Pulmonary Gas Exchange

The performance of a hollow fibre artificial lung ('Capiox E') was analysed by measurement of the 'parallel deadspace' of the device under varying conditions in 21 patients. The efficiency with which carbon dioxide was exchanged was determined by the time available for equilibration between the blood and gas phases. When this equilibration coefficient was less than 12 seconds per litre of blood flow per litre of gas flow, there was a marked reduction in the efficiency of gas exchange. Under certain conditions, the 'counter-current' design of the device apparently permitted the clearance of carbon dioxide at a partial pressure greater than that which was found in the mixed venous blood. This anomalous behaviour may represent in vivo confirmation of the Haldane effect.

Objective To examine the effects of positive end-expiratory pressure (PEEP) on extravascular lung water (EVLW), lung tissue, and lung volume. Design and setting Experimental animal study at a university research facility. Subjects Fifteen adult sheep. Interventions All animals were studied before and after saline washout-induced lung injury while ventilated with sequentially increasing PEEP (0, 7, 14, or 21 cmH2O). Measurements and results Lung volume was determined by computed tomography and EVLW by the thermal dye dilution technique. Saline washout significantly increased lung tissue volume (21±3 to 37±5 ml/kg) and EVLW (9±2 to 36±9 ml/kg). While increasing levels of PEEP reduced EVLW (30±7, 24±8, and 18±4 ml/kg), lung tissue volume remained constant. Total lung volume significantly increased (50±8 ml/kg at PEEP 0 to 77±12 ml/kg at PEEP 21). Nonaerated lung volume significantly decreased and was closely correlated with the changes in EVLW (r=0.67). In addition, a highly significant correlation was found between PEEP-induced decrease in nonaerated lung volume and decrease in transpulmonary shunt (r=0.83). Conclusions The main findings are as follows: (a) PEEP effectively decreases EVLW. (b) The decrease in EVLW is closely correlated with the PEEP-induced decrease in nonaerated lung volume, making EVLW a valuable bedside parameter indicating alveolar recruitment, similar to measurements of transpulmonary shunt. (c) As excess tissue volume remained constant, however, EVLW may not be suitable to reflect overall severity of lung disease

The studies exploring the influence of resistance training on endurance in men have produced inconsistent results. The aim of this study was to examine the influence of an Olympic weight lifting training programme on parameters of aerobic and anaerobic endurance in moderately physically active men. Eleven physical education students (age: 24.1 +/- 1.8 yr, height: 1.77 +/- 0.04 m, body mass: 76.1 +/- 6.4 kg; X +/- SD) underwent a 12-week, 3 times/wk training programme of Olympic weight lifting. Specific exercises to master the lifting technique, and basic exercises for maximal strength and power development were applied, with load intensity and volume defined in relation to individual maximal load (repetitio maximalis, RM). Parameters of both, aerobic and anaerobic endurance were estimated from gas exchange data measured during a single incremental treadmill test to exhaustion, which was performed before, and after completion of the 12-wk programme. After training, there was a small,...

The South American lungfish Lepidosiren paradoxa is an obligatory air-breathing fish possessing well-developed bilateral lungs, and undergoing seasonal changes in its habitat, including temperature changes. In the present study we aimed to evaluate gas exchange and pulmonary breathing pattern in L. paradoxa at different temperatures (25 and 30°C) and different inspired O2 levels (21, 12, 10, and 7%). Normoxic breathing pattern consisted of isolated ventilatory cycles composed of an expiration followed by 2.4±0.2 buccal inspirations. Both expiratory and inspiratory tidal volumes reached a maximum of about 35ml.kg(-1), indicating that L. paradoxa is able to exchange nearly all of its lung air in a single ventilatory cycle. At both temperatures, hypoxia caused a significant increase in pulmonary ventilation (V̇E), mainly due to an increase in respiratory frequency. Durations of the ventilatory cycle and expiratory and inspiratory tidal volumes were not significantly affected by hypoxia...

This study tested the hypothesis that the DMAX (for maximal distance) method could be applied to ratings of perceived exertion (RPE), to propose a novel method for individual detection of the lactate threshold (LT) using RPE alone during an incremental test to exhaustion. Twenty-one participants performed an incremental test on a cycle ergometer. At the end of each stage, lactate concentration was measured and the participants estimated RPE using the Borg CR100 scale. The intensity corresponding to the fixed lactate values of 2 or 4 mmol · L-1 (2mM and 4mM), the ventilatory threshold (VT), the respiratory-compensation point (RCP), and the instant of equality of pulmonary gas exchange (RER=1.00) were determined. Lactate (DMAX La) and RPE (DMAX RPE) thresholds were determined using the DMAX method. Oxygen uptake (VO2), heart rate, and power output measured at DMAX RPE and at DMAX La were not statistically different. Bland-Altman plots showed small bias and good agreements when DMAX RP...

