can either show inhibiting effects or may be used for regulation of product formation and selectivity, the influence of PO2 should be determined in an appropriate experimental set-up for each process.
Aerobiosis↗
[Experimentally induced alterations in wedge pressure and O2-partial pressure during acute hypoxia].
Suprarenal occlusion of the aorta by means of a balloon catheter results in an increase in wedge pressure, alterations in blood flow in the pulmonary circulation, and an increase in O2 partial pressure in the arterial blood. It is demonstrated that these changes take place after occlusion of the aorta during normoxia or hypoxia (Pao2:43 mmHg) in anaesthetized normotensive or spontaneously hypertensive mongrel dogs.
Acute Disease↗
[Nomogram for the determination of arterial oxygen partial pressure of man in relation to high altitude and in dependence from age (author's transl)].
If somebody ascends from sea level to higher altitude within a short time, the change of the atmospheric conditions can be a danger for his life. Therefore, a nomogram was constructed which allows to read off the arterial oxygen partial pressures and the corresponding arterial oxygen saturation in relation to altitude. On the basis of the oxygen partial pressure of the atmosphere determined by steps of 500 m from sea level up to an antitude of 10,000 m, we calculated the decrease of the oxygen partial pressure from the inspired air to the arterial blood. When passing our airways, the inspired oxygen partial pressure is dimished by the adaptation to BTPS conditions and by the increasing CO2 partial pressure when approaching the alveolar gas exchanging zone. Another oxygen partial pressure gradient formed by inhomogeneities of ventilation to perfusion, diffusing capacity to perfusion and shunt perfusion is found at the alveolar-arterial barrier. The value of this alveolar-arterial oxygen partial pressure difference is closely correlated to age. With the values of the single steps, the nomogram was constructed. Seven abscissas show the oxygen partial pressure gradients from the inspired air at a distinct altitude to the arterial blood. In relation to a lot of CO2-depending oxygen dissociation curves, it is possible to read off additionally the corresponding arterial oxygen saturation for a person in rest up to an altitude of 10,000 m.
Adult↗
[Measurement of the oxyten partial pressure in the gingiva].
The partial pressure of oxygen (pO2) in the inflamed gingiva was measured in 24 patients before and after the application of Gingivox. The Gingivox treatment led to a significant increase in pO2 from 72.2 mm Hg to 94.6 mmHg. The arterial pO2 values of all patients, measured on the hyperaemic ear-lobe, lay within the range of normal values. The measurements were performed by means of the micro-Astrup equipment of the firm of Radiometer, Copenhagen.
Adolescent↗
Zinc improves the filterability of sickle erythrocytes at intermediate oxygen partial pressures.
1. The deformability of erythrocytes from patients with sickle-cell anaemia was measured with a St George's blood filtrometer at a range of oxygen partial pressures and at four levels of zinc loading. 2. When incubated in buffered saline containing zinc and the chelator ethyl maltol, erythrocytes rapidly accumulated zinc and thus their oxygen affinity was increased. 3. Neither the oxygen partial pressure nor zinc loading affected the filtration of normal erythrocytes. 4. Deoxygenation of sickle erythrocytes greatly impaired filtration, although the initial filtration rate declined sharply at different oxygen partial pressures (between 70 and 35 mmHg) in different patients. 5. Low levels of zinc (0.03 +/- 0.003 mol of zinc/mol of haemoglobin tetramer) were without effect on sickle cells, but at zinc/haemoglobin ratios of 0.6:1 and above, the sharp fall in filtration rate occurred at oxygen partial pressures 8-25 mmHg below the oxygen partial pressure that impaired filtration of untreated cells. 6. Hence, the deformability of sickle erythrocytes in vitro can be improved by increasing the intracellular content of zinc to 20-fold above normal. Further studies are now required to examine the stability of zinc in erythrocytes, the effects of high intracellular zinc concentrations on erythrocyte viability, and the toxicity of zinc released from zinc-laden cells.
