Relationship between tidal volume and deadspace during high frequency ventilation. 1986

M K Chakrabarti, and G Gordon, and J G Whitwam

Physiological (VDphys) and anatomical (VDanat) deadspaces were measured in seven anaesthetized, paralysed and intubated adult patients ventilated at normal and high frequencies. To maintain a constant PaCO2 while increasing the ventilation frequency from 15 to 120 b.p.m., the mean VT was decreased from 454 +/- 62 ml (mean +/- SD) to 117 +/- 9 ml. The mean VDanat and VDphys decreased from 130 +/- 11 ml to 74 +/- 12 ml and 165 +/- 24 ml to 92 +/- 3 ml, respectively, by 80 b.p.m., above which frequency there was no further significant reduction in either. The mean VD/VT ratio increased from 0.36 +/- 0.04 to 0.76 +/- 0.05. This study showed that the deadspace volume measured conventionally was not a constant factor, was mainly a function of VT and was a determinant of tidal and minute volume requirement even during high frequency ventilation. The variable VDphys showed a wide variation between subjects, and appeared to have a mean minimal value of approximately 1.1 ml kg-1 at 80 b.p.m. in adult human subjects with a tracheal tube in situ--a value about half the VDphys measured at conventional normal tidal volumes and ventilation frequencies.

UI MeSH Term Description Entries
D007442 Intubation, Intratracheal A procedure involving placement of a tube into the trachea through the mouth or nose in order to provide a patient with oxygen and anesthesia. Intubation, Endotracheal,Endotracheal Intubation,Endotracheal Intubations,Intratracheal Intubation,Intratracheal Intubations,Intubations, Endotracheal,Intubations, Intratracheal
D008176 Lung Volume Measurements Measurement of the amount of air that the lungs may contain at various points in the respiratory cycle. Lung Capacities,Lung Volumes,Capacity, Lung,Lung Capacity,Lung Volume,Lung Volume Measurement,Measurement, Lung Volume,Volume, Lung
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D012121 Respiration, Artificial Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2). Ventilation, Mechanical,Mechanical Ventilation,Artificial Respiration,Artificial Respirations,Mechanical Ventilations,Respirations, Artificial,Ventilations, Mechanical
D012126 Respiratory Dead Space That part of the RESPIRATORY TRACT or the air within the respiratory tract that does not exchange OXYGEN and CARBON DIOXIDE with pulmonary capillary blood. Dead Space, Respiratory,Dead Spaces, Respiratory,Respiratory Dead Spaces,Space, Respiratory Dead,Spaces, Respiratory Dead
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
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013990 Tidal Volume The volume of air inspired or expired during each normal, quiet respiratory cycle. Common abbreviations are TV or V with subscript T. Tidal Volumes,Volume, Tidal,Volumes, Tidal

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