Park M, Mendes PV, Costa ELV, Barbosa EVS, Hirota AS, Azevedo LCP. Factors associated with blood oxygen partial pressure and carbon dioxide partial pressure regulation during respiratory extracorporeal membrane oxygenation support: data from a swine model.
Rev Bras Ter Intensiva 2016;
28:11-8. [PMID:
27096671 PMCID:
PMC4828086 DOI:
10.5935/0103-507x.20160006]
[Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2015] [Accepted: 01/06/2016] [Indexed: 12/17/2022] Open
Abstract
Objective
The aim of this study was to explore the factors associated with blood oxygen
partial pressure and carbon dioxide partial pressure.
Methods
The factors associated with oxygen - and carbon dioxide regulation were
investigated in an apneic pig model under veno-venous extracorporeal
membrane oxygenation support. A predefined sequence of blood and sweep flows
was tested.
Results
Oxygenation was mainly associated with extracorporeal membrane oxygenation
blood flow (beta coefficient = 0.036mmHg/mL/min), cardiac output (beta
coefficient = -11.970mmHg/L/min) and pulmonary shunting (beta coefficient =
-0.232mmHg/%). Furthermore, the initial oxygen partial pressure and carbon
dioxide partial pressure measurements were also associated with oxygenation,
with beta coefficients of 0.160 and 0.442mmHg/mmHg, respectively. Carbon
dioxide partial pressure was associated with cardiac output (beta
coefficient = 3.578mmHg/L/min), sweep gas flow (beta coefficient =
-2.635mmHg/L/min), temperature (beta coefficient = 4.514mmHg/ºC), initial pH
(beta coefficient = -66.065mmHg/0.01 unit) and hemoglobin (beta coefficient
= 6.635mmHg/g/dL).
Conclusion
In conclusion, elevations in blood and sweep gas flows in an apneic
veno-venous extracorporeal membrane oxygenation model resulted in an
increase in oxygen partial pressure and a reduction in carbon dioxide
partial pressure 2, respectively. Furthermore, without the possibility of
causal inference, oxygen partial pressure was negatively associated with
pulmonary shunting and cardiac output, and carbon dioxide partial pressure
was positively associated with cardiac output, core temperature and initial
hemoglobin.
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