A comparison of descending aortic and “arterialized” capillary blood in the sick newborn

Comparison was made of 53 “arterialized” capillary (heel prick) samples with descending aortic blood in 26 babies, of whom 24 were less than one week old and 18 had R.D.S.“Arterialized” capillary blood is an accurate and practical means of assessing aortic blood pH and Pco₂ over a range of 6.69 to 7.54 and 18 to 94 mm. Hg respectively.“Arterialized” capillary sampling is a reliable means of assessing descending aortic Po₂ when the “arterialized” capillary value is less than 60 mm. Hg.When higher than 60 mm. Hg the “arterialized” capillary oxygen tension may be considerably less than that of the blood in the descending aorta, hence the “arterialized” capillary blood oxygen tension method is unreliable in estimating systemic oxygenation when the descending aortic oxygen tension is more than 60 mm. Hg.     

Negative Pressure Artificial Respiration: Use in Treatment of Respiratory Failure of the Newborn

Ninety-one infants with respiratory failure secondary to primary pulmonary disease and with a birth weight of 1000 g. or over have been managed in a negative-pressure respirator (Air-Shields) over a three-year period. Of these the failure in 87 was due to respiratory distress syndrome (RDS) and in four it resulted from massive meconium aspiration. Respiratory failure was indicated initially by arterial blood gas tensions (while breathing 100% O₂) of Po₂ <40 mm. Hg, pH <7.10 and Pco₂ >75 mm. Hg in the initial 47 cases; these levels were subsequently raised to Po₂ < 50 mm. Hg, pH <7.20 and Pco₂ >70 mm. Hg for the remainder. Fifty-four (59.3%) of the infants survived the use of the respirator and 47 of these (51.6%) were subsequently discharged alive and well. Mean time in hours to normalization of blood gas values while on the respirator were as follows: for Po₂, 10.5; for pH, 11.6; and for Pco₂, 22.6. These values indicate that the respirator is more efficient in promoting oxygenation (raising Po₂) than ventilation (lowering Pco₂). They also suggest that the observed acidosis is in large part secondary to the hypoxia rather than the result of co₂ retention. For the survivors the average time of total respirator dependency before commencement of weaning was 53.7 hours. All the infants were managed without the use of endotracheal tubes although the use of the respirator and/or administration of 100% oxygen were either continuous or intermittent for periods of up to two weeks. There have been no instances of so-called respirator lung disease in the survivors or in those who died, which suggests that the use of high oxygen concentration by itself is not the major factor in the pathogenesis of this complication.     

Effects of nitrite-induced methaemoglobinaemia on oxygen affinity of carp blood

Synopsis The oxygen transport characteristics and the acid-base status of carp blood was studied in vitro by equilibration of blood samples with and without addition of 5mmol l^–1 of nitrite for 30 min at various Po₂ values in combination with Pco₂ of 1.5 and 5.7mmHg (0.2 and 0.76kPa). After equilibration pH, Po₂, Pco₂, and Co₂ as well as methaemoglobin and HCO₃ ^– concentration were determined and oxygen dissociation curves established. At Pco₂ of 1.5mmHg (0.2kPa) oxygen affinity, expressed by a normal P₅₀ of 3.3mmHg (0.44kPa) was unaffected by nitrite exposure, whereas at Pco₂ 5.7 (0.76kPa), nitrite exposure shifted P₅₀ from 7.59mmHg (1.01kPa) to 21.9mmHg (2.92kPa). Methaemoglobin formation was greater at the higher Pco₂ and increased with falling Po₂. Erythrocyte shrinkage and rising plasma [HC0₃ ^–] during nitrite exposure indicated that the erythrocyte osmoregulation was significantly affected. The present results indicate significantly reduced oxygen affinity upon exposure of carp blood to nitrite. This result contrasts with findings in mammalian blood, where oxygen affinity is greatly enhanced.     

Postural influence on maternal capillary oxygen and carbon dioxide tension

The effect of posture on maternal capillary blood Po₂ and Pco₂ was studied in pregnant and non-pregnant women. There was a significant decrease of Po₂ (mean 13·0 mm. Hg) and significant decrease of Pco₂ (mean 2·4 mm. Hg) when pregnant women sat up, but these changes did not occur in the non-pregnant. These findings may be relevant to debate on the optimum posture for labour.     

