Estimation of blood flow distribution in skeletal muscle from inert gas washout

A new method is evaluated for the estimation of blood flow-to-volume distribution in skeletal muscle from inert gas washout kinetics. Acetylene washout from the isolated, blood-perfused canine gracilis muscle was measured continuously with a blood gas catheter in combination with a mass spectrometer. The washout curves were transformed to flow-to-volume ratio distributions by means of a 50-compartment model. The algorithm fits the expression for the washout curve derived from the model by a least-squares method with enforced smoothing. The algorithm was evaluated using computer simulations in which artificial washout curves were generated by a multicompartment model with a known flow distribution. A wide range of given flow distributions could be recovered from the simulated data. The data were also analyzed using a linear programming technique. Analysis of the experimental data with the least-squares method showed that there is considerable heterogeneity in the distribution of perfusion in resting gracilis muscle. The distribution is characterized by at least two modes and a single compartment with a very low perfusion-to-volume ratio. Experimental noise made it impossible to obtain feasible flow distributions by means of linear programming.     

Correction of inert gas washin or washout for gas solubility in blood

We show that when an inert gas is washed into the lungs its retention in the blood during any one breath is approximately proportional to its solubility. This relationship makes possible the correction of washin or washout data for blood uptake or release, provided that two gases of different solubility are used simultaneously. The method automatically allows for the characteristics of an individual washin or washout and for the occurrence of recirculation within a fairly short washin or washout period. It has been tested in models with nonuniform ventilation and perfusion and closely approximates the behavior of a truly insoluble gas. In the derived ventilation distribution, gas solubility appears as ventilation to units of low turnover. In the case of N2 this effect is small but causes appreciable overestimation of lung volume. The recovered dead space and main alveolar distribution are insignificantly affected.     

Modelling inert gas exchange in tissue and mixed-venous blood return to the lungs

Inert gas exchange in tissue has been almost exclusively modelled by using an ordinary differential equation. The mathematical model that is used to derive this ordinary differential equation assumes that the partial pressure of an inert gas (which is proportional to the content of that gas) is a function only of time. This mathematical model does not allow for spatial variations in inert gas partial pressure. This model is also dependent only on the ratio of blood flow to tissue volume, and so does not take account of the shape of the body compartment or of the density of the capillaries that supply blood to this tissue. The partial pressure of a given inert gas in mixed-venous blood flowing back to the lungs is calculated from this ordinary differential equation. In this study, we write down the partial differential equations that allow for spatial as well as temporal variations in inert gas partial pressure in tissue. We then solve these partial differential equations and compare them to the solution of the ordinary differential equations described above. It is found that the solution of the ordinary differential equation is very different from the solution of the partial differential equation, and so the ordinary differential equation should not be used if an accurate calculation of inert gas transport to tissue is required. Further, the solution of the PDE is dependent on the shape of the body compartment and on the density of the capillaries that supply blood to this tissue. As a result, techniques that are based on the ordinary differential equation to calculate the mixed-venous blood partial pressure may be in error.     

Reduction of cutaneous blood flow in cold fingers

Blood flow to fingers is reduced during cold exposure. This is generally attributed to vasoconstriction. We tested the hypothesis that increased blood viscosity, not vasoconstriction, accounts for reductions of cutaneous flow after fingers cool. Blood viscosity was higher at 10 degree C than at 27 degree C and independent of hematocrit at low shear rates. The increase of finger vascular resistance may be due to increased vascular hindrance early in cold exposure (< 15 min) and is more likely due to increased viscosity after 20-30 min, a factor that may dominate the peripheral microcirculaton during prolonged cold exposure.     

Effects of artificially-induced anaemia on sudomotor and cutaneous blood flow responses to heat stress

The influence of artificially induced anaemia on thermal strain was evaluated in trained males. Heat stress trials (38.6°C, water vapour pressure 2.74 kPa) performed at the same absolute work rates [20 min of seated rest, 20 min of cycling at 30% peak aerobic power (V˙O_2peak), and 20 min cycling at 45% V˙O_2peak] were completed before (HST1) and 3–5 days after 3 units of whole blood were withdrawn (HST2). Mild anaemia did not elevate thermal strain between trials, with auditory canal temperatures terminating at 38.5°C [(0.16), HST1] and 38.6°C [(0.13), HST2; P > 0.05]. Given that blood withdrawal reduced aerobic power by 16%, this observation deviates from the close association often observed between core temperature and relative exercise intensity. During HST2, the absolute and integrated forearm sweat rate (m˙ _sw) exceeded control levels during exercise (P < 0.05), while a suppression of forehead m˙ _sw occurred (P < 0.05). These observations are consistent with a possible peripheral redistribution of sweat secretion. It was concluded that this level of artificially induced anaemia did not impact upon heat strain during a 60-min heat stress test. Accepted: 17 April 1997     

