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Sample records for alpacas vicugna pacos

  1. Diagnosis of toxoplasmosis-associated abortion in an alpaca (Vicugna pacos) fetus

    Science.gov (United States)

    A near full term alpaca (Vicugna pacos) was stillborn two days before expected date of delivery; necropsy examination was conducted within six hours of delivery. Gross lesions were enlarged liver and hydrocephalus. On histologic examination, mild inflammatory lesions were identified in the placenta,...

  2. Morphology of the Lingual and Buccal Papillae in Alpaca (Vicugna pacos) - Light and Scanning Electron Microscopy.

    Science.gov (United States)

    Goździewska-Harłajczuk, K; Klećkowska-Nawrot, J; Janeczek, M; Zawadzki, M

    2015-10-01

    The aim of this study was the description of the lingual and buccal papillae in adult alpaca (Vicugna pacos) by light and scanning electron microscopy (SEM). The tongue consisted of apex, body and root. Four types of lingual papillae (filiform, fungiform, conical and circumvallate) in addition to two types of buccal papillae were observed. The filiform papillae, some with secondary papillae, were distributed on both the corpus and apex of the tongue, with stratified epithelium, and layer of keratin coat were recognized. The short (small) cone papillae had pointed top, while bunoform papillae were wide with smooth apex. The much less numerous circumvallate papillae with pseudopapillae on the each rim of the caudal lingual body were present with weak layer of keratin and intra-epithelial taste buds. The small fungiform papillae were found on the dorsal lingual surface, while the large fungiform papillae were situated on the ventral surface of the tongue, especially, in rostral part and were round in shape with numerous gustatory pores and very thin keratin coat. Pseudopapillae were present on the buccal conical 'bunoform' papillae surface, while 'elongate' buccal papillae surface was rather softly folded with thin coat of keratin. Microridges were observed in the less keratinized parts of each type of papillae. The orientation of either lingual or buccal papillae into the throat side facilitates the emptying of oral cavity from nutrient and swallowing of food. In conclusion, the anatomical features of the alpaca tongue are an adaptation to the feeding habits.

  3. Quality parameters for alpaca (Vicugna pacos) semen are affected by semen collection procedure.

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    Morton, K M; Thomson, P C; Bailey, K; Evans, G; Maxwell, W M C

    2010-08-01

    Artificial insemination (AI) is poorly developed in camelids owing to the difficulty in collecting high quality semen and the highly viscous nature of the semen. Semen collected by artificial vagina (AV) is often of low quality and must be improved before any further development of AI technology can occur. The present study investigated the effects of adding a cervix-like stricture to the AV, presence of females, collecting semen into Androhep, skim-milk or Tris diluents, and catalase supplementation (0, 100, 200 or 600 units/ml) of Tris diluent on alpaca semen quality parameters. The addition of a cervix-like stricture increased mating length (p semen collection did not improve semen quality parameters (p > 0.05). Collection of semen into Tris diluent improved sperm motility (58.0 +/- 11.9%) compared with the control (34.0 +/- 10.8%; p Semen viscosity was reduced by collection into Androhep (4.6 +/- 1.7 mm) and skim-milk diluents (3.6 +/- 1.3 mm) compared with Tris diluent (5.7 +/- 2.1 mm) and no collection medium (9.3 +/- 3.5 mm; p semen viscosity (5.0 +/- 3.2 and 4.9 +/- 3.2 mm). Collection of alpaca semen by AV into Tris diluent increased semen quality facilitating further development of AI technology in alpacas. PMID:19144029

  4. Development of the Liver in Alpaca (Vicugna pacos): A Microscopic and Macroscopic Description.

    Science.gov (United States)

    Castro, A N C; Domínguez, M T; Gómez, S A; Mendoza Torres, G J; Llerena Zavala, C A; Ghezzi, M D; Barbeito, C G

    2016-06-01

    South American camelids have several biological, morphological and behavioural adaptations that allow them to live in geographical areas dominated by high altitudes. The liver has hematopoietic functions during the prenatal life, which could be modified in response to the unfavorable habitat. However, there are no previous data on the prenatal development of the liver in these species. In the present work, a study on the macroscopic and microscopic morphology of the liver of the alpaca during ontogeny was performed. Forty-one animals ranging in age from 20 days of embryonic development to adults were studied. Macroscopic and microscopic observations were performed on samples subjected to different techniques. Less than 7-g specimens were studied with stereoscopic magnifying glass. The general characteristics of the prenatal liver are similar to those of other mammals, and the structures related to hematopoietic function follow an ontogenic pattern similar to that of previously studied precocial species. However, there are differences in morphology when compared to descriptions for the Old World camelids, including the absence of relation between the caudate lobe and the right kidney and the lack of interlobular connective tissue.

  5. [Cowpox virus infection in an alpaca (Vicugna pacos) - clinical symptoms, laboratory diagnostic findings and pathological changes].

    Science.gov (United States)

    Goerigk, D; Theuß, T; Pfeffer, M; Konrath, A; Kalthoff, D; Woll, D; Vahlenkamp, T W; Beer, M; Starke, A

    2014-01-01

    Orthopoxvirus infections appear to be rare in South American Camelids, because only a few cases have been reported in the literature. Based on a generalized infection with cowpox virus in an alpaca, the clinical symptoms, laboratory diagnostic findings and the pathological changes are described. The case history showed a long treatment because of chronic skin lesions. The main clinical symptom was miliary papules over the entire skin. Furthermore, a bilateral mucopurulent conjunctivitis occurred as well as excessive salivation due to a severe erosive-ulcerative stomatitis. Although the animal received intensive treatment, it died 8 days after admission to the clinic. During necropsy, an erosive-ulcerative laryngitis as well as a necrotising pneumonia and lymphadenitis were observed. Histopathological examination of representative organ samples led to the diagnosis of a suspected orthopoxvirus infection. Electron microscopy and quantitative polymerase chain reaction (qPCR) of tissue samples confirmed this diagnosis. The virus could be isolated in tissue culture and a PCR with subsequent nucleotide sequencing identified cowpox virus as the causative agent for this generalised infection. PMID:24920091

  6. Presence, distribution and steroidogenic effect of the peptides orexin A and receptor 1 for orexins in the testis of the South American camelid alpaca (Vicugna pacos).

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    Liguori, Giovanna; Assisi, Loredana; Squillacioti, Caterina; Paino, Salvatore; Mirabella, Nicola; Vittoria, Alfredo

    2012-10-01

    The orexins A (oxA) and B are peptides discovered in the rat hypothalamus and successively found in some peripheral organs of the mammalian body. They binds two protein G-coupled receptors defined receptor 1 (ox1r) and 2 for orexins, the first of which is highly specific for oxA while the second binds both the peptides with equal affinity. This work aimed to detect the presence of oxA and ox1r in the testis of the South American camelid alpaca (Vicugna pacos) and investigate the role played by them on Leydig cell steroidogenesis. The species alpaca acquired, in the last years, increasing zootechnical interest for the quality of the wool produced and its breeding spread from the country of origin to USA, Australia and Europe. Immunohistochemistry allowed us to detect oxA in Leydig and Sertoli cells, spermatogonia, resting spermatocytes, round and oval spermatids. Ox1r-immunoreactivity was found in Leydig cells and round, oval and elongated spermatids. The expression of the two peptides in tissue extracts was established by using Western blotting technique. Such results demonstrated that in the alpaca testis exists in a cellular complex able to produce and/or internalize oxA. Finally, the effect of oxA on steroidogenesis was investigated by means of in vitro cultured thin testis slices which were added with oxA or/and Müllerian Inhibiting Substance (MIS), a steroidolitic agent basally produced by the Sertoli cell. OxA evoked increase of testosterone production while MIS a decrease. The consecutive addition of oxA and MIS, or vice versa, highlighted an antagonistic interplay between the two substances which has been thought to be the main molecular event at the basis of the oxA-stimulated steroidogenesis mechanism.

  7. Prevalence and risk factors associated to Eimeria spp. infection in unweaned alpacas (Vicugna pacos) from Southern Peru.

    Science.gov (United States)

    Díaz, Pablo; Panadero, Rosario; López, Rosalía; Cordero, Aida; Pérez-Creo, Ana; López, Ceferino M; Fernández, Gonzalo; Díez-Baños, Pablo; Morrondo, Patrocinio

    2016-01-01

    A total of 350 faecal samples from unweaned alpacas over 3 months of age were collected from 23 herds in order to determine the prevalence of Eimeria spp. in Southern Peru and to identify the risk factors associated to Eimeria infection in young alpacas. Samples were examined by a flotation technique and the identification of risk factors was assessed by a logistic regression analysis. Sixty four percent of the examined animals shed Eimeria oocysts; herd prevalence was 96%, with an intra-herd prevalence of 60% (range 5.9-100%). Five different Eimeria species were identified, being E. lamae (91%), E. alpacae (87%) and E. punoensis (78%) the most prevalent; E. macusaniensis (35%) and E. ivitaensis (13%) were less common. Mixed-species infections were more frequent (78%) than single infections (22%). E. lamae was the most common monospecific infection and E. lamae/E. alpacae the most frequent association. The geographical area has a significant effect on Eimeria infection rates (74.9% wet Puna vs 37.4% dry Puna) as well as the breeding system (65.1% traditional vs 63.8% modern). In contrast, the sex of the animals (64.6% males vs 64.0% females) showed no influence on the prevalence of infection by Eimeria. The high prevalence found at both individual and herd level and the common presence of highly pathogenic Eimeria species may lead to important economic losses for alpaca breeders and could require the implementation of suitable control measures.

  8. Antigenic variability in bovine viral diarrhea virus (BVDV) isolates from alpaca (Vicugna pacos), llama (Lama glama) and bovines in Chile.

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    Aguirre, I M; Quezada, M P; Celedón, M O

    2014-01-31

    Llamas and alpacas are domesticated South American camelids (SACs) important to ancestral population in the Altiplano region, and to different communities where they have been introduced worldwide. These ungulates have shown to be susceptible to several livestock viral pathogens such as members of the Pestivirus genus and mainly to bovine viral diarrhea virus (BVDV). Seventeen Chilean BVDV isolates were analyzed by serum cross neutralization with samples obtained from five llama, six alpacas, three bovines, plus three reference strains belonging to different subgroups and genotypes. The objective was to describe antigenic differences and similarities among them. Antigenic comparison showed significant differences between different subgroups. Consequently, antigenic similarities were observed among isolates belonging to the same subgroup and also between isolates from different animal species belonging the same subgroup. Among the analyzed samples, one pair of 1b subgroup isolates showed significant antigenic differences. On the other hand, one pair of isolates from different subgroups (1b and 1j) shared antigenic similarities indicating antigenic relatedness. This study shows for the first time the presence of antigenic differences within BVDV 1b subgroup and antigenic similarities within 1j subgroup isolates, demonstrating that genetic differences within BVDV subgroups do not necessary corresponds to differences on antigenicity.

  9. Pesquisa de anticuerpos seroneutralizantes para pestivirus y herpesvirus en ovinos, caprinos y camélidos sudamericanos de Chile Survey for antibodies to pestivirus and herpesvirus in sheep, goats, alpacas (Lama pacos, llamas (Lama glama guanacos (Lama guanicoe and vicuña (Vicugna vicugna from Chile

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    M Celedón

    2001-01-01

    Full Text Available Se investigó la presencia de anticuerpos por dilución punto final seroneutralizante (DPFSN para pestivirus (cepa NADL del virus de la diarrea viral bovina y para herpesvirus (cepa Los Angeles del virus herpes bovino 1, en muestras de sueros de 321 ovinos, 322 caprinos, 74 alpacas (Lama pacos , 43 llamas (Lama glama , 48 guanacos (Lama guanicoe y 34 vicuñas (Vicugna vicugna , procedentes de diferentes regiones del país. Para pestivirus se detectó reacción serológica positiva en 60 (18,7% ovinos, en 21 (6,5% caprinos, en 8 (10,8% alpacas y en 6 (14% llamas. Los guanacos y vicuñas fueron seronegativos para pestivirus. Para herpesvirus, la seropositividad se obtuvo en 8 (2,5% ovinos y 62 (19,3% caprinos. No se detectaron anticuerpos para herpesvirus en las muestras de camélidos. Según la distribución geográfica los mayores porcentajes de positividad resultaron ser: para pestivirus en ovinos de 2/3 predios de la XII Región (con positividad de 66,7% y 82,1%, con rangos de títulos de 16 a 710 y, para herpesvirus en caprinos de 5/6 predios de la IV Región (con positividad de 4,2%, 13,3%, 28,6%, 61,5% y 66,7%, con rango de títulos de 2 a 45. Las alpacas y llamas serorreaccionantes a pestivirus se encontraban ubicadas en la Región Metropolitana, en confinamiento en conjunto con otras especies de rumiantes, en cambio que las especies silvestres, guanacos y vicuñas fueron muestreadas en sus lugares de origen. Se confirma que en Chile existe infección por pestivirus en ovinos, caprinos, llamas y alpacas y por herpesvirus en ovinos y caprinosMicrotitration serum virus-neutralization tests were used to determine antibody titres for pestivirus: bovine viral diarrhea virus (NADL strain and herpesvirus: bovine herpes virus 1 (Los Angeles strain in 321 sheep, 322 goats, 74 alpacas (Lama pacos , 43 llamas (Lama glama , 48 guanacos (Lama guanicoe and 34 vicuñas (Vicugna vicugna , from several Regions of Chile. Antibodies to pestivirus were found

  10. Analysis of genetic distance between Peruvian Alpaca (Vicugna Pacos showing two distinct fleece phenotypes, Suri and Huacaya, by means of microsatellite markers

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    Carlo Renieri

    2011-10-01

    Full Text Available Two coat phenotypes exist in Alpaca, Huacaya and Suri. The two coats show different fleece structure, textile characteristics and prices on the market. Although present scientific knowledge suggests a simple genetic model of inheritance, there is a tendency to manage and consider the two phenotypes as two different breeds. A 13 microsatellite panel was used in this study to assess genetic distance between Suri and Huacaya alpacas in a sample of non-related animals from two phenotypically pure flocks at the Illpa-Puno experimental station in Quimsachata, Peru. The animals are part of a germplasm established approximately 20 years ago and have been bred separately according to their coat type since then. Genetic variability parameters were also calculated. The data were statistically analyzed using the software Genalex 6.3, Phylip 3.69 and Fstat 2.9.3.2. The sample was tested for Hardy-Weinberg equilibrium (HWE and after strict Bonferroni correction only one locus (LCA37 showed deviation from equilibrium (Ploci associations showed significant disequilibrium. Observed heterozygosis (Ho= 0.766; SE=0.044, expected heterozygosis (He=0.769; SE=0.033, number of alleles (Na=9.667, SE=0.772 and Fixation index (F=0.004; SE=0.036 are comparable to data from previous studies. Measures of genetic distance were 0.06 for Nei’s and 0.03 for Cavalli-Sforza’s. The analysis of molecular variance reported no existing variance between populations. Considering the origin of the animals, their post domestication evolution and the reproductive practices in place, the results do not show genetic differentiation between the two populations for the studied loci.

  11. Taxonomy Icon Data: alpaca [Taxonomy Icon

    Lifescience Database Archive (English)

    Full Text Available gna_pacos_L.png Vicugna_pacos_NL.png Vicugna_pacos_S.png Vicugna_pacos_NS.png http://biosciencedbc.jp/taxonomy..._icon/icon.cgi?i=Vicugna+pacos&t=L http://biosciencedbc.jp/taxonomy_icon/icon.cgi?i=Vicugna+pacos&t=NL htt...p://biosciencedbc.jp/taxonomy_icon/icon.cgi?i=Vicugna+pacos&t=S http://biosciencedbc.jp/taxonomy_icon/icon.cgi?i=Vicugna+pacos&t=NS ...

  12. Genetic variation of the prion protein gene (PRNP) in alpaca (Vicugna pacos)

    Science.gov (United States)

    Transmissible spongiform encephalopathies (TSE) are caused by accumulation of a misfolded form of the prion protein (PrP). The normal cellular isoform of PrP is produced by the prion gene (PRNP) and is highly expressed in the central nervous system. Currently, there is an absence of information rega...

  13. Tuberculosis in alpaca (lama pacos on a farm in ireland. 2. results of an epidemiological investigation

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    Connolly DJ

    2008-08-01

    Full Text Available Abstract Tuberculosis (TB, due to infection with Mycobacterium bovis was diagnosed in a flock of alpaca in Ireland in 2004. An epidemiological investigation was conducted to identify the risk of TB for farmed alpaca where TB is endemic, the origin of the infection, the potential for alpaca-to-alpaca transmission and appropriate control measures. The investigation focused on the alpaca flock (including the farm, animal movements and breeding, feeding and flock health practice, the disease episode (including animal disease events and subsequent control measures and TB infection risk in the locality. The TB risk to alpaca is high in areas where infection is endemic in cattle and badgers and where biosecurity is inadequate. It is most likely that the source of infection for the alpaca was a local strain of M. bovis, present in cattle in this area since at least 2001. Genotyping of isolates identified a single variable number tandem repeat (VNTR profile in both cattle and alpaca in this region. Although a tuberculous badger was also removed from the vicinity, bacterial isolation was not attempted. On this farm, infection in alpaca was probably derived from a common source. Alpaca-to-alpaca transmission seems unlikely. Two broad control strategies were implemented, aimed at the rapid removal of infected (and potentially infectious animals and the implementation of measures to limit transmission. Tests that proved useful in detecting potentially-infected animals included measurement of the albumin-to-globulin ratio and regular body condition scoring. Skin testing was time consuming and unproductive, and early detection of infected animals remains a challenge. The flock was managed as a series of separate groupings, based on perceived infection risk. No further TB cases have been detected.

  14. Effects on the quality of frozen-thawed alpaca (Lama pacos)semen using two different cryoprotectants and extenders

    Institute of Scientific and Technical Information of China (English)

    Alexei Santiani; Wilfredo Huanca; Rómulo Sapana; Teodosio Huanca; Néstor Sepúlveda; Raúl Sánchez

    2005-01-01

    Aim: To evaluate two extenders and two cryoprotectant agents (CPA) for alpaca semen cryopreservation. Methods:Semen samples were obtained from four adult alpacas (Lama pacos) and frozen using extender Ⅰ (TRIS, citrate, egg yolk and glucose) or extender Ⅱ (skim milk, egg yolk and fructose), each containing either glycerol (G) or ethylene glycol (EG) as CPA. Consequently, four groups were formed: 1) extender Ⅰ-G; 2) extender Ⅰ-EG; 3) extender Ⅱ-G;and 4) extender Ⅱ-EG. Semen was diluted in a two-step process: for cooling to 5 ℃ (extenders without CPA), and for freezing (extenders with CPA). Viability and acrosome integrity were assessed using trypan blue and Giemsa stains. Results: When compared, the motility after thawing was higher (P < 0.05) in groups Ⅱ-EG (20.0 % ± 6.7 %)and Ⅱ-G (15.3 % ± 4.1%) than that in groups Ⅰ-G (4.0 % ± 1.1%) and Ⅰ-EG (1.0 % ± 1.4 %). Viable spermatozoa with intact acrosomes in groups Ⅱ-EG (18.7 % ± 2.9 %) and Ⅱ-G (12.7 % ± 5.9 %) were higher than that in groups Ⅰ-G (5.7 % ± 1.5 %) and Ⅰ-EG (4.0 % ± 1.0 %). Conclusion: The skim milk- and egg yolk-based extenders containing ethylene glycol or glycerol to freeze alpaca semen seems to promote the survival of more sperm cells with intact acrosomes than the other extenders.

  15. Alpaca (Lama pacos) as a convenient source of recombinant camelid heavy chain antibodies (VHHs).

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    Maass, David R; Sepulveda, Jorge; Pernthaner, Anton; Shoemaker, Charles B

    2007-07-31

    Recombinant single domain antibody fragments (VHHs) that derive from the unusual camelid heavy chain only IgG class (HCAbs) have many favourable properties compared with single-chain antibodies prepared from conventional IgG. As a result, VHHs have become widely used as binding reagents and are beginning to show potential as therapeutic agents. To date, the source of VHH genetic material has been camels and llamas despite their large size and limited availability. Here we demonstrate that the smaller, more tractable and widely available alpaca is an excellent source of VHH coding DNA. Alpaca sera IgG consists of about 50% HCAbs, mostly of the short-hinge variety. Sequencing of DNA encoding more than 50 random VHH and hinge domains permitted the design of PCR primers that will amplify virtually all alpaca VHH coding DNAs for phage display library construction. Alpacas were immunized with ovine tumour necrosis factor alpha (TNFalpha) and a VHH phage display library was prepared from a lymph node that drains the sites of immunizations and successfully employed in the isolation of VHHs that bind and neutralize ovine TNFalpha. PMID:17568607

  16. PRESENCE OF MYCOBACTERIUM AVIUM SUBSP. PARATUBERCULOSIS IN ALPACAS (LAMA PACOS) INHABITING THE CHILEAN ALTIPLANO.

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    Salgado, Miguel; Sevilla, Iker; Rios, Carolina; Crossley, Jorge; Tejeda, Carlos; Manning, Elizabeth

    2016-03-01

    Mycobacterium avium subsp. paratuberculosis (MAP) is the etiologic agent of paratuberculosis. The organism causes disease in both domestically managed and wild ruminant species. South American camelids have a long, shared history with indigenous people in the Andes. Over the last few decades, increasing numbers of alpacas were exported to numerous countries outside South America. No paratuberculosis surveillance has been reported for these source herds. In this study, individual fecal samples from 85 adult alpacas were collected from six separate herds in the Chilean Altiplano. A ParaTB mycobacterial growth indicator tube (MGIT) liquid culture of each individual fecal sample, followed by real-time polymerase chain reaction (PCR) protocol was used for confirmation. DNA extracts from a subset of confirmed MAP isolates were subjected to mycobacterial interspersed repetitive units-variable number of tandem repeats (MIRU-VNTR) typing. Fifteen alpaca were fecal culture test-positive. Five false-positive culture samples were negative on PCR analysis for Mycobacterium avium subsp. avium (MAA), Mycobacterium bovis (M. bovis), and the 16 S rDNA gene. Three MAP isolates subset-tested belonged to the same MIRU-VNTR type, showing four repeats for TR292 (locus 1) in contrast to the three repeats typical of the MAP reference strain K10. The number of repeats found in the remaining loci was identical to that of the K10 strain. It is not known how nor when MAP was introduced into the alpaca population in the Chilean Altiplano. The most plausible hypothesis to explain the presence of MAP in these indigenous populations is transmission by contact with infected domestic small ruminant species that may on occasion share pastures or range with alpacas. Isolation of this mycobacterial pathogen from such a remote region suggests that MAP has found its way beyond the confines of intensively managed domestic agriculture premises.

  17. Effects of vasectomy on seminal plasma alkaline phosphatase in male alpacas (Vicugña pacos).

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    Pearson, L K; Campbell, A J; Sandoval, S; Tibary, A

    2013-12-01

    Azoospermia is a common finding in male alpacas which present for infertility. The challenge is to differentiate azoospermia of testicular origin from non-testicular origin. In several species, alkaline phosphatase (AP) concentrations in seminal plasma have been used as a diagnostic marker of contributions of the testis and epididymis to the ejaculate. The purpose of this study was to determine whether AP assay could differentiate testicular from non-testicular azoospermia in male alpacas. An experimental model of bilateral outflow obstruction (pre-scrotal vasectomy) was used in 22 male alpacas, aged 2-9 years. No reproductive history was available. Animals were submitted for electroejaculation (EE) under general anaesthesia and vasectomy performed. Five weeks later, animals were submitted for EE. Vasectomy was not successful in one animal, which was removed from analysis. AP levels were compared in seminal plasma in the pre- and post-vasectomy samples. The mean ± SEM concentration of AP in pre-vasectomy seminal plasma was 504.29 ± 166.45 U/l (range 10-2910); the post-vasectomy levels were 252.48 ± 81.77 U/l (range 0-1640; p = 0.06). In 71.4% of animals, AP levels decreased, varying from 18% to 100% reduction. Results of this study suggest that AP is not produced exclusively by the testis and epididymis in alpacas and that AP assay is not a valid diagnostic test for determination of origin of azoospermia; the gold standard for diagnosis of origin of azoospermia remains testicular biopsy. PMID:23790090

  18. Aislamiento e identificación de pestivirus obtenidos de alpacas (Lama pacos y llamas (Lama glama de la Región Metropolitana, Chile Isolation and identification of pestiviruses in alpacas (Lama pacos and llamas (Lama glama introduced to the Región Metropolitana, Chile

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    M O Celedón

    2006-01-01

    Full Text Available El ambiente natural para más del 90% de las alpacas (Lama pacos y llamas (Lama glama, camélidos sudamericanos (CSA domésticos de Chile, se ubica entre los 11° y 21° latitud sur a 3.800 y 5.000 m de altitud. En el último tiempo las alpacas y las llamas han sido introducidas en otros lugares geográficos del país, donde toman contacto con rumiantes domésticos, facilitándose la infección con el virus diarrea viral bovina (VDVB que está presente en bovinos, ovinos y caprinos de Chile. El VDVB incluye a dos especies, VDVB genotipo I y VDVB genotipo II, que junto con el virus de la enfermedad de la frontera (VEF y el virus de la peste porcina clásica (PPC conforman el género Pestivirus de la familia Flaviviridae. Este estudio evalúa la hipótesis que los CSA introducidos en la Región Metropolitana (R.M. de Chile están infectados con pestivirus. Para hacer el aislamiento viral se tomaron muestras de 80 CSA de la RM, 42 alpacas y 35 llamas vivas, 2 llamas muertas y un feto abortado provenientes de 4 rebaños sospechosos de estar infectados con pestivirus. Las muestras fueron inoculadas en cultivos celulares primarios de pulmón fetal bovino (libre de VDVB, subcultivando por 5 veces cada muestra. Para detectar antígenos de pestivirus, las células con las muestras fueron analizadas por prueba de inmunofluorescencia directa y de inmunoperoxidasa indirecta. Para la caracterización molecular, una fracción del fragmento no traducido del genoma viral (5’UTR de los aislados fue amplificado por RT-PCR y posteriormente, para identificar las especies virales, fue tratado con las enzimas de restricción Bgl I, Pst I y Xho I. Los resultados muestran que 18 CSA, 10 de alpacas y 8 de llamas de los 4 rebaños estudiados estaban infectadas con pestivirus. Todos los aislados fueron no citopáticos. En 6 alpacas se aisló VDVB I y en 4 alpacas y 8 llamas se aisló VDVB II. El virus fue obtenido desde 8 alpacas sanas, 2 alpacas con aborto, 5 llamas

  19. Plasma concentrations of fenbendazole (FBZ and oxfendazole in alpacas (Lama pacos after single intravenous and oral dosing of FBZ

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    Lakritz J

    2015-02-01

    Full Text Available Jeffrey Lakritz,1 Daniel Linden,2 David E Anderson,3 Terri A Specht4 1Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH, USA; 2Department of Agriculture and Engineering Technologies, College of Food, Agriculture and Environmental Sciences, The Ohio State University, Wooster, OH, USA; 3Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Tennessee, Knoxville, TN, USA; 4Four Star Veterinary Service, Chickasaw, OH, USA Abstract: The objective of this study was to determine plasma pharmacokinetics and bioavailability of fenbendazole (FBZ and oxfendazole (OFZ after intravenous (iv and oral administrations of FBZ (5 mg/kg to alpacas. Plasma concentrations of FBZ and OFZ after administration of FBZ iv and orally (5 mg/kg were determined by high-performance liquid chromatography with ultraviolet detection. Total clearance (CL of FBZ was 16.5±4 mL/kg/min (range: 4–31 mL/kg/min, and steady-state volume of distribution (Vdss was 3.3±1 L/kg (range: 1.7–7.4 L/kg. The terminal phase half-life of FBZ after iv administration was 5.9±3.8 hours (range: 0.8–20 hours. After oral administration, the FBZ terminal phase half-life was 23±5 hours (range: 9–37 hours and the systemic bioavailability of FBZ was 16%±6% (range: 1%–41%. Peak FBZ concentrations after oral administration were 0.13±0.05 µg/mL (range: 0.05–0.28 µg/mL at 10 hours (range: 8–12 hours. Peak plasma OFZ concentrations after oral dosing with FBZ (5 mg/kg were 0.14±0.05 µg/mL (0.05–0.3 µg/mL at 24±7 hours (range: 12–48 hours. FBZ clearance is lower in comparison to that of other species. Systemic availability of FBZ after oral administration is low after oral dosing. Metabolites of FBZ produced by alpacas are similar to those observed in other species. Keywords: bioavailability, benzimidazoles, camelid, pharmacokinetics

  20. Botanical Composition of Alpaca (Lama pacos Linn. Diet in a Central Mediterranean Range of Chile Composición Botánica de la Dieta de Alpaca (Lama pacos Linn. en un Pastizal del Secano Mediterráneo de la Zona Central de Chile

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    G Castellaro

    2008-06-01

    Full Text Available The re-introduction of domestic South American camelids (alpacas and llamas in the central zone of Chile makes it necessary to study their behaviour and adaptability. Since it is fundamental to characterize the camelid’s diet, the present work had as an objective the determination of the plant species selected by the alpacas (Lama pacos Linn. in different phenological stages (vegetative, reproductive and dry season. The study was carried out over three years in a paddock of 2.5 ha of sparse shrubland dominated by Acacia caven (Mol. Mol. and annual species in the herbaceous stratum, which were continually grazed by five male alpacas. The botanical composition and the forage dry matter available for grazing in the pasture was evaluated. Botanical composition of diets was estimated with the microhistological technique, using dung samples collected directly from the rectum. During the vegetative season, the most consumed plant species were annual and perennial grasses. In the reproductive season, the most important components of the diet were woody plant species, annual grasses and forbs. In the dry season, the diet was composed of a high percentage of woody plant species.La reintroducción de camélidos sudamericanos domésticos (alpaca y llamas en la zona central de Chile, hace necesario estudiar su comportamiento y adaptabilidad. En este contexto, la caracterización de la dieta es fundamental. Por ello, el presente trabajo tuvo como objetivo determinar las especies vegetales seleccionadas por las alpacas en diferentes etapas fenológicas del pastizal (vegetativo, reproductivo y seco. El estudio se realizó durante tres temporadas en un potrero de 2,5 ha ocupado por un matorral claro dominado por Acacia caven (Mol. Mol. y especies anuales en el estrato herbáceo, las cuales fueron pastoreadas continuamente por cinco alpacas macho. En la pradera se evaluó la composición botánica y la disponibilidad de la materia seca bajo pastoreo. La

  1. Effect on performance of weanling alpacas following treatments against gastro-intestinal parasites.

    Science.gov (United States)

    Thomas, Susan M; Morgan, Eric R

    2013-11-15

    Nematodes and coccidia are common parasites of alpacas (Vicugna pacos), and important causes of disease in this increasingly popular livestock species. Endoparasitic infestation is thought to increase at times of natural or imposed stress, and antiparasitic treatments are often administered, although to date there is little evidence regarding their effect. Thirty-one alpaca juvenilles (cria) were divided into four groups at weaning, and received either no treatment as a control (C), fenbendazole anthelmintic (FB), toltrazuril coccidiostat (T), or both treatments (FBT). Body weights and faecal egg/oocyst counts were recorded weekly for six weeks following treatment. Although the prophylactic treatments decreased faecal egg/oocyst counts of the target organisms in the short term, there was no significant difference in egg/oocyst output over the course of the trial from animals given wormer, coccidiostat or both treatments. The group receiving anthelmintic only showed a significant reduction in live weight gain (LWG), with no significant difference in LWG between the other groups. At the conclusion of the trial, 'wormed only' alpacas weighed 3.3% less than at weaning, losing an average 1.3 kg over six weeks, whereas average LWG in the control group was 2.5 kg. Antiparasitics transiently reduced egg/oocyst output but results suggest that further investigation is required on the action of anthelmintics administered to alpaca cria at weaning and their effect on animal health and welfare.