Leakage of Oxygen from Blood and Water Samples Stored in Plastic and Glass Syringes

Theory and experiment showed that samples of blood and water stored in 2-ml and 5-ml syringes made of polypropylene, polystyrene, or S.A.N. co-polymer exchanged oxygen with their surroundings. In the first hour the exchange was due mainly to equilibration with the plastic of the syringe and only in small degree to permeation through the plastic. With high initial tension or with blood of low haemoglobin concentration the exchange can result in errors in Po₂ of up to 6% in two minutes and 16% in 30 to 60 minutes. With all-glass syringes the exchange was much slower but, even so, after 24 hours was important in all but a few of 18 interchangeable glass syringes. Therefore unless analysis can be started immediately all-glass syringes are to be preferred, and for prolonged storage even these should be selected.     

Effects of experimental ventilation and ambient Po2 on O2 uptake of the isolated cutaneous tissue in the carp,Cyprinus carpio

Effects of experimental ventilation and ambient Po₂ on cutaneous O₂ uptake in vitro were studied in the carp, Cyprinus carpio. Oxygen uptake rate of the isolated cutaneous tissue was determined by ventilating the epidermis side of the skin with normoxic water in flow-through respirometers. Oxygen uptake rate of the skin increased with ventilation rate across the skin between 2.5 and 40 ml/min and became 3.2 nmol/cm²/min at a flow rate of 40 ml/min, which corresponds to an apparent water velocity of 1.1 cm/sec. At a ventilation rate of 10 ml/min, oxygen uptake rate of the skin increased with the ambient Po₂ between 115 and 230 Torr and became constant (3.8 nmol/cm²/min) between 230 and 295 Torr. When both sides of the skin were ventilated with normoxic water, oxygen uptake rate of the skin increased and became 3.7 nmol/cm²/min at a flow rate of 20–40 ml/min. These results suggest that the oxygen requirement of the skin is 3.7–3.8 nmol/cm²/min at 21.3°C and that cutaneous O₂ uptake in vitro depends on experimental ventilation and ambient Po₂, consistent with values measured in vitro in the carp (ref).     

The Dependence of the Oxygen-Concentrating Mechanism of the Teleost Eye (Salmo gairdneri) on the Enzyme Carbonic Anhydrase

Microoxygen polarographic electrodes were constructed and used to measure oxygen tension (P_OO2) in the eyes of rainbow trout (Salmo gairdneri). The values obtained are compared with arterial blood and environmental water P_OO2 and indicate that there is an oxygen-concentrating mechanism in the eye supplying oxygen to the avascular retina. Anatomically similar retes suggest that the mechanism is similar to the one which exists in the swim bladder. Elimination of the arterial blood supply to the choroidal gland rete mirabile of the eye (through pseudobranchectomy) and the consequent lowering of ocular oxygen tensions implicate the choroidal gland as one of the major components of the oxygen-concentrating mechanism. After pseudobranchectomy the presence of ocular P_OO2 above that of arterial blood is indicative of a secondary structure in the eye capable of concentrating oxygen. Inhibition of carbonic anhydrase, using acetazolamide, is shown to result in complete suppression of the oxygen-concentrating mechanism. A hypothesis is advanced for the participation of retinal-choroidal and erythrocyte carbonic anhydrase in the oxygen-concentrating mechanism.     

A topical metabolic inhibitor to improve transcutaneous estimation of arterial oxygen tension in adults

The use of Eugenol as a contact medium in the measurement of transcutaneous oxygen (tcPO₂) partially inhibits the metabolism in the underlying tissue, thereby reducing oxygen consumption and increasing tcPO₂. Oxygen consumption in the tissue can be estimated from the rate at which tcPO₂ falls when blood flow is occluded, and blood flow in the tissue can be estimated from the rate at which tcPO₂ increases when the subject changes from breathing air to pure oxygen. Both these measurements have been made with Eugenol and distilled water as contact media. From these measurements it has proved possible to estimate the arterial oxygen tension (aPO₂) of healthy adults at a relatively low sensor temperature (43°C).     

