Literature DB >> 18236095

Results of the oxygen Fick method in a closed blood circulation model including "total arteriovenous diffusive shunt of oxygen".

Mustafa Ozbek1, Ahmet Akay.   

Abstract

It is considered that arteriovenous diffusive shunts of oxygen may cause inaccuracy of the oxygen Fick method as[Formula: see text] where[Formula: see text] is the pulmonary oxygen uptake,[Formula: see text] is the cardiac output, and CaO(2) and CvO(2) are the arterial and venous oxygen contents, respectively.A simple circulation model, including the whole circulation with nine well-mixed compartments (C1, ... C9), is constructed: the[Formula: see text] is assigned as constant as 6000 ml min(-1); the blood portions of 60 ml move at an interval of 600 ms. C1 and C2 compartments, each having 60 ml volume, represent the blood of pulmonary microcirculation, C3 represents the arterial blood with a volume of 1500 ml, C4, ..., C8, each also having a volume of 60 ml, represent the blood of peripheral microcirculation, whereas C9 represents the venous blood with a volume of 3000 ml. The pulmonary oxygen uptake[Formula: see text], related to C1 and C2, the oxygen release[Formula: see text], related to C4,...,C8, as well as a "total arteriovenous diffusive shunt of oxygen"[Formula: see text], from the arterial blood (C3) to the venous blood (C9), are calculated simultaneously. The alveolar gas has a constant oxygen partial pressure, and the pulmonary diffusion capacity is also constant; similar to modeling the pulmonry, oxygen diffusion, constant partial oxygen pressures for all peripheral tissues as well as constant diffusion capacities for all peripheral oxygen diffusion are also assigned. The diffusion capacities for the[Formula: see text] (between C3 and C9) are arbitrarily assigned.The Fick method gives incorrect results depending on the total arteriovenous diffusive shunt of oxygen[Formula: see text]. But the mechanism determining the magnitude of[Formula: see text] remains unclear.

Entities:  

Year:  2004        PMID: 18236095     DOI: 10.1016/j.thbio.2003.09.001

Source DB:  PubMed          Journal:  Theory Biosci        ISSN: 1431-7613            Impact factor:   1.919


  25 in total

1.  Adolph Fick: mathematician, physicist, physiologist.

Authors:  L J Acierno
Journal:  Clin Cardiol       Date:  2000-05       Impact factor: 2.882

2.  The number and distribution of capillaries in muscles with calculations of the oxygen pressure head necessary for supplying the tissue.

Authors:  A Krogh
Journal:  J Physiol       Date:  1919-05-20       Impact factor: 5.182

3.  Oxygen exchange in the microcirculation of hamster retractor muscle.

Authors:  D P Swain; R N Pittman
Journal:  Am J Physiol       Date:  1989-01

4.  Relationship between capillary and systemic venous PO2 during nonhypoxic and hypoxic ventilation.

Authors:  J C Stein; C G Ellis; M L Ellsworth
Journal:  Am J Physiol       Date:  1993-08

5.  Relationship between pulmonary oxygen consumption, lung inflammation, and calculated venous admixture in patients with acute lung injury.

Authors:  P Jolliet; J B Thorens; L Nicod; C Pichard; U Kyle; J C Chevrolet
Journal:  Intensive Care Med       Date:  1996-04       Impact factor: 17.440

Review 6.  Oxygen supply to contracting skeletal muscle at the microcirculatory level: diffusion vs. convection.

Authors:  R N Pittman
Journal:  Acta Physiol Scand       Date:  2000-04

7.  Cardiac output determination in children: equivalence of the transpulmonary thermodilution method to the direct Fick principle.

Authors:  C Pauli; U Fakler; T Genz; M Hennig; H-P Lorenz; J Hess
Journal:  Intensive Care Med       Date:  2002-06-15       Impact factor: 17.440

8.  Oxygen diffusive shunts under conditions of heterogeneous oxygen delivery.

Authors:  A S Popel
Journal:  J Theor Biol       Date:  1982-06-21       Impact factor: 2.691

9.  Continuous thermodilution cardiac output: agreement with Fick and bolus thermodilution methods.

Authors:  D Thrush; J B Downs; R A Smith
Journal:  J Cardiothorac Vasc Anesth       Date:  1995-08       Impact factor: 2.628

10.  A comparison between the Fick method and indirect calorimetry for determining oxygen consumption in patients with fulminant hepatic failure.

Authors:  T S Walsh; P Hopton; A Lee
Journal:  Crit Care Med       Date:  1998-07       Impact factor: 7.598

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