  2. 羊驼毛纤维中黑色素含量的相关性研究%The Correlationship Between Different Kinds of Melanins in the Fleece of Alpaca (Lama Pacos)

    Institute of Scientific and Technical Information of China (English)

    范瑞文; 杨姗姗; 白俊明; 董常生

    2013-01-01

    To supply the evidence of identification of alpaca hair color, the difference and correlation between different melanins in alpaca hair was studied. According to the visual inspection, 22 different hair color genotypes with 3 alpacas each were selected. Alpaca fleece was taken from the back and then dissolved with different solution to get melanins. The Amount of Total Melanins (ASM), Eumelanin (EM) and Pheomelanin (PM) in alpaca fleece with different hair color were measured with spectrophotometric assay, sepia as a standard for the spectrophotometric assay. Then the difference and correlation between the amount of melanins were analyzed by one-way ANOVA and linear regression curve method, respectively. The results showed that there were difference in ASM (P0.05) between alpaca fleece with different hair color, and that two models were deduced from the linear regression curve analysis:model 1: Sp.ASM=-0.313+3.168×Sp.EM+E (R2:0.902, t=-3.732, P=0.000); model 2: Sp.EM=0.285+0.143× Sp.ASM+E(R2:0.902,t=6.769,P=0.000). It was suggested that ASM and EM could be used as the parameters to differentiate hair color of alpaca because of significant correlation to hair color, moreover, both of them have the relation of linear regression curve.%  为研究羊驼毛纤维中黑色素含量的相关性,以为建立鉴定羊驼毛色的参数标准提供理论依据。选择肉眼观察认为表型不同的22种自然毛色的羊驼,每个表型选取3只羊驼,从背部采集羊驼毛,用不同的方法溶解,以乌贼黑为标准品,用紫外分光光度计法测定羊驼毛纤维中碱性可溶总黑色素(ASM)、真黑素(EM)和褐黑素(PM)的含量,通过单因素方差和线性回归曲线分别分析不同毛色羊驼毛纤维中黑色素的差异性和相关性。结果表明:ASM和EM在不同毛色的毛纤维中呈差异显著(分别为P<0.01和P<0.05),而 PM 呈差异不显著(P>0.05)。线性回归曲线

  3. OSTEOMETRÍA DE VICUGNA VICUGNA MOLINA, 1782 EN EL PLEISTOCENO FINAL DE PATAGONIA MERIDIONAL CHILENA: IMPLICANCIAS PALEOECOLÓGICAS Y BIOGEOGRÁFICAS / Osteometry of Vicugna vicugna Molina, 1782 in the late Pleistocene of southern chilean Patagonia

    OpenAIRE

    Rafael Labarca Encina; Alfredo Prieto Iglesias

    2009-01-01

     Se presenta un análisis osteométrico uni y multivariado con los materiales fósiles -principalmente huesos cortos y falanges- de Vicugna sp. del yacimiento Cueva Lago Sofía 4 (13500 – 11000 AP), ubicado en la provincia de Última Esperanza (Región de Magallanes, Chile). Los resultados indican que los elementos analizados poseen un tamaño compatible con los registrados para Vicugna vicugna, no superando en ningún caso a los especímenes conocidos para Vicugna gracilis del Pleistoceno de la regió...

  4. Cantharidin toxicosis in 2 alpacas

    OpenAIRE

    Simpson, Katharine M.; Streeter, Robert N.; de Souza, Patricia; Genova, Suzanne G.; Morgan, Sandra E.

    2013-01-01

    Two adult alpacas were presented for recumbency and reluctance to rise. Cantharidin toxicosis was suspected based on clinical and ancillary diagnostic findings. The diagnosis was confirmed by gas chromatography-mass spectrometry of gastric contents and urine. Despite medical treatment, neither alpaca survived. Blister beetle toxicosis has not been previously described in camelids. Challenges in treatment of affected ruminants or pseudoruminants are noted.

  5. Urogenital leiomyosarcoma in an alpaca

    Science.gov (United States)

    Hardefeldt, Laura Y.; Poulsen, Keith P.; McGuirk, Sheila M.; Livesey, Michael A.; Koch, Christoph; Perrier, Melanie P.; Pinkerton, Marie E.

    2010-01-01

    A mass in the pelvic canal of a 4-year-old pregnant alpaca hembra diagnosed as leiomyosarcoma of the urogenital tract was confirmed by biopsy. Following a tube cystotomy, the alpaca was presented 33 d later, 2 d after the tube cystotomy had been dislodged. A dead cria was delivered by caesarean section. PMID:21358933

  6. Urogenital leiomyosarcoma in an alpaca

    OpenAIRE

    Hardefeldt, Laura Y.; Poulsen, Keith P; McGuirk, Sheila M.; Livesey, Michael A.; Koch, Christoph; Perrier, Melanie P.; Pinkerton, Marie E.

    2010-01-01

    A mass in the pelvic canal of a 4-year-old pregnant alpaca hembra diagnosed as leiomyosarcoma of the urogenital tract was confirmed by biopsy. Following a tube cystotomy, the alpaca was presented 33 d later, 2 d after the tube cystotomy had been dislodged. A dead cria was delivered by caesarean section.

  7. SCF/c-KIT signal regulates the proliferation and division of alpaca (lama pacos) hair follicle melanocytes and its mechanism%干细胞因子及其受体c-KIT对羊驼毛囊黑色素细胞增殖与分化的影响及其机制

    Institute of Scientific and Technical Information of China (English)

    姜俊兵; 于秀菊; 田雪; 贺俊平; 董常生

    2011-01-01

    Objective To research the cytological mechanism of the genesis of different coat color in alpaca by investigating the regulation mechanism of the SCF/c-KIT signal on the cell division, proliferation and distribution of alpaca hair follicle melanocytes. Methods We selected eight mature female alpacas, four with pigmented coat color and four with natural white coat color. Immunohistochemistry was used to identify the expression distribution of SCF and c-KIT receptor. Comparative quantitative RT-PCR was used to determine expression levels of SCF and c-kit genes. Results The expression of SCF and c-KIT immunoactivity was detected in different coat color skin, but the expression level and localization were different in the hair follicle. △△Ct method was used for quantitative analysis of the expression levels of SCF and c-kit genes in different coat colors of alpaca skin. The comparative expression of gene SCF in colored skins was 2. 41 times of white skins, and the comparative expression of gene c-kit in colored skins was 1.20 times of white skins.Conclusion SCF/c-KIT signal regulates the hair follicle melanocytes proliferation and division. The mature degree and mounts of melanocytes in hair follicle play central role in the genesis of coat color of alpaca. Furthermore, the differential distribution of melanocytes in hair follicle is mainly regulated by the SCF signal.%目的 探讨SCF/c-KIT信号通路对羊驼毛囊黑色素细胞分化、增殖和定位的作用及羊驼丰富毛色性形状形成的细胞学机制.方法 选取8只成年雄性羊驼(4只有色被毛,4只白色被毛),采用免疫组织化学方法研究SCF和c-KIT在羊驼皮肤组织中的表达定位;采用实时定量PCR方法分析SCF和c-kit基因在羊驼皮肤组织中的表达水平.结果 SCF和c-KIT受体在不同毛色皮肤组织中均有表达,但在不同被毛颜色羊驼皮肤组织中的表达量和表达部位存在差异;ΔΔCt法统计分析SCF和c-kit基因在不同颜色

  8. Pregnancy diagnosis from urine in even-toed ungulates

    OpenAIRE

    Kubátová, Anna

    2014-01-01

    This master thesis reviewed possible non-invasive pregnancy diagnostic methods in ungulates with special attention to diagnosis from urine. The practical part was focused on pregnancy diagnosis from urine in alpacas (Vicugna pacos). The aims of the thesis were to examine the possibility of catching fresh urine directly from female alpacas and to evaluate three pregnancy diagnostic tests from urine in alpacas – the seed germination test, the barium chloride test, and the Cuboni reaction. The r...

  9. The Effects of Endothelin-3 on the Melanocyte Characteristic and Expression of Hair Color Genes in Melanocytes from Alpaca (Lama Pacos) in vitro%内皮素-3对羊驼黑色素细胞特征及细胞内毛色基因表达的影响

    Institute of Scientific and Technical Information of China (English)

    耿建军; 白俊明; 范瑞文; 杨姗姗; 庞亚妙; 董常生

    2013-01-01

    The study aimed to investigate the effects of endothelin-3 (EDN3) on the expression of hair color genes of alpaca.The activity of melanocyte,the production of melanin in melanocytes and the expressions of related genes and proteins including Endothelin receptor B (EDNRB),KIT,Microphthalmia-associtated transcription factor (MITF) and Tyrosinase (TYR) in alpaca melanocytes in cultures with addition of different dose of EDN3(0,10-9,10-8,10-7mol · L-1),were examined by MTT,ultraviolet spectrophotometry,qRT-PCR and Western blotting,respectively.The results showed that the amount of melanocytes was increased with the increasing double-or tri-dendrites; At the addition dose of 10-8 mol · L-1 for 72 h after adding EDN3,compared to control group,the proliferation of melanocytes was obvious and the expressions of EDNRB,KIT,MITF and TYR significantly up-regulated at the level of both transcription and translation in melanocytes(P<0.05).Moreover,the production of melanin in melanocytes significantly increased(P<0.05).These findings indicate that EDN3 play an important role in regulating melanins production in melanocytes in alpaca.%为了研究内皮素-3(Endothelin-3,EDN3)对羊驼皮肤黑色素细胞内毛色形成相关基因的影响.本研究在体外培养的羊驼皮肤黑色素细胞中添加不同浓度(0、10-9、10-8、10-7mol· L-1)的EDN3,通过MTT法、紫外分光光度法、qRT-PCR和Western blotting技术分别检测黑色素细胞活力、黑色素产量、相关基因和蛋白(包括内皮素受体B(Endothelin receptor B,EDNRB)、KIT、小眼畸形相关转录因子(Microphthalmia-associtated transcription factor,MITF)和酪氨酸酶(Tyrosinase,TYR))的表达情况.结果表明,在羊驼皮肤黑色素细胞添加EDN3 72 h 后,黑色素细胞呈双树突或三树突状,且细胞数量明显增加;在添加适当浓度10-8mol·L-1时,细胞具有明显的增殖,细胞内EDNRB、KIT、MITF和TRY在转录水平和蛋白水平的表达量被上调,

  10. The effects of exposure of susceptible alpacas to alpacas persistently infected with bovine viral diarrhea virus

    OpenAIRE

    Byers, Stacey R.; Evermann, James F.; Bradway, Daniel S; Grimm, Amanda L.; Ridpath, Julia F.; Parish, Steven M.; Tibary, Ahmed; Barrington, George M.

    2011-01-01

    Reports of bovine viral diarrhea virus (BVDV) infections in alpacas have been increasing in recent years but much is still unknown about the mechanisms of disease in this species. This report characterizes the transmission of BVDV from persistently infected (PI) alpacas to BVDV naïve alpacas, documents shedding patterns, and characterizes the disease effects in both PI and transiently infected alpacas. Two PI alpacas shed BVDV Type 1b virus in most body fluids, and commonly available diagnost...

  11. OSTEOMETRÍA DE VICUGNA VICUGNA MOLINA, 1782 EN EL PLEISTOCENO FINAL DE PATAGONIA MERIDIONAL CHILENA: IMPLICANCIAS PALEOECOLÓGICAS Y BIOGEOGRÁFICAS / Osteometry of Vicugna vicugna Molina, 1782 in the late Pleistocene of southern chilean Patagonia

    Directory of Open Access Journals (Sweden)

    Rafael Labarca Encina

    2009-12-01

    Full Text Available  Se presenta un análisis osteométrico uni y multivariado con los materiales fósiles -principalmente huesos cortos y falanges- de Vicugna sp. del yacimiento Cueva Lago Sofía 4 (13500 – 11000 AP, ubicado en la provincia de Última Esperanza (Región de Magallanes, Chile. Los resultados indican que los elementos analizados poseen un tamaño compatible con los registrados para Vicugna vicugna, no superando en ningún caso a los especímenes conocidos para Vicugna gracilis del Pleistoceno de la región Pampeana. Esto confirma la información morfológica y de ADN antiguo que indicaba la presencia de Vicugna vicugna en la Patagonia meridional chilena. Se discuten los resultados en términos taxonómicos, biogeográficos y paleoecológicos sugiriendo que la presencia de este taxón fuera de su rango actual de distribución se debió a las condiciones ambientales compartidas entre la Puna y Patagonia austral durante la transición Pleistoceno-Holoceno. La extinción de V. vicugna se habría debido al impacto de los cambios climáticos ocurridos al inicio del Holoceno producto de su dieta pastadora y etología no migratoria y territorial, a lo que se habría sumado una caza por parte de depredadores humanos y no humanos.Palabras clave: género Vicugna, osteometría, Pleistoceno, Patagonia AbstractThis contribution presents the results of single and multi-variable osteometric analyses performed on a sample of short bones and phalanxes assigned to Vicugna sp. from Lago Sofía Cave 4 site (13500 – 11000 BP, Región de Magallanes, Chile. The elements analyzed show a similar size to the reference collections for Vicugna vicugna, and do not exceed the metrics for the pampean pleistocenic specimens of Vicugna gracilis. This confirms the morphological and ancient DNA data that indicated the presence of vicuña in southern Chilean Patagonia. The taxonomic, biogeographic and palaeoecologic discussion of these results, suggests that the presence of this

  12. Genetic diversity and conservation status of managed vicuña (Vicugna vicugna) populations in Argentina.

    Science.gov (United States)

    Anello, M; Daverio, M S; Romero, S R; Rigalt, F; Silbestro, M B; Vidal-Rioja, L; Di Rocco, F

    2016-02-01

    The vicuña (Vicugna vicugna) was indiscriminately hunted for more than 400 years and, by the end of 1960s, it was seriously endangered. At that time, a captive breeding program was initiated in Argentina by the National Institute of Agricultural Technology (INTA) with the aim of preserving the species. Nowadays, vicuñas are managed in captivity and in the wild to obtain their valuable fiber. The current genetic status of Argentinean vicuña populations is virtually unknown. Using mitochondrial DNA and microsatellite markers, we assessed levels of genetic diversity of vicuña populations managed in the wild and compared it with a captive population from INTA. Furthermore, we examined levels of genetic structure and evidence for historical bottlenecks. Overall, all populations revealed high genetic variability with no signs of inbreeding. Levels of genetic diversity between captive and wild populations were not significantly different, although the captive population showed the lowest estimates of allelic richness, number of mitochondrial haplotypes, and haplotype diversity. Significant genetic differentiation at microsatellite markers was found between free-living populations from Jujuy and Catamarca provinces. Moreover, microsatellite data also revealed genetic structure within the Catamarca management area. Genetic signatures of past bottlenecks were detected in wild populations by the Garza Williamson test. Results from this study are discussed in relation to the conservation and management of the species.

  13. Alpaca (Lama pacos) as a convenient source of recombinant camelid heavy chain antibodies (VHHs)

    OpenAIRE

    Maass, David R.; Sepulveda, Jorge; Pernthaner, Anton; Shoemaker, Charles B.

    2007-01-01

    Recombinant single domain antibody fragments (VHHs) that derive from the unusual camelid heavy chain only IgG class (HCAbs) have many favourable properties compared with single-chain antibodies prepared from conventional IgG. As a result, VHHs have become widely used as binding reagents and are beginning to show potential as therapeutic agents. To date, the source of VHH genetic material has been camels and llamas despite their large size and limited availability. Here we demonstrate that the...

  14. Successful use of camelid (alpaca) antivenom to treat a potentially lethal tiger snake (Notechis scutatus) envenomation in a dog.

    Science.gov (United States)

    Padula, Andrew M; Winkel, Kenneth D

    2016-05-01

    This report describes a confirmed clinical case of tiger snake (Notechis scutatus) envenomation in a domestic dog that was successfully treated with a novel polyvalent camelid (alpaca; Llama pacos) antivenom. Samples collected from the dog were assayed for tiger snake venom (TSV) using a highly sensitive and specific ELISA. The TSV concentration in serum and urine at initial presentation was 365 ng/mL and 11,640 ng/mL respectively. At the time of initial presentation whole blood collected from the dog did not clot and the Prothrombin Time was abnormally increased (>300 s). Serum was also visibly hemolysed. The dog was administered antihistamine, dexamethasone and 4000 Units (sufficient to neutralise 40 mg of TSV) of a novel polyvalent alpaca antivenom diluted in 0.9% NaCl. At 4 h post-antivenom treatment the dog's clinical condition had improved markedly with serum TSV concentrations below the limit of detection (antivenom. Coagulation parameters had begun to improve by 4 h and had fully normalised by 16 h post-antivenom. Venom concentrations in both serum and urine remained undetectable at 16 h post-antivenom. The dog made a complete recovery, without complications, suggesting that the alpaca-based antivenom is both clinically safe and effective. PMID:26930223

  15. Prospección serológica del virus parainfluenza 3 en camélidos sudamericanos en Chile A serological survey of parainfluenza-3 virus in South American camelids from Chile

    Directory of Open Access Journals (Sweden)

    CP Cepeda

    2011-01-01

    Full Text Available En un total de 370 sueros obtenidos de 87 alpacas (Lama pacos, 88 llamas (Llama glama, 89 guanacos (Lama guanicoe y 106 vicuñas (Vicugna vicugna se investigó la presencia de anticuerpos para el virus parainfluenza 3 (VPI-3. La prueba de inhibición de la hemoaglutinación mostró que 91 (24,6% de los camélidos sudamericanos (CSA distribuidos en 18 (20,7% alpacas, 36 (40,9% llamas, 27 (18,9% vicuñas y 10 (11,2% guanacos tenían anticuerpos. El rango de los títulos de las muestras positivas estuvo entre 8 y 256 con una media geométrica de 31. Los resultados establecen que los CSA en Chile están infectados con VPI-3.A total of 370 sera collected from 87 alpacas (Lama pacos, 88 llamas (Lama glama, 89 guanacos (Lama guanicoe and 106 vicunas (Vicugna vicugna were investigated for the presence of antibodies to parainfluenza 3 virus (PIV-3. Hemagglutination inhibition test indicated that a total of 91 (24.6% South American camelids (SAC had PIV-3 antibodies, including 18 (20.7% alpacas, 36 (40.9% llamas, 27 (18.9% vicunas and 10 (11.2% guanacos. Titers of the positive samples ranged from 8 to 256 with a geometric mean of 31. These results establish that SAC in Chile are infected with PIV-3.

  16. Bilateral renal agenesis in an alpaca cria

    OpenAIRE

    Poulsen, Keith P; Gerard, Mathew P.; Spaulding, Kathy A.; Geissler, Kyleigh A.; Anderson, Kevin L.

    2006-01-01

    A 3-day-old male alpaca cria was presented for lack of vigor and failure to urinate since birth. Based on the history, laboratory data, ultrasonographs, surgical findings, and postmortem examination, the cria was diagnosed with bilateral renal agenesis and hypoplastic bladder, a congenital condition rarely seen in veterinary medicine.

  17. Variabilidad y estructura genética en dos poblaciones de Vicugna vicugna (Camelidae del norte de Chile Genetic variability and structure in two populations of Vicugna vicugna (Camelidae from northern Chile

    Directory of Open Access Journals (Sweden)

    M. CECILIA NORAMBUENA

    2003-03-01

    Full Text Available RESUMEN Se estudiaron dos poblaciones de Vicugna vicugna pertenecientes a la Primera y Segunda regiones del país, en base a la determinación electroforética de 28 loci presumtivos. Las diferencias fenotípicas existentes entre las vicuñas de estas poblaciones hace necesario este trabajo con el fin de re-estudiar su posición taxonómica y obtener antecedentes de variabilidad genética y estructura poblacional que podrían resultar útiles en su manejo de conservación. En la población de vicuñas de la Primera Región se detectó un polimorfismo de 17,8 % y un nivel de heterocigosidad de 0,078. En aquellas de la Segunda Región, el polimorfismo y la heterocigosidad se estimaron en 14,3 % y 0,045, respectivamente. Ambos parámetros revelan un alto grado de variabilidad genética poblacional. Se encontró un nivel de subestructuración démica alto (F ST = 0,344 y un grado de diferenciación génico y genotípico significativo entre las poblaciones. Se infiere que la deriva genética y el sistema social poligámico tendrían un rol importante como promotores de las diferencias genéticas observadas. El valor de distancia génica (D = 0,097 no confirmó el estatus subespecífico atribuido en base a sus diferencias morfológicas.Two populations of Vicugna vicugna from regions First and Second of Chile were studied on the basis of the electrophoretic determination of 28 presumptive loci. Due to the phenotypic differences between the populations mentioned above, this kind of study is required to determine some parameters like taxonomic status, genetic variability and population structure in order to help in conservation management of the specie. The percentage of polymorphism and the level of heterozigosity of vicuñas from the First region were 17.8 % and 0.078, respectively. The corresponding figures of vicuñas from the Second were 14.3 % and 0.045, respectively. These two parameters show that the two populations have a high degree of genetic

  18. Reproductive biotechnologies in Swedish male alpacas

    OpenAIRE

    Abraham, Maria Celina

    2016-01-01

    Alpacas have become more popular during the last decades. The herds have been built up by importing live animals since reproductive biotechnologies, for example artificial insemination and semen preservation, are not well-developed in this species. A major problem is the viscosity of the seminal plasma which hinders processing or evaluation of the semen. Enzymes have been used to deal with the viscous seminal plasma but they may damage spermatozoa or render them incapable of fertilization. Th...

  19. Antibodies to pathogenic livestock viruses in a wild vicuña (Vicugna vicugna) population in the Argentinean Andean altiplano.

    Science.gov (United States)

    Marcoppido, Gisela; Parreño, Viviana; Vilá, Bibiana

    2010-04-01

    Serum samples from 128 wild vicuñas (Vicugna vicugna) were tested for antibodies (Ab) to rotavirus (RV), bovine parainfluenza virus 3 (BPIV-3), bovine herpesvirus-1 (BHV-1), bovine viral diarrhea virus (BVDV-1), foot-and-mouth disease virus (FMDV), bluetongue virus (BTV), equine herpesvirus-1 (EHV-1), and influenza A virus equine (EIV). Samples were collected in Cieneguillas Province of Jujuy, in northern Argentina. Feces from 44 vicuñas were also collected to investigate RV shedding. Llamas (Lama glama) and domestic cattle (Bos taurus) from the area studied also were tested for antibodies to these viruses. Antibodies against RV (100%) and BPIV-3 (37%) were detected in the vicuñas sampled. No RV antigen was detected in any of the fecal samples tested. One vicuña was positive for Ab to BHV-1 (0.8%) and another for BVDV-1 (0.8%). The Ab prevalences detected in llamas were: 100% (16/16) for RV, 47% (8/17) for BPIV-3, 17.6% (3/17) for BHV-1, and 5.9% (1/17) for BVDV-1. However, domestic cattle had high antibody prevalences for RV and BPIV-3, 100% (13/13) and 73% (11/15), respectively, but were negative for Ab to BHV-1 and BVDV. No antibodies against FMDV, BTV, EHV-1, or EIV were detected in wild vicuñas or domestic species. Because no data of viral circulation on wild vicuñas are available, this report represents the first evidence of viral infection in wild vicuñas from the Argentinean Andean Puna.

  20. The effects of exposure of susceptible alpacas to alpacas persistently infected with bovine viral diarrhea virus

    Science.gov (United States)

    Reports of bovine viral diarrhea virus (BVDV) infections in alpacas have been increasing over the past several years but much is still unknown about the mechanisms of disease in this species. This report describes research performed to characterize the transmission of BVDV from persistently infected...

  1. Flamenco guitarist Paco Peña tours CERN

    CERN Multimedia

    Pauline Gagnon

    2013-01-01

    CERN continues to attract a wide variety of visitors. On 5 June, it was the turn of renowned flamenco guitarist Paco Peña. With a broad interest in science, Peña was here to celebrate his 60th birthday, accompanied by friends David Ashton and Chrissie Twigg, and his wife Karin.     Paco Peña during his visit to ATLAS. Paco Peña’s most famous compositions include Misa Flamenca, a Flamenco Mass, and Requiem for the Earth. In 1997, he was named Oficial de la Cruz de la Orden del Mérito Civil by King Juan Carlos of Spain. "This is truly amazing!" said Peña after seeing the ATLAS detector. His wife confessed that she had never seen him take so many pictures. The group asked numerous questions during their visit. It is not always easy to impress world travellers, but the ATLAS detector did the trick.

  2. A three-step approach to minimise the impact of a mining site on vicuña (Vicugna vicugna) and to restore landscape connectivity.

    Science.gov (United States)

    Mata, Cristina; Malo, Juan E; Galaz, José Luis; Cadorzo, César; Lagunas, Héctor

    2016-07-01

    Resource extraction projects generate a diversity of negative effects on the environment that are difficult to predict and mitigate. Consequently, adaptive management approaches have been advocated to develop effective responses to impacts that were not predicted. Mammal populations living in or around mine sites are frequently of management concern; yet, there is a dearth of published information on how to minimise the negative effects of different phases of mining operations on them. Here, we present the case study of a copper mine in the Chilean Altiplano, which caused roadkills of the protected vicuña (Vicugna vicugna). This issue led to a three-step solution being implemented: (1) the initial identification of the problem and implementation of an emergency response, (2) the scientific analysis for decision making and (3) the planning and informed implementation of responses for different future scenarios and timescales. The measures taken under each of these steps provide examples of environmental management approaches that make use of scientific information to develop integrated management responses. In brief, our case study showed how (1) the timescale and the necessity/urgency of the case were addressed, (2) the various stakeholders involved were taken into account and (3) changes were included into the physical, human and organisational elements of the company to achieve the stated objectives.

  3. A three-step approach to minimise the impact of a mining site on vicuña (Vicugna vicugna) and to restore landscape connectivity.

    Science.gov (United States)

    Mata, Cristina; Malo, Juan E; Galaz, José Luis; Cadorzo, César; Lagunas, Héctor

    2016-07-01

    Resource extraction projects generate a diversity of negative effects on the environment that are difficult to predict and mitigate. Consequently, adaptive management approaches have been advocated to develop effective responses to impacts that were not predicted. Mammal populations living in or around mine sites are frequently of management concern; yet, there is a dearth of published information on how to minimise the negative effects of different phases of mining operations on them. Here, we present the case study of a copper mine in the Chilean Altiplano, which caused roadkills of the protected vicuña (Vicugna vicugna). This issue led to a three-step solution being implemented: (1) the initial identification of the problem and implementation of an emergency response, (2) the scientific analysis for decision making and (3) the planning and informed implementation of responses for different future scenarios and timescales. The measures taken under each of these steps provide examples of environmental management approaches that make use of scientific information to develop integrated management responses. In brief, our case study showed how (1) the timescale and the necessity/urgency of the case were addressed, (2) the various stakeholders involved were taken into account and (3) changes were included into the physical, human and organisational elements of the company to achieve the stated objectives. PMID:27300165

  4. Acute respiratory distress syndrome in an alpaca cria

    OpenAIRE

    Simpson, Katharine M.; Streeter, Robert N.; Genova, Suzanne G.

    2011-01-01

    A 7-hour-old alpaca was presented for lethargy and depression. The cria responded favorably to initial treatment but developed acute-onset dyspnea 48 hours later. Acute respiratory distress syndrome was diagnosed by thoracic imaging and blood gas analysis. The cria was successfully treated with corticosteroids and discharged from the hospital.

  5. The expression of KRT2 and its effect on melanogenesis in alpaca skins.

    Science.gov (United States)

    Cui, Yucong; Song, Yajun; Geng, Qingling; Ding, Zengfeng; Qin, Yilong; Fan, Ruiwen; Dong, Changsheng; Geng, Jianjun

    2016-06-01

    In order to investigate the effects of the keratin 2 (KRT2) on alpaca melanocyte in vivo and vitro, the immunohistochemistry (IHC), quantitative real-time PCR (qPCR), Western blot, and alpaca melanocytes transfection methods were used. The results showed that mRNA and protein expression of KRT2 was highly expressed in brown skin in comparison with that in white skin. Moreover, we found that KRT2 was expressed in alpaca melanocytes in vitro by immunocytochemistry. After transfection with KRT2 in alpaca melanocytes, the relative mRNA and protein expression of KRT2, microphthalmia-associtated transcription factor (MITF), tyrosinase (TYR) and tyrosinase-related protein 1 (TYRP1) in alpaca skin melanocytes was increased with significant differences; a further result was the increase of melanin production. The results suggested that KRT2 functions in alpaca hair color formation, which offered an essential theoretical basis for further exploration of the role of melanogenesis. PMID:27265811

  6. Detection of an Antigenic Group 2 Coronavirus in an Adult Alpaca with Enteritis▿

    OpenAIRE

    Genova, Suzanne G.; Streeter, Robert N.; Simpson, Katharine M.; Kapil, Sanjay

    2008-01-01

    Antigenic group 2 coronavirus was detected in a fecal sample of an adult alpaca by reverse transcription-PCR. The presence of alpaca coronavirus (ApCoV) in the small intestine was demonstrated by immune histochemistry with an antinucleocapsid monoclonal antibody that reacts with group 2 coronaviruses. Other common causes of diarrhea in adult camelids were not detected. We conclude that nutritional stress may have predisposed the alpaca to severe ApCoV infection.

  7. Alpaca semen quality in relation to different diets.

    Science.gov (United States)

    Juyena, N S; Vencato, J; Pasini, G; Vazzana, I; Stelletta, C

    2013-01-01

    The aim of the present study was to evaluate the biochemical composition of seminal plasma, along with semen quality, of alpacas maintained on different diets (hay; hay+pasture grazing; pasture grazing+sheep concentrate; pasture grazing+horse concentrate; Periods 1-4, respectively). Alpacas (n=5) were fed the four different diets for a period of 6 weeks each. During the period of feeding of each diet, semen was collected using an artificial vagina to determine its volume, viscosity, sperm concentration and sperm motility. Moreover, testicular volume and body condition score were evaluated. Seminal plasma was analysed biochemically to measure total protein, triglyceride, cholesterol, γ-glutamyl transferase, alanine aminotransferase (ALT) and alkaline phosphatase levels. Protein profiles were investigated using one-dimensional sodium dodecyl sulfate-polyacrylamide gel electrophoresis. There was high variability in semen parameters between different males maintained on the same diet. Semen volume increased significantly (Pviscosity. Significant reductions were seen in triglyceride and cholesterol content, as well as γ-glutamyl transferase, ALT and alkaline phosphatase concentrations, from Period 1 to Period 4. Regardless of experimental period, a wide variation was seen in seminal plasma enzyme concentrations between alpacas, whereas diet had no effect on glucose and total protein concentrations in the seminal plasma. Eight protein bands, with molecular weights ranging from 200 to 14kDa, were considered in electrophoresis gel after image analysis. Proteins fractions of the 14-kDa (total protein express in mddL(-1) with a molecular weight of 14-kDa, TP8) and 21-kDa (total protein express in mddL(-1) with a molecular weight of 21-kDa, TP7) bands were not present in all samples of alpaca seminal plasma. There were no significant changes in the concentration of any protein fractions during the four periods. Moreover, the protein fraction of the 60-kDa (total protein

  8. Generation and characterization of the first immortalized alpaca cell line suitable for diagnostic and immunization studies.

    Directory of Open Access Journals (Sweden)

    Valentina Franceschi

    Full Text Available Raising of alpacas as exotic livestock for wool and meat production and as companion animals is growing in importance in the United States, Europe and Australia. Furthermore the alpaca, as well as the rest of the camelids, possesses the peculiarity of producing single-chain antibodies from which nanobodies can be generated. Nanobodies, due to their structural simplicity and reduced size, are very versatile in terms of manipulation and bio-therapeutic exploitation. In fact the biotech companies involved in nanobody production and application continue to grow in number and size. Hence, the development of reagents and tools to assist in the further growth of this new scientific and entrepreneurial reality is becoming a necessity. These are needed mainly to address alpaca disease diagnosis and prophylaxis, and to develop alpaca immunization strategies for nanobody generation. For instance an immortalized alpaca cell line would be extremely valuable. In the present work the first stabilized alpaca cell line from alpaca skin stromal cells (ASSCs was generated and characterized. This cell line was shown to be suitable for replication of viruses bovine herpesvirus-1, bovine viral diarrhea virus and caprine herpesvirus-1 and the endocellular parasite Neospora caninum. Moreover ASSCs were easy to transfect and transduce by several methods. These two latter characteristics are extremely useful when recombinant antigens need to be produced in a host homologous system. This work could be considered as a starting point for the expansion of the biotechnologies linked to alpaca farming and industry.

  9. Long-term clincopathological characteristics of alpacas naturally infected with bovine viral diarrhea virus type Ib

    Science.gov (United States)

    Background: Substantial bovine viral diarrhea virus (BVDV)-related production losses in North American alpaca herds have been associated with BVDV type Ib infection. Objectives: To classify and differentiate the long-term clinicopathological characteristics of BVDV type Ib infection of alpaca crias,...

  10. Glycosaminoglycans in the accessory sex glands, testes and seminal plasma of alpaca and ram.

    Science.gov (United States)

    Kershaw-Young, Claire M; Evans, G; Maxwell, W M C

    2012-01-01

    The viscous nature of alpaca semen limits its use in cryopreservation and other assisted reproductive technologies. The cause and source of this viscosity is unknown although it has been postulated, but never proven, that glycosaminoglycans (GAGs) secreted by the bulbourethral gland are responsible. The present study investigated the concentration and composition of GAGs in alpaca seminal plasma, testes, bulbourethral gland and prostate gland and compared them to those in the ram to determine the relationship between seminal plasma GAGs and viscosity and to identify the source of seminal plasma GAGs. Alpaca seminal plasma contained more GAGs than ram (Pviscosity (P=0.05, R(2)=0.2635). The alpaca bulbourethral gland contained most GAGs compared with prostate or testis (Pviscosity in alpacas, and that the seminal plasma GAGs originate from the bulbourethral gland. PMID:22281083

  11. Nuevos registros de Phthiraptera (Artropoda: Insecta en Lama pacos Linnaeus 1758, en Chile New records of Phthiraptera (Artropoda: Insecta in Lama pacos Linnaeus 1758, in Chile

    Directory of Open Access Journals (Sweden)

    D González-Acuña

    2007-01-01

    Full Text Available Se cita a Microthoracius mazzai (Werneck 1932 y Bovicola breviceps (Rudow 1866 por primera vez en Chile, y se confirma la presencia de M. praelongiceps (Neumann 1909 parasitando alpacas en la comuna de General Lagos (I Región, Chile. Se discute la importancia de los presentes registros.For the first time in Chile, the presence of Microthoracius mazzai (Werneck 1932 and Bovicola breviceps (Rudow 1866, are reported, and the presence of M. praelongiceps (Neuman 1909 parasiting alpacas in the General Lagos area (I Region is also confirmed. The importance of this situation is discussed in the present report.

