Precapillary pulmonary gas exchange is similar for oxygen and inert gases. 2019

Michael K Stickland, and Vincent Tedjasaputra, and Desi P Fuhr, and Harrieth E Wagner, and Sophie É Collins, and Bradley W Byers, and Peter D Wagner, and Susan R Hopkins
Division of Pulmonary Medicine, Faculty of Medicine and Dentistry, University of Alberta, AB, Canada.

Precapillary gas exchange for oxygen has been documented in both humans and animals. It has been suggested that, if precapillary gas exchange occurs to a greater extent for inert gases than for oxygen, shunt and its effects on arterial oxygenation may be underestimated by the multiple inert gas elimination technique (MIGET). We evaluated fractional precapillary gas exchange in canines for O2 and two inert gases, sulphur hexafluoride and ethane, by measuring these gases in the proximal pulmonary artery, distal pulmonary artery (1 cm proximal to the wedge position) and systemic artery. Some 12-19% of pulmonary gas exchange occurred within small (1.7 mm in diameter or larger) pulmonary arteries and this was quantitatively similar for oxygen, sulphur hexafluoride and ethane. Under these experimental conditions, this suggests only minor effects of precapillary gas exchange on the magnitude of calculated shunt and the associated effect on pulmonary gas exchange estimated by MIGET. Some pulmonary gas exchange is known to occur proximal to the pulmonary capillary, although the magnitude of this gas exchange is uncertain, and it is unclear whether oxygen and inert gases are similarly affected. This has implications for measuring shunt and associated gas exchange consequences. By measuring respiratory and inert gas levels in the proximal pulmonary artery (P), a distal pulmonary artery 1 cm proximal to the wedge position (using a 5-F catheter) (D) and a systemic artery (A), we evaluated precapillary gas exchange in 27 paired samples from seven anaesthetized, ventilated canines. Fractional precapillary gas exchange (F) was quantified for each gas as F = (P - D)/(P - A). The lowest solubility inert gases, sulphur hexafluoride (SF6 ) and ethane were used because, with higher solubility gases, the P-A difference is sufficiently small that experimental error prevents accurate assessment of F. Distal samples (n = 12) with oxygen (O2 ) saturation values that were (within experimental error) equal to or above systemic arterial values, suggestive of retrograde capillary blood aspiration, were discarded, leaving 15 for analysis. D was significantly lower than P for SF6 (D/P = 88.6 ± 18.1%; P = 0.03) and ethane (D/P = 90.6 ± 16.0%; P = 0.04), indicating partial excretion of inert gas across small pulmonary arteries. Distal pulmonary arterial O2 saturation was significantly higher than proximal (74.1 ± 6.8% vs. 69.0 ± 4.9%; P = 0.03). Fractional precapillary gas exchange was similar for SF6 , ethane and O2 (0.12 ± 0.19, 0.12 ± 0.20 and 0.19 ± 0.26, respectively; P = 0.54). Under these experimental conditions, 12-19% of pulmonary gas exchange occurs within the small pulmonary arteries and the extent is similar between oxygen and inert gases.

UI MeSH Term Description Entries
D008168 Lung Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood. Lungs
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
D011652 Pulmonary Circulation The circulation of the BLOOD through the LUNGS. Pulmonary Blood Flow,Respiratory Circulation,Circulation, Pulmonary,Circulation, Respiratory,Blood Flow, Pulmonary,Flow, Pulmonary Blood,Pulmonary Blood Flows
D011659 Pulmonary Gas Exchange The exchange of OXYGEN and CARBON DIOXIDE between alveolar air and pulmonary capillary blood that occurs across the BLOOD-AIR BARRIER. Exchange, Pulmonary Gas,Gas Exchange, Pulmonary
D004285 Dogs The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065) Canis familiaris,Dog
D005741 Noble Gases Elements that constitute group 18 (formerly the zero group) of the periodic table. They are gases that generally do not react chemically. Gases, Inert,Gases, Rare,Rare Gases,Group 18 Elements,Elements, Group 18,Gases, Noble,Inert Gases
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia

Related Publications

Michael K Stickland, and Vincent Tedjasaputra, and Desi P Fuhr, and Harrieth E Wagner, and Sophie É Collins, and Bradley W Byers, and Peter D Wagner, and Susan R Hopkins
October 1976, Respiration physiology,
Michael K Stickland, and Vincent Tedjasaputra, and Desi P Fuhr, and Harrieth E Wagner, and Sophie É Collins, and Bradley W Byers, and Peter D Wagner, and Susan R Hopkins
January 1976, Pneumonologie. Pneumonology,
Michael K Stickland, and Vincent Tedjasaputra, and Desi P Fuhr, and Harrieth E Wagner, and Sophie É Collins, and Bradley W Byers, and Peter D Wagner, and Susan R Hopkins
October 1972, Nihon Kyobu Shikkan Gakkai zasshi,
Michael K Stickland, and Vincent Tedjasaputra, and Desi P Fuhr, and Harrieth E Wagner, and Sophie É Collins, and Bradley W Byers, and Peter D Wagner, and Susan R Hopkins
June 1968, Respiration physiology,
Michael K Stickland, and Vincent Tedjasaputra, and Desi P Fuhr, and Harrieth E Wagner, and Sophie É Collins, and Bradley W Byers, and Peter D Wagner, and Susan R Hopkins
January 1978, Respiration; international review of thoracic diseases,
Michael K Stickland, and Vincent Tedjasaputra, and Desi P Fuhr, and Harrieth E Wagner, and Sophie É Collins, and Bradley W Byers, and Peter D Wagner, and Susan R Hopkins
April 1973, Nihon Kyobu Shikkan Gakkai zasshi,
Michael K Stickland, and Vincent Tedjasaputra, and Desi P Fuhr, and Harrieth E Wagner, and Sophie É Collins, and Bradley W Byers, and Peter D Wagner, and Susan R Hopkins
October 1967, Respiration physiology,
Michael K Stickland, and Vincent Tedjasaputra, and Desi P Fuhr, and Harrieth E Wagner, and Sophie É Collins, and Bradley W Byers, and Peter D Wagner, and Susan R Hopkins
December 1975, Journal of applied physiology,
Michael K Stickland, and Vincent Tedjasaputra, and Desi P Fuhr, and Harrieth E Wagner, and Sophie É Collins, and Bradley W Byers, and Peter D Wagner, and Susan R Hopkins
December 1979, Journal of applied physiology: respiratory, environmental and exercise physiology,
Michael K Stickland, and Vincent Tedjasaputra, and Desi P Fuhr, and Harrieth E Wagner, and Sophie É Collins, and Bradley W Byers, and Peter D Wagner, and Susan R Hopkins
May 1974, [Zasshi] [Journal]. Nihon Kyobu Geka Gakkai,
Copied contents to your clipboard!