OBJECTIVES Studies correlating the arterial partial pressure of oxygen to the fraction of nonaerated lung assessed by CT shunt yielded inconsistent results. We systematically analyzed this relationship and scrutinized key methodological factors that may compromise it. We hypothesized that both physiological shunt and the ratio between PaO2 and the fraction of inspired oxygen enable estimation o...

Introduction: Arterial gas derangement could change urinary sodium excretion in Chronic Obstructive Pulmonary Disease (COPD) patients.There are very few and conflicting data in regards to the measurement of fractional excretion of sodium in COPD patients. The main aim of this study was to assess the relationship between renal fractional excretion of sodium(FeNa) with arterial blood gas and spir...

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To establish guidelines for the interpretation of changes in arterial blood gas (ABG) values, we studied 29 clinically stable ICU patients for spontaneous variability in PaO2, PaCO2 and pH. ABGs were sampled six times over a 50-minute period, during which all patients received a fixed FIO2 of 0.5 via endotracheal tube and underwent no therapeutic interventions. Each sample was analyzed in dupli...

BACKGROUND Although plastic arterial sampling syringes are now commonly used, the effects of sample storage time and temperature on blood gas tensions are poorly described for samples with a high oxygen partial pressure (PaO2) taken with these high density polypropylene syringes. METHODS Two ml samples of tonometered whole blood (PaO2 86.7 kPa, PaCO2 4.27 kPa) were placed in glass syringes an...

The effects of hypocapnia and thoracotomy, both individually and combined, on pulmonary gas exchange and distribution of ventilation-perfusion ratio (Va/Q) were studied in anesthetized and paralyzed mongrel dogs by the six inert gas elimination technique. Normocapnia (PaCO2 35 mmHg) and hypocapnia (PaCO2 20 mmHg) were produced sequentially by varying the inspired CO2 concentration. Thoracotomy ...

Fifty-eight children were studied during nitrous oxide in oxygen and fentanyl anaesthesia before undergoing closed or open cardiac surgery. FlO2 was 0.5. Alveolar deadspace was measured using the carbon dioxide single breath test (SBT-CO2) obtained from a computerized online system for monitoring expired CO2 and airway flow, based on the Servo ventilator, Arterial blood was sampled simultaneous...

BACKGROUND Providing supplemental oxygen is fundamental in the management of mechanically ventilated patients. Increasing amounts of data show worse clinical outcomes associated with hyperoxia. However, these previous data in the critically ill have not focused on outcomes associated with brief hyperoxia exposure immediately after endotracheal intubation. Therefore, the objectives of this study...

Oxygen consumption (MO2), effective alveolar ventilation (Veff), arterial and alveolar PO2 (PaO2, PAO2) and the alveolar-arterial PO2 difference [(A--a)PO2] were determined in the lizards Varanus exanthematicus and Iguana iguana at rest and during treadmill exercise at 35 degrees C. In both species, Veff increased more rapidly than MO2 giving rise to an increased PAO2. In contrast, PaO2 remaine...

Background: Oxygen saturation and the PaO2 are the direct risk factors for post -operative respiratory outcome in patients undergoing prolonged surgery under general anaesthesia. However the effect of preoperative PaO2 and PaO2/FiO2 ratio on the postoperative course of the patient undergoing coronary artery bypass grafting is not known. Hypothesis: Pre-operative PaO2 and PaO2/FiO 2 ratio have a...