  12. PACTEL OECD project planning (PACO). PACTEL OECD project planning

    International Nuclear Information System (INIS)

    OECD launched the SETH project to investigate issues relevant for accident prevention and management and to ensure the existence of integral thermal hydraulic test facilities. The facilities included in the SETH project are PKL from Germany and PANDA from Switzerland. At the early stages of the SETH project an idea was raised to exploit the PACTEL facility in a similar OECD project. Without any external funding the analytical work in the required extent would not be possible within Lappeenranta University of Technology, the party responsible of operating PACTEL. This fact directed the PACO project proposal to be conducted for the SAFIR programme. The aim of the PACO project is to prepare a project proposal to OECD of a PACTEL related project. To attain this objective some preliminary analyses have to be performed to ensure the relevancy of the proposed topic. The low power situation, i.e. midloop state was chosen to be the topic in the PACO studies and project planning basis. The plan is to use PACTEL to examine vertical steam generator behaviour during the midloop operation and the following loss of residual heat removal system transient. Such a possibility is acknowledged with special alterations to PACTEL. The APROS code version 5.04.07 was selected as a tool for the preanalyses. The virtual simulation of the chosen experimental situation would give a preconception on the phenomena to be expected and the progression of the transient. Originally the PACO project was planned to continue only for a few months, ending up with the project proposal to OECD during the summer time 2004. During the pre-calculation process it became obvious that the time expected was not enough to establish good pre-calculation results. The reasons for this relates to time used to learn and adapt the use of the chosen code, improvements and corrections in modelling as well as the code ability to manage the special conditions defined for the project topic. Another aspect on completing a

  13. Distribución de neuropéptidos en el tronco del encéfalo de la alpaca (lama pacos): estudio inmunocitoquímico

    OpenAIRE

    Freitas, Eliana de Souza

    2010-01-01

    [ES]Esta tesis doctoral trata de la distribución de los neuropéptidos en el Sistema Nervioso Central de mamíferos después de la aplicación de técnicas inmunocitoquímica. Hasta hoy hemos descrito en el Sistema Nervioso Central de los mamíferos la distribución de fibras y/o somas con neuropéptidos pertenecientes a numerosas familias. Ya hemos publicados trabajos con CGRP y Leucina-encefalina y este estudio es continuación de la línea que se viene desarrollando sobre la distribuci...

  14. Automatic Feature Interaction Analysis in PacoSuite

    Directory of Open Access Journals (Sweden)

    Wim Vanderperren

    2004-10-01

    Full Text Available In this paper, we build upon previous work that aims at recuperating aspect oriented ideas into component based software development. In that research, a composition adapter was proposed in order to capture crosscutting concerns in the PacoSuite component based methodology. A composition adapter is visually applied onto a given component composition and the changes it describes are automatically applied. Stacking multiple composition adapters onto the same component composition can however lead to unpredictable and undesired side-effects. In this paper, we propose a solution for this issue, widely known as the feature interaction problem. We present a classification of different interaction levels among composition adapters and the algorithms required to verify them. The proposed algorithms are however of exponential nature and depend on both the composition adapters and the component composition as a whole. In order to enhance the performance of our feature interaction analysis, we present a set of theorems that define the interaction levels solely in terms of the properties of the composition adapters themselves.

  15. The use of equine surfactant and positive pressure ventilation to treat a premature alpaca cria with severe hypoventilation and hypercapnia

    OpenAIRE

    Tinkler, Stacy H.; Mathews, Lindsey A.; Firshman, Anna M.; Quandt, Jane E.

    2015-01-01

    A 5-hour-old, premature alpaca cria was presented with failure to nurse, weakness, hypoglycemia, hypercapnia, and respiratory distress. The cria was treated with 3 doses of fresh, crude equine surfactant, positive pressure ventilation, and supplemental intranasal oxygen. Recovery to discharge was uneventful, and the cria regained apparently normal respiratory function. Three years after hospital discharge, the alpaca was a healthy adult.

  16. Infection, Replication, and Transmission of Middle East Respiratory Syndrome Coronavirus in Alpacas.

    Science.gov (United States)

    Adney, Danielle R; Bielefeldt-Ohmann, Helle; Hartwig, Airn E; Bowen, Richard A

    2016-06-01

    Middle East respiratory syndrome coronavirus is a recently emerged pathogen associated with severe human disease. Zoonotic spillover from camels appears to play a major role in transmission. Because of logistic difficulties in working with dromedaries in containment, a more manageable animal model would be desirable. We report shedding and transmission of this virus in experimentally infected alpacas (n = 3) or those infected by contact (n = 3). Infectious virus was detected in all infected animals and in 2 of 3 in-contact animals. All alpacas seroconverted and were rechallenged 70 days after the original infection. Experimentally infected animals were protected against reinfection, and those infected by contact were partially protected. Necropsy specimens from immunologically naive animals (n = 3) obtained on day 5 postinfection showed virus in the upper respiratory tract. These data demonstrate efficient virus replication and animal-to-animal transmission and indicate that alpacas might be useful surrogates for camels in laboratory studies. PMID:27070385

  17. Multivariate analysis of the volumetric capnograph for PaCO2 estimation

    OpenAIRE

    Belenkiy, Slava M; Baker, William L.; Batchinsky, Andriy I; Mittal, Sumit; Watkins, Taylor; Salinas, Jose; Cancio, Leopoldo C.

    2015-01-01

    Purpose: End-tidal CO2 (eTCO2) can be used to estimate the arterial CO2 (PaCO2) under steady-state conditions, but that relationship deteriorates during hemodynamic or respiratory instability. We developed a multivariate method to improve our ability to estimate the PaCO2, by using additional information contained in the volumetric capnograph (Vcap) waveform. We tested this approach using data from a porcine model of chest trauma/hemorrhage. Methods: This experiment consisted of 3 stages: pre...

  18. The System Nobody Sees: Irrigated Wetland Management and Alpaca Herding in the Peruvian Andes

    NARCIS (Netherlands)

    Verzijl, A.; Guerrero Quispe, S.

    2013-01-01

    Increasingly, attention in regional, national, and international water governance arenas has focused on high-altitude wetlands. However, existing local water management practices in these wetlands are often overlooked. This article looks at the irrigation activities of alpaca herders in the communit

  19. Generation of recombinant alpaca VHH antibody fragments for the detection of the mycotoxin ochratoxin A

    NARCIS (Netherlands)

    Houwelingen, van A.M.M.L.; Saeger, de T.; Rusanova, T.; Waalwijk, C.; Beekwilder, M.J.

    2008-01-01

    To develop sensor technologies based on genetically engineered recognition elements, recombinant antibodies characterised by high stability are a prerequisite. Here we describe the first successful isolation of recombinant alpaca single-domain antibody fragments with high affinity to the mycotoxin o

  20. Complete Genome Sequence of Campylobacter iguaniorum Strain RM11343, Isolated from an Alpaca.

    Science.gov (United States)

    Miller, William G; Yee, Emma; Huynh, Stephen; Chapman, Mary H; Parker, Craig T

    2016-01-01

    Campylobacter iguaniorum is a member of the C. fetus group of campylobacters and is one of two Campylobacter taxa isolated from reptiles. This study describes the whole-genome sequence of the C. iguaniorum strain RM11343, which was isolated from a California alpaca fecal sample. PMID:27365359

  1. Alianzas paródicas y melancolía en Paco Ignacio Taibo II

    NARCIS (Netherlands)

    Tongeren, C.C. van

    2015-01-01

    This essay examines Paco Ignacio Taibo II’s detective novels, which narrate communitarian battles against power through parody. The essay hones in on the relationship between parody and melancholy, which are relevant to understand that, in Taibo II’s novels, imagining popular alliances is both enter

  2. Discontinuation of furosemide decreases PaCO(2) in patients with COPD.

    NARCIS (Netherlands)

    Brijker, F.; Heijdra, Y.F.; Elshout, F.J.J. van den; Folgering, H.T.M.

    2002-01-01

    STUDY OBJECTIVE: To evaluate whether the discontinuation of furosemide treatment resulted in a decrease in PaCO(2) and an increase in daytime and nocturnal oxygenation. BACKGROUND: Furosemide is widely prescribed in patients with COPD for the treatment of peripheral edema. It is known that furosemid

  3. The use of equine surfactant and positive pressure ventilation to treat a premature alpaca cria with severe hypoventilation and hypercapnia.

    Science.gov (United States)

    Tinkler, Stacy H; Mathews, Lindsey A; Firshman, Anna M; Quandt, Jane E

    2015-04-01

    A 5-hour-old, premature alpaca cria was presented with failure to nurse, weakness, hypoglycemia, hypercapnia, and respiratory distress. The cria was treated with 3 doses of fresh, crude equine surfactant, positive pressure ventilation, and supplemental intranasal oxygen. Recovery to discharge was uneventful, and the cria regained apparently normal respiratory function. Three years after hospital discharge, the alpaca was a healthy adult. PMID:25829556

  4. The postural reduction in middle cerebral artery blood velocity is not explained by PaCO2

    DEFF Research Database (Denmark)

    Immink, R V; Secher, N H; Roos, C M;

    2006-01-01

    In the normocapnic range, middle cerebral artery mean velocity (MCA Vmean) changes approximately 3.5% per mmHg carbon-dioxide tension in arterial blood (PaCO2) and a decrease in PaCO2 will reduce the cerebral blood flow by vasoconstriction (the CO2 reactivity of the brain). When standing up MCA...... Vmean and the end-tidal carbon-dioxide tension (PETCO2) decrease, suggesting that PaCO2 contributes to the reduction in MCA Vmean. In a fixed body position, PETCO2 tracks changes in the PaCO2 but when assuming the upright position, cardiac output (Q) decreases and its distribution over the lung changes...

  5. Identification and characterization of microRNAs in white and brown alpaca skin

    Directory of Open Access Journals (Sweden)

    Tian Xue

    2012-10-01

    Full Text Available Abstract Background MicroRNAs (miRNAs are small, non-coding 21–25 nt RNA molecules that play an important role in regulating gene expression. Little is known about the expression profiles and functions of miRNAs in skin and their role in pigmentation. Alpacas have more than 22 natural coat colors, more than any other fiber producing species. To better understand the role of miRNAs in control of coat color we performed a comprehensive analysis of miRNA expression profiles in skin of white versus brown alpacas. Results Two small RNA libraries from white alpaca (WA and brown alpaca (BA skin were sequenced with the aid of Illumina sequencing technology. 272 and 267 conserved miRNAs were obtained from the WA and BA skin libraries, respectively. Of these conserved miRNAs, 35 and 13 were more abundant in WA and BA skin, respectively. The targets of these miRNAs were predicted and grouped based on Gene Ontology and KEGG pathway analysis. Many predicted target genes for these miRNAs are involved in the melanogenesis pathway controlling pigmentation. In addition to the conserved miRNAs, we also obtained 22 potentially novel miRNAs from the WA and BA skin libraries. Conclusion This study represents the first comprehensive survey of miRNAs expressed in skin of animals of different coat colors by deep sequencing analysis. We discovered a collection of miRNAs that are differentially expressed in WA and BA skin. The results suggest important potential functions of miRNAs in coat color regulation.

  6. The Planck-ATCA Co-eval Observations (PACO) project: the spectrally-selected sample

    CERN Document Server

    Bonaldi, Anna; Massardi, Marcella; De Zotti, Gianfranco

    2012-01-01

    The Planck-ATCA Co-eval Observations (PACO) have provided multi-frequency (5-40 GHz) flux density measurements of complete samples of Australia Telescope 20 GHz (AT20G) radio sources at frequencies below and overlapping with Planck frequency bands, almost simultaneously with Planck observations. In this work we analyse the data in total intensity for the spectrally-selected PACO sample, a complete sample of 69 sources brighter than 200 mJy at 20 GHz selected from the AT20G survey catalogue to be inverted or upturning between 5 and 20 GHz. We study the spectral behaviour and variability of the sample. We use the variability between AT20G (2004-2007) and PACO (2009-2010) epochs to discriminate between candidate High Frequency Peakers (HFPs) and candidate blazars. The HFPs picked up by our selection criteria have spectral peaks > 10 GHz in the observer frame and turn out to be rare (200 mJy sources), consistent with the short duration of this phase implied by the `youth' scenario. Most (~ 89 %) of blazar candida...

  7. Identification of amino acid changes in the envelope glycoproteins of bovine viral diarrhea viruses isolated from alpaca that may be involved in host adaptation.

    Science.gov (United States)

    Neill, John D; Dubovi, Edward J; Ridpath, Julia F

    2015-09-30

    Bovine viral diarrhea viruses (BVDV) are most commonly associated with infections of cattle. However, BVDV are often isolated from closely related ruminants with a number of BVDV-1b viruses being isolated from alpacas that were both acutely and persistently infected. The complete nucleotide sequence of the open reading frame of eleven alpaca-adapted BVDV isolates and the region encoding the envelope glycoproteins of an additional three isolates were determined. With the exception of one, all alpaca isolates were >99.2% similar at the nucleotide level. The Hercules isolate was more divergent, with 95.7% sequence identity to the other viruses. Sequence similarity of the 14 viruses indicated they were isolates of a single BVDV strain that had adapted to and were circulating through alpaca herds. Hercules was a more distantly related strain that has been isolated only once in Canada and represented a separate adaptation event that possessed the same adaptive changes. Comparison of amino acid sequences of alpaca and bovine-derived BVDV strains revealed three regions with amino acid sequences unique to all alpaca isolates. The first contained two small in-frame deletions near the N-terminus of the E2 glycoprotein. The second was found near the C-terminus of the E2 protein where four altered amino acids were located within a 30 amino acid domain that participates in E2 homodimerization. The third region contained three variable amino acids in the C-terminus of the E(rns) within the amphipathic helix membrane anchor. These changes were found in the polar side of the amphipathic helix and resulted in an increased charge within the polar face. Titration of bovine and alpaca viruses in both bovine and alpaca cells indicated that with increased charge in the amphipathic helix, the ability to infect alpaca cells also increased.

  8. Predicting what helminth parasites a fish species should have using Parasite Co-occurrence Modeler (PaCo).

    Science.gov (United States)

    Strona, Giovanni; Lafferty, Kevin D

    2013-02-01

    Fish pathologists are often interested in which parasites would likely be present in a particular host. Parasite Co-occurrence Modeler (PaCo) is a tool for identifying a list of parasites known from fish species that are similar ecologically, phylogenetically, and geographically to the host of interest. PaCo uses data from FishBase (maximum length, growth rate, life span, age at maturity, trophic level, phylogeny, and biogeography) to estimate compatibility between a target host and parasite species-genera from the major helminth groups (Acanthocephala, Cestoda, Monogenea, Nematoda, and Trematoda). Users can include any combination of host attributes in a model. These unique features make PaCo an innovative tool for addressing both theoretical and applied questions in parasitology. In addition to predicting the occurrence of parasites, PaCo can be used to investigate how host characteristics shape parasite communities. To test the performance of the PaCo algorithm, we created 12,400 parasite lists by applying any possible combination of model parameters (248) to 50 fish hosts. We then measured the relative importance of each parameter by assessing their frequency in the best models for each host. Host phylogeny and host geography were identified as the most important factors, with both present in 88% of the best models. Habitat (64%) was identified in more than half of the best models. Among ecological parameters, trophic level (41%) was the most relevant while life span (34%), growth rate (32%), maximum length (28%), and age at maturity (20%) were less commonly linked to best models. PaCo is free to use at www.purl.oclc.org/fishpest.

  9. Predicting what helminth parasites a fish species should have using Parasite Co-occurrence Modeler (PaCo)

    Science.gov (United States)

    Strona, Giovanni; Lafferty, Kevin D.

    2013-01-01

    Fish pathologists are often interested in which parasites would likely be present in a particular host. Parasite Co-occurrence Modeler (PaCo) is a tool for identifying a list of parasites known from fish species that are similar ecologically, phylogenetically, and geographically to the host of interest. PaCo uses data from FishBase (maximum length, growth rate, life span, age at maturity, trophic level, phylogeny, and biogeography) to estimate compatibility between a target host and parasite species–genera from the major helminth groups (Acanthocephala, Cestoda, Monogenea, Nematoda, and Trematoda). Users can include any combination of host attributes in a model. These unique features make PaCo an innovative tool for addressing both theoretical and applied questions in parasitology. In addition to predicting the occurrence of parasites, PaCo can be used to investigate how host characteristics shape parasite communities. To test the performance of the PaCo algorithm, we created 12,400 parasite lists by applying any possible combination of model parameters (248) to 50 fish hosts. We then measured the relative importance of each parameter by assessing their frequency in the best models for each host. Host phylogeny and host geography were identified as the most important factors, with both present in 88% of the best models. Habitat (64%) was identified in more than half of the best models. Among ecological parameters, trophic level (41%) was the most relevant while life span (34%), growth rate (32%), maximum length (28%), and age at maturity (20%) were less commonly linked to best models. PaCo is free to use at www.purl.oclc.org/fishpest.

  10. Construction of phage display VHH antibody library against avian H5N1 virus from alpaca%抗H5N1禽流感病毒VHH抗体库的构建

    Institute of Scientific and Technical Information of China (English)

    严安; 熊慧; 王颖; 孙冰玉; 夏立亮; 吴标; 包文静; 车小燕; 孙志伟; 金维荣; 赵国屏

    2011-01-01

    Objective: To construct phage display variable domain of heavy chain antibody library (VHH antibody library) from alpaca immunized with inactivated H5N1 vaccine for the future screening of VHH antibodies against avian H5N1 influenza virus. Methods: The camelid species (alpaca, Lama pacos ) was selected for immunization with inactivated H5N1 vaccine. Hemagglutinin inhibition (HI) assay of serum from immunized alpaca was performed against H5N1 avian influenza virus one week after the fourth inntmization. Peripheral lymphocytes were isolated for the amplification of VHH fragments by RT-PCR. PCR products were then purified and inserted into phagemid vector pCANTAB5E. The VHH antibody gene library was obtained by electroporating recombinant pCANTAB5E-VHH vectors into E. coli TG1 cells.The library capacity and diversity of VHH antibody gene library was determined by sequencing analysis. The HI assay was performed with the culture supernatant of primary phage display VHH antibody library. Results:After four rounds of immunization with inactivated H5N1 vaccine,HI antibody titer of the alpaca serum reached to 1: 2 560, which was higher than those fiom immunized mice. A first set of antibody gene library totalling 3 × l08 members were created after cloning VHH genes into a phagemid vector pCANTAB5E. The sequence of 14 members of the unselected library indicated that the camelid VHH antibody library we constructed possessed high diversity and good capacity. The supematant from the primary phage display library displayed effieient HI effect against avian H5N1 influenza virus. And the titration of our phage display VHH library reached 2.17 × l011. Conclusion: Taken together, phage display VHH antibody library from immunized alpaca is successfully constructed,which provides a platform for VHH antibody preparation against H5N1 virus. This will give light to future study on treatment and diagnosis of avian H5N1 influenza virus.%目的:构建抗H5N1禽流感病毒的小羊驼免

  11. Tracking time-varying cerebral autoregulation in response to changes in respiratory PaCO2

    International Nuclear Information System (INIS)

    Cerebral autoregulation has been studied by linear filter systems, with arterial blood pressure (ABP) as the input and cerebral blood flow velocity (CBFV—from transcranial Doppler Ultrasound) as the output. The current work extends this by using adaptive filters to investigate the dynamics of time-varying cerebral autoregulation during step-wise changes in arterial PaCO2. Cerebral autoregulation was transiently impaired in 11 normal adult volunteers, by switching inspiratory air to a CO2/air mixture (5% CO2, 30% O2 and 65% N2) for approximately 2 min and then back to the ambient air, causing step-wise changes in end-tidal CO2 (EtCO2). Simultaneously, ABP and CBFV were recorded continuously. Simulated data corresponding to the same protocol were also generated using an established physiological model, in order to refine the signal analysis methods. Autoregulation was quantified by the time-varying phase lead, estimated from the adaptive filter model. The adaptive filter was able to follow rapid changes in autoregulation, as was confirmed in the simulated data. In the recorded signals, there was a slow decrease in autoregulatory function following the step-wise increase in PaCO2 (but this did not reach a steady state within approximately 2 min of recording), with a more rapid change in autoregulation on return to normocapnia. Adaptive filter modelling was thus able to demonstrate time-varying autoregulation. It was further noted that impairment and recovery of autoregulation during transient increases in EtCO2 occur in an asymmetric manner, which should be taken into account when designing experimental protocols for the study of autoregulation

  12. Degradation parameters of amaranth, barley and quinoa in alpacas fed grass hay.

    Science.gov (United States)

    Nilsen, B; Johnston, N P; Stevens, N; Robinson, T F

    2015-10-01

    This study was conducted to determine the compartment 1 (C1) characteristics of alpacas (fistulated male, 7 ± 1.5 years old, 61 ± 5 kg BW) fed grass hay (GH) supplemented with amaranth (AM), quinoa (Q) and barley (B) grains. Alpacas were provided water ad libitum while housed in metabolism crates. The GH and GH plus treatments were fed at 0700 every day. Treatment periods were for 14 days in which GH or GH plus one of the grain treatments were randomly allocated. On day 14, volatile fatty acids (VFA), pH and ammonia nitrogen (NH3 -N) were determined at 1, 3, 6, 10, 14, 18 and 24 h post-feeding. C1 degradation of each feed component was also determined with the alpacas being fed GH only and the samples incubated for 0, 2, 4, 8, 14, 24, 48 and 72 h. Dry matter (DM), neutral detergent fibre (NDF) and crude protein (CP) were determined and were divided into three categories: a = immediately soluble; b = the non-soluble but degradable; and u = non-degradable/unavailable, potential extent of degradation (PE), degradation rate (c) and effective degradation (ED). C1 passage rate was determined using acid detergent insoluble ash as a marker and was calculated to be 5.5%∙h-1. Total DM intake was highest (p < 0.05) for B and resulted in a higher (p < 0.05) CP intake. GH and AM were different in mean pH (6.81 and 6.66, respectively). B NH3 -N was greater (p < 0.05) than the other treatments. Total VFA was greatest (p < 0.05) for AM, with the greatest composition differences being a shift form acetate percentage to butyrate. DM, NDF and CP degradation was different across the treatments, where PE and ED were higher (p < 0.05) for the grain treatments. The pseudo-grains AM and Q had similar C1 degradation characteristics to B. PMID:25683297

  13. Progesterone levels in the ovarian, uterine, and systemic venous blood in alpacas with embryo mortality

    International Nuclear Information System (INIS)

    Embryo mortality was studied in a group of 20 pregnant alpacas. The reproductive organs of the females were monitored by ultrasound examination to determine signs of sustained pregnancy or embryo mortality. Blood samples were collected from the jugular vein twice weekly from mating to determine progesterone levels through gestation or until the occurrence of embryo mortality. Ovarian hysterectomy was conducted in four animals at day nine post-mating, in three animals at the time of embryo mortality detection and in two others at day 73 of gestation. Blood samples from the ovarian and uterine veins were collected during the surgery and prior to hysterectomy for progesterone determination. The remnant of embryo membranes and the uterus and ovarian structures were macroscopically examined after surgery. The three cases of embryo mortality occurred at days 19, 40 and 69 of gestation. Progesterone levels were high during the process of embryo mortality. (author)

  14. Progesterone levels in the ovarian uterine and systematic venous blood in alpacas with embryo mortality

    International Nuclear Information System (INIS)

    South American camelids is one the limited options that Peruvian Highland people, has to get economic incomes. It is possible to get fibre, meat, and animals as product from this animal production system; however, reproductive efficiency is not good because birth rate and embryo mortality are around 45-55% and 50%, respectively (Fernandez Baca, 1970). There is not so much information about between age, pathogen agents, and genital tract alterations in relation to embryo mortality. This means that improving genetic programmes or breeding systems cannot fulfil the goals of an efficient production system. New Zealand reports 24% embryo mortality between 21-30 days of gestation (Ridland et al., 1993). According to Boland (2000), there is no relation between peripheral serum levels and ovaryuterus circulation levels of progesterone; so embryo survival would be relational to progesterone levels in the ovarian and uterine veins. In this study we have considered serum progesterone levels, in uterus-ovarian circulation in luteal phase animals compared with early pregnancy and embryo mortality process. Twenty open female alpacas with recorded previous parturitions were used. They were breed with a male when they showed sexual receptivity and was found an 8 mm follicle in any of the ovaries (Bravo, 1999). Ovario-hysterectomy was performed in four animals nine days after breeding to use their serum samples as diestrus references, and the rest (16 animals), ovario-hysterectomy was performed after positive pregnancy diagnosis, that was monitored every other day by ultrasound during gestation or until embryo mortality occurred. There was an ultrasound evaluation of ovaries and uterus from day 15 post breeding until day 90 or when embryo mortality evidences was found. This was considered to have occurred when embryo cardiac beat decreased, embryo motility lost, or suspended particles in foetal fluids apparition. (Adams, 1989; Parraguez,1997). Blood samples were taken from jugular

  15. Development and Utilization of Camelid VHH Antibodies from Alpaca for 2,2′,4,4′-Tetrabrominated Diphenyl Ether Detection

    OpenAIRE

    Bever, Candace R. S.; Majkova, Zuzana; Radhakrishnan, Rajeswaran; Suni, Ian; McCoy, Mark; Wang, Yanru; Dechant, Julie; Gee, Shirley; Hammock, Bruce D.

    2014-01-01

    An antibody-based analytical method for the detection of a chemical flame retardant using antibody fragments isolated from an alpaca has been developed. One specific chemical flame retardant congener, 2,2′,4,4′-tetrabrominated diphenyl ether (BDE-47), is often the major poly-BDE (PBDE) congener present in human and environmental samples and that which is the most frequently detected. An alpaca was immunized with a surrogate of BDE-47 covalently attached to a carrier protein. The resulting mRN...

  16. Identification of amino acid changes in the envelope glycoproteins of bovine viral diarrhea viruses isolated from alpaca that may be involved in host adaptation

    Science.gov (United States)

    Bovine viral diarrhea viruses (BVDV) are most commonly associated with infections of cattle. However, BVDV is often isolated from closely related ruminants with a number of BVDV-1b viruses being isolated from alpacas that were both acutely and persistently infected (PI). The complete nucleotide se...

  17. PETCO2 measured by a new lightweight mainstream capnometer with very low dead space volume offers accurate and reliable noninvasive estimation of PaCO2

    Directory of Open Access Journals (Sweden)

    Takahashi D

    2011-10-01

    Full Text Available Daijiro Takahashi, Takehiko Hiroma, Tomohiko NakamuraDivision of Neonatology, Nagano Children’s Hospital, Nagano, JapanObjective: Although capnometers are widely used in adult and pediatric intensive care units, they are not widely used in neonatal intensive care units due to issues such as the weight of sensors, dead space, and leakage from tracheal intubation tubes. These authors developed a light and low dead space airway adaptor of end-tidal carbon dioxide pressure (PETCO2 and evaluated the correlations between PETCO2 and partial CO2 pressure (PaCO2 in rabbits while changing tidal volume and leakage volume.Methods: Firstly, Japanese rabbits weighing 2 kg were divided into three tidal volumes (6 mL/kg, 10 mL/kg, or 15 mL/kg, and PETCO2 and PaCO2 were measured. Secondly, the respiratory apparatus was set to a tidal volume/body weight ratio of 10 mL/kg, leakage rates were divided into seven groups, and PETCO2  and PaCO2 were measured.Results: PETCO2 and PaCO2 were significantly correlated (r2 = 0.9099, P < 0.0001 when there was no leakage in the tracheal intubation tubes. No significant differences were observed between PaCO2 and PETCO2 (Pa-ETCO2 in the three tidal volume/body weight groups or for groups in which leakage rate was <60%, but significant deviations in Pa-ETCO2 were noted in groups with leakage rate 60%.Conclusion: There was a strong correlation between PETCO2 and PaCO2 when tidal volume/body weight ratio was 6–15 mL/kg with leakage rate <60%. Lightweight mainstream capnometer with a low amount of dead space airway adaptor might be useful in very low birth weight infants with small tidal volume.Keywords: capnography, mainstream, neonate

  18. Relevance between TYR and Different Hair Color of Alpaca%酪氨酸酶与羊驼毛色相关性的研究

    Institute of Scientific and Technical Information of China (English)

    高莉; 赵英虎; 刘朝亮; 董常生

    2011-01-01

    为揭示羊驼毛色形成机理以及毛用性状改良奠定基础,选用羊驼作为试验动物群体,以酪氨酸酶作为影响羊驼毛色性状的候选基因,采用荧光定量PCR技术、免疫组织化学、免疫印迹等生物学方法从基因与蛋白方面分析了羊驼酪氨酸酶(tyrosinase,TYR)在不同毛色个体的表达量.荧光定量PCR结果显示TYR基因在棕色个体中的mRNA表达量高于白色个体中.免疫印迹实验与免疫组化实验均表明TYR蛋白在棕色个体中的蛋白表达量高于在白色个体中的蛋白表达量.综上,毛色表型与酪氨酸酶的表达量存在相关性,TYR参与调控了毛色色素沉着过程.%The certain biological foundation for the formation mechanism of alpaca hair color and the reforming of color characters were established.Alpaca were used as the experimental animal group.TYR gene was taken as candidate genes affecting the character of alpaca' s hair color.TYR expression quantity were analysed by using several biological methods including quantitative real time PCR, immunohistochemistry and western blot.Results of QRT-PCR showed that, TYR gene expressive quantities in brown alpacas were higher than ones in white alpacas.Results of immunohistochemistry and western blot indicated protein expression quantities of TYR in brown alpaca were higher than ones in white alpaca.To sum up, the phenotype of brown and white color and the expression amount of TYR have relevance, TYR participated in regulating and controlling hair pigmentation.

  19. The Planck-ATCA Co-eval Observations (PACO) project: analysis of radio source properties between 5 and 217 GHz

    CERN Document Server

    Massardi, Marcella; Bonavera, Laura; De Zotti, Gianfranco; Lopez-Caniego, Marcos; Galluzzi, Vincenzo

    2015-01-01

    The Planck-ATCA Co-eval Observations (PACO) project has yielded observations of 464 sources with the Australia Telescope Compact Array (ATCA) between 4.5 and 40 GHz. The main purpose of the project was to investigate the spectral properties of mm-selected radio sources at frequencies below and overlapping with the ESA's Planck satellite frequency bands, minimizing the variability effects by observing almost simultaneously with the first two Planck all-sky surveys. In this paper we present the whole catalogue of observations in total intensity. By comparing PACO with the various measures of Planck Catalog of Compact Sources (PCCS) flux densities we found the best consistency with the PCCS "detection pipeline" photometry (DETFLUX) that we used to investigate the spectral properties of sources from 5 to 217 GHz. Of our sources, 91% have remarkably smooth spectrum, well described by a double power law over the full range. This suggests a single emitting region, at variance with the notion that "flat" spectra resu...

  20. Development and utilization of camelid VHH antibodies from alpaca for 2,2',4,4'-tetrabrominated diphenyl ether detection.

    Science.gov (United States)

    Bever, Candace R S; Majkova, Zuzana; Radhakrishnan, Rajeswaran; Suni, Ian; McCoy, Mark; Wang, Yanru; Dechant, Julie; Gee, Shirley; Hammock, Bruce D

    2014-08-01

    An antibody-based analytical method for the detection of a chemical flame retardant using antibody fragments isolated from an alpaca has been developed. One specific chemical flame retardant congener, 2,2',4,4'-tetrabrominated diphenyl ether (BDE-47), is often the major poly-BDE (PBDE) congener present in human and environmental samples and that which is the most frequently detected. An alpaca was immunized with a surrogate of BDE-47 covalently attached to a carrier protein. The resulting mRNA coding for the variable domain of heavy-chain antibodies (VHH) were isolated, transcribed to cDNA, and cloned into a phagemid vector for phage display library construction. Selection of VHHs recognizing BDE-47 was achieved by panning under carefully modified conditions. The assay sensitivity for detecting BDE-47 was down to the part-per-billion (microgram per liter) level. Cross-reactivity analyses confirmed that this method was highly selective for BDE-47 and selected hydroxylated metabolites. When exposed to elevated temperatures, the camelid VHH antibodies retained more reactivity than a polyclonal antibody developed to the same target analyte. The use of this VHH antibody reagent immobilized onto a Au electrode for impedance biosensing demonstrates the increased versatility of VHH antibodies. PMID:25005746

  1. Nitric oxide enhances the sensitivity of alpaca melanocytes to respond to {alpha}-melanocyte-stimulating hormone by up-regulating melanocortin-1 receptor

    Energy Technology Data Exchange (ETDEWEB)

    Dong, Yanjun; Cao, Jing; Wang, Haidong; Zhang, Jie; Zhu, Zhiwei; Bai, Rui; Hao, HuanQing; He, Xiaoyan; Fan, Ruiwen [College of Animal Science and Technology, Shanxi Agricultural University, 030801 Taigu, Shanxi (China); Dong, Changsheng, E-mail: cs_dong@sxau.edu.cn [College of Animal Science and Technology, Shanxi Agricultural University, 030801 Taigu, Shanxi (China)

    2010-06-11

    Nitric oxide (NO) and {alpha}-melanocyte-stimulating hormone ({alpha}-MSH) have been correlated with the synthesis of melanin. The NO-dependent signaling of cellular response to activate the hypothalamopituitary proopiomelanocortin system, thereby enhances the hypophysial secretion of {alpha}-MSH to stimulate {alpha}-MSH-receptor responsive cells. In this study we investigated whether an NO-induced pathway can enhance the ability of the melanocyte to respond to {alpha}-MSH on melanogenesis in alpaca skin melanocytes in vitro. It is important for us to know how to enhance the coat color of alpaca. We set up three groups for experiments using the third passage number of alpaca melanocytes: the control cultures were allowed a total of 5 days growth; the UV group cultures like the control group but the melanocytes were then irradiated everyday (once) with 312 mJ/cm{sup 2} of UVB; the UV + L-NAME group is the same as group UV but has the addition of 300 {mu}M L-NAME (every 6 h). To determine the inhibited effect of NO produce, NO produces were measured. To determine the effect of the NO to the key protein and gene of {alpha}-MSH pathway on melanogenesis, the key gene and protein of the {alpha}-MSH pathway were measured by quantitative real-time PCR and Western immunoblotting. The results provide exciting new evidence that NO can enhance {alpha}-MSH pathway in alpaca skin melanocytes by elevated MC1R. And we suggest that the NO pathway may more rapidly cause the synthesis of melanin in alpaca skin under UV, which at that time elevates the expression of MC1R and stimulates the keratinocytes to secrete {alpha}-MSH to enhance the {alpha}-MSH pathway on melanogenesis. This process will be of considerable interest in future studies.