Electrochemical Properties of Hydrated Cation-Selective Glass Membrane: A Model of K+ and Na+ Transport

Electrochemical properties of cation-selective glass microelectrodes made from NAS_27-04 were studied. There was a marked fall in electrical resistance of the microelectrodes stored in 3 M KCl solution (aging). The resistance was in the range of 2 × 10⁷ to 10⁹ Ω, which were much lower than those estimated from the electrical resistivity of dry glass for the equivalent dimensions of microelectrode working tips. This fall in resistance was accompanied by an increase in microelectrode selectivity for K⁺. The low resistance and increased K⁺ selectivity are desirable features that make the microelectrode more suitable for application to biologic studies. The changes in microelectrode resistance and selectivity were interpreted to be due to hydration of the entire thickness of the glass membrane, resulting in a change in the field strength of anionic sites and formation of ionic channels in the glass membrane. Thus, the fall in resistance is explained by decrease in energy barrier, which is equivalent to the activation energy of interaction between the cations and anionic sites in the glass membrane. Some of the microelectrodes showed a transient depolarization that resembled the action potential of a biological membrane. This transient depolarization was associated with the changes in microelectrode resistance and selectivity. The transient depolarizations suggest the temporary development of wide channels in the membrane permitting free movement of hydrated cations according to the bulk electrochemical gradient.     

A New Functional MRI Approach for Investigating Modulations of Brain Oxygen Metabolism

Functional MRI (fMRI) using the blood oxygenation level dependent (BOLD) signal is a common technique in the study of brain function. The BOLD signal is sensitive to the complex interaction of physiological changes including cerebral blood flow (CBF), cerebral blood volume (CBV), and cerebral oxygen metabolism (CMRO₂). A primary goal of quantitative fMRI methods is to combine BOLD imaging with other measurements (such as CBF measured with arterial spin labeling) to derive information about CMRO₂. This requires an accurate mathematical model to relate the BOLD signal to the physiological and hemodynamic changes; the most commonly used of these is the Davis model. Here, we propose a new nonlinear model that is straightforward and shows heuristic value in clearly relating the BOLD signal to blood flow, blood volume and the blood flow-oxygen metabolism coupling ratio. The model was tested for accuracy against a more detailed model adapted for magnetic fields of 1.5, 3 and 7T. The mathematical form of the heuristic model suggests a new ratio method for comparing combined BOLD and CBF data from two different stimulus responses to determine whether CBF and CMRO₂ coupling differs. The method does not require a calibration experiment or knowledge of parameter values as long as the exponential parameter describing the CBF-CBV relationship remains constant between stimuli. The method was found to work well for 1.5 and 3T but is prone to systematic error at 7T. If more specific information regarding changes in CMRO₂ is required, then with accuracy similar to that of the Davis model, the heuristic model can be applied to calibrated BOLD data at 1.5T, 3T and 7T. Both models work well over a reasonable range of blood flow and oxygen metabolism changes but are less accurate when applied to a simulated caffeine experiment in which CBF decreases and CMRO₂ increases.     

Dependence of Miniature Endplate Current on Kinetic Parameters of Acetylcholine Receptors Activation: A Model Study

Mathematical modeling was applied to study the dependence of miniature endplate current (MEPC) amplitude and temporal parameters on the values of the rate constants of acetylcholine binding to receptors (k₊) when cholinesterase was either active or inactive. The simulation was performed under two different sets of parameters describing acetylcholine receptor activation–one with high and another with low probability (Po_high and Po_low) of receptor transition into the open state after double ligand binding. The dependence of model MEPC amplitudes, rise times, and decay times on k₊ differs for set Po_low and set Po_high. The main outcome is that for set Po_high, the rise time is significantly longer at low values of k₊ because of the prolongation of ACh diffusion time to the receptor. For the set Polow, the rise time is shorter at low values of k1, which can be explained by the small probability of AChR forward isomerization after ACh binding and faster MEPC's peak formation.     

