Summary
The theory that the base excess (BE) of blood is influenced during short respiratory disturbances by bicarbonate exchange with the interstitial fluid was quantitatively tested. During inspiration of CO2 and during active hyperventilation of awake man measurements in arterialized ear-lobe and venous blood were made. During hypercapnia BE decreased by 0.09 meq/l per mm HgpCO2-During hypocapnia it increased by 0.06–0.08 meq/l · mm Hg, after correction for newly formed lactic acid, however, an increase of 0.09–0.10 meq/l · mm Hg was found.
For hyper- as well as for hypocapnia practically linear “in vivo” CO2-equilibration curves with similar slopes were obtained in the [H+]-pCO2 and in the pH-logpCO2 coordinate system. The equation of the common equilibration line from pH 7.25–7.75 is:
The slope is flatter than for blood under “in vitro” conditions.
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Albers, C.: Der Mechanismus des Wärmehechelns beim Hund. III. Die CO2-Empfindlichkeit des Atemzentrums während des Wärmehechelns. Pflügers Arch. ges. Physiol.274, 166–183 (1961)
Arbus, G. S., Herbert, L. A., Levesque, P. R., Etsten, E., Schwartz, W. B.: Characterization and clinical application of the “significance band” for acute respiratory alkalosis. New Engl. J. Med.280, 117–123 (1969)
Armstrong, B. W., Mohler, J. G., Jung, R. C., Remmers, J.: The in vivo carbon-dioxide titration curve. Lancet1966 I, 759–761
Astrup, P.: A simple electrometric technique for the determination of carbon-dioxide tension in blood and plasma, total content of carbon-dioxide in plasma, and bicarbonate content in “separated” plasma at a fixed carbon-dioxide tension (40 mm Hg). Scand. J. clin. Lab. Invest.8, 33–43 (1956)
Bärtschi, F., Haab, P., Held, D. R.: Reliability of bloodpCO2-measurements by the CO2-electrode, the whole-blood CCO2/pH method and the Astrup method. Respir. Physiol.10, 121–131 (1970)
Beecher, H. K., Murphy, A. J.: Acidosis during thoracic surgery. J. thorac. Surg.19, 50–70 (1950)
Böning, D.: Veränderungen der CO2-Bindungskurve des Blutes bei akuter respiratorischer Acidose und ihre Ursachen. I. Untersuchungen an Hunden. Pflügers Arch.302, 133–148 (1968)
Böning, D.: The “in vivo” and “in vitro” CO2-equilibration curves of blood during acute hypercapnia and hypocapnia. II. Theoretical considerations. Pflügers Arch.350, 213–222 (1974)
Böning, D., Heinrich, K. W.: Veränderungen der CO2-Bindungskurve des Blutes bei akuter respiratorischer Acidose und ihre Ursachen. II. Untersuchungen an Menschen. Pflügers Arch.303, 162–172 (1968)
Brackett, N. C., Jr., Cohen, J. J., Schwartz, W. B.: Carbon dioxide titration curve of normal man. Effect of increasing degrees of acute hypercapnia on acid-base equilibrium. New Engl. J. Med.272, 6–12 (1965)
Brown, E. B., Jr.: Plasma electrolyte composition in dogs breathing high CO2-mixtures: source of bicarbonate deficit in severe respiratory acidosis. J. Lab. clin. Med.55, 767–775 (1960)
Brown, E. B., Jr., Clancy, R. L.: In vivo and in vitro CO2 blood buffer curves. J. appl. Physiol.20, 885–889 (1965)
Bücherl, E. S.: Säure-Basenstoffwechsel und Elektrolytveränderungen bei experimenteller respiratorischer Acidose und ihre Kompensation durch Infusion von Natriumbikarbonatlösung. Thoraxchirurgie10, 316–330 (1963)
Cohen, J. J., Brackett, N. C., Jr., Schwartz, W. B.: The nature of the carbon dioxide titration curve in the normal dog. J. clin. Invest.43, 777–786 (1964)
Davies, H. W., Haldane, J. B. S., Kennaway, E. L.: Experiments on the regulation of the blood's alkalinity. J. Physiol. (Lond.)54, 32–42 (1920)
Eckstein, J. W., Hamilton, W. K., McCammond, J. M.: Pressure-volume changes in the forearm veins of man during hyperventilation. J. clin. Invest.37, 956–961 (1958)
Eichenholz, A., Mulhausen, R. O., Anderson, W. E., McDonald, F. M.: Primary hypocapnia: a cause of metabolic acidosis. J. appl. Physiol.17, 283–288 (1962)
Elkinton, J. R., Singer, R. B., Barker, E. S., Clark, J. K.: Effects in man of acute experimental respiratory alkalosis and acidosis on ionic transfers in total body fluids. J. clin. Invest.34, 1671–1690 (1955)