  2. Nitric oxide enhances the sensitivity of alpaca melanocytes to respond to α-melanocyte-stimulating hormone by up-regulating melanocortin-1 receptor

    International Nuclear Information System (INIS)

    Nitric oxide (NO) and α-melanocyte-stimulating hormone (α-MSH) have been correlated with the synthesis of melanin. The NO-dependent signaling of cellular response to activate the hypothalamopituitary proopiomelanocortin system, thereby enhances the hypophysial secretion of α-MSH to stimulate α-MSH-receptor responsive cells. In this study we investigated whether an NO-induced pathway can enhance the ability of the melanocyte to respond to α-MSH on melanogenesis in alpaca skin melanocytes in vitro. It is important for us to know how to enhance the coat color of alpaca. We set up three groups for experiments using the third passage number of alpaca melanocytes: the control cultures were allowed a total of 5 days growth; the UV group cultures like the control group but the melanocytes were then irradiated everyday (once) with 312 mJ/cm2 of UVB; the UV + L-NAME group is the same as group UV but has the addition of 300 μM L-NAME (every 6 h). To determine the inhibited effect of NO produce, NO produces were measured. To determine the effect of the NO to the key protein and gene of α-MSH pathway on melanogenesis, the key gene and protein of the α-MSH pathway were measured by quantitative real-time PCR and Western immunoblotting. The results provide exciting new evidence that NO can enhance α-MSH pathway in alpaca skin melanocytes by elevated MC1R. And we suggest that the NO pathway may more rapidly cause the synthesis of melanin in alpaca skin under UV, which at that time elevates the expression of MC1R and stimulates the keratinocytes to secrete α-MSH to enhance the α-MSH pathway on melanogenesis. This process will be of considerable interest in future studies.

  3. Effects of sodium bicarbonate on the end-tidal CO2, PaCO2, HCO3-, PH and cerebral blood flow

    International Nuclear Information System (INIS)

    To estimate the quantitative reactivity of cerebral blood flow (CBF), the effects of sodium bicarbonate on the end-tidal CO2, arterial partial pressure of CO2 (PaCO2), HCO3-, pH and CBF were examined. The CBF was measured by 133Xe inhalation method with ring type SPECT (HEADTOME). Activation study with sodium bicarbonate administration was performed after 30 minutes of resting study, and the reactivity of each parameters was investigated. The arterial HCO3- and pH increased with similar reactivity, but PaCO2, end-tidal CO2 and CBF in the non-injured hemisphere changed with irregular reactivity. The excellent correlation between PaCO2 and end-tidal CO2 was vanished by the administration of sodium bicarbonate. The reactivity of CBF did not correlate with reactivity of PaCO2 and end-tidal CO2, but correlated with arterial HCO3- and pH. Thus the measurement of arterial HCO3- and pH may be indispensable to estimate the CBF reactivity with the administration of sodium bicarbonate. (author)

  4. Effects of various anesthetic techniques and PaCO2 levels on cerebral oxygen balance in neurosurgical patients

    Institute of Scientific and Technical Information of China (English)

    陈绍洋; 王强; 熊利泽; 胡胜; 曾祥龙

    2003-01-01

    Objective: To assess the effects of various anesthetic techniques and PaCO2 levels on cerebral oxygen supply/consumption balance during craniotomy for removal of tumors, and to explore an anesthetic technique for neurosurgery and an appropriate degree of PaCO2 during neuroanesthesia. Methods: One hundred and fourteen patients with supratentorial tumors for elective craniotomy, ASA grade Ⅰ-Ⅱ, were randomly allocated to six groups. Patients were anesthetized with continuous intravenous infusion of 2% procaine 1.0 mg*kg-1*min-1 in Group Ⅰ, inhalation of 1.0%-1.5% isoflurane in Group Ⅱ, and infusion of 2% procaine 0.5 mg*kg-1*min-1 combined with inhalation of 0.5%-0.7% isoflurane in Group Ⅲ during the period of study. The end-tidal pressure of CO2 (PET CO2 )was maintained at 4.0 kPa in these 3 groups. In Group Ⅳ, Ⅴ and Ⅵ, the anesthetic technique was the same as that in Group Ⅰ but the PETCO2 was adjusted to 3.5, 4.0 and 4.5 kPa respectively for 60 min during which the study was performed. The radial arterial and retrograde jugular venous blood samples were obtained at the onset and the end of this study for determining jugular venous bulb oxygen saturation (SjvO2), arteriovenous oxygen content difference (AVDO2) and cerebral extraction of oxygen (CEO2). Results: In Group Ⅰ and Ⅲ SjvO2, AVDO2 and CEO2 remained stable. Although SjvO2 kept constant, AVDO2 and CEO2 decreased significantly (P<0.05) in Group Ⅱ. Moreover, AVDO2 and CEO2 in Group Ⅱ were significantly lower than those of Group Ⅲ (P<0.05). In Group Ⅳ, 60 min after hyperventilation, SjvO2 and jugular venous oxygen content(CjvO2) decreased markedly (P<0.01) while CEO2 increased significantly (P<0.01). In addition, SjvO2, CjvO2 and CEO2 in Group Ⅳ were significantly different from the corresponding parameters in Group Ⅴ and Group Ⅵ (P<0.05). In view of sustained excessive hyperventilation, SjvO2 was less than 50% in 37.5% patients of Group Ⅳ. Conclusion: Anesthesia with

  5. Noninvasive ventilation for hypercapnic respiratory failure in COPD and initial post-support deterioration of pH and PaCO2 may not predict failure

    Directory of Open Access Journals (Sweden)

    Mani Raj

    2005-01-01

    Full Text Available Objectives: To correlate the degree of encephalopathy, baseline values of PaCO2 and pH, and their early response to NIV with eventual in-hospital outcome in patients of severe acute-on-chronic hypercapnic respiratory failure in COPD. Design: Retrospective review. Setting: Intensive care unit. Material and methods: 24 episodes of acute exacerbation of COPD in 17 patients (10 females, 7 males with a mean age of 59.5 years (range 48 - 82 where NIV was initiated. Data collected: encephalopathy score at baseline and at 24 hours, respiratory rate, breathing pattern, serial arterial blood gases, duration of NIV support per day and hospital days. Results: All patients had severe hypercapnia (mean peak PaCO2 89.0 mm Hg ± 21; range 66-143, respiratory acidosis (mean nadir pH 7.24 ± 0.058, range 7.14 - 7.33 and tachypnoea (mean respiratory rate 29.5 ± 4.69/mt; range 24 - 40. In 17 episodes, altered mental state was present (encephalopathy score 1.92 ± 1.32, median 2.5. Clinically stable condition occurred over several days (mean 13± 9.6 days; range 5 - 40. Intubation was avoided in 22 out of 24 episodes (91.6% despite significant initial worsening of PaCO2 and pH. Two patients died. The mean time on NIV was16.5 hours/day (range 4 - 22. Conclusions: In selected patients of COPD with acute hypercapnic failure on NIV worsening PaCO2 and pH in the initial hours may not predict failure provided the level of consciousness and respiratory distress improve.

  6. Functional Response of Tumor Vasculature to PaCO2: Determination of Total and Microvascular Blood Volume by MRI

    Directory of Open Access Journals (Sweden)

    Scott D. Packard

    2003-07-01

    Full Text Available In order to identify differences in functional activity, we compared the reactivity of glioma vasculature and the native cerebral vasculature to both dilate and constrict in response to altered PaCO2. Gliomas were generated by unilateral implantation of U87MGdEGFR human glioma tumor cells into the striatum of adult female athymic rats. Relative changes in total and microvascular cerebral blood volume were determined by steady state contrast agent-enhanced magnetic resonance imaging for transitions from normocarbia to hypercarbia and hypocarbia. Although hypercarbia induced a significant increase in both total and microvascular blood volume in normal brain and glioma, reactivity of glioma vasculature was significantly blunted in comparison to normal striatum; glioma total CBV increased by 0.6±0.1%/mm Hg CO2 whereas normal striatum increased by 1.5±0.2%/mm Hg CO2, (P < .0001, group t-test. Reactivity of microvascular blood volume was also significantly blunted. In contrast, hypocarbia decreased both total and microvascular blood volumes more in glioma than in normal striatum. These results indicate that cerebral blood vessels derived by tumor-directed angiogenesis do retain reactivity to CO2. Furthermore, reduced reactivity of tumor vessels to a single physiological perturbation, such as hypercarbia, should not be construed as a generalized reduction of functional activity of the tumor vascular bed.

  7. The effect of glycosaminoglycan enzymes and proteases on the viscosity of alpaca seminal plasma and sperm function.

    Science.gov (United States)

    Kershaw-Young, C M; Stuart, C; Evans, G; Maxwell, W M C

    2013-05-01

    In order to advance the development of cryopreservation and other assisted reproductive technologies in camelids it is necessary to eliminate the viscous component of the seminal plasma without impairing sperm function. It has been postulated that glycosaminoglycans (GAGs) or proteoglycans are responsible for this viscosity. This study investigated the effect of the GAG enzymes hyaluronidase, chondroitinase ABC and keratanase and the proteases papain and proteinase K on seminal plasma viscosity and sperm function in order to aid identification of the cause of seminal plasma viscosity and propose methods for the reduction of viscosity. Sperm motility, DNA integrity, acrosome integrity and viability were assessed during 2h incubation. All enzymes reduced seminal plasma viscosity compared to control (Pviscosity within 30 min of treatment. Sperm motility and DNA integrity was not affected by enzyme treatment. The proportion of viable, acrosome intact sperm was reduced in all enzyme treated samples except those treated with papain (Pviscosity. Papain treatment of alpaca semen may be a suitable technique for reduction of seminal plasma viscosity prior to sperm cryopreservation. PMID:23537479

  8. The Pasadena Aerosol Characterization Observatory (PACO: chemical and physical analysis of the Western Los Angeles Basin aerosol

    Directory of Open Access Journals (Sweden)

    S. P. Hersey

    2011-02-01

    Full Text Available The Pasadena Aerosol Characterization Observatory (PACO represents the first major aerosol characterization experiment centered in the Western/Central Los Angeles Basin. The sampling site, located on the campus of the California Institute of Technology in Pasadena, was positioned to sample a continuous afternoon influx of transported urban aerosol with a photochemical age of 1–2 h and generally free from major local contributions. Sampling spanned 5 months during the summer of 2009, which were broken into 3 regimes on the basis of distinct meteorological conditions. Regime I was characterized by a series of low pressure systems, resulting in high humidity and rainy periods with clean conditions. Regime II typified early summer meteorology, with significant morning marine layers and warm, sunny afternoons. Regime III was characterized by hot, dry conditions with little marine layer influence.

    Organic aerosol (OA is the most significant constituent of Los Angeles aerosol (42, 43, and 55% of total submicron mass in regimes I, II, and III, respectively, and that the overall oxidation state remains relatively constant on timescales of days to weeks (O:C = 0.44 ± 0.08, 0.55 ± 0.05, and 0.48 ± 0.08 during regimes I, II, and III, respectively, with no difference in O:C between morning and afternoon periods. Periods characterized by significant morning marine layer influence followed by photochemically favorable afternoons displayed significantly higher aerosol mass and O:C ratio, suggesting that aqueous processes may be important in the generation of secondary aerosol and oxidized organic aerosol (OOA in Los Angeles.

    Water soluble organic mass (WSOM reaches maxima near 14:00–15:00 local time (LT, but the percentage of AMS organic mass contributed by WSOM remains relatively constant throughout the day. Sulfate and nitrate reside predominantly in accumulation mode aerosol, while afternoon SOA production coincides with the

  9. Characterization and Selection of 3-(1-Naphthoyl)-Indole Derivative-Specific Alpaca VHH Antibodies Using a Phage Display Library.

    Science.gov (United States)

    Nakayama, Hiroshi; Murakami, Akikazu; Yoshida, Maiko; Muraoka, Jin; Wakai, Junko; Kenjyou, Noriko; Ito, Yuji

    2016-08-01

    A new alpaca VHH antibody library against 3-(1-naphthoyl)-indole derivatives was developed from alpaca immunized with 7-(3-(1-naphthoyl)-1H-indol-1-yl)-heptanoic acid-keyhole limpet hemocyanin (Hep-KLH) protein conjugates as the immunogen. From this library, two 3-(1-naphthoyl)-indole derivative-specific clones, named NN01 and NN02, were isolated using biopanning technology. The binding specificity of these clones was confirmed using a competitive enzyme-linked immunosorbent assay (c-ELISA). Based on the results of c-ELISA, a median inhibitory concentration (IC50) of these two VHH antibodies, NN01 and NN02, in the case of 7-(3-(1-naphthoyl)-1H-indol-1-yl)-heptanoic acid (Hep; one of 3-(1-naphthoyl)-indole derivatives) as an inhibitor exhibited an approximate 3 × 10(-7) M and 6 × 10(-7) M, respectively. Thus, VHH antibodies produced in this study could be considered a useful tool for the detection of 3-(1-naphthoyl)-indole derivatives. PMID:27556911

  10. Review of Research Progress on the Related Genes with the Coat Color of Alpaca%羊驼毛色相关基因研究进展的综述

    Institute of Scientific and Technical Information of China (English)

    邸文达; 杨川

    2012-01-01

    羊驼毛纤维颜色丰富,具有22种天然色,与其他哺乳动物一样,主要由遗传基因决定。掌握控制羊驼毛色基因的改变,可以有效地控制羊驼毛色的转变。哺乳动物的毛色表型与动物体内黑色素的种类、数量、合成及分布有关。在羊驼皮肤组织中,Agouti基因、MC1R基因、酪氨酸酶基因家族、KIT基因、AIF基因、β-catenin基因、Wnt3α基因、Mitf-M基因、EDNRA基因、EDNRB基因、CDK5基因、PRS5基因、P基因及花斑突变都参与羊驼毛色的形成与调控。综述了羊驼毛色相关基因的研究进展。%The hair fiber color of alpaca,with 22 natural colors, is mainly determined by heredity gene like other mammals . To master and control the changes the hair color genes of alpaca could effectively regulate the changes of hair colors of alpaca. The hair phenotypes of mammals are related to the types, amount,composition and distribution of melanin in animals. In the skin tissue of alpaca, Agouti gene ,MC1R gene, tyrosine gene family, KIT gene ,A1F gene ,~-catenin gene, Wnt3et gene ,Mitf-M gene ,EDNRA gene ,EDNRB gene, CDK5 gene, PRS5 gene, P gene and piebaldness mutation all participated in the formation and regulation of alpaca hair color.

  11. 羊驼皮肤中可溶性鸟苷酸环化酶的表达差异%The Different Expression of Soluble Guanylate Cyclase in Alpaca Skin

    Institute of Scientific and Technical Information of China (English)

    张俊珍; 范瑞文; 杨姗姗; 石占全; 姬凯元; 董常生

    2013-01-01

    To investigate the function of soluble guanylate cyclase (sGC) in alpaca skin and coat color regulation,differential expression of sGC in skin of brown versus white alpacas was examined using quantitative real-time PCR(qRT-PCR),Western blotting and immunohistochemistry.Expression of sGC mRNA was lower (0.16 fold) in skin samples from brown alpacas relative to expression in skin of white alpacas with significant difference (P<0.01).Using a rabbit polyclonal sGC antibody,an immune reactive band corresponding to sGC was detected by Western blotting analysis in skin samples from white and brown alpacas,showing a weaker signal detected in the samples from brown alpacas with significant difference (P<0.01).The results of immunohistochemistry revealed that sGC was localized in the cytoplasm and intercellular substance of upper hair papilla in hair follicles of alpacas with white hair color,but was localized in ytoplasm and intercellular substance of lower hair bulb and outer root sheath cells in hair follicles of alpacas with brown hair color.Observed differential expression and localization of sGC in skin of white versus brown alpacas suggests a potential role in hair color regulation.%采用免疫组织化学、实时荧光定量PCR和Western blotting对可溶性鸟苷酸环化酶(sGC)在棕色和白色羊驼皮肤中的表达差异进行了研究,以探讨sGC在羊驼皮肤中的作用.实时荧光定量PCR结果显示,sGC在棕色羊驼皮肤中的相对表达量较低,是其在白色羊驼皮肤中的表达量的0.16倍,且差异极显著(P<0.01);Western blotting结果显示,在羊驼皮肤总蛋白中含有与兔多克隆抗体发生免疫阳性反应的条带,在棕色皮肤中的反应阳性弱于白色皮肤,且差异极显著(P<0.01);免疫组织化学结果表明,sGC免疫阳性主要分布在白色羊驼皮肤毛囊的毛球上方细胞及细胞间质,而在棕色羊驼皮肤毛囊中,sGC免疫阳性主要分布在毛球底部和外根鞘细胞及

  12. Causas de mortalidad de alpacas en tres principales centros de producción ubicados en puna seca y humeda del departamento de Puno (Causes of mortality of alpacas in three main centers of production located in dry and humid fist of the Puno department)

    OpenAIRE

    Mamani Paredes, Javier; Condemayta Condemayta, Zacarias; Calle Charaja, Leoncio

    2009-01-01

    ResumenEl presente estudio se efectuó en tres principales centros de producción alpaquera del departamento de Puno: Rural Alianza EPS, CIP “La Raya” – UNA Puno ubicados en la zona agro ecológica de Puna húmeda y Anexo Quimsachata de INIA – Puno ubicado en la zona agro ecológica de Puna seca; con el objetivo de determinar las principales causas de mortalidad de alpacas. Mediante un estudio observacional analítico de tipo retrospectivo, utilizando los registros de mortalidad de las campañas de ...

  13. Pärnu mudaravila restaureerimine ja juurdeehitus = Restoration and extension of the Pärnu mud baths / Tarmo Teedumäe, Paco Ulman, Tüüne-Kristin Vaikla

    Index Scriptorium Estoniae

    Teedumäe, Tarmo, 1970-

    2015-01-01

    Restaureeritud ja uue juurdeehitusega Pärnu mudaravila Ranna puiestee 1, valminud 2014. Arhitektid Tarmo Teedumäe, Paco Ulman, Inga Raukas, Arhitektuuriagentuur, Allianss Arhitektid. Sisearhitektid Tüüne-Kristin Vaikla, Urmo Vaikla, Tuuli Trei, Margit Teikari (Vaikla Stuudio). 2014. aasta Kultuurkapitali Arhitektuuripreemia kandidaat

  14. Analysis and Evaluation of the Components and Flavouring Substances in Alpaca Meat%羊驼肉成分分析及评价

    Institute of Scientific and Technical Information of China (English)

    张晋华; 李鹏飞; 董常生

    2013-01-01

    为分析羊驼肉营养成分、矿物质元素及维生素,采集9头羊驼肉,用常规方法测定常量营养素,等离子体发射光谱法分析矿物元素,氨基酸分析法测定氨基酸,高效液相色谱法(HPLC)测定维生素.结果显示,羊驼肉蛋白质含量高,占原样基础的25.6%;矿物质含量为1.9%、尤以钾、磷和钠含量最多,钙、镁、锌含量也较高;维生素含量丰富,其中VC含量最高,脂溶性VE含量也较高;羊驼肉中舍有17种氨基酸,其中7种人体必需氨基酸(赖氨酸、苯丙氨酸、蛋氨酸、苏氨酸、异亮氨酸、亮氨酸、缬氨酸)占肌肉(干样)总量的31.64%,4种鲜味氨基酸(谷氨酸、丙氨酸、甘氨酸和天冬氨酸)占肌肉(干样)总量的31.61%,谷氨酸含量高达13.12%,赖氨酸含量较高(7.47%),缺乏色氨酸,是一种优质的肉类资源.%In order to analyze the nutritional components,mineral elements and the vitamine content of the Alpaca Meat.The raw meat was collected from the nine white Alpaca; Macronutrients was detected by routine methods ; Mineral elements were analysed by inductively coupled plasma mission spectrometry; Amino acid was detected by amino acid analyzer;the Vitamine was analysed by HPLC.The result displayed,Alpaca meat protein content was high,accounting for 25.6%(original sample) ; Mineral content was 1.9%,most especially in potassium,phosphorus and sodium,calcium,magnesium,zinc content were also higher; Vitamin content was rich,the highest content of VC,fat-soluble VE content were also higher; Alpaca meat contains 17 kinds of amino acids,of which 7 kinds of essential amino acid (lysine,phenylalanine,methionine,threonine,isoleucine,leucine,valine) accounted for 31.64% (dry sample),four kinds of umami amino acid (glutamic acid,alanine,glycine and aspartic acid) accounted for 31.61% (dry sample) ; Especially the glutamate content as high as 13.12%,lysine content was higher (7.47%),lacking of tryptophan.So that it

  15. The Pasadena Aerosol Characterization Observatory (PACO: chemical and physical analysis of the Western Los Angeles basin aerosol

    Directory of Open Access Journals (Sweden)

    S. P. Hersey

    2011-08-01

    Full Text Available The Pasadena Aerosol Characterization Observatory (PACO represents the first major aerosol characterization experiment centered in the Western/Central Los Angeles Basin. The sampling site, located on the campus of the California Institute of Technology in Pasadena, was positioned to sample a continuous afternoon influx of transported urban aerosol with a photochemical age of 1–2 h and generally free from major local contributions. Sampling spanned 5 months during the summer of 2009, which were broken into 3 regimes on the basis of distinct meteorological conditions. Regime I was characterized by a series of low pressure systems, resulting in high humidity and rainy periods with clean conditions. Regime II typified early summer meteorology, with significant morning marine layers and warm, sunny afternoons. Regime III was characterized by hot, dry conditions with little marine layer influence. Regardless of regime, organic aerosol (OA is the most significant constituent of nonrefractory submicron Los Angeles aerosol (42, 43, and 55 % of total submicron mass in regimes I, II, and III, respectively. The overall oxidation state remains relatively constant on timescales of days to weeks (O:C = 0.44 ± 0.08, 0.55 ± 0.05, and 0.48 ± 0.08 during regimes I, II, and III, respectively, with no difference in O:C between morning and afternoon periods. Periods characterized by significant morning marine layer influence followed by photochemically favorable afternoons displayed significantly higher aerosol mass and O:C ratio, suggesting that aqueous processes may be important in the generation of secondary aerosol and oxidized organic aerosol (OOA in Los Angeles. Online analysis of water soluble organic carbon (WSOC indicates that water soluble organic mass (WSOM reaches maxima near 14:00–15:00 local time (LT, but the percentage of AMS organic mass contributed by WSOM remains relatively constant throughout the day. Sulfate and nitrate reside predominantly

  16. c-myc蛋白在不同毛色羊驼皮肤中的定位及表达%Localization and Expression of c-myc Protein in Different Colors of Alpaca Skin

    Institute of Scientific and Technical Information of China (English)

    张丹丽; 田雪; 董常生

    2013-01-01

    This experiment was conducted to explore the localization and expression of c-myc in different colors of alpaca skin.The tissues were obtained from white and brown adult alpacas' skins.The protein expression and the localization of c-myc were measured by immunohistochemistry.The positive signals of c-myc were found in hair bulb of hair follicle,and the comparative expression level of c-myc in brown alpacas was 5.51 times higher than that in white ones according to the average optical density analysis which indicated that c-myc may involve in the regulation of hair color formation.%为了探索c-myc蛋白在羊驼皮肤中的定位及表达情况,以不同毛色的成年羊驼为研究对象,采用免疫组织化学方法检测c-myc蛋白在羊驼皮肤组织中的表达和定位.结果显示,c-myc在羊驼皮肤毛囊毛球部细胞中呈阳性表达,根据光密度值分析得出c-myc在棕色羊驼毛囊中显著表达,其相对表达量是白色羊驼的5.51倍.研究表明c-myc可能参与羊驼毛色形成.

  17. Causas de mortalidad de alpacas en tres principales centros de producción ubicados en puna seca y humeda del departamento de Puno (Causes of mortality of alpacas in three main centers of production located in dry and humid fist of the Puno department

    Directory of Open Access Journals (Sweden)

    Mamani Paredes, Javier

    2009-08-01

    Full Text Available ResumenEl presente estudio se efectuó en tres principales centros de producción alpaquera del departamento de Puno: Rural Alianza EPS, CIP “La Raya” – UNA Puno ubicados en la zona agro ecológica de Puna húmeda y Anexo Quimsachata de INIA – Puno ubicado en la zona agro ecológica de Puna seca; con el objetivo de determinar las principales causas de mortalidad de alpacas. Mediante un estudio observacional analítico de tipo retrospectivo, utilizando los registros de mortalidad de las campañas de producción de 1998 – 2000. Determinándose que las principales causas de mortalidad dealpacas son: Agentes infecciosos 51.70%, anormalidades orgánicas24.08%, causas accidentales 13.36%, causas nutricionales 7.83% yenfermedades parasitarias 3.03%. Las causas infecciosas de mayorfrecuencia fueron: Las neumonías 31.12%, entero toxemia 20.90%,estomatitis 17.46% y otras en menor frecuencia. La mortalidad por causas orgánicas son la Caquexia de los animales 58.88%, aunque en puna seca la torsión intestinal y atonía ruminal son de mayor frecuencia. Se encontró como causas accidentales de muerte a: Traumatismos 50.30%, depredadores 28.63%, falsa deglución 7.35%, asfixia 7.16% y otros con menor frecuencia. Las principales causas nutricionales de mortalidad son:Desnutrición 27.12%, inanición 23.73%, falta de leche 19.32% y otras en menor proporción. Las causas parasitarias de mortalidad se determino: Sarna 33.33%, sarcosistiosis 28.95%, coccidiosis 25.44%, gastroenteritis verminosa 10.52%, dictiocaulosis e hidatidosis 0.88% respectivamente.SummaryThe present study took place in three main centers of alpaquera production of the department of Puno: Rural Alliance EPS, CIP “the Ray” - a Fist located in the zone ecological land of humid Fist and Quimsachata Annex of INIA - Fist located in the ecological zone land of dry Fist; with the aim of determining the main causes of mortality of alpacas. By means of an analytical observacional study

  18. Expression and Localization of Wnt3a in Different Colors of Alpaca Skin%Wnt3a在不同毛色羊驼皮肤中的表达和定位

    Institute of Scientific and Technical Information of China (English)

    宋云飞; 董常生; 田雪; 卢绪秀; 郭青云; 张丹丽; 解晓晶; 于秀菊; 贺俊平; 王海东

    2012-01-01

    本研究旨在探索Wnt3a在羊驼皮肤中的表达与定位.以不同毛色的成年羊驼为研究对象,应用荧光定量PCR技术分析不同毛色羊驼皮肤Wnt3a基因的相对表达量,并运用Western blotting及免疫组织化学法对Wnt3a蛋白在不同毛色羊驼皮肤中进行表达和定位研究.结果:荧光定量PCR结果显示棕色羊驼中Wnt3a mRNA相对表达量是白色羊驼的2.9702倍;Western blotting结果表明,羊驼皮肤组织组蛋白提取物中存在相对分子质量约39 ku的产物,棕色羊驼皮肤平均蛋白表达量显著高于白色羊驼;免疫组织化学结果显示Wnt3a在羊驼皮肤毛囊的根鞘和毛球部呈阳性表达,根据光密度值分析得出Wnt3a在棕色和白色羊驼毛囊中的表达差异显著(P<0.05).通过以上研究显示Wnt3a可能与羊驼毛色形成具有相关性.%This experiment was conducted to explore the expression and localization of Wnt3a in different colors of alpaca skin. The tissues were obtained from white and brown adult alpacas skins. The comparative expression quantity of gene Wnt3a in different coat colors was analyzed by real time quantitative PCR. The protein expression and localization of Wnt3a were measured by Western blotting and immunohistochemistry. The results of QRT-PCR showed that the comparative expression quantity of gene Wnt3a in brown alpacas was 2. 970 2 times than that in white ones. The Western blotting results showed that the protein expression of wnt3a in brown alpaca skins was significantly higher than that in white alpaca. The positive signals of Wnt3a were found in hair bulb and outer root sheath of hair follicle, and the expression of Wnt3a was significantly different between the white and brown alpaca skin based on the average optical density (P< 0. 05). Our findings showed that Wnt3a may involved in the regulation of hair color formation.

  19. Phylogenetic and Structural Analysis of the Pluripotency Factor Sex-Determining Region Y box2 Gene of Camelus dromedarius (cSox2)

    Science.gov (United States)

    Alawad, Abdullah; Alharbi, Sultan; Alhazzaa, Othman; Alagrafi, Faisal; Alkhrayef, Mohammed; Alhamdan, Ziyad; Alenazi, Abdullah; Al-Johi, Hasan; Alanazi, Ibrahim O.; Hammad, Mohamed

    2016-01-01

    Although the sequencing information of Sox2 cDNA for many mammalian is available, the Sox2 cDNA of Camelus dromedaries has not yet been characterized. The objective of this study was to sequence and characterize Sox2 cDNA from the brain of C. dromedarius (also known as Arabian camel). A full coding sequence of the Sox2 gene from the brain of C. dromedarius was amplified by reverse transcription PCRjmc and then sequenced using the 3730XL series platform Sequencer (Applied Biosystem) for the first time. The cDNA sequence displayed an open reading frame of 822 nucleotides, encoding a protein of 273 amino acids. The molecular weight and the isoelectric point of the translated protein were calculated as 29.825 kDa and 10.11, respectively, using bioinformatics analysis. The predicted cSox2 protein sequence exhibited high identity: 99% for Homo sapiens, Mus musculus, Bos taurus, and Vicugna pacos; 98% for Sus scrofa and 93% for Camelus ferus. A 3D structure was built based on the available crystal structure of the HMG-box domain of human stem cell transcription factor Sox2 (PDB: 2 LE4) with 81 residues and predicting bioinformatics software for 273 amino acid residues. The comparison confirms the presence of the HMG-box domain in the cSox2 protein. The orthologous phylogenetic analysis showed that the Sox2 isoform from C. dromedarius was grouped with humans, alpacas, cattle, and pigs. We believe that this genetic and structural information will be a helpful source for the annotation. Furthermore, Sox2 is one of the transcription factors that contributes to the generation-induced pluripotent stem cells (iPSCs), which in turn will probably help generate camel induced pluripotent stem cells (CiPSCs). PMID:27486314

  20. Expression and Immunolocalization of Melanocortin Receptor 1 (MC1R) in Alpaca Skin with Different Coat Color%黑素皮质素受体1(MC1R)在不同毛色羊驼皮肤组织中的表达与定位研究

    Institute of Scientific and Technical Information of China (English)

    任玉红; 杨刚; 范瑞文; 朱芷葳; 董常生

    2012-01-01

    To explore the mechanism of coat color formation and the relationship between MC1R expression and coat color of alpaca, the expression and immunolocalization of MC1R in skin of alpacas with different coat color were analyzed. The adult white and brown alpaca were observed. Both immunohistochemistry and Western blotting methods were used to examine the expression and immunolocalization of MC1R in skins. The result showed that; (1) Immunohistochemistry results showed that MC1R positive immunoreactivity was prominently located at the epidermis, outer root sheath, the proximal hair bulb and follicular papilla. However, in brown alpaca skin, MC1R was prominently located at the epidermis and the proximal hair bulb with a strong staining. In white alpaca skin, MC1R was prominently located at the outer root sheath and epidermis, but it expressed with a weak staining in the proximal hair bulb. MC1R expression was higher in brown skin alpaca than that in white skin alpaca (P<0. 01). (2) Western blotting results showed that the protein band in 35 ku extracted in crude protein of skin tissue responsed to MC1R polyclonal antibody in rabbit. MC1R protein expressed in different coat color skin and MC1R expression was higher in brown skin alpaca than that in white skin alpaca (P<0. 01). It indicated that expression and immunolocalization of MC1R was related with the phenotype of coat color.%旨在通过研究黑素皮质素受体1(MC1R)在羊驼皮肤组织中的定位与表达,探讨其在羊驼毛色形成中的作用机制及与毛色的相关性.选用成年白色羊驼与棕色羊驼为研究对象,采用免疫组织化学方法及免疫印迹法(Western blotting),对MC1R在羊驼皮肤中的表达进行定位和定量分析.结果,(1)免疫组化结果显示,MC1R蛋白在白色和棕色羊驼皮肤表皮、毛囊周围外根鞘组织、毛乳头以及毛球周围都呈阳性着色.在棕色羊驼,阳性表达部位主要分布于毛球顶部及表皮,呈强阳性着色.在

  1. Más allá de Paco de Lucía. Una aproximación a la tradición del flamenco en el Campo de Gibraltar, Cádiz

    Directory of Open Access Journals (Sweden)

    Juan José Téllez

    2009-01-01

    Full Text Available La importancia, mediática, histórica y artística generada por Paco de Lucía, tanto por el mismo como en su acompañamiento a ya mítico Camarón de la Isla ha generado un velo que enturbia al arte flamenco de todo el Campo de Gibraltar. Sin minusvalorar el aporte de la familia algecireña Sánchez la tradición jonda se puede rastrear hasta el siglo XVII y pervive en jóvenes valores del cante, el toque y el baile hasta el día de hoy. Como ejemplo basta mencionar dos nombres que son ejemplo de la pervivencia flamenca Corruco y la zaga de Los Chaqueta.

