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

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Wolfram Burkhardt - , Charité – Universitätsmedizin Berlin (Author)
  • Hans Proquitté - , Charité – Universitätsmedizin Berlin (Author)
  • Susann Krause - , Charité – Universitätsmedizin Berlin (Author)
  • Roland R. Wauer - , Charité – Universitätsmedizin Berlin (Author)
  • Mario Rüdiger - , Department of Paediatrics, Center for feto/neonatal Health, Clinic of Neonatology, Charité – Universitätsmedizin Berlin (Author)

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

Original languageEnglish
Pages (from-to)315-320
Number of pages6
JournalIntensive care medicine
Volume30
Issue number2
Publication statusPublished - Feb 2004
Peer-reviewedYes

External IDs

PubMed 14722641

Keywords

Keywords

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