Skip to main content
Log in

Serial observations of arterial and mixed-venous blood gases after step change in ventilation

  • Published:
Pflügers Archiv Aims and scope Submit manuscript

Summary

In 22 dogs, subjected to a step change in ventilation, serial changes in blood gas composition and lactate and pyruvate concentrations of arterial as well as mixed venous blood were studied. The change of\(P_{a CO_2 }\) was approximately 20 mm Hg both in hypo- and hyperventilation. During hypoventilation the difference in various forms of CO2 between arterial and mixed venous blood showed first a downward shift and then gradually increased, whereas during hyperventilation they progressively increased and reached a constant level within 10–20 min. This difference was assumed to be mainly due to more efficient CO2 elimination through lung ventilation in hyperventilation as compared with CO2 accumulation from tissue metabolism in hypoventilation.

In vivo buffer slopes for CO2 during hypoventilation were about half those in vitro, whereas during hyperventilation both slopes were approximately the same. In vivo arterial buffer slope was higher during hypoventilation and lower during hyperventilation as compared to that of mixed venous blood in the respective state of ventilation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Arbus, G. S., Herbert, L. A., Levesque, P. R., Etsten, B. E., Schwartz, W. B.: Characterization and clinical application of the “significance band” for acute respiratory alkalosis. New Engl. J. Med.280, 117–123 (1969)

    Google Scholar 

  • Brackett, N. C., Jr., Cohen, J. J., Schwartz, W. B.: Carbon dioxide titration curve of normal man. Effect of increasing degree of acute hypercapnia on acid-base equilibrium. New Engl. J. Med.272, 6–12 (1965)

    Google Scholar 

  • Brackett, N. C., Jr., Wingo, C. F., Muren, O., Solano, J. J.: Acid-base response to chronic hypercapnia in man. New Engl. J. Med.280, 124–130 (1969)

    Google Scholar 

  • Brown, E. B., Jr., Clancy, R. L.: In vivo and in vitro CO2 blood buffer curves. J. appl. Physiol.20, 885–889 (1965)

    Google Scholar 

  • Cherniack, N. S., Longobardo, G. S.: Oxygen and carbon dioxide gas store of the body. Physiol. Rev.50, 196–243 (1970)

    Google Scholar 

  • 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)

    Google Scholar 

  • Consolazio, C. F., Johnson, R. E., Pecora, L. J.: Physiological measurements of metabolic functions in man, p. 161. New York: McGraw Hill 1963

    Google Scholar 

  • Eldridge, E., Salzer, J.: Effect of respiratory alkalosis on blood lactate and pyruvate in humans. J. appl. Physiol.22, 461–468 (1967)

    Google Scholar 

  • Engel, K., Kilberg, P. A., Pine, B. P., Winters, R. W.: Effect of acute respiratory acidosis on blood lactate concentration. Scand. J. clin. Lab. Invest.20, 179–182 (1967)

    Google Scholar 

  • Fowle, A. S. E., Campbell, E. G. M.: The immediate carbon dioxide storage capacity of man. Clin. Sci.27, 41–49 (1964)

    Google Scholar 

  • Garcia, A. C., Lai, Y. L., Attebery, B. A., Brown, E. B. Jr.: In vivo buffer curves of arterial and mixed venous blood. Proc. exp. Biol. Med.137, 237–242 (1971a)

    Google Scholar 

  • Garcia, A. C., Lai, Y. L., Attebery, B. E., Brown, E. B., Jr.: Lactate and pyruvate accumulation during hypocapnia. Respir. Physiol.12, 371–380 (1971b)

    Google Scholar 

  • Hamilton, W. F.: Measurement of cardiac output. In: Handbook of physiology, Sec. 2, Circulation, vol. 1, p. 551–584. Washington. D. C.: Amer. physiol. Soc. 1962

    Google Scholar 

  • Jernerus, R., Lundin, C., Thomson, D.: Cardiac output in healthy subjects determined with a CO2 rebreathing method. Acta physiol. scand.59, 390–399 (1963)

    Google Scholar 

  • Kelman, C. R., Nunn, J. F.: Nomograms for correction of blood\(P_{ O_2 }\),\(P_{ CO_2 }\), pH, and base excess for time and temperature. J. appl. Physiol.21, 1484–1490 (1966)

    Google Scholar 

  • Klausen, K.: Comparison of CO2 rebreathing and acetylene methods for cardiac output. J. appl. Physiol.20, 763–766 (1965)

    Google Scholar 

  • Michel, C. C.: The buffering behaviour of blood during hypoxaemia and respiratory exchange: Theory. Respir. Physiol.4, 283–291 (1968)

    Google Scholar 

  • 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)

    Google Scholar 

  • Miyamura, M., Honda, Y.: Oxygen intake and cardiac output during maximal treadmill and bicycle exercise. J. appl. Physiol.32, 185–188 (1972)

    Google Scholar 

  • Nunn, J. F.: Chapter 11, Carbon dioxide and Chapter 12, Oxygen. In: Applied respiratory physiology, pp. 283–383. London: Butterworth 1969)

    Google Scholar 

  • Prys-Roberts, C., Kelman, G. R., Nunn, J. F.: Determination of the in vivo carbon dioxide titration curve of anesthetized man. Brit. J. Anaesth.39, 500–509 (1966)

    Google Scholar 

  • Roos, A., Thomas, L. J.: The in-vitro and in-vivo carbon dioxide dissociation curve of true plasma. Anesthesiology28, 1048–1063 (1967)

    Google Scholar 

  • Rosenthal, T. B.: The effect of temperature on the pH of blood and plasma in vitro. J. biol. Chem.173, 25–30 (1948)

    Google Scholar 

  • Siggaard-Andersen, O.: Blood acid-base alignment nomogram. Scales for pH,\(P_{ CO_2 }\) base excess of whole blood of different hemoglobin concentrations, plasma bicarbonate, and plasma total-CO2. Scand. J. clin. Lab. Invest.15, 211–217 (1963)

    Google Scholar 

  • Takano, N.: Blood lactate accumulation and its causative factors during passive hyperventilation in dogs. Jap. J. Physiol.16, 481–496 (1966)

    Google Scholar 

  • Woodbury, J. W.: Regulation of pH. In: Textbook of physiology and biophysics, Ruch and Patton, ed., 19th ed., pp. 899–934. Philadelphia: Saunders 1965

    Google Scholar 

  • Zborowski-Sluis, D. T., Dosseter, J. B.: Hyperlactemia of hyperventilation. J. appl. Physiol.22, 746–755 (1967)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This word was supported in part by a research grant from the Ministry of Education of Japan (857025).

Rights and permissions

Reprints and permissions

About this article

Cite this article

Honda, Y., Miyamura, M. & Nakano, E. Serial observations of arterial and mixed-venous blood gases after step change in ventilation. Pflugers Arch. 353, 123–138 (1975). https://doi.org/10.1007/BF00599873

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00599873

Key words

Navigation