  2. 危重患者呼气末二氧化碳与动脉血二氧化碳的相关性研究%Correlation between end-tidal carbon dioxide and PaCO2 in critically ill adult patients

    Institute of Scientific and Technical Information of China (English)

    刘亚凤; 李文强; 陈阵; 胡念丹; 魏捷

    2012-01-01

    目的:探讨成年患者在急危重状态下呼气末二氧化碳( ETCO2)与动脉血二氧化碳(PaCO2)的相关性.方法:100例ICU患者入院后使用碳酸波形图监测初始ETCO2值,监测完毕迅速抽血做血气分析监测PaCO2值.统计分析ETCO2和PaCO2之间的相关性与一致性,并比较主流法和旁流法监测对ETCO2的影响.结果:100例患者ETCO2平均值为31.32±7.81 mmHg,PaCO2平均值为35.44±8.57 mmHg,ETCO2和PaCO2呈中度相关(r=0.67).Bland-Altman绘图显示PaCO2与ETCO2差值的均值为4.12 mmHg,一致性范围为(-9,+17).主流法和旁流法监测对ETCO2值没有显著影响.结论:碳酸波形图监测的ETCO2不足以准确反映成年患者在急危重状态下PaCO2的变化.%To explore the correlation between end-tidal carbon dioxide (ETCO2) and PaCO2 in critically ill adult patients. Methods; Initial ETCO2 of 100 patients were monitored by using capnograph after admitted in ICU. Then blood was taken immediately for gas analysis for monitoring PaCO2 value. The correlation and consistency between ETCO2 and PaCO2 were analyzed, and the effect of ETCO2 monitoring with mainstream and sidestfeam was compared. Results: The mean value of ETCO2 was 31.32 ±7. 81mmHg,and the mean value of PaCO2 was 35.44 ±8.57mmHg,the correlation between ETCO2 and PaCO2 was moderate ( r = 0. 67 ). The Bland-Altman plots showed the mean difference between the PaCO2 and ETCO2 levels was 4.12 mmHg,the limits of agreement were -9 to + 17 mmHg. There was no significant influence on value of ETC02 with the methods of mainstream and sidestream. Conclusion: ETCO2 monitoring with capnograph does not accurately enough to predict PaCO2 in adult patients in critical condition.

  3. 半巢式PCR法构建天然噬菌体单域重链抗体文库%Construction of Alpaca-derived Naive Single-domain Antibody Phage Display Library by Semi-nested PCR

    Institute of Scientific and Technical Information of China (English)

    涂追; 许杨; 何庆华; 陶勇

    2010-01-01

    目的:构建天然噬菌体单域重链抗体文库,淘选可应用于食品安全检测的单域重链抗体.方法:以未经免疫的健康羊驼(Lama pacos)外周血为起始材料,提取RNA反转录为cDNA,根据重链抗体保守序列设计引物,通过半巢式PCR法扩增获得全套重链抗体可变区编码基因,将其克隆至噬菌粒pHEN1,电转化大肠杆菌TG1得到初级抗体库,辅助噬菌体KM13感染后得到噬菌体展示库.采用固相淘选法分别对3种人工抗原进行淘选.结果:单域重链抗体编码基因得到有效扩增,经10次电转化获得初级文库,命名为SNAL,实际库容量达到1.6×107个独立克隆,菌落PCR鉴定结果表明,克隆效率约为87%,辅助噬菌体救援后得到的展示文库命名为SNA-PDL,滴度达1013CFU/mL.对3种不同人工抗原DON-MBSA、NOR-BSA和AFB1-OVA的淘选均有富集现象.结论:构建了天然噬菌体单域重链抗体文库,文库的多样性较好,可以用于后续淘选.

  4. Effect of ET-1 on Proliferation and Melanin Synthesis of Alpaca Skin Melanocytes in vitro%内皮素-1(ET-1)对羊驼皮肤黑素细胞增殖和黑素生成的影响

    Institute of Scientific and Technical Information of China (English)

    耿建军; 张杰; 穆晓丽; 白瑞; 董彦君; 白俊明; 董常生

    2011-01-01

    旨在研究内皮素-1 (Endothelin-1,ET-1)对羊驼皮肤黑素细胞(Melanocyte,MC)增殖和黑素合成的影响.本研究中,体外培养正常羊驼皮肤黑素细胞,观察不同浓度ET-1(0、0.1、1、10、100 nmol·L-1)对羊驼皮肤黑素细胞增殖、黑素含量、内皮素受体B(Endothelin recepter B,EDNRB)基因、酪氨酸酶(Tyrosinase,TYR)基因、酪氨酸相关蛋白-1(Tyrosinase related protein 1,TRP-1)基因和表皮黑皮素1受体(Melanocortin 1 receptor,MC1R)基因表达量的影响.结果表明,ET-1处理羊驼皮肤黑素细胞3d后,羊驼皮肤黑素细胞增多,黑素含量、EDNRB、TRP-1和TYR基因表达量都明显增加(P<0.05),以10 nmol·L-1组最为显著.ET-1能诱导羊驼皮肤黑素细胞增殖、树突增长,诱导EDNRB、TYR和TRP-1基因表达量增高,使黑素合成增加;同时诱导MC1R基因表达量增高,从而通过α-MSH信号通路对羊驼黑色素的生成产生影响.%To study the effects of Endothelin-l(ET-l) on the proliferation and melanin synthesis of cultured alpaca skin melanocytes, the cultured alpaca skin melanocytes were treated with various concentrations of ET-KO, 0.1, 1, 10, 100 nmol · L-1) in vitro. The effects of ET-1 on mel-anocyte proliferation, melanin contents, EDNRB, TYR, TRP-1 and MC1R gene expeession in cultured melanocytes were observed. Three days after treatment with ET-1, the number of melanocytes increased and melanin contents, EDNRB, TYR and TRP-1 gene expression levels also remarkably increased in treated cells compared to those in untreated cells(P<0. 05), especially when the concentration was 10 nmol · L-11. The result indicate that ET-1 can induce the dendrites elongated, proliferation and the expression of EDNRB, TYR and TRP-1, and induce the melanin synthesis; Also, ET-1 induce the expression of MC1R gene, and affect the melanin synthesis of alpaca by the pathway of a-MSH.

  5. Magnetosome Expression of Functional Camelid Antibody Fragments (Nanobodies) in Magnetospirillum gryphiswaldense▿†

    OpenAIRE

    Pollithy, Anna; Romer, Tina; Lang, Claus; Müller, Frank D.; Helma, Jonas; Leonhardt, Heinrich; Rothbauer, Ulrich; Schüler, Dirk

    2011-01-01

    Numerous applications of conventional and biogenic magnetic nanoparticles (MNPs), such as in diagnostics, immunomagnetic separations, and magnetic cell labeling, require the immobilization of antibodies. This is usually accomplished by chemical conjugation, which, however, has several disadvantages, such as poor efficiency and the need for coupling chemistry. Here, we describe a novel strategy to display a functional camelid antibody fragment (nanobody) from an alpaca (Lama pacos) on the surf...

  6. A review of the nutritional content and technological parameters of indigenous sources of meat in South America.

    Science.gov (United States)

    Saadoun, A; Cabrera, M C

    2008-11-01

    Meat yields, proximate compositions, fatty acids compositions and technological parameters are reviewed for species which might be further developed as indigenous sources of meat in South America. These include the alpaca (Lama pacos), capybara (Hydrochoerus hydrochaeris), guanaco (Lama guanicoe), llama (Lama glama), nutria (Myocastor coypus), collared peccary (Tayassu tajacu), greater rhea (Rhea americana), lesser rhea (Rhea pennata), yacare (Caiman crocodilus yacare), tegu lizard (Tupinambis merianae) and green iguana (Iguana iguana).

  7. miR-663通过靶向 TGF-β1调控羊驼黑色素细胞的黑色素生成%Melanin Synthesis of Alpaca Melanocytes Regulated by miR-663 Through Targeting TGF-β1

    Institute of Scientific and Technical Information of China (English)

    贾小云; 金雷皓; 苗潋涓; 丁娜; 范瑞文; 董常生

    2015-01-01

    [Objective] The objective of the present study is to identify the target genes of miR-663 and investigate the role of miR-663 in melanin synthesis in alpaca melanocytes.[Method]The potential targets and binding sites of TGF-β1 were predicted and analyzed by Targetscan, RNAhybrid and RNA22. The similarity of 3′UTR of TGF-β1 sequences from various species was analyzed by DNAMAN. The dual-luciferase construct of pmirGLO-TGF-β1-3′UTR was created by inserting partial TGF-β1 3′UTR into the pmirGLO vector by SacⅠ and XbaⅠ restriction sites. The regulation of TGF-β1 by miR-663 was validated by co-transfecting pmirGLO-TGF-β1-3′UTR construct with miR-663 mimic into 293T cells. The over-expression of miR-663 was achieved by transfecting melanocytes with miR-663 mimic. The mRNA and protein levels of TGF-β1, Smad3, Smad4, Smad7 and β-catenin in melanocytes transfected with miR-663 mimic were analyzed by qRT-PCR or Western blotting, respectively. The effects of miR-663 on melanin synthesis were evaluated by measuring the melanin content of the cells.[Result]There are 68 potential targets for miR-663 predicted by bioinformatics, including 74 conserved binding sites and 44 less conserved binding sites. DNAMAN analysis showed that all 3′UTR sequences of TGF-β1 from analyzed species are highly conserved and enriched potential target sites. One of the potential targets of miR-663 is TGF-β1, which is involved in the development of hair follicle as well as melanin pigmentation. The alpaca 3′UTR sequence of TGF-β1 contains three miR-663 potential binding sites. To confirm the regulation of TGF-β1 by miR-663 through its 3′UTR, a dual-luciferase reporter vector pmirGLO-TGF-β1-3′UTR was successfully constructed and co-transfected into 293T cells with miR-663 mimic. The luciferase assay experiments showed that the luciferase activity was 31.01%lower in cells co-transfected with pmirGLO-TGF-β1-3′UTR and miR-663 mimic than that in control cells, suggesting

  8. Spontaneous fluctuations in cerebral blood flow regulation: contribution of PaCO2.

    Science.gov (United States)

    Panerai, R B; Dineen, N E; Brodie, F G; Robinson, T G

    2010-12-01

    To investigate the temporal variability of dynamic cerebral autoregulation (CA), the transient response of cerebral blood flow to rapid changes in arterial blood pressure, a new approach was introduced to improve the temporal resolution of dynamic CA assessment. Continuous bilateral recordings of cerebral blood flow velocity (transcranial Doppler, middle cerebral artery), end-tidal Pco(2) (Pet(CO(2)), infrared capnograph), and blood pressure (Finapres) were obtained at rest and during breath hold in 30 young subjects (25 ± 6 yr old) and 30 older subjects (64 ± 4 yr old). Time-varying estimates of the autoregulation index [ARI(t)] were obtained with an autoregressive-moving average model with coefficients expanded by orthogonal decomposition. The temporal pattern of ARI(t) varied inversely with Pet(CO(2)), decreasing with hypercapnia. At rest, ARI(t) showed spontaneous fluctuations that were significantly different from noise and significantly correlated with spontaneous fluctuations in Pet(CO(2)) in the majority of recordings (young: 72% and old: 65%). No significant differences were found in ARI(t) due to aging. This new approach to improve the temporal resolution of dynamic CA parameters allows the identification of physiologically meaningful fluctuations in dynamic CA efficiency at rest and in response to changes in arterial CO(2). PMID:20884837

  9. [The occurrence of "Candidatus Mycoplasma haemolamae" infections in clinically asymptomatic South American Camelids in Austria].

    Science.gov (United States)

    Franz, Sonja; Spergser, Joachim; Schwendenwein, Ilse; Stanitznig, Anna; Lambacher, Bianca; Tichy, Alexander; Wittek, Thomas

    2016-01-01

    Reports of CMhl infections in South American Camelids in Europe are only available from the United Kingdom and Switzerland. Knowing that CMhl infections can lead to severe disease resulting in death if combined with other diseases or stress, it was the aim of this study to assess prevalence data from camelids in Austria. In comparison to the previous studies a representative number of camelids was investigated nationwide. Data were assessed due to differences in geographical region, age, sex, species, and origin. A relatively high prevalence of 25.8% was recorded. CMhl was detected significantly more often in alpacas (Vicunja pacos) than in llamas (Lama glama) and more frequently in animals younger than 2 years. Additionally regional differences have been observed, which might be due to climatic differences and/or variations in insect vectors. In this study apperantly clinical healthy animals were shown to be infected with CMhl. Camelids infected with CMhl are a pathogen reservoir. The results of this study indicate different risk levels of infection between llamas and alpacas and between younger and older animals. The data presented underline the necessity of further studies on CMhlI infections in South American Camelids.

  10. Thematic outlook. Technical outlook for the fuel-cell research network (PACo). December 2001 update, no. 4; Veille thematique. La veille technique pour le reseau PACo. Actualisation de decembre 2001, no.4

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-12-01

    This report brings together a compilation of abstracts of articles about some recent research works carried out in the domain of fuel cells and hydrogen production: an overview of the technical and economical challenges of fuel cells; development of low temperature SOFCs; InDEC B.V. (Innovative Dutch Electro Ceramics) pilot production plant for planar SOFC components; sheet of conductive material with gaseous diffusion layer properties for fuel cells; catalytic properties of new anode materials for methane-fueled SOFCs; JRCM, Nippon Steel, NKK and Teikoku Sanso jointly develop the process of hydrogen extraction from coking plant gas; hydrogen production from vapo-reforming of vegetal oil in presence of nickel catalysts; performances of Pd and Pd/Ag membranes for a CO conversion reactor; on-board hydrogen production. (J.S.)

  11. Thematic outlook. Technical outlook for the fuel-cell research network (PACo). August 8, 2002 update, no. 7; Veille thematique. La veille technique pour le reseau PACo. Actualisation du 8 aout 2002, no. 7

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-08-01

    This report brings together a compilation of abstracts of articles about some recent research works carried out in the domain of fuel cells, hydrogen production and hydrogen storage: characteristics of a PEM fuel cell submitted to a transient increase of CO concentration; perspectives of the different fuel cell technologies in transport applications; development of a portable fuel cell system for the soldier's equipment; direct 2-propanol low temperature fuel cell; a fuel cell system quasi-directly supplied with methanol and based on a mixture of electrolytic polymers; catalysis in low temperature fuel cells (part.1: the cathode stakes); manufacturing and performance of the new multi-layer cathodes for SOFCs; patent about intermediate plates for the limitation of the movement of the bolts used for the fastening of a fuel cell core; the Paul Sherrer institute is testing a zinc and synthetic gas production process that use solar energy, natural gas and zinc oxide; experimental evaluation of a combined plasma/catalyst system for the production of hydrogen from the partial oxidation of hydrocarbons; hydrogen production using a new chemo-organo-trophic bacteria: Citrobacter sp. Y19; hydrogen as energy vector: competition or complementarity with fossil fuels; hydrogen storage in general and in light monocrystalline metal hydrides in particular; the nuclear option for the production of hydrogen as energy of the future. (J.S.)

  12. Thematic outlook: the technical survey for the fuel cell research network PACO. June 14, 2004 update no. 25; Veille thematique. La veille technique pour le reseau PACO. Actualisation du 14 juin 2004, no. 25

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    Summaries of several recent articles are gathered here. They deal with fuel cells, means of transport, hydrogen production and storage. Their different titles are given below: 1)the American plan of de-regulated electric power production with fuel cells 2)application of single wall carbon nano-tubes in fuel cells 3)scenarios of SOFC introduction on the Japanese market 4)advanced SOFC technology and developments at the Siemens Westinghouse firm 5)manufacture and optimal size of a PEMFC cogeneration system for multi-residential application: application to the decomposition strategy 6)analysis of the life cycle of fuel cells using disposal gas 7)technical and economical analysis of a three-generation SOFC system 8)use of APU-FC for an average class tactical lorry, during a use in partial electric power supply or in condition of a silent stand by 9)modelling of the current supply of a lorry at stop: comparison between a idling engine and a APU 10)production of hydrogen and carbon nano-tubes by methane decomposition in a two-stage fluidized bed reactor 11)hydrogen production by auto-thermal reforming of gas-oil 12)simulations of cold starting of a gasoline reformer for mobile applications of fuel cells 13)ethanol production by steam reforming on a Pd/{gamma}Al{sub 2}O{sub 3} trading catalyst 14)control of the CO{sub 2}/(CO+CO{sub 2}) ratio and of the deactivation of the catalyst for the gasoline steam reforming 15)comparison of three integrated processes of partial oxidation producing hydrogen for fuel cells applications 16)search of new methods of the mixture: natural gas/hydrogen production for use in natural gas systems in The Netherlands 17)outline of the energy/hydrogen storage: progress achieved with the different techniques and future prospect of nano-materials 18) hydrogen storage in carbon nano-tubes synthesized by solar way 19)forecast and measurement of the limits of the flammability domain of fuel cells. The references of these articles rae detailed. (O.M.)

  13. Thematic outlook: the technical survey for the fuel cell research network PACO. April 29, 2005 update no. 30; Veille thematique. La veille technique pour le reseau PACO. Actualisation du 29 avril 2005, no. 30

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    Summaries of several recent articles are gathered here. They deal with fuel cells, hydrogen production and transport and distribution. Their different titles are given below: 1)hydrogen and energetic strategies first part: current progress achieved and requirements 2)hydrogen and energetic strategies second part: influences on the world stability 3)fuel cells: a future technology respectful with the environment 4)thermo-economical modelling and optimization of fuel cells systems 5)simulation of a SOFC fed with methane 6)processes analyses and assessment of the exergy losses in a SOFC 7)characterization and analysis of the efficiencies of a SOFC with a proton conducting ceramic electrolyte 8)economic and environmental feasibility study of a group of fuel cells cogeneration systems of 200 kW on the campus of the Stanford university 9)in situ measurements of water distribution in a polymer electrolyte fuel cell 10)comparison of electric power and hydrogen production systems with CO{sub 2} sequestration and storage 11)cold plasma use for hydrocarbons reforming 12)study of the cracks growth in AISI 304 weldings and steel plates under hydrogen or synthetic air atmosphere. The references of these articles are detailed. (O.M.)

  14. Thematic outlook: the technical outlook for the fuel cell research network (PACO). December 22, 2003 update no. 19; Veille thematique. La veille technique pour le reseau PACO. Actualisation du 22 decembre 2003, no. 19

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    Summaries of several recent articles and patents are gathered here. They deal with fuel cells, the means of transport, the hydrogen production and with the different new other energies. Their different titles are given below : 1)gas turbine/fuel cell arrangement 2)design and fabrication of a SOFC by CERAMIC FUEL CELLS 3)a 'microbial' fuel cell able of converting glucose in electricity with high yields and velocity 4)a hybrid system: combined cycle gas turbine - multi-stage SOFC 5)a SOFC as auxiliary generator of electricity in an aircraft 6)recent development results of fuel in the Juelich research center 7)state of development of the SOFC at Haldor Topsoe/Risoe 8)a cost/advantage analysis of 'clean cars': methodology and applications to the electric cars 9)the generation of current and heat in a aerostat 10)hydrogen free from CO, produced from bio-ethanol steam reforming on cobalt catalysts supported on ZnO. Effect of the metallic precursor 11)device and method based on the cyclic auto-thermal reforming 12)the ammonia, source of hydrogen for a hybrid system: alkaline fuel/battery 13)effect of the Nafion on the activity of Pt-Ru electrocatalysts for the methanol electro-oxidation 14)'VISION 21': an integration of systems based on coal. The references of these articles and patents are detailed. (O.M.)

  15. Thematic survey: the technical survey for the PACo network. Actualization of the 04 march 2003, no.10; Veille thematique: la veille technique pour le reseau PACo. Actualisation de 04 mars 2003, no.10

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    This document provides the thematic survey concerning the hydrogen fuel cell, realized on march 2003. The papers published during this period deal with the hydrogen fuel cell (low and medium power stationary, mobile and handling applications, components), the hydrogen production (catalytic burner for carrier hydrogen production, catalysts, fuel reforming for fuel cell vehicles). For each purposes abstracts are provided. (A.L.B.)

  16. Thematic outlook: the technical survey for the fuel cell research network PACO. June 28, 2005 update no. 32; Veille thematique. La veille technique pour le reseau PACO. Actualisation du 28 juin 2005, no. 32

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    Summaries of several recent articles are gathered here. They deal with fuel cells, hydrogen production and storage. Their different titles are given below: 1)advantages of the use of hydrogen compared with kerosene 2)comparative study of three types of microbial fuel cells 3)carbon nano-tubes for electric applications 4)separation of the CO{sub 2} during the hydrocarbons gasification 5)hydrogen production from hydrocarbons assisted by plasma 6)plasma pyrolysis of biomass for synthesis gas and carbonaceous adsorbent production 7)fast starting reformer for automobile applications 8)development of a unit of hydrogen production from LPG for PEM systems: assessment at the laboratory scale of the sub-units of auto-thermal reforming and of selective oxidation 9)hydrogen and electric power production, with CO{sub 2} sequestration, by redox species chemical cycle reforming (CuO, Mn{sub 2}O{sub 3}, NiO, Fe{sub 2}O{sub 3} and SiO{sub 2} as support) 10)exergy and economic analysis of a PEM electrolyser running at different temperatures and pressures 11)nano-structured materials for hydrogen storage 12)composite materials based on light elements for hydrogen storage. The references of these articles are detailed. (O.M.)

  17. Thematic outlook: the technical survey for the fuel cell research network PACO. March 22, 2004 update no. 22; Veille thematique. La veille technique pour le reseau PACO. Actualisation du 22 mars 2004, no. 22

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    Summaries of several recent articles are gathered here. They deal with fuel cells, means of transport, hydrogen production and storage and renewable energies. Their different titles are given below: 1)recent developments in the field of polymer electrolyte fuel cells membranes running above 100 C 2)a new study method of a two-phase flow in a direct methanol fuel cell 3)fuel cell system 4)direct polymer electrolyte fuel cells running with dimethyl ether for portable applications 5)new fuel cells developments for aerospace equipment 6)anode materials for SOFC 7)application of the fuel cell technology to the rail transport 8)hydrogen production by hydrocarbons steam reforming on Ni or Fe based catalysts which are modified by an alkaline earth metal 9)thermochemical hydrogen production from Pacinum virgatum plant 10)development of a catalyst for biomass gasification, in a double-bed gasifier 11)the role of hydrogen in the development of wind power electric systems: the case of Ireland 12)feasibility study of a hydrogen distribution basic equipment for fuel cells vehicles, based on the use of electric power produced in off-peak hours in Japan 13)'bio-hydrogen' production: future developments and limits to a practical application 14)improvement of the hydrogen production from a biomass gasification process, indirectly heated. Removal of carbon dioxide releases with a new biological reformer 15)storage of hydrogen cooled with liquid nitrogen 16)ten years of running of a renewable energy production system based on hydrogen. The references of these articles are detailed. (O.M.)

  18. Thematic outlook: the technical survey for the fuel cell research network PACO. March 14, 2005 update no. 29; Veille thematique. La veille technique pour le reseau PACO. Actualisation du 14 mars 2005, no. 29

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    Summaries of several recent articles are gathered here. They deal with fuel cells and hydrogen production. Their different titles are given below: 1)thermodynamic analysis of a SOFC fed with ethanol and running in internal reforming mode 2)effect of the methanol and ethanol permeation on the efficiencies of a direct alcohol fuel cell with a PtRu/C anode 3)analysis of an hybrid SOFC micro-turbine micro-generation system 4)dynamic modelling and simulation of a small hybrid wind-fuel cell system 5)simulation of a system combining SOFC and PEMFC 6)assessment of the impacts and of the economical aspects of the fuel cell APU part 1: modelling of the cost and the efficiencies of the system part 2)impacts on the health and on the environment, analysis of the life cycle and optimization 7)efficiencies of vehicles equipped with direct hydrogen or reformed methanol PEMFC 8)methods for supplying fuel cell devices 9)auxiliary fuel cell system 10)analysis of life cycle of maritime applications of fuel cells 11)critical analysis of different hydrogen production and uses ways 12)comparison of the hydrogen and natural gas production processes in a thermodynamical and environmental point of view 13)research and development on the hydrogen production by high temperature electrolysis. The references of these articles are detailed. (O.M.)

  19. Thematic outlook: the technical survey for the fuel cell research network PACO. April 16, 2004 update no. 23; Veille thematique. La veille technique pour le reseau PACO. Actualisation du 16 avril 2004, no. 23

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    Summaries of several recent articles are gathered here. They deal with fuel cells, means of transport, hydrogen production and storage. Their different titles are given below: 1)the importance of the fuel choice in the efficiency of the SOFC 2)assessment model of a centralized electric power system: SOFC/gas turbine 3)a direct borohydride fuel cell 4)thermodynamic optimization of the internal structure of a fuel cell 5)a SOFC/gas turbine cogeneration system 6)micro-fuel cells for portable applications 7)comparison of performances of direct alcohol fuel cells using different anode catalysts 8)materials and designs for SOFC used in stationary and mobile applications 9)development of measurement techniques for two-phase hydrogen weight flow 10)semi-conductors potentiometric probe for the hydrogen detection in air 11)integration of a fuel cell in an electric system, using a regulator based on the theory of regulation by disturbances accommodation 12)'greening London's black cabs': a study of the use potential of fuel cells cabs in London 13)gasification of leather residues - part 1 - experimental study in a pilot gasifier with a descending current 14)use of composite conducting membranes to produce hydrogen by water dissociation 15)molybdenum carbide based catalyst for the water gas reaction used in fuel cells vehicles applications 16)hydrogen production process from methane hydrates with carbon dioxide hydrates sequestration 17)comparative study between the hydrogen adsorption on super activated carbon and on carbon nano-tubes. The references of these articles are detailed. (O.M.)

  20. Thematic outlook: the technical outlook for the fuel cell research network (PACO). December 8, 2003 update no. 18; Veille thematique. La veille technique pour le reseau PACO. Actualisation du 8 decembre 2003, no. 18

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    Summaries of different recent articles and patents are gathered here. They deal with fuel cells, means of transport, hydrogen production and storage and with the different other energies. Their different titles are given below: 1)fuel cells or internal combustion engine, will it be really a 'or'? 2)fuel cell systems with a high yield using heat generated by the fuel for producing an addition of electricity 3)the design of DFC (Direct Fuel Cell) 4)electricity production by glucose oxidation in bacterial fuels without intermediary 5)simulation of a photovoltaic/micro-hydraulic/hydrogen system for feeding a house in the Alpes area. Part 2: the integrated system 6)recent advances in the field of materials for fuel cells 7)new materials for hydrogen production in PEMFC 8)modelling of the performances of lithium-ion batteries for fuel cells vehicles 9)hydrogen production at low temperature from oxygenated hydrocarbons 10)an alternative system for stationary hydrogen production: the iron sponge reforming cycle 11)a steam reformer for abating the releases of an internal combustion engine 12)hydrogen separation and purification: hydrogen recycling for SOFC 13)hydrogen physico-chemical storage: are carbon nano-tubes good means of hydrogen storage? 14)energetic scenarios until 2050 15)the use of wind energy on the electric network. The references of these articles and patents are detailed. (O.M.)

  1. Thematic outlook: the technical outlook for the fuel cell research network (PACO). September 23, 2003 update no. 16; Veille thematique. La veille technique pour le reseau PACO. Actualisation du 23 septembre 2003, no. 16

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2003-07-01

    Summaries of several recent articles and patents are gathered here. They deal with fuel cells and hydrogen production and storage. Their different titles are given below: 1)the behaviour of the electrode potential in direct hydrazine fuels 2)a device of desalination fed with a fuel cell 3)experiment in the field of residential fuel cell systems at ECN (Energy Research Center) 4)'design of a divided feeding' for SOFC with an internal reforming system 5)water management and thermal management in a fuel cell vehicle fed with hydrogen extracted from sodium borohydride (NaBH{sub 4}) 6)a mathematical model of propulsion systems by PEMFC for mobile applications 7)assessment of the feasibility of a DMFC containing an alkaline membrane 8)semi-empirical assessment model of the performance of a DMFC, first part: development of the model and validation 9)PEMFC and the challenge of CO 10)materials for SOFC 11)natural gas and LPG desulfurization for fuel cells reformers 12)heat exchangers for reforming techniques 13)desulfurization of a fuel for fuel cell system 14)hydrogen production from solar thermal reactor 15)hydrogen physico-chemical storage: nano-structured storage materials having modified covalent bonds sp2. The references of these articles and patents are detailed. (O.M.)

  2. Thematic outlook. Technical outlook for the fuel-cell research network (PACo). December 7, 2001 update, no. 3; Veille thematique. La veille technique pour le reseau PACo. Actualisation du 7 decembre 2001, no. 3

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-12-01

    This report brings together a compilation of abstracts of articles about some recent research works carried out in the domain of fuel cells, hydrogen production and hydrogen storage, and of renewable energies in general: studies of the humidification of PEMFCs; chemical engineering in the automotive industry; environmental impact of the manufacturing of tubular and planar SOFCs; fullerenes for portable fuel cells; hydrogen fuel produced from the gasification of solid municipal fuels; required electric power for a large-scale production of hydrogen for vehicles; hydrogen produced from methane decomposition: an application for the decarbonization of fossil fuels; production of synthesis gas from ethanol vapo-reforming; electrochemical characterization of the hydrogen adsorption capacity of carbon nano-tubes prepared by chemical vapor deposition (CVD), electric arc and laser ablation techniques; hydrogen storage in ultrasound wave processed carbonized materials; hydrogen storage in fuel cell-powered vehicles; year 2000 status of renewable energies in France; renewable energy sources: too insufficient efforts made in the UK; wind turbine in the country of wind mills (Netherlands); a research institute for wind energy in the Netherlands; feasibility study of underwater CO{sub 2} storage. (J.S.)

  3. Thematic survey: the technical survey for the PACo network. Actualization of the 30 september 2003, no.8; Veille thematique: la veille technique pour le reseau PACo. Actualisation du 30 septembre 2002, no.8

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    This document provides the thematic survey concerning the hydrogen fuel cell, realized on september 2003. The papers published during this period deal with the hydrogen fuel cell (low power stationary, mobile and handling applications, components, vehicles), the hydrogen production (the ethanol reforming), hydrogen storage (materials activation), safety, regulation and standards, carbon dioxide emissions decrease and fuel production. For each purposes abstracts are provided. (A.L.B.)

  4. Thematic outlook: the technical survey for the fuel cell research network (PACO). January 28, 2004 update no. 20; Veille thematique. La veille technique pour le reseau PACO. Actualisation du 15 janvier 2004, no. 20

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    Summaries of several recent articles are gathered here. They deal with fuel cells, means of transport, hydrogen production and storage. Their different titles are given below: 1)the characteristics of PEMFC running at negative exterior temperatures 2)the effects of CO poisoning on PEMFC at temperatures until 200 C 3)the mechanical properties of tubular SOFC 4)fuel cells fed with coal 5)analysis of cogeneration system: planar SOFC/gas turbine 6)modelling of fuel cells for transport, according to the neuronal networks method 7)design of hybrid fuel cell systems 8)a comparative study of direct methanol fuel cells for vehicles 9)desulfurization by adsorption and catalytic steam reforming of gas oil for applications in fuel cells 10)feasibility study of hydrogen production for fuel cell vehicles by naphtha on-board steam reforming 11)reforming catalyst of kerosene for fuel cell, kinetics and modelling of steam reforming 12)reforming by partial oxidation of low lubricant power gas oil, of dimethyl ether and methane for SOFC 13)conversion of solar heat in fuels by solar thermochemistry 14)hydrogen purification for fuel cells: selective oxidation of CO on Pt-Fe / zeolite catalysts 15)hydrogen photo-production from cellulose derived compound, with a system: chlorophyll / platinum nano-particles 16)hydrogen storage in commercial activated carbon. The references of these articles are detailed. (O.M.)

  5. Hravé chování u kopytníků

    OpenAIRE

    Janíčková, Ladislava

    2014-01-01

    Play behaviour is important category in animal´s behaviour in ungulates. In this thesis was compared display play behaviour in this animails: cattle, horse, pig and bighorn sheep (Ovis canadensis),, black-tailed deer (Odocoileus hemionus columbianus),, vicugna (Vicugna vicugna), proghorn (Antilocapra americana) and Cuvier´s gazelle (Gazella cuvieri). According to the available literature play behaviour is divided to 3 main categories: locomotor play, object play and social play. Social play ...

  6. Noninvasive monitoring of PaCO2 during one-lung ventilation and minimal access surgery in adults: End-tidal versus transcutaneous techniques

    OpenAIRE

    Cox, Paul; Tobias, Joseph D.

