Ventilation-perfusion relationships during halothane anaesthesia and mechanical ventilation. Effects of varying inspired oxygen concentration.

Ventilation-perfusion relationships (VA/Q), assessed by a multiple inert-gas elimination technique, were studied during halothane anaesthesia and mechanical ventilation at different inspiratory oxygen fractions (FIO2). All nine patients (mean age 65 years, five smokers) displayed unaltered VA/Q distributions with increasing FIO2 from a mean of 29% to 53%. A further increase in FIO2 to a mean of 85% caused an increase in true shunt (VA/Q = 0) from 7 to 10% of cardiac output (P less than 0.01), but no increase in "low" VA/Q (VA/Q less than 0.1). On the return to FIO2 of 29%, true shunt was reduced to the initial level. The findings may fit in with release of hypoxic vasoconstriction when FIO2 is increased to 85%, or the opening up of a certain population of shunt vessels.