Paradoxical effect of oxygen administration on breathing stability following post-hyperventilation apnoea in lambs

التفاصيل البيبلوغرافية
العنوان: Paradoxical effect of oxygen administration on breathing stability following post-hyperventilation apnoea in lambs
المؤلفون: N. Blanch, Vojta Brodecky, Malcolm Howard Wilkinson, Philip J. Berger, Christine Jones
سنة النشر: 1997
مصطلحات موضوعية: Physiology, Apnea, chemistry.chemical_element, Oxygen, Hyperventilation, medicine, Animals, Oximetry, Inspired gas, Hyperoxia, Sheep, Chemistry, Carbon Dioxide, medicine.anatomical_structure, Animals, Newborn, Periodic breathing, Anesthesia, Calibration, Breathing, Respiratory Mechanics, Carotid body, medicine.symptom, Respiratory minute volume, Research Article
الوصف: 1. Oxygen administration is thought to suppress periodic breathing (PB) by reducing carotid body activity, and yet earlier experiments in neonates have shown that PB incidence may be increased following the application of hyperoxia. To clarify this paradox, we studied the changes in the pattern of PB that occur following administration of oxygen in a lamb model of PB. 2. PB was induced in eleven of seventeen anaesthetized lambs following passive hyperventilation with air. When oxygen was administered during PB, the pattern was first enhanced, as evidenced by a sudden decrease in the ratio of the ventilatory duration to the apnoeic pause duration, and then suppressed, as evidenced by a progressive return to stable breathing which was associated with an increase in minute ventilation. 3. Five of the six lambs that did not show PB following passive hyperventilation with air could be made to do so if oxygen was substituted for air as the inspired gas following passive hyperventilation. 4. Five of the eleven lambs that showed PB following hyperventilation with air responded to the application of oxygen during PB by switching to a gross form of episodic breathing consisting of long apnoeic pauses followed by equally long periods of breathing during which minute ventilation fell progressively with time. 5. We conclude that when applied against a background of arterial hypoxaemia, oxygen has a destabilizing influence on ventilation in that (a) it accentuates the unstable breathing that occurs during PB, (b) it induces PB in lambs that exhibited stable breathing in air, and (c) it may precipitate episodic breathing.
اللغة: English
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a713e3fe3f70dd15a144841aa731eadd
https://europepmc.org/articles/PMC1159948/
Rights: OPEN
رقم الانضمام: edsair.doi.dedup.....a713e3fe3f70dd15a144841aa731eadd
قاعدة البيانات: OpenAIRE