Cells, Cultured↗
Stability of the arterial/alveolar oxygen partial pressure ratio. Effects of low ventilation/perfusion regions.
The alveolar-arterial oxygen partial pressure difference (AaDO2) and the arterial/alveolar oxygen partial pressure ratio (a/APO2) were compared for stability when inspired oxygen concentration (FIO2) changed. The analysis was based on a three-compartment lung model and experimental results in 10 patients with respiratory failure receiving assisted ventilation. It was found that a/APO2 was more stable than AaDO2 and more useful for: (1) comparing gas exchange in patients receiving different levels of FIO2, (2) following gas exchange in the same patient as FIO2 is changed, and (3) estimating the PaO2 expected at a given level of FIO2 if blood gas data are available at another level. However, areas with low ventilation/perfusion (V/Q) ratios may cause sudden changes in a/PO2 at certain critical values of PAO2. Most stable is a/APO2 and, therefore, most useful at FIO2 levels greater than 0.3, and PaO2 levels less than 100 torr.
Adult↗
Peroxyl radical scavenging by beta-carotene in lipid bilayers. Effect of oxygen partial pressure.
The effect of the partial pressure of oxygen (pO2) on the antioxidant reactions of all-trans-beta, beta-carotene (BC) was investigated in a soybean phosphatidylcholine liposome system. Peroxyl radicals generated by thermolysis of azo-bis(2,4-dimethylvaleronitrile) at 37 degrees C initiated lipid peroxidation. BC inhibited lipid peroxidation, which was monitored by conjugated diene formation, by up to 70% versus control at 160 and 15 torr O2. In contrast, at 760 torr O2 the maximum inhibition was approximately 40% versus control and inhibition was less reproducible. Peroxyl radicals oxidized BC to 5,6-epoxy-beta,beta-carotene and several unidentified polar products. The rates of both product formation and BC consumption were significantly higher at 160 torr than at 15 torr O2. However, at 160 and 760 torr O2, the rates of product formation and BC depletion were similar. In liposomes without azo-bis(2,4-dimethylvaleronitrile), BC depletion at 160 torr was only 64% that at 760 torr O2. These results suggest that both radical trapping and autoxidation reactions consume BC and that the latter are accelerated by high pO2. Autoxidation consumes BC without scavenging peroxyl radicals and may attenuate BC antioxidant activity, especially at high pO2. The similarity in its antioxidant effects at 15 and 160 torr O2 suggests that BC could provide antioxidant protection to any tissue within the normal physiologic range of pO2.
Carotenoids↗
Variations in corticomotor and somatosensory evoked potentials: effects of temperature, halothane anesthesia, and arterial partial pressure of CO2.
The effects of temperature, halothane concentration, and arterial partial pressure of CO2 on corticomotor evoked potentials (CMEPs) and somatosensory evoked potentials (SSEPs) were studied. Hypothermia causes an increase in CMEP and SSEP latencies. Corticomotor evoked potential amplitude increases with hypothermia to reach a maximum at or below 28 degrees C. As the temperature decreases from 42 degrees C, SSEP amplitude initially increases to reach a maximum between 36 and 34 degrees C and then decreases with further reductions in temperature. Increased arterial partial pressure of CO2 decreases amplitude and increases latencies of the CMEPs and SSEPs. The concentration of halothane has no effect on CMEP amplitude or latency. However, SSEP amplitude is inversely related to halothane concentration, and SSEP latency is directly related to halothane concentration. These results suggest that physiologic variables must be carefully measured when evoked potentials are utilized in any animal or human study. Moreover, each type of evoked potential has a unique response to alterations of these variables.
Animals↗
Quadrupole mass filtering for registration of blood gas partial pressures.
