Effects of hypoxia on lung mechanics in the newborn cat

Abstract

The present study was designed to investigate the effects of hypoxia on lung mechanics in the newborn cat and to determine if vagal efferent innervation to the airways is involved in the response. We studied 11 animals, aged 2-7 days, anesthetized with a mixture of chloralose-urethane administered intraperitoneally. A tracheal cannula was inserted just below the larynx and following paralysis (pancuronium bromide), mechanical ventilation was initiated. A pneumothorax was created by a midline thoracotomy and an end-expiratory load was applied to maintain functional residual capacity. Animals were placed in a flow plethysmograph from which measurements of transpulmonary pressure, flow, and volume, mean inspiratory resistance, and dynamic compliance of the lung were calculated. The experimental protocol consisted of a series of 8-min trials, each preceded by a controlled volume history. The hypoxia challenge was composed of 1 min of ventilation with 40% O2, followed by 5 min exposure to 10% O2 and 2 min of recovery. In the majority of animals (7 out of 11), hypoxia had no effect on lung mechanics compared with control trials. Four animals responded to hypoxia with an increase in resistance and a decrease in compliance. Resistance remained elevated throughout the hypoxia with an average maximal increase of 47.2 +/- 22.2% (SD). Dynamic compliance was significantly decreased at the 2nd, 3rd, and 4th min only of hypoxia. Bilateral vagotomy abolished the response in the four animals and hypoxia had no effect on mechanics postvagotomy. Our data suggest that in most cases changes in lung mechanics do not play a causal role in the biphasic ventilatory response to hypoxia seen in the newborn.

A Computed Tomographic Scan Assessment of Endotracheal Suctioning-Induced Bronchoconstriction in Ventilated Sheep

“…A constriction of bronchial muscles can be provoked by the direct stimulation of bronchial stretch receptors caused by moving a suction catheter in the airways (13). Endotracheal suctioning-induced arterial oxygen desaturation may also and independently increase bronchomotor tone (25)(26)(27). Fisher and colleagues studied the responsiveness of airway smooth muscle to hypoxia by administering a 10% O 2 mixture to paralyzed and ventilated cats (25).…”

“…Endotracheal suctioning-induced arterial oxygen desaturation may also and independently increase bronchomotor tone (25)(26)(27). Fisher and colleagues studied the responsiveness of airway smooth muscle to hypoxia by administering a 10% O 2 mixture to paralyzed and ventilated cats (25). They observed a 50% increase in R max,rs .…”