Evaluation of Hyperventilation in Treatment of Head Injuries

Reduction of the partial pressure of carbon dioxide in the arterial blood by mechanical hyperventilation (Pco₂ 25-30 mm Hg; Po₂ 100-150 mm Hg) may be beneficial in cases of severe head injury. To evaluate its efficacy and establish prognostic guidelines intracranial pressure, radiocirculograms, and cerebrospinal fluid (C.S.F.) lactate levels were studied in 31 patients. In survivors intracranial pressure fell and cerebral blood flow improved with treatment. A C.S.F. lactate greater than 55 mg/100 ml was associated with a poor prognosis. Selection of patients was based on clinical judgement, and adults with signs of extensive brain damage were excluded. The importance of an adequate airway and resuscitation is stressed before a final decision is made. The object of treatment is to improve the quality of survival and the criteria measured may aid in the distinction between patients with a potential for good recovery and those capable only of a vegetative existence. Many associated factors as well as hypocapnia reduce intracranial pressure, and these are discussed. We believe that hyperventilation may improve some head injuries, and further study is indicated.     

Predictability of PaO2 in different inert gas-oxygen environments

Recent experimentation with metabolic changes in rats exposed to thermally isoconductive environments has involved the use of inert gas-oxygen mixtures with different total pressures (PT) and inspired oxygen fractions (F₁O₂). To determine the F_IO₂ for each mixture that would result in similar arterial oxygen pressures (P _a O₂) and saturations (OS), arterial blood of dogs breathing the mixtures through a mask was analyzed for pH,^PO₂,^PCO₂, and OS. Using P_IO₂'s calculated from the alveolar gas equation as a theoretical basis, the oxygen partial pressure for the helium mixture had to be increased by 5.6% while that in argon decreased by 10.2% below the computed values to obtain P _a O₂'s acceptably similar to those resulting from air exposure. No consistent variation in pH, P _a CO₂, and OS were apparent. Based on the data presented, which were obtained under highly specialized conditions, it appears that the use of helium and argon as diluent gases may significantly affect arterial oxygen tension.     

Comparative study of automatic blood-gas analysers and their use in analysing arterial and capillary samples.

Three automatic blood-gas analysers were compared for ease of use; calibration; reproducibility and accuracy of results; maintenance; fault-finding; and use of expert technician time. Results obtained from arterial and capillary blood were compared with duplicate values obtained with a semi-automatic analyser controlled and calibrated with tonometered blood. No analyser was fully automatic, and all three needed maintenance by expert technicians. Difficulties were encountered when inexperienced operators used the machines. One automatic blood-gas analyser gave aberrant values for oxygen pressure (PO2) due to electrode dysfunction that was not indicated by the fault-finding system. A second analyser gave significantly lower values for blood pH than the standard machine. A comparison of pH, carbon dioxide pressure (PCO2), and PO2 measured in 40 simultaneous paired samples of arterial and arterialised capillary blood showed no significant difference for pH or PCO2, but the PO2 values were significantly lower in the capillary samples over the range studied. We conclude that all machines perform satisfactorily in terms of blood-gas analysis, but none may be regarded as fully automatic. Some degree of technical supervision is essential, as is proper training for all potential users.     

A theoretical model for studying the rate of oxygenation of blood in pulmonary capillaries

