ISSN:
1573-2614
Keywords:
Measurement techniques: capnography, arterial to end-expiratory CO2 gradient
;
Monitoring: ventilation
;
Methods: rebreathing
Source:
Springer Online Journal Archives 1860-2000
Topics:
Computer Science
,
Medicine
Notes:
Abstract Objective. Our objective was to determine if rebreathing would reduce the gradient between arterial and end-tidal CO2 tension during positive-pressure ventilation.Methods. Design: Experimental investigation.Setting: Anesthesiology laboratory.Subjects: A total of 10 dogs of either sex.Interventions: Anesthesia (sodium pentobarbital) and muscle relaxation (pancuronium) were induced and animals were tracheally intubated and ventilated with a standard anesthesia ventilator and breathing circuit with CO2 absorber and then with a Mapleson D circuit with a fresh gas flow rate ( $$\dot V$$ f) equal to alveolar ventilation plus the sampling flow rate of two capnometers. Rebreathing was varied by adjusting the respiratory rate (RR) so that minute ventilation ( $$\dot V$$ e) to $$\dot V$$ f ratio was 1:1, 2:1, 3:1, and 4:1.Results. CO2 production (ATPD) was determined as the product of expired concentration of CO2 and $$\dot V$$ e (BTPS). Alveolar ventilation ( $$\dot V$$ a) was calculated by dividing the product of CO2 production and barometric pressure corrected for ambient temperature and water vapor pressure at body temperature by PaCO 2. Tidal volume, RR, airway gas temperature, concentration of CO2 in gas at the tracheal tube and inlet/outlet of the mechanical ventilator, body temperature, arterial gas tensions and pH, heart rate, arterial blood pressure, and cardiac output were measured. Minute ventilation, mean arterial blood pressure and end-expiratory CO2 tension (Péco 2)(BTPS) were calculated. During positive-pressure ventilation, concentration of inspired CO2 was zero with standard circuitry, and significantly increased with Mapleson D when $$\dot V$$ e: $$\dot V$$ f ratio was 1:1 (0.56±0.19%), 2:1 (1.97±1.30%), 3:1 (2.56±1.05%), and 4:1 (3.01±1.45%) (p〈0.05).Péco 2 was 34.8±3.2 mm Hg during ventilation with the standard circuit, and significantly increased during ventilation with Mapleson D when $$\dot V$$ e: $$\dot V$$ f ratio was increased from 1:1 (35.4±2.5 mm Hg) to 2:1 (40.2±3.6 mm Hg) and was not further increased at a $$\dot V$$ e: $$\dot V$$ f ratio of 3:1 (41.8±2.7 mm Hg) or 4:1 (41.3±2.4 mm Hg). The selected fresh gas flow rate was appropriate, because PaCO 2 remained unchanged regardless of $$\dot V$$ e: $$\dot V$$ f ratio, indicating PaCO 2 was dependent on $$\dot V$$ f, not on $$\dot V$$ e. The gradient between PaCO 2 andPéco 2 during ventilation with the standard circuit was 6.6±3.0 mm Hg; during ventilation with Mapleson D, it decreased significantly when $$\dot V$$ e: $$\dot V$$ f ratio was increased from 1:1 (6.5±3.6 mm Hg) to 2:1 (2.9±1.5 mm Hg), but was not significantly reduced further at 3:1 (1.7±1.1 mm Hg) or 4:1 (1.8±0.5 mm Hg) (p〈0.05).Conclusions. Rebreathing with a Mapleson D circuit and a $$\dot V$$ f equal to $$\dot V$$ a permitted normal CO2 elimination. ArterialPCO 2 toPéco 2 gradient decreased significantly during rebreathing, thus improving the reliability of capnography for estimating arterialPCO 2. Consideration should be given to using the Mapleson D as a rebreathing circuit.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01616740
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