Changes in FiO2 affect PaO2 with minor alterations in cerebral concentration of oxygenated hemoglobin during liquid ventilation in healthy piglets

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

Abstract

Objective: To measure the impact of changes in the fraction of inspired oxygen (FiO2) on systemic and cerebral oxygen supply in gas and liquid ventilated healthy animals. Design: Interventional prospective animal study. Setting: University research laboratory. Participants: Ten healthy, new-born piglets. Interventions: Variations in FiO2 during conventional mechanical ventilation (CMV) followed by partial liquid ventilation (PLV) with two different filling volumes of PF 5080 (10 vs. 30 ml/kg). Measurements and results: Arterial blood gases were obtained 15 min after changing FiO2 and concentrations of cerebral oxygenated and total hemoglobin were determined with near infrared spectroscopy. During CMV an increase in FiO2 1.0 was associated with a constant rise in PaO 2 but only a small increase in the cerebral concentration of oxygenated Hb. Initiation of PLV (at FiO2 of 1.0) caused a rapid drop in PaO2 towards values that were similar to CMV at FiO 2 of 0.5. At FiO2 of 0.5 a reduction in oxygenated Hb was found in the 30 ml/kg filling group. Complete filling of the lungs with PFC caused a significant drop in total cerebral Hb concentration. Conclusions: According to our data, PLV in healthy lungs should be performed with a FiO 2 of 1.0 and a small filling volume to avoid deterioration in cerebral oxygen supply.

Details

OriginalspracheEnglisch
Seiten (von - bis)315-320
Seitenumfang6
FachzeitschriftIntensive care medicine
Jahrgang30
Ausgabenummer2
PublikationsstatusVeröffentlicht - Feb. 2004
Peer-Review-StatusJa

Externe IDs

PubMed 14722641

Schlagworte

ASJC Scopus Sachgebiete

Schlagwörter

  • Animal model, Artificial ventilation, Fluorocarbons, Liquid ventilation, Near-infrared spectroscopy, Oxygen