Engel, K., Kildeberg, P., Winters, R. W.: Quantitative displacement of blood acid-base status in acute hypocapnia. Scand. J. clin. Lab. Invest.23, 5–17 (1969)
Frumin, M. J., Epstein, R. M., Cohen, G.: Apneic oxygenation in man. Anesthesiology20, 789–798 (1959)
Garcia, A. C., Lai, Y. L., Attebery, B. A., Brown, E. B., Jr.: In vivo CO2 buffer curves of arterial and mixed venous blood. Proc. Soc. exp. Biol. (N. Y.)137, 237–242 (1971a)
Garcia, A. C., Lai, Y. L., Attebery, B. A., Brown, E. B., Jr.: Lactate and pyruvate accumulation during hypocapnia. Respir. Physiol.12, 371–380 (1971b)
Giebisch, G., Berger, L., Pitts, R. F.: The extrarenal response to acute acidbase disturbances of respiratory origin. J. clin. Invest.34, 231–245 (1955)
Holaday, D. A.: The intracellular and whole blood acid-base response to acute CO2 retention in vivo. Ann. N. Y. Acad. Sci.133, 172–179 (1966)
Huckabee, W. E.: Relationships of pyruvate and lactate during anaerobic metabolism. I. Effects of infusion of pyruvate or glucose and of hyperventilation. J. clin. Invest.37, 244–254 (1958)
Ichiyanagi, K., Masuko, K., Nishisaka, N., Matsuki, M., Horikawa, H., Watanabe, R.: Acid-base changes of arterial plasma during exogenous and endogenous hypercapnia in man. Respir. Physiol.7, 310–325 (1969)
Michajlik, A., Bogdanska-Czarnyszewicz, B., Jung, M., Lisicki, J.: Quantitative acid-base dynamics in acute passive hyperventilation. Acta med. pol.13, 397–403 (1972)
Michel, C. C., Lloyd, B. B., Cunningham, D. J. C.: The in vivo carbon-dioxide dissociation curve of true plasma. Respir. Physiol.1, 121–137 (1966)
Papadopoulos, C. N., Keats, A. S.: The metabolic acidosis of hyperventilation produced by controlled respiration. Anesthesiology20, 156–162 (1959)
Plum, F., Posner, J. B.: Blood and cerebrospinal fluid lactate during hyperventilation. Amer. J. Physiol.212, 864–870 (1967)
Prys-Roberts, C., Kelman, G. R., Nunn, J. F.: Determination of the in vivo carbon dioxide titration curve of anesthetized man. Brit. J. Anaesth.38, 500–50 (1966)
Roos, A., Thomas, J. L.: The in-vitro and in-vivo carbon dioxide dissociation curves of true plasma: A theoretical analysis. Anesthesiology28, 1048–1063 (1967)
Rosenbaum, J. D.: The influence of alterations in acid-base balance upon transfers of carbon dioxide and bicarbonate in man. J. clin. Invest.21, 735–746 (1942)
Shaw, L. A., Messer, A. C.: The transfer of bicarbonate between the blood and tissues caused by alterations of the carbon dioxide concentration in the lungs. Amer. J. Physiol.100, 122–136 (1932)
Shock, N. W., Hastings, A. B.: Studies of the acid-base balance of the blood. IV. Characterization and interpretation of displacement of the acid-base balance. J. biol. Chem.112, 239–262 (1935)
Siggaard-Andersen, O.: The acid-base status of the blood. Copenhagen: Munksgaard 1964
Singer, R. B., Clark, J. K., Barker, E. S., Elkinton, J. R.: The effects of acute respiratory alkalosis on electrolyte excretion and renal hemodynamics in man. J. clin. Invest.31, 633 (1952)
Stegemann, J., Seez, P., Kremer, W.: The response curve to carbon dioxide in athletes and nonathletes. Pflügers Arch.335, Suppl., R 35 (1972)
Swan, R. C., Axelrod, D. R., Seip, M., Pitts, R. F.: Distribution of sodium bicarbonate infused into nephrectomized dogs. J. clin. Invest.34, 1795–1801 (1955)
Weber, E.: Grundriß der biologischen Statistik. Stuttgart: Fischer 1967
Wissenschaftliche Tabellen. Basel: J. R. Geigy AG 1968
Zborowska-Sluis, D. T., Dossetor, J. B.: Hyperlactatemia of hyperventilation. J. appl. Physiol.22, 746–755 (1967)
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Böning, D., Schweigart, U. & Nutz, V. The “in vivo” and “in vitro” CO2-equilibration curves of blood during acute hypercapnia and hypocapnia. Pflugers Arch. 350, 201–212 (1974). https://doi.org/10.1007/BF00587799
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DOI: https://doi.org/10.1007/BF00587799