Effects of ambient and local cutaneous temperatures on hand blood flow

The hand blood flow ( ) was investigated in response to a wide range of general and local cutaneous thermal stimuli (0–36°C and 4–42°C respectively), the local stimulus consisting of a thermostatically controlled water bath for the right hand (T_w), and the general stimulus, the ambient room temperature (T_a). was measured at the right wrist by strain gauge plethysmography; it was seen to respond more significantly to variations in T_w than to those in T_a at cold to comfortable ambient temperatures (T_a<22°C). A paradoxical vasodilatation was observed at T_w=4°C (Lewis' hunting phenomenon). The graphs of versus T at average to high local cutaneous temperatures (T_w > 33°C) are remarkably similar, except for an upward shift at successively higher values of T_w. The slope (or vasomotor reactivity) is interpreted as being controlled by variations in T_a. The curves exhibited maximum values at T_a = 31°C. Their subsequent decrease could represent a thermoregulatory adaptation to environment-organism heat transfer, the relative vasoconstriction tending to reduce the transfer. Although the qualitative response was the same for both sexes, the absolute value of was generally greater in male than in female subjects.     

Dependence of transcutaneous O2 partial pressure on cutaneous blood flow

Transcutaneous PO2 was measured using a transcutaneous PO2 electrode heated to 45 degrees C on the forearm of 19 healthy volunteers. Cutaneous blood flow (CBF) was estimated indirectly from the heating power of the electrode (HP) and with an 8-MHz bidirectional ultrasonic probe by Doppler shift in a fingertip at 45 degrees C (DF). Blood flow was regulated by an upper arm cuff. Mean transcutaneous PO2 during air respiration was 86.0 +/- 6.2 Torr, and the correlation to arterial PO2 (Pao2) was 0.96 at normal blood flow. The arterial inflow was intermittently reduced in 10-15% stages of effective perfusion pressure (Peff). There was a hyperbolic decrease in PO2 when CBF was restricted in stages. A linear dependence between Peff, HP, and DF was found, which means that there is no autoregulation in the capillary bed at 45 degrees C. Transcutaneous PO2 can be also taken as an indication of CBF. The transcutaneous index, transcutaneous PO2/Pao2, is helpful for estimating local O2 availability.     

Influence of training on blood flow to different skeletal muscle fiber types

Blood flows to fast-twitch red (FTR), fast-twitch white (FTW), and slow-twitch red (STR) fiber sections of the gastrocnemius-soleus-plantaris muscle group of sedentary and trained rats were determined using radiolabeled microspheres during the 1st and 10th min of in situ contractions at frequencies ranging from 7.5 to 90 tetani/min. Treadmill training increased the cytochrome c content of both FTW (6.0 +/- 0.13 nmol/g to 12.2 +/- 0.27) and FTR (22.2 +/- 0.32 to 26.7 +/- 0.25) muscle. Loss of tension, evident at 15 tetani/min and above, was less (P less than 0.001) in trained animals. Although steady-state blood flows (10th min) to FTR and STR fibers were not altered by training, initial flows (1st min) to the trained FTR section were greater (P less than 0.025). Overall initial flows to both red fiber types were excessively high at the easier contraction conditions, but subsequently declined to values more reflective of the expected energy demands. This time-dependent relative hyperemia was not found in either sedentary or trained FTW muscle. However, training increased the maximal blood flow in the FTW sections [60 +/- 3.2 (n = 36) vs. 88 +/- 5.2 ml X min X 100 g-1 (n = 36)]. This 40-50% increase in FTW blood flow would produce only a modest 10% increase in blood flow to a whole mixed-fiber muscle, since the flow capacity of the FTW muscle is only one third to one fourth that of FTR muscle. This overall increase in blood flow, however, is similar to changes in VO2max found in trained rats.(ABSTRACT TRUNCATED AT 250 WORDS)