A modified rebreathing method to study the ventilatory response of the newborn to carbon dioxide. 1990

G Cohen, and D J Henderson-Smart
Department of Perinatal Medicine, King George V Memorial Hospital, Camperdown, Sydney, Australia.

Measurement of the ventilatory response of the newborn to carbon dioxide using the rebreathing method usually involves raising the concentration of oxygen in the inspired gas in order to prevent hypoxaemia developing during the test. Described here is a modified rebreathing method which avoids the need to use hyperoxic gas mixtures. Subjects rebreathed 5-7% carbon dioxide in air for 1.5-3 min; hypoxaemia was prevented by the addition of oxygen to the rebreathing circuit at the rate of approximately 7 ml/min per kg body weight. Arterial oxygen saturation (measured by a pulse oximeter) was maintained at approximately 95% throughout the tests. The technique was successfully used to study the ventilatory responses of eight full-term and 4 pre-term babies during behaviorally defined rapid-eye movement and quiet sleep. The reproducibility of the ventilatory response measured by this method was evaluated by repeated testing of each subject. This revealed considerable variability in the magnitude of the response from test to test. Some of the factors which might contribute to this variability are discussed.

UI MeSH Term Description Entries
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D007234 Infant, Premature A human infant born before 37 weeks of GESTATION. Neonatal Prematurity,Premature Infants,Preterm Infants,Infant, Preterm,Infants, Premature,Infants, Preterm,Premature Infant,Prematurity, Neonatal,Preterm Infant
D008297 Male Males
D010100 Oxygen An element with atomic symbol O, atomic number 8, and atomic weight [15.99903; 15.99977]. It is the most abundant element on earth and essential for respiration. Dioxygen,Oxygen-16,Oxygen 16
D012119 Respiration The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration ( Breathing
D012123 Pulmonary Ventilation The total volume of gas inspired or expired per unit of time, usually measured in liters per minute. Respiratory Airflow,Ventilation Tests,Ventilation, Pulmonary,Expiratory Airflow,Airflow, Expiratory,Airflow, Respiratory,Test, Ventilation,Tests, Ventilation,Ventilation Test
D002245 Carbon Dioxide A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals. Carbonic Anhydride,Anhydride, Carbonic,Dioxide, Carbon
D005260 Female Females
D006339 Heart Rate The number of times the HEART VENTRICLES contract per unit of time, usually per minute. Cardiac Rate,Chronotropism, Cardiac,Heart Rate Control,Heartbeat,Pulse Rate,Cardiac Chronotropy,Cardiac Chronotropism,Cardiac Rates,Chronotropy, Cardiac,Control, Heart Rate,Heart Rates,Heartbeats,Pulse Rates,Rate Control, Heart,Rate, Cardiac,Rate, Heart,Rate, Pulse
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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