With a newly developed quadrupole mass spectrometer several blood gas partial pressures are recorded simultaneously and continuously. In the mass filter the separation of the ions to be detected takes place in a hyperbolic electric field with variable direct and alternating voltages with a constant frequency of 2.4 MHz. For blood gas analysis a fully relaxed experimental animal was artifically ventilated and provided with arterial and venous catheters. Each catheter consisted flexible steel tubing (external diameter 0.6 mm) slotted near the end and covered with a silicone rubber membrane. The distance from the measuring tip to the mass spectrometer was 150 cm. Experiments with blood, in vivo equilibrated with gas mixtures, showed good reproducibility; the mean error of the helium partial pressure, for example, was less than 4%. During respiration using a gas mixture with 40% argon, the time constant t63% was found to be 55 s for the whole experimental arrangement including the experimental animal.
Animals↗
Partial pressures of oxygen and carbon dioxide in bone and their correlation with bone-blood flow: effect of decreased arterial supply and venous congestion on intraosseous oxygen and carbon dioxide in an animal model.
Pathological changes in bone have been related to a preceding impediment of the arterial or venous bone circulation and hypoxia. In this study, we analyzed the feasibility of mass spectrometry in measuring intraosseous oxygen and carbon dioxide. The partial pressures were also measured in intraosseous blood samples, and blood flow in bone was measured with the radioactive microspheres technique. The average partial pressure of oxygen in the lateral femoral condyle was 34 +/- 1.6 mm Hg when measured in intraosseous blood samples and 36.3 +/- 2.3 mm Hg when measured with the on-line mass spectrometer, with significant correlation between the methods. The absolute value of the partial pressure of carbon dioxide measured in situ with mass spectrometry was correlated with the value in the withdrawn blood. There was no significant difference in partial pressures of oxygen and carbon dioxide between the two sides or between repetitive measurements. Arterial occlusion resulted in severe hypoxia, whereas more moderate changes followed venous occlusion.
Animals↗
Some characteristics of transcutaneously monitored oxygen partial pressure in normal newborns.
The transcutaneous oxygen partial pressure (PtcO2) was monitored in 50 healthy, normally and spontaneously delivered newborns. Measurements were performed during the first to fourth day of life. The electrode temperature was 44.5 degrees C. The mean PtcO2 level recorded during about 45 min was 9.2 kPa (S.D. 1.4) recorded from the minute-to-minute values. The PtcO2 level normally oscillated to a certain extent and the oscillations were closely related to the breathing pattern of the patient. When the patient fell asleep during measurement, the normal oscillating pattern was replaced by a "silent pattern". During crying, the PtcO2 level showed four main reaction aptterns. A decrease in the PtcO2 level could be observed during breast-feeding. One child, recently fed, vomited a small amount of breast milk after a short period of crying and apparently had a laryngospasm, shown by a sudden drop in the PtcO2 level without any other signs of discomfort. The study shows that PtcO2 (and thus also PaO2) very sensitively reacts to changes in activity. This implies that earlier used methods for determination of PaO2 might give values that are not representative for the steady state as the sampling method per se might influence the recorded PO2 value.
Breast Feeding↗
The acute effects of MK-801 on cerebral blood flow and tissue partial pressures of oxygen and carbon dioxide in conscious and alpha-chloralose anaesthetized rats.