A mathematical analysis of the process of gas exchange in the lung is presented taking into account the transport mechanisms of molecular diffusion, convection and facilitated diffusion of the species due to haemoglobin. Since the rate at which blood gets oxygenated in the pulmonary capillaries is very fast, it is difficult to set up an experimental study to determine the effects of various parameters on equilibration rate. The proposed study is aimed at determining the effects of various physiological parameters on equilibration rate in pathological conditions.Among the significant results are that 1. dissolved oxygen takes longer to achieve equilibration across the pulmonary membrane and carbon dioxide attains equilibration faster, 2. the equilibration length increases with increase in blood velocity, haemoglobin concentration, calibre of pulmonary capillaries and fall in alveolar PO₂, 3. the alveolar PCO₂ and forward and backward reaction rates of haemoglobin with CO₂ do not materially affect the equilibration rate or length. 4. At complete equilibration, by the end of the pulmonary capillary 92% of the total haemoglobin has combined with oxygen and 8% free pigment is left which is present as carbamino haemoglobin, met haemoglobin, carboxy haemoglobin etc.These results are of some importance for anaemic conditions, muscular exercise, meditation, altitude physiology, hypo-ventilation, hyperventilation, etc.Symbols H⁺ hydrogen ion - O₂ oxygen - CO₂ carbondioxide - HbO₂ oxyhaemoglobin - HbCO₂ carbaminohaemoglobin - PO₂ partial pressure of O₂ - PCO₂ partial pressure of CO₂ - PaO₂ O₂ tension in arterial blood - PaCO₂ CO₂ tension in arterial blood - k₁ forward rate constant for Eq. (1) - k₂ backward rate constant for Eq. (1) - m₁ forward rate constant for Eq. (2) - m₂ backward rate constant for Eq. (2) - k equilibration rate - a radius of the capillary - Q velocity of blood - L length of the capillary - D₀ diffusion coefficient of O₂ - D_c diffusion coefficient of CO₂ - D_H diffusion coefficient of Hb - H total haemoglobin concentration - A matrix - c₁ concentration of dissolved O₂ in blood - c₂ concentration of HbO₂ in blood - c₃ concentration of dissolved CO₂ in blood - c₄ concentration of HbCO₂ in blood - c₅ concentration of haemoglobin - c1alv concentration of O₂ in the alveolar region - c_3alv concentration of CO₂ in the alveolar region - c_iven concentration of the ith species in venous blood - c_iart concentrations of the ith species in arterial blood - F _is concentrations of the species in dimensionless form - J₀, I₀ Bessel's functions - P_alvO₂ tension of O₂ in alveolar region - P_alvCO₂ tension of CO₂ in alveolar region.     

Microvascular Regulation of Cutaneous Gas Exchange in Amphibians

SYNOPSIS. Gas exchange across amphibian skin is regulated bythe cutaneous microcirculation. Parameters involved in regulatinggas exchange are capillary density, radius and blood flow. Changesin capillary density and radius should affect gas exchange byaltering the cutaneous diffusing capacity (D₂) while changesin capillary blood flow affect the perfusive conductance ofthe skin. A simple model predicts that the effect of capillary densitychanges on D₂ will become more pronounced as capillary densityand epidermal thickness decrease. Changes in capillary radiusshould have only a minor effect on D₂ Previous analyses havesuggested that cutaneous gas exchange is not significantly affectedby the perfusive conductance of the skin. Consequently, it hasbeen thought that changes in total capillary blood flow havelittle impact on cutaneous gas exchange. Earlier analyses, however,may have underestimated the importance of perfusive conductancein amphibian skin, primarily because functional heterogeneitiesin the microcirculation were not considered. The density of perfused capillaries is regulated in the footweb of Rana esculenta by environmental Po₂ and PCO₂, and alsoby lung ventilation. In Rana catesbeiana, capillary densityin the web decreases during air exposure. Chronic exposure toenvironmental hypoxia increases total capillary density in bullfrogtadpole skin. In Rana pipiens, regulation of cutaneous gas exchangeby environmental and pulmonary O₂ probably involves changesin total capillary blood flow.     

Reduced Cerebral Oxygen Content in the DG and SVZ In Situ Promotes Neurogenesis in the Adult Rat Brain In Vivo

Neurogenesis in the adult brain occurs mainly within two neurogenic structures, the dentate gyrus (DG) of the hippocampus and the sub-ventricular zone (SVZ) of the forebrain. It has been reported that mild hypoxia promoted the proliferation of Neural Stem Cells (NSCs)in vitro. Our previous study further demonstrated that an external hypoxic environment stimulated neurogenesis in the adult rat brain in vivo. However, it remains unknown how external hypoxic environments affect the oxygen content in the brain and result in neurogenesis. Here we use an optical fiber luminescent oxygen sensor to detect the oxygen content in the adult rat brain in situ under normoxia and hypoxia. We found that the distribution of oxygen in cerebral regions is spatiotemporally heterogeneous. The Po₂ values in the ventricles (45∼50 Torr) and DG (approximately 10 Torr) were much higher than those of other parts of the brain, such as the cortex and thalamus (approximately 2 Torr). Interestingly, our in vivo studies showed that an external hypoxic environment could change the intrinsic oxygen content in brain tissues, notably reducing oxygen levels in both the DG and SVZ, the major sites of adult neurogenesis. Furthermore, the hypoxic environment also increased the expression of HIF-1α and VEGF, two factors that have been reported to regulate neurogenesis, within the DG and SVZ. Thus, we have demonstrated that reducing the oxygen content of the external environment decreased Po₂ levels in the DG and SVZ. This reduced oxygen level in the DG and SVZ might be the main mechanism triggering neurogenesis in the adult brain. More importantly, we speculate that varying oxygen levels may be the physiological basis of the regionally restricted neurogenesis in the adult brain.     

