Respiratory drive and timing before and during CO2 inhalation in infants anaesthetized with halothane. 1986

S G Lindahl, and A K Olsson

To evaluate respiratory drive and timing in 11 spontaneously breathing infants anaesthetized with halothane, ventilation was followed before and during CO2 provocation, and occlusion tests were performed. All infants were younger than 6 months of age and their weights ranged from 3.8 to 7.5 kg. All measurements were performed prior to surgery. Tidal volumes (VT) were followed by pneumotachography and end-tidal CO2 concentration [E'CO2) by an in-line capnograph. Occlusion pressure curves were biphasic with an initial fast phase (pressure: P degree fast, duration: T degree fast) followed by a slower phase to the maximal occluded infra-airway pressure (P degree max, T degree max). During CO2 breathing, mean values of P degree fast increased by 75% (P less than 0.001) and of P degree max by 73% (P less than 0.001) compared with at CO2-free breathing. The slope of the fast phase (delta P/delta t) was significantly increased during CO2 breathing while the slow phase was unchanged by the presence of CO2. The P degree fast/P degree max ratio was of the same size before and during CO2 inhalation. Inhalation of CO2 did not influence inspiratory (T1) and expiratory (TE) times during unoccluded breathing. A variable respiratory pattern was revealed during occlusion whilst CO2-free breathing: T degree max was longer than (T1) in nine cases and shorter in two. A more uniform response in ventilatory timing was found at CO2 loaded ventilation and T degree max as well as the total duration of the ventilatory cycle (T degree tot) were significantly longer than (T1) (P less than 0.01) and (Ttot) (P less than 0.05) respectively. The V1/T1 ratio was increased by 66% during CO2 provocation during unoccluded breathing. The net effect of increased inspiratory drive during CO2 breathing resulted in a VT which on average was increased by 67% (P less than 0.001) so that the mean value of E'CO2 only rose by 0.98% (P less than 0.01) from 5.18% before to 6.16% during CO2 breathing. It was concluded that ventilatory compensation to CO2 was adequate, indicating preserved respiratory centre activity. Respiratory timing, however, was unaffected by CO2 indicating a discrepancy between the effects of halothane on respiratory motor centre activity and the bulbopontine pacemaker in these young infants.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
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
D012125 Respiratory Center Part of the brain located in the MEDULLA OBLONGATA and PONS. It receives neural, chemical and hormonal signals, and controls the rate and depth of respiratory movements of the DIAPHRAGM and other respiratory muscles. Center, Respiratory,Centers, Respiratory,Respiratory Centers
D012129 Respiratory Function Tests Measurement of the various processes involved in the act of respiration: inspiration, expiration, oxygen and carbon dioxide exchange, lung volume and compliance, etc. Lung Function Tests,Pulmonary Function Tests,Function Test, Pulmonary,Function Tests, Pulmonary,Pulmonary Function Test,Test, Pulmonary Function,Tests, Pulmonary Function,Function Test, Lung,Function Test, Respiratory,Function Tests, Lung,Function Tests, Respiratory,Lung Function Test,Respiratory Function Test,Test, Lung Function,Test, Respiratory Function,Tests, Lung Function,Tests, Respiratory Function
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
D006221 Halothane A nonflammable, halogenated, hydrocarbon anesthetic that provides relatively rapid induction with little or no excitement. Analgesia may not be adequate. NITROUS OXIDE is often given concomitantly. Because halothane may not produce sufficient muscle relaxation, supplemental neuromuscular blocking agents may be required. (From AMA Drug Evaluations Annual, 1994, p178) 1,1,1-Trifluoro-2-Chloro-2-Bromoethane,Fluothane,Ftorotan,Narcotan
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000769 Anesthesia, Inhalation Anesthesia caused by the breathing of anesthetic gases or vapors or by insufflating anesthetic gases or vapors into the respiratory tract. Insufflation Anesthesia,Anesthesia, Insufflation,Inhalation Anesthesia
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor

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