Literature DB >> 7298465

Gas mixing by cardiogenic oscillations: a theoretical quantitative analysis.

A S Slutsky.   

Abstract

A quantitative theoretical model of the enhanced gas mixing secondary to cardiogenic oscillations is presented based on the concept of augmented gas transport within the tracheobronchial tree (Science 209: 609, 1980). The model assumes "well-mixed" flow in the upper airways with the enhanced mixing described by Deff = Dmol + K . ud, where Deff is the effective diffusivity; Dmol, the molecular diffusivity: K, a constant; u, the root-mean-square flow; and d, the airway diameter. In the smaller airways on analysis based on Taylor laminar dispersion is used described by Deff = Dmol + (1/192) (ud)2/Dmol. The model predicts that, in dogs, cardiogenic oscillations should enhance gas mixing about 10-fold depending on the flow rates generated by the heart. Other predictions are that the augmentation of gas mixing should be greater 1) at lower lung volumes, 2) with sulfur hexafluoride vs. helium or air, 3) after peripheral airway dilation, and 4) after central airways constriction. Theoretical predictions are very close to published experimental results where available. This model should help in the development of mathematical models of gas mixing within the lungs that will include the contribution of cardiogenic oscillations.

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Year:  1981        PMID: 7298465     DOI: 10.1152/jappl.1981.51.5.1287

Source DB:  PubMed          Journal:  J Appl Physiol Respir Environ Exerc Physiol        ISSN: 0161-7567


  7 in total

1.  Elimination of cardiogenic oscillations in the capnograph by applying low positive end-expiratory pressure (PEEP).

Authors:  R Marks; A Sidi
Journal:  J Clin Monit Comput       Date:  2000       Impact factor: 2.502

2.  Pulmonary artery pulsatility is the main cause of cardiogenic oscillations.

Authors:  Fernando Suarez-Sipmann; Arnoldo Santos; German Peces-Barba; Stephan H Bohm; José Luis Gracia; Pilar Calderón; Gerardo Tusman
Journal:  J Clin Monit Comput       Date:  2012-08-22       Impact factor: 2.502

3.  Effect of frequency on pressure cost of ventilation and gas exchange in newborns receiving high-frequency oscillatory ventilation.

Authors:  Emanuela Zannin; Raffaele L Dellaca'; Giulia Dognini; Lara Marconi; Martina Perego; Jane J Pillow; Paolo E Tagliabue; Maria Luisa Ventura
Journal:  Pediatr Res       Date:  2017-07-26       Impact factor: 3.756

Review 4.  Optimal Ventilator Strategies in Acute Respiratory Distress Syndrome.

Authors:  Michael C Sklar; Bhakti K Patel; Jeremy R Beitler; Thomas Piraino; Ewan C Goligher
Journal:  Semin Respir Crit Care Med       Date:  2019-05-06       Impact factor: 3.119

5.  Ventilation-induced jet suggests biotrauma in reconstructed airways of the intubated neonate.

Authors:  Eliram Nof; Metar Heller-Algazi; Filippo Coletti; Dan Waisman; Josué Sznitman
Journal:  J R Soc Interface       Date:  2020-01-08       Impact factor: 4.118

6.  High-frequency oscillatory ventilation combined with volume guarantee in a neonatal animal model of respiratory distress syndrome.

Authors:  Manuel Sánchez Luna; Martín Santos González; Francisco Tendillo Cortijo
Journal:  Crit Care Res Pract       Date:  2013-07-18

7.  Lung volume changes in Apnoeic Oxygenation using Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) compared to mechanical ventilation in adults undergoing laryngeal surgery.

Authors:  Ida-Maria Forsberg; Johan Ullman; Anton Hoffman; Lars I Eriksson; Åse Lodenius; Malin J Fagerlund
Journal:  Acta Anaesthesiol Scand       Date:  2020-09-03       Impact factor: 2.105

  7 in total

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