Numerous models of human lungs with various levels of idealization have been reported in the literature; consequently, results acquired using these models are difficult to compare to in vivo measurements. We have developed a set of model components based on realistic geometries, which permits the analysis of the effects of subsequent model simplification. A realistic digital upper airway geometry except for the lack of an oral cavity has been created which proved suitable both for computational fluid dynamics (CFD) simulations and for the fabrication of physical models. Subsequently, an oral cavity was added to the tracheobronchial geometry. The airway geometry including the oral cavity was adjusted to enable fabrication of a semi-realistic model. Five physical models were created based on these three digital geometries. Two optically transparent models, one with and one without the oral cavity, were constructed for flow velocity measurements, two realistic segmented models, one wit...

In absolute terms, flight is a highly energetically expensive form of locomotion. However, with respect to its cost per unit distance covered, powered flight is a very efficient mode of transport. Birds and bats are the only extant vertebrate taxa that have achieved flight. Phylogenetically different, they independently accomplished this elite mode of locomotion by employing diverse adaptive schemes and strategies. Integration of functional and structural parameters, a transaction that resulted in certain trade-offs and compromises, was used to overcome exacting constraints. Unique morphological, physiological and biochemical properties were initiated and refined to enhance the uptake, transfer and utilization of oxygen for high aerobic capacities. In bats, exquisite pulmonary structural parameters were combined with optimal haematological ones: a thin blood-gas barrier, a large pulmonary capillary blood volume and a remarkably extensive alveolar surface area in certain species deve...

Cyclists often use heart rate limits or power output zones, obtained from lactate parameters during incremental exercise testing, to control training intensity. However, the relationship between heart rate or power output, and blood lactate can be changed by several factors including dehydration. Therefore, in the current study we investigated the impact of exercise-induced dehydration on lactate parameters during graded exercise. Nine triathletes completed two test sessions in random order, with a 1-week interval. Each session consisted of 2 graded cycling tests to exhaustion (pretest, posttest), interspersed by a 2-h endurance exercise bout. In one session the cyclists received adequate fluid replacement (EH, 1350 ml . h (-1)) whilst in the other session dehydration was not prevented (DH, 225 ml . h (-1)). Subjects received equal amounts of carbohydrates (150 g) during either condition. The 4-mmol lactate threshold (OBLA) and the d (max) lactate threshold (TH-Dm) were calculated f...

Seven men were studied during 40 min of exercise at 70% VO2 peak, in an environmental chamber maintained at either 20 or 40 degrees C, to examine the effect of heat stress on ammonia metabolism during exercise. Heart rate and rectal and muscle temperatures were higher during exercise in the heat, while no differences were observed in pulmonary oxygen uptake or respiratory exchange ratio. Plasma ammonia levels and muscle ammonia accumulation were higher during exercise at 40 degrees C compared with 20 degrees C. Such metabolic alterations may be associated with reduced performance during exercise in the heat.

To investigate the effects of intermittent heavy exercise (HE) on sarcoplasmic reticulum (SR) maximal Ca2+-ATPase activity (Vmax) and Ca2+ uptake, a continuous two-stage standardized cycling test was performed before and after HE by untrained men [peak aerobic power (Vo -->Vo2 peak) = 42.9 +/- 2.7 ml. kg-1 x min-1]. The HE consisted of 16 bouts of cycling performed for 6 min each hour at 90% Vo2 peak. Tissue was obtained from the vastus lateralis by needle biopsy before and during each cycle test. Before HE, reductions (P < 0.05 micromol. g protein-1x min-1) of 16 and 31% were observed in Vmax and Ca2+ uptake, respectively, after 40 min of the standardized test. Resting Vmax and Ca2+ uptake were depressed (P < 0.05) by 19 and 30%, respectively, when measured 36-48 h after HE. During the standardized test, after HE, Vmax increased (P < 0.05) by 20%, whereas no change was observed in Ca2+ uptake. The HE protocol resulted in small increases (P < 0.05) and decreases (P &l...

The purpose of this study was to compare the external mechanical efficiency (ME) between power-trained athletes (n = 5) and endurance-trained athletes (n = 5). The relationships between biomechanical variables and metabolic cost were also investigated. The subjects ran at 3 different speeds (2.50 m.s-1, 3.25 m.s-1 and 4.00 m.s-1) both on the treadmill and on the track. The external work of the subjects was determined by a kinematic arm, and energy expenditure was determined by measuring oxygen consumption and respiratory exchange ratio. Biomechanical parameters included ground reaction forces, angular displacements of the knee and ankle joints and electromyography (EMG) of the selected muscles. The mean ME (+/- SD) values during running on treadmill were as follows: 49.6 +/- 8.9%, 60.1 +/- 9.6% and 61.2 +/- 10.4% for the endurance group, and 47.1 +/- 3.7%, 52.0 +/- 4.3% and 57.4 +/- 5.5% for the power group. In running on the track the respective values were 57.5 +/- 11.9%, 51.5 +/-...