The dynamic effects of the non-competitive N-methyl-D-aspartate receptor antagonist, MK-801 [(+)-5-methyl-10,11-dihydro-5H-dibenzo(a,d)cyclohepten-5,10-imine] , on cerebral blood flow and tissue partial pressures of oxygen and carbon dioxide were investigated in the striatal and occipital regions of conscious and anaesthetized rats by mass spectrometry. MK-801 (0.5 and 5 mg/kg, i.p.) induced a large increase in the blood flow of both cerebral regions of conscious rats, without significant changes in local tissue partial pressures of oxygen and carbon dioxide. The increase in cerebral blood flow was maximal within 30 min after injection. Its amplitude was independent of the dose of MK-801, but cerebral blood flow remained elevated for up to 4 h after 5 mg/kg MK-801, while it progressively decreased towards its basal level in rats given 0.5 mg/kg MK-801. The amplitude and time-course of the vascular changes were similar in the two cerebral regions studied. The difference in the changes in tissue partial pressure of oxygen induced by MK-801 and by a 6% CO2 inhalation suggests that the MK-801-induced rise in cerebral blood flow in conscious rats is, at least partly, due to an increase in oxidative metabolism. In contrast, MK-801 induced either no changes or decreases in cerebral blood flow in alpha-chloralose-anaesthetized rats. The present results should be taken into account not only to determine the mechanisms by which N-methyl-D-aspartate receptor antagonists may exert their neuroprotective effects but also to further elucidate the sites of action of MK-801 in the central nervous system.
Anesthesia, General↗
Continuous measurement of gas partial pressures in intracerebral tissue.
A mass spectrograph technique has been developed for measurement of physiological gas partial pressures locally in the brain. The sampling cannula is implanted stereotaxically and remains in situ for several weeks. It is a thin cylinder in shape, and is covered with a thin polyethylene membrane across which gas molecules can be sampled continuously. The conductance of this membrane is well adapted to the limited rate of replacement of gas molecules afforded by the cerebral tissue, hence there is no depletion around the cannula; this depletion has until now been the major problem of this technology. The present technique provides a continuous measurement with fast response time, which is directly proportional to the partial pressures of the gases. The variations can be expressed as a percentage of the base-line value.
Animals↗
[Development of continuous monitoring of spontaneous respiration in the postoperative phase. 2. Cutaneous oxygen and carbon dioxide partial pressures following i.v. bolus application of fentanyl, buprenorphine, naloxone and amiphenazole in healthy adult subjects].
METHODS: In an attempt to develop a noninvasive monitoring technique for patients in the early postoperative period, cutaneous O2 and CO2 pressures (pctO2, pctCO2) were monitored in ten healthy adult volunteers of both sexes (5 male, 5 female, age 29 +/- 5 years, weight 68 +/- 11 kg) who received, in several sessions after a 60-min equilibration period, i.v. bolus doses of fentanyl (3 micrograms/kg and, 60 min later, another 1.5 micrograms/kg), buprenorphine (3 and 1.5 micrograms/kg), naloxone (1.8 and 0.9 micrograms/kg), and the respiratory analeptic amiphenazole (2 and 1 mg/kg) as well as combinations of fentanyl/amiphenazole or buprenorphine/naloxone in the aforementioned dosages. Data were collected and stored by a personal computer using the TCM3 system with a combination electrode for simultaneous measuring of pctO2 and pctCO2 (TINA, Radiometer) at 30-s intervals. The overall observation period was 240 min. Means, standard deviations, and ranges were calculated for individual data and data pooled for 15-min intervals. Groups were compared by means of Student's t-test and analysis of variance. RESULTS: Following i.v. fentanyl 3 micrograms/kg, pctO2 decreased and pctCO2 increased rapidly and statistically significantly. The changes were of similar intensity after the first and second doses (1.5 micrograms/kg) and normalized about 60 min after each injection. In contrast, following i.v. buprenorphine (3 and 1.5 micrograms/kg) the cutaneous partial pressures changed continuously and progressively during the observation period and did not reach the control values after 240 min. Naloxone and amiphenazole injections had no obvious influence on the time course of the blood gas tensions. If opiates and antagonists were combined, neither the fentanyl/amiphenazole group nor the buprenorphine/naloxone group differed significantly from the respective opiate groups. DISCUSSION AND CONCLUSION: