Iscoe S, Beaton M, Duffin J
Department of Physiology, Queen's University, Kingston, ON, Canada.
Respir Physiol. 1998 Jul;113(1):1-10. doi: 10.1016/s0034-5687(98)00052-8.
We used a modified rebreathing technique to measure chemoreflex thresholds to CO2 in decerebrate, paralyzed and ventilated cats. Cats were hyperventilated to neural apnea (PaCO2 < 15 mmHg) with one ventilator and then switched to a rebreathing circuit consisting of a balloon inside a bottle connected to a second ventilator. The volume of the circuit was approximately 110 ml. The balloon contained 5% CO2:95% O2 for hyperoxic rebreathing or approximately 5% CO2 with 11 or 6.5% O2 for moderately and severely hypoxic rebreathing. A plateau in CO2 concentration at the onset of rebreathing indicated equilibration of CO2 between the circuit, alveolar gas and venous and arterial blood. After rapid equilibration of CO2 between the cat and the circuit, CO2 increased linearly with time during rebreathing. Under hyperoxic conditions, phrenic activity began to increase at an end-tidal P(CO2) (PET(CO2)) of 35.1 +/- 6.1 (SD) mmHg (n = 8); during hypoxia, phrenic activity began to increase at a significantly lower PET(CO2) of 27.8 +/- 4.8 mmHg (P < 0.01, n = 6). We interpret these values as the central and peripheral chemoreflex thresholds to CO2, respectively. Persistent phrenic activity prevented determination of a threshold during severe hypoxic rebreathing. Our modified method of hyperoxic and hypoxic rebreathing allows detection of the effects of hypoxia on the central and peripheral chemoreflex thresholds and, within a cat, measurements of chemoreflex sensitivities.
我们采用改良的重复呼吸技术来测量去大脑、麻痹且通气的猫对二氧化碳的化学反射阈值。先用一台呼吸机使猫过度通气至神经源性呼吸暂停(动脉血二氧化碳分压<15 mmHg),然后切换至由连接到另一台呼吸机的瓶内气囊组成的重复呼吸回路。该回路的容积约为110 ml。气囊内装有5%二氧化碳:95%氧气用于高氧重复呼吸,或约5%二氧化碳与11%或6.5%氧气用于中度和重度低氧重复呼吸。重复呼吸开始时二氧化碳浓度的平稳表明回路、肺泡气以及静脉血和动脉血之间的二氧化碳达到平衡。猫与回路之间的二氧化碳快速平衡后,重复呼吸期间二氧化碳随时间呈线性增加。在高氧条件下,膈神经活动在呼气末二氧化碳分压(PET(CO2))为35.1±6.1(标准差)mmHg(n = 8)时开始增加;在低氧期间,膈神经活动在显著更低的PET(CO2) 27.8±4.8 mmHg时开始增加(P<0.01,n = 6)。我们将这些值分别解释为对二氧化碳的中枢和外周化学反射阈值。在重度低氧重复呼吸期间,持续的膈神经活动妨碍了阈值的测定。我们改良的高氧和低氧重复呼吸方法能够检测低氧对中枢和外周化学反射阈值的影响,并且在同一只猫内测量化学反射敏感性。