    2007-01-01

    Background: Previous studies have suggested that end-tidal CO2 (ET-CO2) may be inaccurate during one-lung ventilation (OLV). This study was performed to compare the accuracy of the noninvasive monitoring of PCO2 using transcutaneous CO2 (TC-CO2) with ET-CO2 in patients undergoing video-assisted thoracoscopic surgery (VATS) during OLV. Materials and Methods: In adult patients undergoing thoracoscopic surgical procedures, PCO2 was simultaneously measured with TC-CO2 and ET-CO2 devices and compa...

  7. Expression of the Structure Gene (Pro)collagen of Alpaca Skin%羊驼皮肤结构基因(原)胶原的表达特点

    Institute of Scientific and Technical Information of China (English)

    范瑞文; 杜红阳; 刘一飞; 董常生

    2009-01-01

    为了揭示羊驼皮肤胶原蛋白(Collagen)在皮肤结构发生中的分子机制,本研究通过构建羊驼皮肤cD-NA文库并进行大规模测序分析,结果表明:在羊驼皮肤内发现只有纤维类胶原表达,即type Ⅰ,type Ⅲ,type Ⅴ collagen,其中type Ⅰ表达最高,type Ⅲ和type Ⅴ表达低;然而,在羊驼皮肤内未发现各类collagen相对应的原胶原(proeollagen),其成员procollagen type Ⅰ,typeⅢ,type Ⅳ,type Ⅵ,typeⅦ,typeⅤⅧ在表达,且type Ⅰ远远高于其他家族成员的表达,由此推断collagen和procollagen type Ⅰ在羊驼皮肤结构发生中起主要作用,羊驼皮肤内的蛋白水解机制可能使procollagen产生不同类型的collagen.

  8. Characteristic and Mechanism of CO2 Laser-Induced Melting to PA%CO2激光诱导聚酰胺的融化特征与机理研究

    Institute of Scientific and Technical Information of China (English)

    谭文胜; 周建忠; 黄舒; 樊玉杰

    2013-01-01

    In order to investigate the melting mechanism between CO2 laser and Polyamide materials,the melting experiment of PA 12 was carried out by low-power CO2 laser with static or scanning way under room temperature,and the morphology of melted samples have been examined by means of light microscopy,scanning electron microscopy (SEM) and X-ray Diffraction (XRD),meanwhile,the effect of laser irradiation method and process parameters to melting samples was analyzed.It can be seen that the melting of sample was not obvious with beam 2 mm and power < 1 W,while experimental samples were got pyrogenic ablation with laser power >3 W during irradiating,so power intensity 0.32 W/mm2 is the sample melting threshold.The surface of samples can be melted by static irradiation,while melting depth of samples will increase with the increased laser power and scanning times,and the crystalline of melted samples have obviously improved after irradiation.The results of experiment were in good agreement with theoretical research,which will provide guidance for Polyamide materials micro-processing by CO2 laser.%为了探索CO2激光对聚酰胺材料的热效应融化机理,在常温下,利用低功率CO2激光对聚酰胺PA12进行定位和扫描辐照融化实验,通过光学显微镜和扫描电镜(SEM)观察形貌特征,以及X射线衍射仪(XRD)分析微观结构,研究激光参数和辐照方式对融化特征的影响.实验发现,在光斑直径2 mm时,激光功率<1W试样融化不明显,激光功率>3W热分解显著,激光功率密度0.32 W/mm2是试样融化阈值;激光定位辐照获得固体试样的浅表层融化,当激光扫描辐照时,试样融化深度随激光功率和扫描次数的增大而加深直至完全融化;试样融化后的结晶度有明显提高.实验结果和理论研究相吻合,这对于利用CO2激光进行聚酰胺材料的微成型加工有指导意义.

  9. Montagem e caracterização elétrica de pilhas a combustível de óxido sólido (PaCOS Assembly and electrical characterization of solid oxide fuel cell stacks

    Directory of Open Access Journals (Sweden)

    Hosane Aparecida Tarôco

    2009-01-01

    Full Text Available This paper is focused on a review of the design features and the electrochemistry characterization of anode-supported planar SOFC. Studies and results of metallic alloy interconnectors and recovery for protection against corrosion and for contact layer are showed. Moreover a discussion of examples of measurements of impedance spectrometry, according to the literature and our experimental results are made. For the anode supported fuel cells the power density varies from 0.1 to 0.5 Wcm², according to results in the literature (showed in this paper. For electrolyte supported fuel cell the power density can be 10 Wcm-2 for high temperatures. An English-Portuguese glossary of most used terms in SOFC stack is given for greater clarity and to introduce new terms to the reader.

  10. Primer registro de infestación en un reptil por larvas de Amblyomma parvitarsum (Acari: Ixodidae en Argentina

    Directory of Open Access Journals (Sweden)

    Gabriel Natalio Castillo

    2015-05-01

    Full Text Available Amblyomma parvitarsum es una garrapata endémica del Altiplano Andino de Argentina, Bolivia, Chile y Perú. En la provincia de San Juan adultos de esta garrapata fueron encontrados en el Parque Nacional San Guillermo sobre Vicugna vicugna. En Argentina también existen citas de adultos de A. parvitarsum sobre bovinos, ovinos y el ñandú . El primer caso de parasitismo de larvas de A. parvitarsum en Liolaemus fue realizado en Chile. El presente trabajo menciona por primera vez para Argentina la presencia de larvas de A. parvitarsum parasitando al lagarto Liolaemus eleodori.

  11. NCBI nr-aa BLAST: CBRC-DNOV-01-1884 [SEVENS

    Lifescience Database Archive (English)

    Full Text Available CBRC-DNOV-01-1884 ref|NP_063902.1| NADH dehydrogenase subunit 2 [Lama pacos] emb|CAC00503.1| NADH2 [Lam...a pacos] emb|CAD98814.1| NADH2 protein [Lama pacos] NP_063902.1 0.026 24% ...

  12. The Effect of TGF-β3 on the Melanocyte Cultured in vitro of Alpaca%TGF-β3对体外培养的羊驼黑色素细胞的影响

    Institute of Scientific and Technical Information of China (English)

    刘彧; 石占全; 姬凯元; 杨姗姗; 范瑞文

    2015-01-01

    为了研究转化生长因子β3(Transforming growth factor beta3,TGF-β3)对体外培养的羊驼皮肤黑色素细胞表型的影响.本研究在体外培养的羊驼皮肤黑色素细胞中添加不同浓度TGF-β3(6.25、12.5、25、50 ng·mL-1),通过实时监测和检测细胞增殖、毛色相关基因小眼畸形相关转录因子(Microphthalmia-associtated transcription factor,MITF)、酪氨酸酶(Tyrosinase,TYR)和酪氨酸酶相关蛋白2(Tyrosinase related protein 2,TYRP2)表达以及黑色素产量的变化.结果表明:(1)在羊驼皮肤黑色素细胞中添加50 ng·mL-1浓度的TGF-β3后,在前30 h内对细胞增殖有抑制效果,30 h后对细胞增殖有明显的长时程维持细胞数量作用,但对TGF-β3添加的剂量没有依赖性;(2)添加TGF-β3后,黑色素细胞内MITF、TYR和TYRP2的表达量均被下调,而且黑色素细胞产生黑色素的量也被下调,主要以添加50 ng·mL-1时下调最为显著.结果揭示,TGF-β3通过对羊驼黑色素细胞内MITF、TYR和TYRP2的表达的影响,并调控黑色素的产生,对黑色素细胞的生物学功能具有重要的影响.

  13. OSTEOMETRÍA Y GENÉTICA DE LOS CAMÉLIDOS MOCHICA, COSTA NORTE DEL PERÚ / Mochica camelids osteometry and genetics, north coast of Peru

    Directory of Open Access Journals (Sweden)

    Víctor Félix Vásquez Sánchez

    2009-12-01

    Full Text Available El objetivo de este trabajo es evaluar los resultados de la osteometría a dos muestras óseas de camélidos de sitios de la época Mochica (siglos I y VII d.C. en la costa norte de Perú. Los huesos analizados en este estudio son primeras falanges que provienen de dos sitios arqueológicos Mochica (Cerro Chepén y Zona Urbana Moche. Se realizaron análisis discriminantes a una muestra de 44 primeras falanges, tomando en cuenta las cinco variables que son medidas en este hueso. Los resultados obtenidos mostraron la identificación de dos especies de camélidos domésticos en ambos sitios, Lama glama “llama” y Lama pacos “alpaca”. La interpretación de los resultados es discutida mediante la explicación de un modelo de especiación geográfica o vicariante de los camélidos que habitaron la costa peruana en la época Mochica. Este modelo toma en cuenta que actualmente en esta ecología no hay crianza de camélidos, así como factores genéticos y evolutivos de una nueva forma doméstica, incluyendo el efecto de la Regla de Bergmann y los nuevos pastos en la morfología de esta nueva forma de camélido doméstico que vivió en la época Mochica.Palabras claves: osteometría, genética, camélidos, especiación, Mochica  AbstractThe objective of this study was to evaluate the results of osteometric analyses applied to camelid bones samples from Moche sites (I and VII AD located on the north coast of Peru. The bones analyzed in this study correspond to first phalanges from two Moche archaeological sites (Cerro Chepén and Moche Urban Zone. Discriminant analysis was conducted on a sample of 44 first phalanges, taking into account five measurments in each bone. The results showed the identification in both sites of two species of domestic camelids, Lama glama “llama” and Lama pacosalpaca.” The interpretation of the results is discussed by explaining a model of geographic or vicariant speciation of camelids that inhabited the coast

  14. Model checking process algebra of communicating resources for real-time systems

    DEFF Research Database (Denmark)

    Boudjadar, Jalil; Kim, Jin Hyun; Larsen, Kim Guldstrand;

    2014-01-01

    , urgentness and resource usage over a dense-time model. The semantic interpretation of PACoR is defined in the form of a timed transition system expressing the timed behavior and dynamic creation of processes. We define a translation of PACoR systems to Parameterized Stopwatch Automata (PSA). The translation...... preserves the original semantics of PACoR and enables the verification of PACoR systems using symbolic model checking in Uppaal and statistical model checking UppaalSMC. Finally we provide an example to illustrate system specification in PACoR, translation and verification.......This paper presents a new process algebra, called PACoR, for real-time systems which deals with resource- constrained timed behavior as an improved version of the ACSR algebra. We define PACoR as a Process Algebra of Communicating Resources which allows to explicitly express preemptiveness...

  15. Diagnostic Value of Animal-Side Antibody Assays for Rapid Detection of Mycobacterium bovis or Mycobacterium microti Infection in South American Camelids▿

    OpenAIRE

    Lyashchenko, Konstantin P; Greenwald, Rena; Esfandiari, Javan; Rhodes, Shelley; Dean, Gillian; de la Rua-Domenech, Ricardo; Meylan, Mireille; Vordermeier, HMartin; Zanolari, Patrik

    2011-01-01

    Tuberculosis (TB) in South American camelids (SAC) is caused by Mycobacterium bovis or Mycobacterium microti. Two serological methods, rapid testing (RT) and the dual-path platform (DPP) assay, were evaluated using naturally infected SAC. The study population included 156 alpacas and 175 llamas in Great Britain, Switzerland, and the United States. TB due to M. bovis (n = 44) or M. microti (n = 8) in 35 alpacas and 17 llamas was diagnosed by gross pathology examination and culture. Control ani...

  16. The Politics of Livestock Sector Policy and the Rural Poor in Peru

    OpenAIRE

    Fairfield, Tasha

    2006-01-01

    This working paper explores public policies that would advance pro-poor development in the livestock sector, with special attention to organized actors, their interests, and the political feasibility of state initiatives. It focuses on two sub-sectors that involve large numbers of small producers: the dairy sector and the alpaca sector. Emphasis is placed on the latter, since there is a greater potential role for Peru's weak, neo-liberal state in promoting pro-poor development in the alpaca s...

  17. Dicty_cDB: Contig-U08552-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available CING IN PROGRESS *** f... 48 0.57 1 ( AC232186 ) Lama pacos clone CH246-66H15, WO...RKING DRAFT SEQUE... 48 0.57 1 ( AC231687 ) Lama pacos clone CH246-302G14, WORKING DRAFT SEQU... 48 0.57 1 (....57 1 ( AC229617 ) Lama pacos clone CH246-435F5, WORKING DRAFT SEQUE... 48 0.57 1 ( AC226638 ) Lama pacos cl...one CH246-281G15, WORKING DRAFT SEQU... 48 0.57 1 ( AC226637 ) Lama pacos clone C... 1 ( CU462853 ) Pig DNA sequence *** SEQUENCING IN PROGRESS *** f... 46 2.3 1 ( AC232180 ) Lama pacos clone

  18. Near-infrared spectroscopy monitoring of cerebral oxygen during assisted ventilation

    OpenAIRE

    Booth, Erin A.; Dukatz, Christopher; Sood, Beena G.; Wider, Michael

    2011-01-01

    Background: Changes in the arterial partial pressure of CO2 (PaCO2) has a direct though transient effect on the cerebral vasculature and cerebral circulation. Decreased PaCO2 levels lead to vasoconstriction and can result in dangerously low levels of cerebral perfusion that resolve in 4–6 h. It is currently believed that perfusion abnormalities contribute to intraventricular hemorrhage (IVH) and periventricular leukomalacia (PVL) in the neonate. PaCO2-induced vasoconstriction may contribute t...

  19. Cerebrovascular CO2 reactivity in normotensive and hypertensive man

    DEFF Research Database (Denmark)

    Tominaga, S; Strandgaard, S; Uemura, K;

    1976-01-01

    curve suggested a decrease in reactivity below a PaCO2 of 30 to 35 mm Hg in both groups. Above a PaCO2 of 35 mm Hg, exponential regression analysis yielded a mean reactivity of 6 +/- 2%, whereas below a PaCO2 of 30 mm Hg it was about 2%. The rise in CBF during CO2 inhalation was not influenced...

  20. Dicty_cDB: SLD388 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available 6055249 Global-Ocean-Sampling_GS-30-02-01-1... 40 0.50 2 ( AC232784 ) Lama pacos clone CH246-216B4, WORKING ...DRAFT SEQUE... 44 1.1 1 ( AC232186 ) Lama pacos clone CH246-66H15, WORKING DRAFT SEQUE... 44 1.1 1 ( AC19251

  1. Dicty_cDB: Contig-U12230-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available ( EU159113 |pid:none) Camelus dromedarius mitochondrion... 35 8.0 Y19184_11( Y19184 |pid:none) Lama pacos co...nspo... 35 8.0 AJ566364_11( AJ566364 |pid:none) Lama pacos complete mitochondrial... 35 8.0 >AC105378_11( AC

  2. Dicty_cDB: Contig-U15371-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available QUENCING IN PROGRESS *** f... 44 9.1 1 ( AC232824 ) Lama pacos clone CH246-360M16, WORKING DRAFT SEQU... 44 ...9.1 1 ( AC232721 ) Lama pacos clone CH246-275J9, WORKING DRAFT SEQUE... 44 9.1 1

  3. Dicty_cDB: Contig-U16225-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available uence *** SEQUENCING IN PROGRESS... 46 4.4 1 ( AC233188 ) Lama pacos clone CH246-474C1, WORKING DRAFT SEQUE...... 46 4.4 1 ( AC231204 ) Lama pacos clone CH246-260A19, WORKING DRAFT SEQU... 46

  4. Dicty_cDB: Contig-U06072-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available ter... 46 1.2 1 ( AC232175 ) Lama pacos clone CH246-232F1, WORKING DRAFT SEQUE......99 ) Zebrafish DNA sequence *** SEQUENCING CANCELLED *... 44 4.7 1 ( AC229615 ) Lama pacos clone CH246-292B1

  5. Dicty_cDB: Contig-U05111-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available e from clone CH211-269M1 in ... 34 0.004 7 ( AC226639 ) Lama pacos clone CH246-29... DNA sequence from clone DKEY-145J6 in l... 38 0.083 4 ( AC232666 ) Lama pacos clone CH246-243P10, WORKING D

  6. Dicty_cDB: Contig-U14752-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available 2 2.0 2 ( AC016754 ) Homo sapiens chromosome 11 clone RP11-514F3, WORK... 40 2.0 2 ( AC231556 ) Lama pacos c...map ... 40 2.1 3 ( AC229956 ) Lama pacos clone CH246-269L22, WORKING DRAFT SEQU..

  7. Dicty_cDB: Contig-U00662-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available 66A10 map 8... 44 7.9 1 ( AC232718 ) Lama pacos clone CH246-155B3, WORKING DRAFT ...SEQUE... 44 7.9 1 ( AC232398 ) Brassica rapa subsp. pekinensis clone KBrH009C03,... 44 7.9 1 ( AC232356 ) Lama paco

  8. Dicty_cDB: Contig-U14977-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available some 5 clon... 48 0.97 1 ( AC232179 ) Lama pacos clone CH246-396L20, WORKING DRAF...T SEQU... 48 0.97 1 ( AC232178 ) Lama pacos clone CH246-380H24, WORKING DRAFT SEQU... 48 0.97 1 ( EK496662 )

  9. High-Frequency Oscillatory Ventilation Combined with Volume Guarantee in a Neonatal Animal Model of Respiratory Distress Syndrome

    Directory of Open Access Journals (Sweden)

    Manuel Sánchez Luna

    2013-01-01

    Full Text Available Objective. To assess volume guarantee (VG ventilation combined with high-frequency oscillatory ventilation (HFOV strategy on PaCO2 regulation in an experimental model of neonatal distress syndrome. Methods. Six 2-day-old piglets weighing  kg were used for this interventional experimental study. Animals were ventilated during physiologic lung conditions and after depletion of lung surfactant by bronchoalveolar lavage (BAL. The effect of HFOV combined with VG on PaCO2 was evaluated at different high-frequency expired tidal volume (VThf at constant frequency ( and mean airway pressure (mPaw. Fluctuations of the pressure (ΔPhf around the mPaw and PaCO2 were analyzed before and after lung surfactant depletion. Results. PaCO2 levels were inversely proportional to VThf. In the physiological lung condition, an increase in VThf caused a significant decrease in PaCO2 and an increase in ΔPhf. After BAL, PaCO2 did not change as compared with pre-BAL situation as the VThf remained constant by the ventilator. Conclusions. In this animal model, using HFOV combined with VG, changes in the VThf settings induced significant modifications in PaCO2. After changing the lung condition by depletion of surfactant, PaCO2 remained unchanged, as the VThf setting was maintained constant by modifications in the ΔPhf done by the ventilator.

  10. 驼源天然单域重链抗体库的构建与鉴定%Construction and Biopanning of Camelid Naive Single-domain Antibody Phage Display Library

    Institute of Scientific and Technical Information of China (English)

    涂追; 许杨; 刘夏; 何庆华; 陶勇

    2011-01-01

    从未经主动免疫的健康羊驼(Lamapacos)外周血淋巴细胞中提取总RNA,反转录后作为第一轮PCR的模板.根据重链抗体保守区域设计引物,经巢式PCR法扩增获得了全套重链抗体可变区基因,将其克隆至噬菌粒 pHENl,电转化大肠杆菌TG1得到初级抗体库NAL,含有2×10个独立克隆,菌落PCR和Hinf Ⅰ酶切分析结果显示,克隆效率大于97%,文库的多样性良好.辅助噬菌体救援后,得到噬菌体展示文库命名为NA-PDL,滴度达10CFU/ml.以真菌毒素人工抗原DON-MBSA为目标抗原,对NA-PDL进行了淘选,第二轮洗脱物中,阳性克隆率达36.4%,提示针对目标抗原的噬菌体颗粒得到了有效富集,文库NA-PDL多样性较好,为后续淘选针对特定抗原的单域重链抗体奠定了基础.%The objective is to construct a camelid na(i)ve single-domain heavy chain antibody phage display library. Total RNA was purified from 30ml blood of two healthy non-immune alpacas ( Lama pacos) and directly used for complementary DNA (cDNA) synthesis. Three sets of primers were designed based on the conserved region of heavy-chain antibody. The repertoire of VHH coding sequence was amplified by nested PCR, and the PCR products were cloned into a phagemid vector pHEN1. By electroporation of E. coli TG1 , the primary library (designate NAL) was obtained containing more than 107 independence clones. After helper phage rescue, the phage display library ( designate SNA-PDL) was generated with a titre up to 1013 CFU/ml. The library exhibited high diversity as judged by the Hinf Ⅰ restriction pattern. Solid phage biopanning against artificial antigen DONMBSA showed significant enrichment of binding phage particles. The positive rate of panning round two was 36.4% . The data indicated that a na(i)ve single-domain antibody phage display library was constructed. which has good diversity and would be useful for generating VHHs with specific binding affinity.

  11. Probing Brain Oxygenation with Near Infrared spectroscopy, the Role of Carbon Dioxide and Blood Pressure

    CERN Document Server

    Gersten, Alexander

    2015-01-01

    The fundamentals of near infrared spectroscopy (NIRS) are reviewed. Among the major factors controlling the cerebral blood flow (CBF), the effect of PaCO2 is peculiar in that it violates autoregulatory CBF mechanisms and allows to explore the full range of the CBF. A simple physical model, with a four parameter formula, relating the CBF to PaCO2 is presented. It can be used to transform the fits of one animal to the fits of another one. It enable the use of rats data as monkeys data simply by rescaling the PaCO2 values and the CBF data. Controlled breathing can change the PaCO2. Experiments on human subjects relating the PaCO2 to rSO2, measured with brain oximeters, are presented. A simple model relating the mean blood pressure to CBF is worked out.

  12. The application of transcutaneous CO2 pressure monitoring in the anesthesia of obese patients undergoing laparoscopic bariatric surgery.

    Directory of Open Access Journals (Sweden)

    Shijiang Liu

    Full Text Available To investigate the correlation and accuracy of transcutaneous carbon dioxide partial pressure (PTCCO2 with regard to arterial carbon dioxide partial pressure (PaCO2 in severe obese patients undergoing laparoscopic bariatric surgery. Twenty-one patients with BMI>35 kg/m(2 were enrolled in our study. Their PaCO2, end-tidal carbon dioxide partial pressure (PetCO2, as well as PTCCO2 values were measured at before pneumoperitoneum and 30 min, 60 min, 120 min after pneumoperitoneum respectively. Then the differences between each pair of values (PetCO2-PaCO2 and. (PTCCO2-PaCO2 were calculated. Bland-Altman method, correlation and regression analysis, as well as exact probability method and two way contingency table were employed for the data analysis. 21 adults (aged 19-54 yr, mean 29, SD 9 yr; weight 86-160 kg, mean 119.3, SD 22.1 kg; BMI 35.3-51.1 kg/m(2, mean 42.1,SD 5.4 kg/m(2 were finally included in this study. One patient was eliminated due to the use of vaso-excitor material phenylephrine during anesthesia induction. Eighty-four sample sets were obtained. The average PaCO2-PTCCO2 difference was 0.9 ± 1.3 mmHg (mean ± SD. And the average PaCO2-PetCO2 difference was 10.3 ± 2.3 mmHg (mean ± SD. The linear regression equation of PaCO2-PetCO2 is PetCO2 = 11.58+0.57 × PaCO2 (r(2 = 0.64, P<0.01, whereas the one of PaCO2-PTCCO2 is PTCCO2 = 0.60 + 0.97 × PaCO2 (r(2 = 0.89. The LOA (limits of agreement of 95% average PaCO2-PetCO2 difference is 10.3 ± 4.6 mmHg (mean ± 1.96 SD, while the LOA of 95% average PaCO2-PTCCO2 difference is 0.9 ± 2.6 mmHg (mean ± 1.96 SD. In conclusion, transcutaneous carbon dioxide monitoring provides a better estimate of PaCO2 than PetCO2 in severe obese patients undergoing laparoscopic bariatric surgery.

  13. Effect of α-MSH on Proliferation and Melanin Synthesis of Alpaca Skin Melanocytes in vitro%α-黑素细胞刺激素(α-MSH)对羊驼皮肤黑素细胞增殖和黑素生成的影响

    Institute of Scientific and Technical Information of China (English)

    于志慧; 白瑞; 范瑞文; 杨刚; 董彦君; 贺俊平; 董常生

    2010-01-01

    旨在研究α-黑素细胞刺激素(α-Melanocyte stimulating hormone,α-MSH)对羊驼皮肤黑素细胞(Melano-cyte,MC)增殖和黑素合成的影响.体外培养正常羊驼皮肤黑素细胞,观察不同浓度α-MSH(0、10-9、10-8、10-7mol·L-1)对羊驼皮肤黑素细胞增殖、黑素含量、表皮黑皮素-1受体(Melanocortin 1 receptor,MC1R)基因、小眼畸形相关转录因(Microphthalmia-associtated transcription factor,MITF)和酪氨酸酶(Tyrosinase,TYR)基因表达量的影响.结果表明,α-MSH处理羊驼皮肤黑索细胞3 d后,羊驼皮肤黑素细胞增多,黑素含量、MC1R和TYR基因表达量都明显增加(P<0.05),以10-8mol·L-1组最为显著,MITF基因表达量也明显增加(P<0.05),以10-7mol·L-1组最为显著.α-MSH能诱导羊驼皮肤黑素细胞增殖、树突增长、黑素合成增加、MC1R、MITF和TYR基因表达量增高.

  14. Carbon dioxide monitoring during laparoscopic-assisted bariatric surgery in severely obese patients: transcutaneous versus end-tidal techniques.

    Science.gov (United States)

    Dion, Joanna M; McKee, Chris; Tobias, Joseph D; Herz, Daniel; Sohner, Paul; Teich, Steven; Michalsky, Marc

    2015-02-01

    Various factors including severe obesity or increases in intra-abdominal pressure during laparoscopy can lead to inaccuracies in end-tidal carbon dioxide (PETCO2) monitoring. The current study prospectively compares ET and transcutaneous (TC) CO2 monitoring in severely obese adolescents and young adults during laparoscopic-assisted bariatric surgery. Carbon dioxide was measured with both ET and TC devices during insufflation and laparoscopic bariatric surgery. The differences between each measure (PETCO2 and TC-CO2) and the PaCO2 were compared using a non-paired t test, Fisher's exact test, and a Bland-Altman analysis. The study cohort included 25 adolescents with a mean body mass index of 50.2 kg/m2 undergoing laparoscopic bariatric surgery. There was no difference in the absolute difference between the TC-CO2 and PaCO2 (3.2±3.0 mmHg) and the absolute difference between the PETCO2 and PaCO2 (3.7±2.5 mmHg). The bias and precision were 0.3 and 4.3 mmHg for TC monitoring versus PaCO2 and 3.2 and 3.2 mmHg for ET monitoring versus PaCO2. In the young severely obese population both TC and PETCO2 monitoring can be used to effectively estimate PaCO2. The correlation of PaCO2 to TC-CO2 is good, and similar to the correlation of PaCO2 to PETCO2. In this population, both of these non-invasive measures of PaCO2 can be used to monitor ventilation and minimize arterial blood gas sampling.

  15. Alveolar partial pressures of carbon dioxide and oxygen measured by a helium washout technique.

    OpenAIRE

    Jordanoglou, J.; Tatsis, G; Danos, J; Gougoulakis, S; Orfanidou, D; Gaga, M

    1990-01-01

    A non-invasive technique was developed for measuring alveolar carbon dioxide and oxygen tension during tidal breathing. This was achieved by solving the Bohr equations for mean alveolar carbon dioxide and oxygen tensions (PACO2, PAO2) from known values of the dead-space:tidal volume ratio measured by helium washout, and from the mixed expired partial pressure of carbon dioxide and oxygen. The derived values of wPACO2 and wPAO2 were compared with PaCO2 obtained from arterial gas analysis and P...

  16. Plaadid / Villu Päärt

    Index Scriptorium Estoniae

    Päärt, Villu, 1972-

    2004-01-01

    Uutest plaatidest Nelly "Da Derrty Versions The reinvention", Zero 7 "When It Falls", Ilya "They Died For Beauty", Paco De Lucia "Costas Buenas", Murphy Lee "Da Skool Boy Presents", To Rococo Rot "Hotel Morgen"

  17. Moemärke Hispaaniast / Riina Robinson

    Index Scriptorium Estoniae

    Robinson, Riina

    2008-01-01

    Kuulsad Hispaania moekunstnikud Paco Rabanne (sünd. 1934), Cristobal Balenciaga, Agatha Ruiz de la Prada (sünd. 1960), Oscar de la Renta (1932), Paloma Picasso (1949). Rõivapoodide ketid Zara, Mango ja El Corte Ingles

  18. Linnagaleriis avatakse eramunäitus

    Index Scriptorium Estoniae

    2006-01-01

    Eesti Arhitektide Liidu aastanäitus "Eramu 2002-2006" Viljandi Linnagaleriis. Tutvuda saab 21. sajandi esimestel aastatel Eestis valminud huvitavamate väikemajadega. Kuraator Urmas Oja, kujundaja Paco Ulman

  19. Täiskasvanute lõbustuspark vee peal / Tanel Veenre

    Index Scriptorium Estoniae

    Veenre, Tanel, 1977-

    2011-01-01

    Arhitekt Paco Ulmani fotonäitus "Tallinn-Helsinki-Stockholm" Tallinna Linnagaleriis 7. augustini 2011. Eksponeeritud fotoseeria kujutab Tallinn-Helsinki-Stockholm liinidel sõitvate laevade tühje interjööre

  20. Kahe näoga maja / Mark Soosaar, Leele Välja, Tarmo Teedumäe

    Index Scriptorium Estoniae

    2014-01-01

    Tervisekeskus ja hotell "Hedon" Pärnu ajaloolises mudaravilahoones ja selle juurdeehituses. Arhitektuur: Inga Raukas, Tarmo Teedumäe, Paco Ulman (arhitektuuriagentuur Allianss Arhitektid). Sisearhitektuur: Tüüne-Kristin Vaikla, Urmo Vaikla (Vaikla Stuudio). Valmimisaasta: 2014

  1. 7 CFR 760.304 - Covered livestock.

    Science.gov (United States)

    2010-01-01

    ..., adult or non-adult dairy cattle, alpacas, deer, elk, emus, equine, goats, llamas, poultry, reindeer... of the normal business operation of the eligible livestock producer, as determined by the Secretary... cattle, (14) Poultry, (15) Reindeer, (16) Sheep, and (17) Swine. (c) Livestock that are not...

  2. Take Your Child to Work Day Helps Lure a Future Generation of Scientists | Poster

    Science.gov (United States)

    Young children often enjoy playing with dogs or cuddling with cats at home, but at Take Your Child to Work Day, kids of all ages had the opportunity to brush horses, pet alpacas, and observe laboratory mice, fish, and frogs. On June 29, the annual event provided 187 children of NCI at Frederick staff a variety of hands-on learning opportunities.

  3. Arterial and end-tidal carbon dioxide difference in pediatric intensive care

    Directory of Open Access Journals (Sweden)

    Chulananda Dias Goonasekera

    2014-01-01

    Full Text Available Background and Aim: Arterial carbon dioxide tension (PaCO 2 is considered the gold standard for scrupulous monitoring in pediatric intensive care unit (PICU, but it is invasive, laborious, expensive, and intermittent. The study aims to explore when we can use end-tidal carbon dioxide tension (P ET CO 2 as a reliable, continuous, and noninvasive monitor of arterial CO 2 Materials and Methods: Concurrent P ET CO 2 , fraction of inspired oxygen, PaCO 2 , and arterial oxygen tension values of clinically stable children on mechanical ventilation were recorded. Children with extra-pulmonary ventriculoatrial shunts were excluded. The P ET CO 2 and PaCO 2 difference and its variability and reproducibility were studied. Results: A total of 624 concurrent readings were obtained from 105 children (mean age [SD] 5.53 [5.43] years requiring invasive bi-level positive airway pressure ventilation in the PICU. All had continuous P ET CO 2 monitoring and an arterial line for blood gas measurement. The mean (SD number of concurrent readings obtained from each child, 4-6 h apart was 6.0 (4.05. The P ET CO 2 values were higher than PaCO 2 in 142 observations (22.7%. The PaCO 2 -P ET CO 2 difference was individual admission specific (ANOVA, P < 0.001. The PaCO 2 -P ET CO 2 difference correlated positively with the alveolar-arterial oxygen tension [P(A-aO 2 ] difference (ρ = 0.381 P < 0.0001. There was a fixed bias between the P ET CO 2 and PaCO 2 measuring methods, difference +0.66 KPa (95% confidence interval: +0.57 to +0.76. Conclusions: The PaCO 2 -P ET CO 2 difference was individual specific. It was not affected by the primary disorder leading to the ventilation.

