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Effects of inspired CO2, hyperventilation, and time on VA/Q inequality in the dogIn a recent study by Tsukimoto et al. (J. Appl. Physiol. 68: 2488-2493, 1990), CO2 inhalation appeared to reduce the size of the high ventilation-perfusion ratio (VA/Q) mode commonly observed in anesthetized mechanically air-ventilated dogs. In that study, large tidal volumes (VT) were used during CO2 inhalation to preserve normocapnia. To separate the influences of CO2 and high VT on the VA/Q distribution in the present study, we examined the effect of inspired CO2 on the high VA/Q mode using eight mechanically ventilated dogs (4 given CO2, 4 controls). The VA/Q distribution was measured first with normal VT and then with increased VT. In the CO2 group at high VT, data were collected before, during, and after CO2 inhalation. With normal VT, there was no difference in the size of the high VA/Q mode between groups [10.5 +/- 3.5% (SE) of ventilation in the CO2 group, 11.8 +/- 5.2% in the control group]. Unexpectedly, the size of the high VA/Q mode decreased similarly in both groups over time, independently of the inspired PCO2, at a rate similar to the fall in cardiac output over time. The reduction in the high VA/Q mode together with a simultaneous increase in alveolar dead space (estimated by the difference between inert gas dead space and Fowler dead space) suggests that poorly perfused high VA/Q areas became unperfused over time. A possible mechanism is that elevated alveolar pressure and decreased cardiac output eliminate blood flow from corner vessels in nondependent high VA/Q regions.
Document ID
Document Type
Reprint (Version printed in journal)
Tsukimoto, K. (University of California San Diego, La Jolla 92093-0623)
Arcos, J. P.
Schaffartzik, W.
Wagner, P. D.
West, J. B.
Date Acquired
August 22, 2013
Publication Date
March 1, 1992
Publication Information
Publication: Journal of applied physiology (Bethesda, Md. : 1985)
Volume: 72
Issue: 3
ISSN: 8750-7587
Subject Category
Aerospace Medicine
Funding Number(s)
Distribution Limits
NASA Discipline Cardiopulmonary
Non-NASA Center