As was discussed in detail in a previous communication, monitoring of opiate-induced respiratory depression must be nonstimulant and, preferably, noninvasive. Whereas the precision and/or limitations of monitoring partial oxygen saturations by pulse oximetry is well documented in the literature, knowledge of the value of cutaneous partial pressure monitoring is still limited and controversial for the adult patient population. The present study was performed to define the usefulness of cutaneous blood gas analysis in healthy volunteers receiving opiate dosages well known in recovery room patients. It is concluded that continuous monitoring of pctO2 and pctCO2 can indeed detect opiate-induced respiratory depression in adults. The well-known difference in respiratory pattern for fentanyl and buprenorphine could easily be determined. It was confirmed that naloxone and amiphenazole in the dosage range studied do not influence spontaneous respiration in healthy adults. Thus, the authors are convinced that continuous monitoring of cutaneous partial pressures of oxygen and carbon dioxide is sensitive enough to be used, in combination with pulse oximetry, in a monitoring concept for patients recovering from surgery and anaesthesia. Results in patients undergoing conventional pain management or patient-controlled analgesia with relatively high opiate dosages will be presented in following papers. Concerning the controversy about clinically relevant interactions between fentanyl and amiphenazole or buprenorphine and naloxone, the present study did not confirm any useful antagonism. Whether this is due to limitations of cutaneous monitoring, the difference between volunteers and patients, or pharmacological reasons must be evaluated in further investigations.
Adult↗
[Oxygen partial pressure, oxyhemoglobin saturation and the oxygen content of blood in endotoxic shock].
Our research showed in the endotoxic shock no fundamental and durable changes with reference to oxygen partial pressure and oxyhemoglobin saturation of the arterial blood within the first two hours. On the other hand the oxygen contents of the arterial blood decreased progressively in connection with the progressive decrease of hemoglobin. In detail the arterial oxygen partial pressure decreased within the first 30 minutes after the endotoxin injection and normalized itself by the sixtieth minute, afterwards it remained stationary. Statistically significant divergences of the oxyhemoglobin saturation were not existing during the whole examination. The oxygen contents of the blood decreased progressively in consequence of lower hemoglobin values.
Animals↗
Measurement of partial pressure of gases in liquids by mass spectrometry.
The experimental setup of mass spectrometric determination of gas contents in liquids has been modified for continuous and discontinuous measurement of partial pressure of gases in liquids. The inlet system consists of a stainless steel capillary with slits covered by a silicone rubber membrane. Several gases can be measured simultaneously under static conditions and in flowing liquids. The measurement and calibration procedure is described. Results of the analysis of the test criteria, reproducibility, detection limit, response time, and depletion are presented. The difficulties in discontinuous measurement of oxygen in blood are explained by the complex permeation-diffusion process at the membrane and the form of the dissociation curve. With regard to solubility, physically dissolved gases can be determined without problems down to tensions of about 0.01 mm Hg. Continuous measurement of oxygen and carbon dioxide partial pressure in liquids, including blood, is possible with the described system.
Blood Gas Analysis↗
ANP decreases arterial oxygen partial pressure by increasing shunt flow in pulmonary circulation.
This study was designed to clarify the decreased arterial oxygen partial pressure (PaO2) mechanism induced by atrial natriuretic peptide (ANP) infusion. In order to examine the effects of ANP on gas exchange across the normal lungs, ANP was infused to eight anesthetized dogs, ventilated with mixed gases of oxygen and nitrogen. PaO2 and venous oxygen partial pressure (PvO2), ventilation-perfusion ratio (VA/Q), shunt-total blood flow ratio (QS/QT) were measured before and during ANP infusion under ventilation with 10, 20, 30% oxygen. In this study ANP decreased PaO2 from 89.0 +/- 4.2 to 85.4 +/- 5.4 mmHg during 20% oxygen ventilation, and from 138.1 +/- 3.6 to 132.5 +/- 4.1 mmHg during 30% oxygen ventilation. ANP increased VA/Q and QS/QT. We conclude that the decrease in PaO2 caused by ANP infusion was mainly due to the increased venous admixture.
Animals↗