  4. Eksperimendid ruumis / Toomas Tammis

    Index Scriptorium Estoniae

    Tammis, Toomas, 1969-

    2014-01-01

    EKA arhitektuuriteaduskonnas tehakse erialaprojekti kõrval väga erinevaid ruumilisi harjutusi. Esitletud on valik väiksemate töötubade ja kursuste töid: Kineetilise arhitektuuri töötuba "Volditav, klapitav, rullitav, pakitav", 2014 (juhendaja Renee Puusepp); Parameetrilise disaini valikaine, 2011 (juhendaja Raul Kalvo, assistent Kristjan Männigo); Maketistuudio, 2014 (juhendaja Paco Ulman); Eksperimentaalse arhitektuuri problemaatika, 2014 (juhendajad Martin Melioranski ja Paco Ulman)

  5. ZOOARQUEOLOGÍA DE LA ALDEA FORMATIVA DE PALO BLANCO (TINOGASTA, CATAMARCA, ARGENTINA / Zooarchaeology of the formative village of Palo Blanco (Tinogasta, Catamarca, Argentina

    Directory of Open Access Journals (Sweden)

    Juan Pablo Miyano

    2015-12-01

    Full Text Available En el presente trabajo se abordan los conjuntos arqueofaunísticos de la localidad arqueológica de Palo Blanco recuperados en intervenciones realizadas en la década de 1960 y en la década de 2000. Esta localidad se encuentra emplazada en el sector norte del bolsón de Fiambalá (Tinogasta, Catamarca y se compone de varios núcleos habitacionales de distribución dispersa, predominantemente rectangulares y con muros de tapia. Su ocupación no fue sincrónica y se extiende desde el siglo III al siglo X A.D. La tendencia en el aprovechamiento de recursos faunísticos identificada fundamentalmente a partir del abordaje de los conjuntos de dos núcleos habitacionales sugiere que los camélidos fueron el principal recurso de origen animal utilizado en la aldea, en donde se encontraron especies tanto domesticadas (Lama glama como silvestres (Vicugna vicugna. Además, la presencia predominante de camélidos subadultos sugiere una estrategia de pastoreo vinculada al aprovechamiento de recursos primarios como carne, médula y grasa. Los resultados a los que se arribaron permiten profundizar en el conocimiento de las actividades económicas de los grupos humanos que habitaron la aldea de Palo Blanco a lo largo del primer milenio de la era. AbstractIn this paper we approach the archaeofaunistic remains recovered during excavations of the archeological locality of Palo Blanco in the decades of 1960 and 2000. Palo Blanco is located in the north sector of the Bolsón of Fimabalá area (Tinogasta, Catamarca and it is composed of several rectangular shaped dwellings with tapia-style walls and dispersed distribution. The period of occupation of the village was between the third and tenth century A.D. although the dwellings were not inhabited synchronously. The identified tendency in the exploitation of faunal resources indicates that the camelids were the main resources. Osteometric studies show that domestic and wild camelids (Lama glama and Vicugna vicugna

  6. Cerebral hemodynamic and oxygenation changes induced by inner and heard speech: a study combining functional near-infrared spectroscopy and capnography

    Science.gov (United States)

    Scholkmann, Felix; Klein, Sabine D.; Gerber, Ursina; Wolf, Martin; Wolf, Ursula

    2014-01-01

    The aim of this study was to investigate the effects of inner and heard speech on cerebral hemodynamics and oxygenation in the anterior prefrontal cortex (PFC) using functional near-infrared spectroscopy and to test whether potential effects were caused by alterations in the arterial carbon dioxide pressure (PaCO2). Twenty-nine healthy adult volunteers performed six different tasks of inner and heard speech according to a randomized crossover design. During the tasks, we generally found a decrease in PaCO (only for inner speech), tissue oxygen saturation (StO), oxyhemoglobin ([O2Hb]), total hemoglobin ([tHb]) concentration and an increase in deoxyhemoglobin concentration ([HHb]). Furthermore, we found significant relations between changes in [OHb], [HHb], [tHb], or StO and the participants' age, the baseline PETCO2, or certain speech tasks. We conclude that changes in breathing during the tasks led to lower PaCO (hypocapnia) for inner speech. During heard speech, no significant changes in PaCO occurred, but the decreases in StO, [OHb], and [tHb] suggest that changes in PaCO were also involved here. Different verse types (hexameter and alliteration) led to different changes in [tHb], implying different brain activations. In conclusion, StO, [OHb], [HHb], and [tHb] are affected by interplay of both PaCO reactivity and functional brain activity.

  7. Heterogeneity of cerebral vasoreactivity in preterm infants supported by mechanical ventilation

    International Nuclear Information System (INIS)

    The reaction of cerebral blood flow to acute changes in arterial carbon dioxide pressure (PaCO2) and mean arterial blood pressure was determined in 57 preterm infants supported by mechanical ventilation (mean gestational age 30.1 weeks) during the first 48 hours of life. All infants had normal brain sonograms at the time of the investigation. In each infant, global cerebral blood flow was determined by xenon-133 clearance two to five times within a few hours at different levels of PaCO2. Changes in PaCO2 followed adjustments of the ventilator settings. Arterial oxygen pressure was intended to be kept constant, and mean arterial blood pressure fluctuated spontaneously between measurements. The data were analyzed by stepwise multiple regression, with changes in global cerebral blood flow, PaCO2, mean arterial blood pressure, and postnatal age or intracranial hemorrhage used as variables. In infants with persistently normal brain sonograms, the global cerebral blood flow-carbon dioxide reactivity was markedly lower during the first day of life (mean 11.2% to 11.8%/kPa PaCO2) compared with the second day of life (mean 32.6/kPa PaCO2), and pressure-flow autoregulation was preserved. Similarly, global cerebral blood flow-carbon dioxide reactivity and pressure-flow autoregulation were present in infants in whom mild intracranial hemorrhage developed after the study. In contrast, global cerebral blood flow reactivity to changes in PaCO2 and mean arterial blood pressure was absent in infants in whom ultrasonographic signs of severe intracranial hemorrhage subsequently developed. These infants also had about 20% lower global cerebral blood flow before hemorrhage, in comparison with infants whose sonograms were normal, a finding that suggests functional disturbances of cerebral blood flow regulation

  8. Vicuña conservation and poverty alleviation? Andean communities and international fibre markets

    Directory of Open Access Journals (Sweden)

    Gabriela Lichtenstein

    2009-09-01

    Full Text Available Vicuna (Vicugna vicugna fiber is produced by extremely low-income communities that inhabit the harsh environment of the Andes in Argentina, Chile, Peru and Bolivia. At the other end of the social scale, affluent consumers are willing to pay high prices for vicuna-made accessories and clothes. Vicuna management projects follow the logic of community-based wildlife management. The rationale for seeking to conserve vicuñas through sustainable use is that commercial utilization of the fiber (obtained from live-shorn animals will generate sufficient economic benefits to outweigh the costs of conservation, and contribute to community development and poverty alleviation. However, although conservation efforts have been extremely successful with vicuñas having recovered from the brink of extinction, the socio-economic achievements have thus far proved modest. This paper explores multiple-objective projects that address vicuña conservation and poverty alleviation in Andean countries. In doing so it analyses the tensions that exist between these objectives, as well as the factors that limit a more equitable distribution of benefits among stakeholders. Examples are drawn from vicuna management under common-property in Peru and Bolivia, and vicuna captive management under private property in Argentina. These case studies enable us to illustrate the complex relationship between local communities and the global market, and the importance of community enterprises and supportive government policy in managing a common pool resource.

  9. The influence of oxygenotherapy on the hypercapnia in patients with chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Lazić Zorica

    2008-01-01

    Full Text Available Background/Aim. Oxygen therapy is a necessary therapeutic method in treatment of severe chronic respiratory failure (CRF, especially in phases of acute worsening. Risks which are to be taken into consideration during this therapy are: unpredictable increase of carbon dioxide in blood, carbonarcosis, respiratory acidosis and coma. The aim of this study was to show the influence of oxygen therapy on changes of arterial blood carbon dioxide partial pressure. Methods. The study included 93 patients in 104 admittances to the hospital due to acute exacerbation of CFR. The majority of the patients (89.4% had chronic obstructive pulmonary disease (COPD, while other causes of respiratory failure were less common. The effect of oxygenation was controlled through measurement of PaO2 and PaCO2 in arterial blood samples. To analyze the influence of oxygen therapy on levels of carbon dioxide, greatest values of change of PaO2 and PaCO2 values from these measurements, including corresponding PaO2 values from the same blood analysis were taken. Results. The obtained results show that oxygen therapy led to the increase of PaO2 but also to the increase of PaCO2. The average increase of PaO2 for the whole group of patients was 2.42 kPa, and the average increase of PaCO2 was 1.69 kPa. There was no correlation between the initial values of PaO2 and PaCO2 and changes of PaCO2 during the oxygen therapy. Also, no correlation between the produced increase in PaO2 and change in PaCO2 during this therapy was found. Conclusion. Controlled oxygen therapy in patients with severe respiratory failure greatly reduces the risk of unwanted increase of PaCO2, but does not exclude it completely. The initial values of PaO2 and PaCO2 are not reliable parameters which could predict the response to oxygen therapy.

  10. Monitoring of the ventilatory status of anesthetized birds of prey by using end-tidal carbon dioxide measured with a microstream capnometer.

    Science.gov (United States)

    Desmarchelier, Marion; Rondenay, Yves; Fitzgerald, Guy; Lair, Stéphane

    2007-03-01

    The relationship between end-tidal partial pressure of carbon dioxide (PETCO2), arterial partial pressure of carbon dioxide (PaCO2), and blood pH in isoflurane-anesthetized raptors was evaluated. PaCO2 and pH were determined in serial arterial samples from isoflurane anesthetized birds and compared with concurrent end-tidal partial pressure of carbon dioxide measured with a Microstream sidestream capnograph. Forty-eight paired samples, taken from 11 birds of prey (weighing 416-2,062 g), were used to determine correlations coefficients between PaCO2 and PETCO2, and between PETCO2 and pH. Limits of agreement between PaCO2 and PETCO2 also were calculated. Strong correlations were observed between PaCO2 and PETCO2 (r = 0.94; P capnograph used provided a sufficiently accurate estimation of arterial partial pressure of carbon dioxide for birds weighing > 400 g and receiving manual positive ventilation with a Bain system. In our study, the linear relationship observed between the pH and the end-tidal partial pressure of carbon dioxide suggested that the monitoring of end-tidal partial pressure of carbon dioxide also can be useful to prevent respiratory acidosis. PMID:17469268

  11. Microspectroscopic soft X-ray analysis of keratin based biofibers.

    Science.gov (United States)

    Späth, Andreas; Meyer, Markus; Semmler, Sonja; Fink, Rainer H

    2015-03-01

    Scanning soft X-ray transmission microspectroscopy (STXM) and transmission electron microscopy (TEM) have been employed for a high-resolution morphological and chemical analysis of hair fibers from human, sheep and alpaca. STXM allows optimum contrast imaging of the main hair building blocks due to tuneable photon energy. Chemical similarities and deviations for the human hair building blocks as well as for the three investigated species are discussed on the basis of the local near-edge X-ray absorption fine structure (NEXAFS). The spectra of melanosomes corroborate the state-of-the-art model for the chemical structure of eumelanin. Complementary TEM micrographs reveal the occurrence of cortex sectioning in alpaca hair to some extent. A spectroscopic analysis for human hair cortex indicates low mass loss upon soft X-ray irradiation, but transformation of chemical species with decreasing amount of peptide bonds and increasing NEXAFS signal for unsaturated carbon-carbon bonds.

  12. A Broad Set of Different Llama Antibodies Specific for a 16 kDa Heat Shock Protein of Mycobacterium tuberculosis

    OpenAIRE

    Trilling, Anke K.; Hans de Ronde; Linda Noteboom; Adèle van Houwelingen; Margriet Roelse; Saurabh K Srivastava; Willem Haasnoot; Maarten A Jongsma; Arend Kolk; Han Zuilhof; Jules Beekwilder

    2011-01-01

    BACKGROUND: Recombinant antibodies are powerful tools in engineering of novel diagnostics. Due to the small size and stable nature of llama antibody domains selected antibodies can serve as a detection reagent in multiplexed and sensitive assays for M. tuberculosis. METHODOLOGY/PRINCIPAL FINDINGS: Antibodies for Mycobacterium tuberculosis (M. tb) recognition were raised in Alpaca, and, by phage display, recombinant variable domains of heavy-chain antibodies (VHH) binding to M. tuberculosis an...

  13. Culicoides fauna and bluetongue virus serotype 8 infection in South American camelid herds in Germany

    OpenAIRE

    Schulz, Claudia

    2012-01-01

    Bluetongue (BT) is a Culicoides-born infectious disease caused by bluetongue virus (BTV). From 2006 to 2010, BTV serotype 8 (BTV-8) spread throughout Europe, causing severe disease in domestic and some wild ruminant species and in an alpaca. Compulsory vaccination of susceptible animals was the most effective strategy to control and eradicate the BTV-8 epizootic in Europe. However, South American camelids (SAC) were not included in the BTV-8 vaccination programmes in Europe. The presented...

  14. «El irracional es el otro»: Los mecanismos de la interpretación en Antropología

    OpenAIRE

    Xavier Ricard Lanata

    2005-01-01

    This article examines two dialogues between the anthropologist and alpaca shepherds of the Ausangate mountains (Cusco region, province of Canchis). Parting from the description and analysis of the concrete interpretation mechanisms used in the anthropological discipline (establishment of a lexicon, logical inferences, etc.), and of its consequences (in particular, the attribution of a pre-rational or irrational mentality, on behalf of the anthropologist, to his farmer-indigent interpreters), ...

  15. Novel approaches in andrology examination and follicular fluid biochemical characterization in the optimization of reproductive technologies in farm animals

    OpenAIRE

    Vencato, Juri

    2014-01-01

    The purpose of the studies reported in this Thesis was to increase our understanding of two aspects of the reproductive system in farm animals: the andrological evaluation and the follicular fluid composition. The final aim was to give some tools that can be helpful in optimizing the application of assisted reproductive technologies. Studies were conducted in bulls, rams, alpacas, lamas and dairy buffalo cows. The first study was designed to investigate the efficacy of scrotal thermograp...

  16. Biomechanical analysis of the camelid cervical intervertebral disc

    Directory of Open Access Journals (Sweden)

    Dean K. Stolworthy

    2015-01-01

    Full Text Available Chronic low back pain (LBP is a prevalent global problem, which is often correlated with degenerative disc disease. The development and use of good, relevant animal models of the spine may improve treatment options for this condition. While no animal model is capable of reproducing the exact biology, anatomy, and biomechanics of the human spine, the quality of a particular animal model increases with the number of shared characteristics that are relevant to the human condition. The purpose of this study was to investigate the camelid (specifically, alpaca and llama cervical spine as a model of the human lumbar spine. Cervical spines were obtained from four alpacas and four llamas and individual segments were used for segmental flexibility/biomechanics and/or morphology/anatomy studies. Qualitative and quantitative data were compared for the alpaca and llama cervical spines, and human lumbar specimens in addition to other published large animal data. Results indicate that a camelid cervical intervertebral disc (IVD closely approximates the human lumbar disc with regard to size, spinal posture, and biomechanical flexibility. Specifically, compared with the human lumbar disc, the alpaca and llama cervical disc size are approximately 62%, 83%, and 75% with regard to area, depth, and width, respectively, and the disc flexibility is approximately 133%, 173%, and 254%, with regard to range of motion (ROM in axial-rotation, flexion-extension, and lateral-bending, respectively. These results, combined with the clinical report of disc degeneration in the llama lower cervical spine, suggest that the camelid cervical spine is potentially well suited for use as an animal model in biomechanical studies of the human lumbar spine.

  17. Peculiarities of Brain's Blood Flow : Role of Carbon Dioxide

    CERN Document Server

    Gersten, Alexander

    2011-01-01

    Among the major factors controlling the cerebral blood flow (CBF), the effect of PaCO2 is peculiar in that it violates autoregulatory CBF mechanisms and allows to explore the full range of the CBF. This research resulted in a simple physical model, with a four parameter formula, relating the CBF to PaCO2. The parameters can be extracted in an easy manner, directly from the experimental data. With this model earlier experimental data sets of Rhesus monkeys and rats were well fitted. Human data were also fitted with this model. Exact formulae were found, which can be used to transform the fits of one animal to the fits of another one. The merit of this transformation is that it enable us the use of rats data as monkeys data simply by rescaling the PaCO2 values and the CBF data. This transformation makes possible the use of experimental animal data instead of human ones.

  18. Evaluation of the Extension of the Cerebral Blood Flow and its Main Parameters

    CERN Document Server

    Gersten, A

    1999-01-01

    Among the major factors controlling the cerebral blood flow (CBF) - cerebral perfusion pressure, arterial partial pressure of oxygen (PaO2), cerebral metabolism, arterial partial pressure of carbon dioxide (PaCO2), and cardiac output, the effect of PaCO2 is peculiar in being independent of autoregulatory CBF mechanisms and it allows to explore the full range of the CBF. We have developed a simple physical model, and have derived a simple four parameter formula, relating the CBF to PaCO2. The parameters can be extracted in an easy way, directly from the experimental data. With this model five experimental data sets of human, rats, baboons and dogs were well fitted. The same type of parametrization was also used successfully for fitting experimental data of PaO2 of dogs. We have also looked on the dependence of the parameters on other factors and were able to evaluate their dependence on the mean arterial blood pressure.

  19. The relationship between oxygenator exhaust P(CO2) and arterial P(CO2) during hypothermic cardiopulmonary bypass.

    Science.gov (United States)

    Graham, J M; Gibbs, N M; Weightman, W M; Sheminant, M R

    2005-08-01

    During cardiopulmonary bypass the partial pressure of carbon dioxide in oxygenator arterial blood (P(a)CO2) can be estimated from the partial pressure of gas exhausting from the oxygenator (P(E)CO2). Our hypothesis is that P(E)CO2 may be used to estimate P(a)CO2 with limits of agreement within 7 mmHg above and below the bias. (This is the reported relationship between arterial and end-tidal carbon dioxide during positive pressure ventilation in supine patients.) During hypothermic (28-32 degrees C) cardiopulmonary bypass using a Terumo Capiox SX membrane oxygenator, 80 oxygenator arterial blood samples were collected from 32 patients during cooling, stable hypothermia, and rewarming as per our usual clinical care. The P(a)CO2 of oxygenator arterial blood at actual patient blood temperature was estimated by temperature correction of the oxygenator arterial blood sample measured in the laboratory at 37 degrees C. P(E)CO2 was measured by connecting a capnograph end-to-side to the oxygenator exhaust outlet. We used an alpha-stat approach to cardiopulmonary bypass management. The mean difference between P(E)CO2 and P(a)CO2 was 0.6 mmHg, with limits of agreement (+/-2 SD) between -5 to +6 mmHg. P(E)CO2 tended to underestimate P(a)CO2 at low arterial temperatures, and overestimate at high arterial temperatures. We have demonstrated that P(E)CO2 can be used to estimate P(a)CO2 during hypothermic cardiopulmonary bypass using a Terumo Capiox SX oxygenator with a degree of accuracy similar to that associated with the use of end-tidal carbon dioxide measurement during positive pressure ventilation in anaesthetized, supine patients. PMID:16119486

  20. Electroencephalogram investigations of the disequilibrium syndrome during bicarbonate and acetate dialysis.

    Science.gov (United States)

    Hampl, H; Klopp, H W; Michels, N; Mahiout, A; Schilling, H; Wolfgruber, M; Schiller, R; Hanefeld, F; Kessel, M

    1983-01-01

    Continuous long-time electroencephalographic (EEG) monitoring was performed during acetate and bicarbonate dialysis in 20 patients. Persisting normal basic activity of the EEG without neurological symptoms was found only during the course of bicarbonate dialysis. However, in acetate dialysis, during the decrease of arterial CO2 tension (PaCO2), we registered EEG disturbances with moderate to severe slowing, dysrhythmic activity and high voltage discharges. The decrease in PaCO2 and the deterioration in EEG activity in the patients during acetate dialysis was concomitant with severe neurological alterations, e.g. the typical symptoms of so-called 'disequilibrium' causing a cessation of dialysis in three patients.

  1. [Electro-encephalographic study of the disequilibrium syndrome during bicarbonate dialysis and acetate dialysis].

    Science.gov (United States)

    Hampl, H; Klopp, H W; Michels, N; Mahiout, A; Schilling, H; Wolfgruber, M; Schiller, R; Hanefeld, F; Kessel, M

    1983-01-01

    Continuous long-time electroencephalographic (EEG) monitoring was performed during AHD and BHD in 20 patients. Persisting normal basic activity of the EEG without neurological symptoms could be found only during the course of BHD. However, in AHD, during the decrease of arterial CO2 tension (PaCO2) we registered EEG disturbances with moderate to severe slowing down, dysrythmic activity and high voltage discharges. The decrease in PaCO2 and the deterioration in EEG activity in the patients during AHD was concomitant with severe neurological alterations, e.g. the typical symptoms of so-called "disequilibrium" causing a cessation of dialysis in 3 patients.

  2. Correlation of end tidal and arterial carbon dioxide levels in critically Ill neonates and children

    Directory of Open Access Journals (Sweden)

    Hiren Mehta

    2014-01-01

    Full Text Available Aim of the Study: End tidal carbon dioxide (EtCO 2 monitoring is considered to reflect real-time estimation of partial pressure of carbon dioxide in arterial blood (PaCO 2 noninvasively. However, knowledge about its relationship with PaCO 2 in critically ill pediatric and neonatal patients is limited. The primary objective was to evaluate predictive capability of end tidal carbon dioxide monitoring and secondary objective was to determine the influence of severity of lung disease on EtCO 2 and PaCO 2 relationship. Materials and Methods: This was a prospective, nonrandomized, consecutive enrollment study carried out in neonatal and pediatric intensive care units of a tertiary care children hospital. It was conducted in 66 neonates and 35 children receiving mechanical ventilation. Severity of lung disease was estimated by ventilation index and PaO 2 /FiO 2 (P/F ratio. Simultaneous recording of EtCO 2 and PaCO 2 levels was done and data were analyzed for correlation and agreement. Results: In neonates, 150 EtCO 2 and PaCO 2 pairs were recorded. The mean weight ± SD of patients was 2.1 ± 0.63 kg. PaCO 2 had a positive correlation with EtCO 2 (r = 0.836, 95% CI = 0.78-0.88. P/F ratio <200 adversely affected relationship. In infants and children, 96 pairs were recorded. Mean age ± SD of patients was 4.20 ± 4.92 years and mean weight ± SD was 13.1 ± 9.49 kg. PaCO 2 had an excellent correlation with EtCO 2 (r = 0.914, 95% CI = 0.87 and 0.94. P/F ratio <200 adversely affected relationship. Conclusion: EtCO 2 monitoring displayed a good validity to predict PaCO 2 . Correlation was affected by low P/F ratio (<200; hence, it is recommended that blood gases be measured in these patients until such time that a good relation can be established between end tidal and arterial CO 2 values.

  3. Oxygenator Exhaust Capnography for Prediction of Arterial Carbon Dioxide Tension During Hypothermic Cardiopulmonary Bypass

    OpenAIRE

    Baraka, Anis; El-Khatib, Mohamad; Muallem, Eva; Jamal, Salim; Haroun-Bizri, Sania; Aouad, Marie

    2005-01-01

    Continuous monitoring and control of arterial carbon dioxide tension (PaCO2) during cardiopulmonary bypass (CPB) is essential. A reliable, accurate, and inexpensive system is not currently available. This study was undertaken to assess whether the continuous monitoring of oxygenator exhaust carbon dioxide tension (PexCO2) can be used to reflect PaCO2 during CPB. A total of 33 patients undergoing CPB for cardiac surgery were included in the study. During normothermia (37°C) and stable hypother...

  4. Transient influence of end-tidal carbon dioxide tension on the postural restraint in cerebral perfusion

    DEFF Research Database (Denmark)

    Immink, R.V.; Truijen, J.; Secher, Niels H.;

    2009-01-01

    In the upright position, cerebral blood flow is reduced, maybe because arterial carbon dioxide partial pressure (Pa(CO(2))) decreases. We evaluated the time-dependent influence of a reduction in Pa(CO(2)), as indicated by the end-tidal Pco(2) tension (Pet(CO(2))), on cerebral perfusion during head......-up tilt. Mean arterial pressure, cardiac output, middle cerebral artery mean flow velocity (MCA V(mean)), and dynamic cerebral autoregulation at supine rest and 70 degrees head-up tilt were determined during free breathing and with Pet(CO(2)) clamped to the supine level. The postural changes in central...

  5. Monitoring carbon dioxide in mechanically ventilated patients during hyperbaric treatment

    DEFF Research Database (Denmark)

    Bjerregård, Asger; Jansen, Erik

    2012-01-01

    Measurement of the arterial carbon dioxide (P(a)CO(2)) is an established part of the monitoring of mechanically ventilated patients. Other ways to get information about carbon dioxide in the patient are measurement of end-tidal carbon dioxide (P(ET)CO(2)) and transcutaneous carbon dioxide (PTCCO2......). Carbon dioxide in the blood and cerebral tissue has great influence on vasoactivity and thereby blood volume of the brain. We have found no studies on the correlation between P(ET)CO(2) or P(TC)CO(2), and P(a)CO(2) during hyperbaric oxygen therapy (HBOT)....

  6. Arterial and end-tidal carbon dioxide difference in pediatric intensive care

    OpenAIRE

    Chulananda Dias Goonasekera; Alison Goodwin; Yanzhong Wang; James Goodman; Akash Deep

    2014-01-01

    Background and Aim: Arterial carbon dioxide tension (PaCO 2 ) is considered the gold standard for scrupulous monitoring in pediatric intensive care unit (PICU), but it is invasive, laborious, expensive, and intermittent. The study aims to explore when we can use end-tidal carbon dioxide tension (P ET CO 2 ) as a reliable, continuous, and noninvasive monitor of arterial CO 2 Materials and Methods: Concurrent P ET CO 2 , fraction of inspired oxygen, PaCO 2 , and arterial oxygen tension values o...

  7. Biological sustainability of live shearing of vicuña in Peru.

    Science.gov (United States)

    Sahley, Catherine Teresa; Vargas, Jorge Torres; Valdivia, Jesus Sanchez

    2007-02-01

    The vicuña's (Vicugna vicugna) fiber is highly valued as an export product that is made into luxury fabric and clothing. The price of fiber in 2004 was 566/kg dollars, which makes the fiber a potentially important source of income for Andean agropastoral communities and serves as an incentive to allow vicuña grazing on high-elevation Andean landscapes. It is presumed that a shorn vicuña has little value for poachers, so shearing vicuñas could serve as a disincentive to poaching. Thus, the supply of vicuña fiber may be sustainable if it is procured through live shearing, which should serve as a powerful conservation tool. We evaluated the effects of capture and shearing on the demography of vicuña in one site located in the Salinas Aguada Blanca Reserve, Arequipa, Peru, where vicuñas were captured and shorn in spring and then returned to the wild. We conducted fixed-width line-transect censuses from 1997 to 2003 of this population. We compared the proportion of young born to females that were shorn versus females that were unshorn for the 3 years in which shearing occurred. We evaluated the effect of capture and shearing on proportion of young born to shorn and unshorn females at a second site, Picotani, Puno. The wild population in Arequipa that underwent capture and shearing showed a steady increase in total population and average density between 1997 and 2003. No significant difference was found between the proportion of young per female for shorn and unshorn females at either site. We conclude that in spring, capture and live shearing of vicuñas can be biologically sustainable. Further research is needed to determine whether shearing during winter months is biologically sustainable. PMID:17298515

  8. Comparison of the effects of NG-nitro-L-arginine and indomethacin on the hypercapnic cerebral blood flow increase in rats

    DEFF Research Database (Denmark)

    Wang, Qian; Pelligrino, D A; Paulson, O B;

    1994-01-01

    The effects of NG-nitro-L-arginine (NOLAG), an inhibitor of nitric oxide synthase (NOS), and of indomethacin, an inhibitor of cyclooxygenase, on the rise in cerebral blood flow (CBF) accompanying increasing levels of hypercapnia (paCO2 = 40-135 mmHg) were studied in anesthetized rats. CBF...

  9. Laser Doppler flowmetry is valid for measurement of cerebral blood flow autoregulation lower limit in rats

    DEFF Research Database (Denmark)

    Tonnesen, Jan; Pryds, Anders; Larsen, Erik Hviid;

    2005-01-01

    was challenged by controlled systemic haemorrhage, or (2) cerebral blood flow was varied by manipulating the arterial partial pressure of CO2 (Pa,CO2). LDF slightly overestimated CBF under conditions of haemorrhagic shock and haemodilution caused by controlled haemorrhage (paired t test, P

  10. Designing for Culturally Contextualized Learning Activity Planning: Matching Learning Theories and Practice

    Science.gov (United States)

    de Carvalho, Aparecido Fabiano Pinatti; Anacleto, Junia Coutinho; de Almeida Neris, Vania Paula

    Helping teachers in their activities has been an issue more and more explored in Computer Science. However, in order to support teachers effectively, it is necessary to understand their needs and to design tools that they can easily manage. One of those needs is undoubtedly to put in practice pedagogical principles. This paper presents the design of PACO-T, a tool for helping teachers in planning learning activities (LAs) supported by common sense knowledge, based on PACO, a seven-step textual framework for planning pedagogically suitable LAs. The design was based on the results of a case study carried out to investigate how teachers can plan LAs following PACO steps, using common sense knowledge from a common sense knowledge base collaboratively built through the web. Moreover, the interface design was ruled by a Web Design Pattern Language, attempting to improve the usability of the tool. PACO-T aims to help teachers to put in practice the recommendation for contextualizing LAs to the target group, found in several learning theories.

  11. Heliox in the treatment of chronic obstructive pulmonary disease

    OpenAIRE

    Andrews, R.; Lynch, M

    2004-01-01

    Objective: To determine if breathing helium oxygen mixtures in addition to conventional therapy in non-intubated adult chronic obstructive airways disease (COPD) patients reduces the arterial partial pressure of carbon dioxide (PaCO2) more than conventional treatment alone, and confers an advantage in terms of the odds of intubation in the acute setting.

  12. Anneteparaad / Karin Paulus

    Index Scriptorium Estoniae

    Paulus, Karin, 1975-

    2008-01-01

    Eesti Kunstiakadeemia arhitektuuri eriala magistri- ja bakalaureuseõppe lõputööd: 1. Koit Ojaliivi kompleks vaimupuuetega inimestele; 2.Katrin Tääkeri "Eakate Kodu" Seewaldis; 3. Hermas Lilleoru sümbioos kirikust ja kontserdimajast; 4. Paco Ulmani nägemus Lasnamäe seni väljaehitamata osa hoonestamiseks

  13. Skoone linnakämping

    Index Scriptorium Estoniae

    2005-01-01

    Skoone bastioni ja sellega külgneva staadioni arendamise ideekonkursist, premeeritud töödest. I preemia - Maarja Kask, Ralf Lõoke, Karli Luik (AB Salto), II - Timo Subbi, Mihkel Urmet, Taavi Kaldaru (AB Suburb), III - Ott Kadarik, Villem Tomiste, Mihkel Tüür, Paco-Ernest Ulman (AB Kosmos)

  14. Tehniline ilu ja Norra maastik / Margit Mutso

    Index Scriptorium Estoniae

    Mutso, Margit, 1966-

    2010-01-01

    Eesti arhitektid Toomas Tammis ja Paco Ernest Ulman (Allianss Arhitektid) saavutasid Norra elektrifirma Statnett uue kõrgepingemasti kavandi rahvusvahelisel võistlusel kolmanda koha. Tööd kommenteerib Toomas Tammis. 1. koha pälvinud peegelmastist (Bystrup Arkitekter, Taani) ja 2. koha pälvinud tööst (Lalaland Studio, Norra)

  15. Fotograafi inspireerisid reisilaevade interjöörid

    Index Scriptorium Estoniae

    2011-01-01

    Paco Ulmani fotonäitus "Tallinn-Helsingi-Stockholm" Tallinna Linnagaleriis 20. juulist 2011. Pildistatud on Tallinn-Helsingi-Stockholmi liinidel sõitvate laevade interjööre ajal, mil need on rahvast tühjenenud ja paljastanud oma kommertslikkuse

  16. 10. X avati Sakala keskuses...

    Index Scriptorium Estoniae

    2005-01-01

    Avati Eesti Arhitektide Liidu aastanäitus "Eramu 2002-2006" ning premeeriti 2004/2005. aasta parimaid eramuid ning Eesti arhitektuurielu positiivselt mõjutanud tellijat, ehitajat ja kriitikut. Näituse kuraator Urmas Oja, kujundaja Paco-Ernest Ulman

  17. Bastion kak kemping

    Index Scriptorium Estoniae

    2005-01-01

    Skoone bastioni ja sellega külgneva staadioni arendamise ideekonkursist, premeeritud töödest. I preemia - Maarja Kask, Ralf Lõoke, Karli Luik (AB Salto), II - Timo Subbi, Mihkel Urmet, Taavi Kaldaru (AB Suburb), III - Ott Kadarik, Villem Tomiste, Mihkel Tüür, Paco-Ernest Ulman (AB Kosmos)

  18. Dicty_cDB: Contig-U16087-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available e mth2-103l13, WORKING DR... 46 5.4 1 ( AC231342 ) Medicago truncatula clone mth2-33p5, WORKING DRAF... 46 5....4 1 ( AC229616 ) Lama pacos clone CH246-370O14, WORKING DRAFT SEQU... 46 5.4 1 ( AC208349 ) Zea mays chromo

  19. Noored filmimeistrid võistlesid Tartu festivalil / Kai Väärtnõu

    Index Scriptorium Estoniae

    Väärtnõu, Kai

    2005-01-01

    6.-8. jaanuarini 2005 toimus teist korda Tartus noorte amatöörfilmifestival (NAFF). Peapreemia andis žürii (esimees Ilmar Raag) filmile "Kahekümnes" (autorid Andris Feldmanis, Rein Jakobson, Björn Piibur, Paco Ulman). Lisatud osalenud huvitavamate filmide ja võitjate nimekiri

  20. Alates 24. IX on Rotermanni soolalao galeriil...

    Index Scriptorium Estoniae

    2005-01-01

    Tartu Ülikooli Narva kolledzhi uue hoone arhitektuurikonkursi võidutööde näitus. I preemia - Katrin Koov, Indrek Peil, Siiri Vallner, II - Maarja Kask, Karli Luik, Ralf Lõoke, III - Peeter Varrak, ostupreemiad - Ülar Mark, Kaja Pae, Indrek Tiigi, Paco Ulman ning Koit Ojaliiv, Juhan Rohtla

  1. Pildid räägivad lugusid, vorstid samuti / Andry Ervald

    Index Scriptorium Estoniae

    Ervald, Andry

    2006-01-01

    Koomiksinäitus Rakvere galeriis. Osa võtavad Peeter Krosmann (1971), Kristel Maamägi (1986), Lilli-Krõõt Repnau (1982), Elina Sildre (1980), Joonas Sildre (1980), Veiko Tammjärv (1967), Paco Ulman (1980), Edvin Aedma ja rühmitus Endorfin Fractured Communications. Kristel Maamägi oma töödest

  2. Carbon dioxide induced changes in cerebral blood flow and flow velocity: Role of cerebrovascular resistance and effective cerebral perfusion pressure

    NARCIS (Netherlands)

    F. Grüne (Frank); S. Kazmaier (Stephan); R.J. Stolker (Robert J.); G.H. Visser (Gerhard Henk); A. Weyland (Andreas)

    2015-01-01

    textabstractIn addition to cerebrovascular resistance (CVR) zero flow pressure (ZFP), effective cerebral perfusion pressure (CPPe) and the resistance area product (RAP) are supplemental determinants of cerebral blood flow (CBF). Until now, the interrelationship of PaCO2 -induced changes in CBF, CVR,

  3. Cerebrovascular response to acute metabolic acidosis in humans.

    NARCIS (Netherlands)

    Ven, M.T.P. van de; Colier, W.N.J.M.; Kersten, B.T.P.; Oeseburg, B.; Folgering, H.T.M.