Blood Oxygen Transport and Delivery in Reptiles

Cenozoic reptiles are characterized by physiological morphologicaland ecological systems with low energy requirements comparedto those of mammals. Ectothermy and low resting rates of metabolismare the primary physiological adaptations of reptiles that producelow energy demand. Adjustments of the oxygen-transport systemto different thermoregulatory characteristics among reptilesmay be reflected in blood viscosity oxygen capacity oxygen affinityand the temperature sensitivity of oxygenation. Other adaptationsreduce the energy cost of oxygen transport. Reptiles have lowhematocrits and large, widely spaced capillaries that contributeto a low fluid resistance in the vascular system but also limitthe oxygen transport capacity. The low oxygen affinity characteristicof the blood of most reptiles appears to facilitate diffusionof oxygen to the tissues, overcoming the intrinsic limitationsimposed by the morphological specializations of the cardiovascularsystem. The low blood oxygen affinity permits virtually allof the oxygen carried by the blood to be delivered to the tissuesduring periods of stress. It may also help to maintain a relativelyhigh arterial Po₂ even when a right-to-left shunt occurs inthe heart. Reptilian erythrocytes are capable of reducing methemoglobinrapidly. The high concentrations of methemoglobin and polymerizedhemoglobin that occur in vivo may indicate that these compoundshave a functional role. In their blood physiology as in otheraspects of their biology reptiles are specialized animals thatreflect selective forces quite different from those that haveshaped the evolution of mammals.     

Comparing cardiac action potentials recorded with metal and glass microelectrodes

Machine-pulled high-impedance glass capillary microelectrode is standard for transmembrane potential (TMP) recordings. However, it is fragile and difficult to impale, especially in beating myocardial tissues. We hypothesize that a high-impedance pure iridium metal electrode can be used as an alternative to the glass microelectrode for TMP recording. The TMPs were simultaneously recorded from isolated perfused swine right ventricles with a metal microelectrode and a standard glass microelectrode during pacing and during ventricular fibrillation. The basic morphology of TMP recorded with these electrodes was comparable. The action potential duration (APD) at 90% repolarization was 241 +/- 29 ms for the metal microelectrode and 236 +/- 31 ms for the glass microelectrode with a good correlation (r = 0.99, P < 0.0001). The maximum slope value of the APD restitution curves during pacing was also significantly correlated. One metal microelectrode and >20 glass microelectrodes were needed per study. We conclude that, in isolated perfused swine right ventricles, the TMP recorded by the metal microelectrode is comparable with that recorded by the glass microelectrode. Because the metal microelectrode is more durable than the glass microelectrode, it can serve as an alternative for APD recording and for restitution analyses.     

Ventilation and circulation during exercise inOctopus vulgaris

Summary Ventilation frequency, volume, oxygen uptake, and oxygen transport by the blood have been studied in unrestrained octopus,Octopus vulgaris before, during and after recovery from 20 min of enforced activity. Exercise increased oxygen consumption 2.8 fold. The percentage utilisation of oxygen from the branchial water is maintained or increased at around 35% during activity and the calculated ventilation volume increases by 3 times. Prior to exercise the hemocyanin in arterial blood is 98% saturated and there is 83% utilisation of the oxygen in the blood. During activity there is remarkably little change in blood parameters so that the hemocyanin in the arterial blood remains at 96% saturation and oxygen utilisation is 90%. Cardiac output was calculated to have risen 2.5 fold during activity. As theP _{O 2} gradients across the gill do not change significantly during exercise the major adaptation which can account for an increase in oxygen consumption must be a 3 fold increase in the transfer factor. At rest 22% of the total CO₂ present in the blood is excreted during its passage through the gills and this rises to 32% during activity. There is no accumulation of CO₂ and only a slight acidification of the blood during activity. A significant respiratory and metabolic acidosis is avoided and the hemocyanin continues to function normally.