    2003-01-01

    OBJECTIVES: Evaluation of the cerebrovascular response (delta CBV/delta PaCO2) during baseline metabolic conditions and acute metabolic acidosis. METHODS: 15 healthy subjects, 5 m, 10 f, 56 +/- 10 yrs were investigated. For acidification, NH4Cl was given orally. CBV was measured using Near Infrared

  4. Accuracy of transcutaneous carbon dioxide tension measurements during cardiopulmonary exercise testing.

    NARCIS (Netherlands)

    Stege, G.; Elshout, F.J.J. van den; Heijdra, Y.F.; Ven, M.J.T. van de; Dekhuijzen, P.N.R.; Vos, P.J.E.

    2009-01-01

    BACKGROUND: Measurements of transcutaneous carbon dioxide tension (PtcCO(2)) with current devices are proven to provide clinically acceptable agreement with measurements of partial arterial carbon dioxide tension (PaCO(2)) in several settings but not during cardiopulmonary exercise testing (CPET). O

  5. Disainikaart : Baskimaa / Silvia Pärmann

    Index Scriptorium Estoniae

    Pärmann, Silvia

    2009-01-01

    Baskimaa skulptoritest, moekunstnikest, disaineritest, arhitektidest, kunstnikest. Edouardo Chillida (1924-2002), Cristóbal Balenciaga (1895-1972), Koldo Barroso, Paco Rabanne (sünd. 1934), Iñaki Aspiazu (sünd. 1955), Nisa Goiburu (sünd. 1946), Jose Maria González Castillo (1927-2003), Itziar Okariz (sünd. 1965)

  6. The effect of PCO2 on hypoxic pulmonary vasoconstriction.

    Science.gov (United States)

    Noble, W H; Kay, J C; Fisher, J A

    1981-09-01

    Lung areas with a low V/Q ratio cause hypoxaemia. The low alveolar oxygen concentration may cause local hypoxic pulmonary vasoconstriction (HPV) which reduces perfusion, raises the V/Q ratio, and hence reduces the tendency to a low PaO2. By changing PCO2, the HPV response can be altered. We examined this relationship in anaesthetized dogs by using a tracheal divider to separate hypoxic (nitrogen ventilated) from oxygenated (100 per cent oxygen ventilated) lung. Relative perfusion was assessed from total 133Xe exhaled from each lung area after intravenous infusions. When PaCO2 was changed by changing ventilation, we found that an increasing PaCO2 increased HPV and also PaO2. At a PaCO2 of 3.3 kPa, HPV was abolished and PaO2 fell. We also changed PaCO2 by altering PICO2 to one or both lung areas while ventilation remained constant throughout the experiment. Again as PaCO2 increased, HPV and PaCO2 increased. When PaCO2 fell and end tidal carbon dioxide in the hypoxic lung (PETCO2) remained elevated by maintaining PICO2 in the hypoxic lung and removing CO2 from the oxygenated lung) HPV was maintained. Thus it is the alveolar concentration of CO2 in the hypoxic lung which is important in modifying HPV. We conclude that in this model a low PETCO2 (3.3 kPa) in hypoxic lung will reduce HPV, and will result in more severe hypoxaemia. This may have relevance in both anaesthetized and intensive care unit patients when a higher PaO2 may be obtained by increasing hypoxic lung PETCO2. The effect of PETCO2 on PaO2 will be influenced by other variables, but when hypoventilated or hypoxic exist, increasing PETCO2 may reinforce hypoxic pulmonary vasoconstriction and thus may increase PaO2. PMID:6793220

  7. Advances in sarcocystiosis diagnosis in South American camelids in Peru

    International Nuclear Information System (INIS)

    Full text: Sarcocystiosis in south-American camelids has a high prevalence, about 94% and affects alpacas and llamas by producing cysts either in skeletal muscle or heart muscle and is caused aucheniae and S. lamacanis. The approach of this investigation was to identify the species involves their pathogenicity, protein structure and the antibody kinetics of animals raised under field conditions, in isolation and under experimental infection and immunization by ELISA and Western blot analysis. Also a PCR assay was developed for diagnosis of the disease in live animals, because so far this parasitic disease is diagnosed at the post mortem examination in the slaughterhouse. PCR product was sequenced and registered in the GeneBank for S. lamacanis. To learn about antibody kinetics under field conditions a group of 30 alpacas and their offspring raised in the Andean region of Huancavelica was sampled. Blood samples were collected and assayed by ELISA for 6 months after lambing. Similarly, a group of alpaca crias kept in isolation in Lima was monitored for antibodies. A group of 20 pregnant alpacas raised in the Andean region of Puno was transferred to our station in Lima and raised in sarcocystis-free pens. These alpacas were monitored for antibody to sarcocystis by ELISA and blood parasitemia by PCR for 2 years. A group of alpaca crias was immunized using a bradyzoite protein suspension, and blood samples were collected for monitoring antibody by ELISA and western blot. In order to identify genes coding surface antigens, bradkyzoites of S. aucheniae were collected for total RNA and mRNA isolation. From this mRNA a cDNA library will be constructed, using ligation, transformation and sequencing. Alpacas from Huancavelica assayed by ELISA showed antibody (93.3%) up to 4 months after parturition, and then 100% of them were positive. This result indicates the high rate of the infection in field conditions. A 30% of their offspring showed antibody up to 2 months of age being

  8. [Use of microstream capnography and alveolar recruitment during off-pump coronary artery bypass grafting].

    Science.gov (United States)

    Suborov, E V; Postnikova, E A; Kapinos, A A; Kuz'kov, V V; Smetkin, A A; Kirov, M Iu

    2009-01-01

    The aim of the study was to investigate changes in EtCO2 and its correlation with PaCO2, and cardiac function during off-pump coronary artery bypass grafting (OPCAB) and to evaluate whether the recruitment maneuver was effective in improving gas exchange after OPCAB. Twenty adult patients scheduled for elective OPCAB were enrolled in a prospective randomized study. Anesthesia was maintained with midazolam, propofol, and fentanyl. After OPCAB the patients were randomized to a control group receiving conventional ventilation (n=10) or to a RM group (n=10) having ventilation and RM. RM was performed at min 15 after transfer to an ICU, by increasing airway pressure to 40 cm H2O for 40 sec subsequently adjusting PEEP to a level of 2 cm H2O above the lower inflection point of the pressure-volume curve. The measurements included hemodynamics, microstream capnography, respiratory parameters, and blood gasses. The baseline EtCO2 correlated with PaCO2 and cardiac index in both group (r = 0.7 and 0.81, respectively; p recruitment, EtCO, increased transiently whereas PaO2/FiO2 return to the baseline level. There was a moderate correlation between EtCO2 and PaCO2 before and after RM (r = 0.7 and 0.8, respectively; p < 0.05). The Bland-Altman analysis has shown that the difference between PaCO2 an EtCO2 was 1.9 +/- 11.4 mm Hg (M +/- 2SD). Thus, during OPCAB, EtCO2 measured by microstream capnography cor related well with PaCO2 and cardiac function. The use of RM after OPCAB increases CO2 elimination and improve arterial oxygenation. PMID:19824412

  9. End tidal CO2 versus arterial CO2 monitoring in patients undergoing coronary artery bypass graft

    Directory of Open Access Journals (Sweden)

    Hassani E

    2009-12-01

    Full Text Available "n Normal 0 false false false EN-US X-NONE AR-SA MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Background: Measuring end tidal carbon dioxide (ETCo2 is one of the methods used for estimating arterial carbon dioxide (PaCo2 during general anesthesia. ETCo2 measurements maybe obviate the need for repeating arterial puncture for determination of arterial PaCo2. This study performed to determine the accuracy of ETCo2 levels as a measure of PaCo2 levels in patients undergoing coronary artery bypass graft and also to evaluate variation of the gradient between PaCo2 and ETCo2, peri- cardiopulmonary bypass operation."n"nMethods: In a prospective, cross-sectional study, a total of 40 patients with age 57±11 (35-73 years old undergoing coronary artery bypass graft were enrolled. ETCo2 levels (mmHg were recorded using side stream capnography at the time of arterial blood gas sampling, before (T0 and after (T1 cardiopulmonary bypass."n"nResults: Mean P(a-ETCo2 at T0 was 4.3±4.4mmHg, with the mean PaCo2, 33±6mmHg and mean ETCo2, 29±5mmHg and these values at T1 were 4.5±4.1mmHg, 33±5mmHg and 29±2mmHg respectively. There was no variation of the mean gradient (PaCo2-PETCo2 during, before and after cardiopulmonary bypass (p>0.870. Significant correlation was found between ETCo2 and PaCo2 at T0 and T1 (r=0.754 and 0

  10. Influência da insuflação de gás traqueal sobre a capnografia de pacientes anestesiados Influencia de la insuflación de gas traqueal sobre la capnografía de pacientes anestesiados Influence of tracheal gas insufflation during capnography in anesthetized patients

    Directory of Open Access Journals (Sweden)

    Ana Carolina Ortiz

    2008-10-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A insuflação de gás traqueal (TGI - Tracheal Gas Insufflation é uma técnica que consiste em injetar gás na traquéia (geralmente oxigênio. É usada em pacientes portadores de síndrome da angústia respiratória do adulto para reduzir a capnometria. Em Anestesiologia, a redução da capnometria pode ser útil, mas não existem estudos sobre a redução da capnometria com o uso da TGI. O presente estudo avaliou as alterações proporcionadas pela TGI sobre a capnografia em pacientes anestesiados. MÉTODO: Foram avaliados prospectivamente 11 pacientes, 18 a 60 anos, ASA I ou II, não-pneumopatas. Após a intubação traqueal foi inserido cateter para TGI a 2 ou 3 cm da carina. Os pacientes foram submetidos à ventilação controlada a volume. Registrou-se a curva de capnografia volumétrica durante 20 minutos e colheu-se amostra sangüínea para medir PaCO2. Após 20 minutos de TGI registrou-se a curva de capnografia e foi colhida nova amostra sangüínea para medir PaCO2. Avaliou-se pressão parcial de CO2 no fim da expiração (P ET CO2 e PaCO2, antes e após TGI. Observou-se curva de capnografia, antes e durante TGI. RESULTADOS: A PaCO2 e P ET CO2 sem TGI foram, respectivamente (média ± desvio-padrão: 33,48 ± 6,81 e 36,91 ± 6,54 mmHg e, após TGI, 33,85 ± 8,31 e 36,55 ± 7,93 mmHg, não havendo diferença estatística entre os valores antes e após TGI, tanto para a PaCO2 quanto para a P ET CO2 (p = 0,65 e 0,82. A curva de capnografia apresentou alterações na fase de expiração do ar alveolar. CONCLUSÕES: A aplicação da TGI não resultou em diminuição da PaCO2 e nem na P ET CO2, porém alterou a morfologia da curva de capnografia.JUSTIFICATIVA Y OBJETIVOS: La insuflación de gas traqueal (TGI - Tracheal Gas Insufflation es una técnica que consiste en inyectar gas en la tráquea (generalmente oxígeno. Se usa en pacientes portadores del síndrome de la angustia respiratoria del adulto para reducir

  11. Facial immersion in cold water enhances cerebral blood velocity during breath-hold exercise in humans

    DEFF Research Database (Denmark)

    Kjeld, Thomas; Pott, Frank C; Secher, Niels H

    2009-01-01

    perfusion evaluated as the middle cerebral artery mean flow velocity (MCA V(mean)) during exercise in nine male subjects. At rest, a breath hold of maximum duration increased the arterial carbon dioxide tension (Pa(CO(2))) from 4.2 to 6.7 kPa and MCA V(mean) from 37 to 103 cm/s (mean; approximately 178%; P...... exercise, a breath hold increased Pa(CO(2)) from 5.9 to 8.2 kPa (P ... 180-W exercise (from 47 to 53 cm/s), and this increment became larger with facial immersion (76 cm/s, approximately 62%; P 100% increase in MCA V(mean), largely...

  12. Capnography.

    Science.gov (United States)

    Schmitz, B D; Shapiro, B A

    1995-09-01

    Capnography measures exhaled carbon dioxide and is most useful when applied directly to patient care. This is in circumstances of detecting misplacement of the tracheal tube, dysfunction of respiratory apparatuses, detection of abnormal lung function, successful cardiopulmonary resuscitation, and trending of deadspace changes. The least reliable application is to reflect alveolar ventilation (PaCO2). This application is most common during general anesthesia and weaning from mechanical ventilation. Provided the patient has a stable cardiac status, stable body temperature, absence of lung disease, and normal capnogram, PETCO2 monitoring may assist in estimating PaCO2. The use of capnography in patients with severe respiratory failure should be applied with careful reflection. The increased V/Q mismatch that is consistent with a widened P(a-ET) gradient, as well as worsening hypercapnea with increased peripheral carbon dioxide production, can lead to erroneous PETCO2 values. Capnography may be least useful in the sickest patients. PMID:9390853

  13. Facial immersion in cold water enhances cerebral blood velocity during breath-hold exercise in humans

    DEFF Research Database (Denmark)

    Kjeld, Thomas; Pott, Frank C; Secher, Niels H

    2009-01-01

    180-W exercise (from 47 to 53 cm/s), and this increment became larger with facial immersion (76 cm/s, approximately 62%; P brain with a >100% increase in MCA V(mean), largely...... perfusion evaluated as the middle cerebral artery mean flow velocity (MCA V(mean)) during exercise in nine male subjects. At rest, a breath hold of maximum duration increased the arterial carbon dioxide tension (Pa(CO(2))) from 4.2 to 6.7 kPa and MCA V(mean) from 37 to 103 cm/s (mean; approximately 178%; P...... exercise, a breath hold increased Pa(CO(2)) from 5.9 to 8.2 kPa (P

  14. Pathophysiological analysis of hypoxaemia during acute severe asthma.

    OpenAIRE

    Hori, T.

    1985-01-01

    Blood gas measurements obtained during 35 episodes of acute, severe asthma in 19 children were analysed. Arterial carbon dioxide tension (PaCO2) was mean (SD) 5.7 (1.2) kPa and the arterial oxygen tension (PaO2) was 7.7 (1.1)kPa. Hypoxaemia was severe (PaO2 less than or equal to 7.9 kPa) on 19 occasions, was present alone (type I) on eight of these, and was associated with hypercapnia (type II) on 11. The PaO2 was similar in both the type I and type II subgroups, but PaCO2 was significantly h...

  15. Computed tomography and blood gas analysis of anesthetized bloodhounds with induced pneumothorax

    International Nuclear Information System (INIS)

    Increasingly severe degrees of pneumothorax were produced in 6 adult anesthetized bloodhounds. Computed tomography (CT) of the thorax was performed on each dog to evaluate the effects of pneumo thorax on thoracic and on pulmonary cross-sectional area (TA and PA). Arterial PO2 (PaO2) and PCO2 (PaCO2), heart rate (HR), and mean arterial blood pressure (MAP) were determined and related to the severity of pneumothorax. Volumes of air equal to 1, 1.5 and 2 times functional residual capacity of the lung produced approximately 33%, 40%, and 50% reductions in pulmonary area respectively. These amounts of atelectasis correspond to a radiographically “moderate” degree of pneumothorax. As severity of pneumothorax increased, thoracic area consistently increased, PaO2 consistently decreased, and PaCO2 consistently increased, with all being statistically significant relationships (p0.2)

  16. Cerebral hemodynamics in moyamoya disease

    International Nuclear Information System (INIS)

    Rebuild-up phenomenon, an electroencephalographic pathological finding in moyamoya disease, was evaluated in the context of dynamic changes in cerebral circulation after hyperventilation. Sequential functional angiography after hyperventilation, measurement of cerebral blood flow (CBF) by the outflow method, and Kr-81m single photon emission tomography were employed for clarification of the sequential dynamic changes in cerebral circulation after hyperventilation. In most cases there was a persistent decrease in CBF even after arterial carbon dioxide tension (PaCO2) had been normalized, which suggests that the response of the cerebral circulation to the changes in PaCO2 is delayed. Moreover, this feature was most prominent in the superficial layer of the cerebrum. For the most part, coincidence and synchronization were documented between rebuild-up and the delayed response of the cerebral circulation. These findings indicate that the delayed CBF response to hyperventilation contributes pathogenetically to rebuild-up in moyamoya disease. (author)

  17. Semen preservation and artificial insemination in domesticated South American camelids.

    Science.gov (United States)

    Bravo, P Walter; Alarcon, V; Baca, L; Cuba, Y; Ordoñez, C; Salinas, J; Tito, F

    2013-01-10

    Semen preservation and artificial insemination in South American camelids are reviewed giving emphasis to work done in Peru and by the authors. Reports on semen evaluation and the preservation process indicate that semen of alpacas and llamas can be manipulated by making it liquid first. Collagenase appears to be the best enzyme to eliminate viscosity. Tris buffer solution maintains a higher motility than egg-yolk citrate, phosphate buffered saline (PBS), Triladyl, and Merck-I extenders. Cooling of semen took 1h after collected, and equilibrated with 7% glycerol presented a better motility and spermatozoa survival at 1, 7, 15 and 30days after being slowly frozen in 0.25mL plastic straws. Trials of artificial insemination with freshly diluted semen and frozen-thawed semen are encouraging and needs to be tested extensively under field conditions. Recently, fertility rates varied from 3 to 67%. Semen preservation and most important, artificial insemination appear to be a reality, and could be used to improve the genetic quality of alpacas and llamas. PMID:23153624

  18. Effects of high-frequency chest wall oscillation on respiratory control in humans.

    Science.gov (United States)

    Khoo, M C; Gelmont, D; Howell, S; Johnson, R; Yang, F; Chang, H K

    1989-05-01

    We studied the spontaneous breathing patterns of 10 normal adult volunteers during high-frequency chest wall oscillation (HFCWO), accomplished by inflating and deflating a vest worn around each subject's thorax at 2.5 Hz. Tidal volumes generated by HFCWO averaged 100 ml. Mean vest pressure was maintained at approximately 35 cm H2O throughout each experiment, even when HFCWO was not applied. During HFCWO, subjects were instructed occasionally to exhale deeply to obtain end-tidal samples representative of PACO2. HFCWO increased the breath-to-breath variability of spontaneous respiration in all subjects, prolonging expiratory pauses and producing short apneas in some cases. PACO2 decreased significantly (p less than 0.05). The effects on minute ventilation, tidal volume, and inspiratory and expiratory durations remained variable across subjects, even when differences in PACO2 between control and HFCWO states were reduced through inhalation of a low CO2 mixture. None of the changes were statistically significant, although average expiratory duration increased by 29%. Ventilatory responses to CO2 with and without HFCWO were also measured. Normocapnic (PACO2 = 40 mm Hg) ventilatory drive increased significantly (p less than 0.05) in six subjects (Type 1 response) and decreased substantially in the others (Type 2 response); with hypercapnia, the changes in drive were attenuated in both groups. Consequently, CO2 sensitivity decreased in Type 1 subjects and increased in Type 2 subjects. A simple analysis based on this result shows that with HFCWO, Type 2 subjects breathing air will tend to have a lower spontaneous minute ventilation and become hypercapnic. Type 1 subjects will become hypocapnic, but minute ventilation may be higher or lower than control.(ABSTRACT TRUNCATED AT 250 WORDS)

  19. Uus plaat

    Index Scriptorium Estoniae

    2004-01-01

    Uutest plaatidest Helloween "Rabbit Don't Come Easy", David Byrne "grown Backwards", Joss Stone "The Soul Session", Bass boom 3 "Faster Harder Louder", Lisa Miskovsky "Fallingwater", Paco de Lucia "Cositas Buenos", Soundtrack "Once Upon A Time In Mexico", Vanilla Ninja "Don't Go Too Fast", Novaspace "Cubes", "Elmari tantsuõhtu 4.", The Von Bondies "Pawn Snappe Heart", Godsmack "The Other Side", George Michael "Patience", Eric Clapton "Me and Mr Johnson"

  20. Comparison of end-tidal CO2 measured by transportable capnometer (EMMA™ capnograph) and arterial pCO2 in general anesthesia.

    Science.gov (United States)

    Kim, Kyung Woo; Choi, Hey Ran; Bang, Si Ra; Lee, Jeong-Wook

    2016-10-01

    An end-tidal CO2 monitor (capnometer) is used most often as a noninvasive substitute for PaCO2 in anesthesia, anesthetic recovery, and intensive care. Additionally, the wide spread on-site use of portable capnometers in emergency and trauma situations is now observed. This study was conducted to compare PaCO2 measurement between the EMMA™ portable-capnometer and sidestream capnometry. End-tidal CO2 (portable capnometer: EMMA™ capnograph, side stream capnometry module: Datex-Ohmeda S5 Anesthesia Monitor) levels were recorded at the time of arterial blood gas sampling of patients undergoing general anesthesia. Data were compared using the Bland and Altman method, and by evaluating the clinical significance performed by calculating the percent error (%). A total of 100 data were obtained from 35 patients. The bias of PaCO2 and portable capnometer was 6.0 mmHg, where the upper and lower limits of the agreement were 11.8 and 0.3 mmHg, respectively. The percent error was 18.0 %. The bias of side stream capnometry and portable capnometer was 2.2 mmHg, where the upper and the lower limits of the agreement were 6.0 and -1.6 mmHg, respectively. The percent error was 13.0 %. Significant differences between the PETCO2 and PaCO2 values of the EMMA™ portable-capnometer were not observed for patients undergoing general anesthesia. ClinicalTrials.gov identifier NCT02184728. PMID:26264607

  1. Clinical evaluation of an instrument to measure carbon dioxide tension at the oxygenator gas outlet in cardiopulmonary bypass.

    Science.gov (United States)

    Kristiansen, Frode; Høgetveit, Jan Olav; Pedersen, Thore H

    2006-01-01

    This paper presents the clinical testing of a new capnograph designed to measure the carbon dioxide tension at the oxygenator exhaust outlet in cardiopulmonary bypass (CPB). During CPB, there is a need for reliable, accurate and instant estimates of the arterial blood CO2 tension (PaCO2) in the patient. Currently, the standard practice for measuring PaCO2 involves the manual collection of intermittent blood samples, followed by a separate analysis performed by a blood gas analyser. Probes for inline blood gas measurement exist, but they are expensive and, thus, unsuitable for routine use. A well-known method is to measure PexCO2, ie, the partial pressure of CO2 in the exhaust gas output from the oxygenator and use this as an indirect estimate for PaCO2. Based on a commercially available CO2 sensor circuit board, a laminar flow capnograph was developed. A standard sample line with integrated water trap was connected to the oxygenator exhaust port. Fifty patients were divided into six different groups with respect to oxygenator type and temperature range. Both arterial and venous blood gas samples were drawn from the CPB circuit at various temperatures. Alfa-stat corrected pCO2 values were obtained by running a linear regression for each group based on the arterial temperature and then correcting the PexCO2 accordingly. The accuracy of the six groups was found to be (+/- SD): +/- 4.3, +/- 4.8, +/- 5.7, +/- 1.0, +/- 3.7 and +/- 2.1%. These results suggest that oxygenator exhaust capnography is a simple, inexpensive and reliable method of estimating the PaCO2 in both adult and pediatric patients at all relevant-temperatures. PMID:16485695

  2. Helium-oxygen mixture does not improve gas exchange in mechanically ventilated children with bronchiolitis

    OpenAIRE

    Gross, Matthew F; Spear, Robert M.; Peterson, Bradley M

    2000-01-01

    Introduction: Heliox has been found to reduce both the arterial carbon dioxide tension (PaCO2) and work of breathing in children and adults with status asthmaticus. We hypothesized that, in mechanically ventilated children with bronchiolitis, increasing the ratio of helium:oxygen concentrations would improve both ventilation and oxygenation. Objective: To examine the effect of varying concentrations of heliox mixtures on ventilation and oxygenation in mechanically ventilated children with bro...

  3. Evaluation of PO2 and PCO2 Changes During Surgical Removal of Third Molars Utilizing Enflurane Anesthesia

    OpenAIRE

    Kraut, Richard A.; Rubal, Bernard; Bush, Bruce

    1985-01-01

    This study investigated the changes in partial pressure of oxygen during surgical removal of wisdom teeth utilizing a spontaneous ventilation general anesthesia technique with enflurane. Simultaneous transcutaneous and arterial blood gas determination confirmed the presence of two oxygen patterns. Normal preoperative pulmonary function tests, coupled with the stability of the Paco2 between surgery and extubation, indicates that the 23±10 mmHg increase in transcutaneous oxygen (Ptco2) reported...

  4. Micromusic / Gino Esposto ; interv. Tilman Baumgärtel

    Index Scriptorium Estoniae

    Esposto, Gino

    2006-01-01

    Šveitsis Gino Esposto poolt 1999. a. rajatud Micromusic loob ja kogub muusikat, mis on loodud ajalooliste arvutitega või kõlab selliselt, kuid on mõeldud praeguste tantsusõprade jaoks. 1999. aastast on koos tegutsenud Paco Manzanares (alias Wanga, sünd. 1962), Michael Burkhardt (alias SuperB, sünd. 1966) ja G. Esposto (alias Carl, sünd. 1973). 17. XI 2000. a. peetud telefonivestlus G. Espostoga

  5. Kaks linna : Narva kolledzhi arhitektuurivõistlus / Andres Ojari

    Index Scriptorium Estoniae

    Ojari, Andres

    2005-01-01

    Žürii koosseis, võistlusest, pikemalt võidutööst. Auhinnatud tööd: I preemia - Katrin Koov, Indrek Peil, Siiri Vallner, II - Maarja Kask, Karli Luik, Ralf Lõoke, III - Peeter Varrak, ostupreemiad - Ülar Mark, Kaja Pae, Indrek Tiigi, Paco Ulman ning Koit Ojaliiv, Juhan Rohtla. Ill.: võidutöö asendiplaan, korruste plaanid, lõiked, vaated

  6. Eesti parim väikeehitis asub Võrumaal Lasval / Tiina Kolk

    Index Scriptorium Estoniae

    Kolk, Tiina

    2010-01-01

    Eesti Arhitektide Liidu konkursi "Väike 2007-2009" parimaks arhitektuuriliseks väikeobjektiks nimetati Lasva veetorn-galerii (Veronika Valk) Võrumaal, II preemia said Tallinna Tehnikaülikooli esisele väljakule paigaldatud pinkide eest Martin Pärn ja Edina Dufala-Pärn, III preemia läks aiamajale (Toomas Tammis, Paco Ulman) Meriväljal. Parimate väikevormide väljapanek Arhitektuuri- ja Disainigaleriis 19. juunini 2010

  7. Eesti eramud rändavad Euroopas / Urmas Oja

    Index Scriptorium Estoniae

    Oja, Urmas, 1981-2012

    2006-01-01

    Urmas Oja kureeritud ja Paco Ulmani kujundatud Eesti Arhitektide Liidu aastanäitus "Eramu 2002-2006" oli 2006. a. aprilli lõpust juuni keskpaigani üleval Praha Rahvusgaleriis. Avamisel olid Eestist Ülar Mark, Margit Mutso ja Hindrek Kesler. 3+1 arhitektide projekteeritud eramu Tallinnas Kuldtiiva t. on Briti kirjastuse Laurence King poolt välja antud raamatus "21st Century House" 50 maailma parima maja hulgas

  8. Predictive Value of Capnography for Suspected Diabetic Ketoacidosis in the Emergency Department

    OpenAIRE

    Soleimanpour, Hassan; Taghizadieh, Ali; Niafar, Mitra; Rahmani, Farzad; Golzari, Samad EJ; Mehdizadeh Esfanjani, Robab

    2013-01-01

    Introduction: Metabolic acidosis confirmed by arterial blood gas (ABG) analysis is one of the diagnostic criteria for diabetic ketoacidosis (DKA). Given the direct relationship between end-tidal carbon dioxide (ETco2), arterial carbon dioxide (PaCO2) and metabolic acidosis, measuring ETco2 may serve as a surrogate for ABG in the assessment of possible DKA. The current study focuses on the predictive value of capnography in diagnosing DKA in patients referring to the emergency department (ED) ...

  9. Complex Sleep Apnea Syndrome

    OpenAIRE

    Muhammad Talha Khan; Rose Amy Franco

    2014-01-01

    Complex sleep apnea is the term used to describe a form of sleep disordered breathing in which repeated central apneas (>5/hour) persist or emerge when obstructive events are extinguished with positive airway pressure (PAP) and for which there is not a clear cause for the central apneas such as narcotics or systolic heart failure. The driving forces in the pathophysiology are felt to be ventilator instability associated oscillation in PaCO2 arterial partial pressure of Carbon Dioxide, continu...

  10. Relationship between hyperventilation and intracranial pressure in patients with severe head injury

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    @@With high fatality rate and disability rate, the pathophysiologic changes of severe head injury are complicated. But the method of lowering intracranial pressure (ICP) through artificial hyperventilation is called in question recently. To understand the related changes of the partial pressure of carbon dioxide in artery (PaCO2) and the ICP at the acute period of severe head injury, a total of 64 patients with severe head injury were monitored and analyzed on the 3rd day after injury.

  11. Effects of the transcutaneous electrode temperature on the accuracy of transcutaneous carbon dioxide tension

    DEFF Research Database (Denmark)

    Sørensen, Line C; Brage-Andersen, Lene; Greisen, Gorm

    2011-01-01

    The harmful effect of hypocapnia on the neonatal brain emphasizes the importance of monitoring arterial carbon dioxide tension (PaCO2). Transcutaneous monitoring of carbon dioxide (tcPCO2) reduces the need for arterial blood sampling. Drawbacks are high electrode temperature causing risks of skin...... burning. The aim was to determine the accuracy and precision of tcPCO2 at reduced electrode temperature....

  12. The use of capnometry to predict arterial partial pressure of CO2 in non-intubated breathless patients in the emergency department

    OpenAIRE

    NIK AB RAHMAN, Nik Hisamuddin; Mamat, Amiruddin Fairuz

    2010-01-01

    Background Capnometry measures carbon dioxide in expired air and provides the clinician with a noninvasive measure of the systemic metabolism, circulation and ventilation. This study was carried out on patients with acute breathlessness to define the utility and role of capnometry in the emergency department. Aim The objectives of the study were: To determine the correlation between end tidal CO2 and PaCO2 in non-intubated acutely breathless patients. To determine factors that influence the e...

  13. Severe hypernatremia and hyperchloremia in an elderly patient with IgG-kappa type

    Directory of Open Access Journals (Sweden)

    Berend K

    2013-12-01

    Full Text Available Kenrick BerendSt Elisabeth Hospital, Willemstad, CuraçaoImashuku et al1 describe a 77-year-old male patient with multiple myeloma who was admitted to the hospital after suffering a pelvic bone fracture due to a road traffic accident. Several days after admission the arterial blood gas showed a pH of 7.481; arterial carbon dioxide tension (PaCO2 of 28.2 mmHg; arterial oxygen tension (PaO2 of 84.0 mmHg; HCO3- of 20.8 mmol/L (normal; 23–31 mmol/L; and an anion gap of 8.9 mmol/L (normal;12 mmol/L. These data, as the authors concluded, were suggestive of metabolic acidosis. First, this is not true because a high pH and low PaCO2 confirm a respiratory alkalosis. Since the test was conducted days later we may expect a chronic respiratory alkalosis to be present, perhaps because of pain or a secondary pulmonary problem, as may be expected with a relatively low PaO2. In chronic respiratory alkalosis one would expect the HCO3- to decrease about 4 mmol/L with every 10 mmHg decrease of PaCO2.2 If the initial HCO3- had been about 25 mmol/L, the expected PaCO2 would be about 20.28 mmol/L, almost identical with the patient’s HCO3-.View original paper by Imashuku and colleagues.

  14. [Visual evoked potentials (VEP) in anesthesia and intensive care].

    Science.gov (United States)

    Russ, W; Krumholz, W; Hempelmann, G

    1984-03-01

    Methodological considerations and different stimulation techniques of visual evoked potentials (VEP) are described. VEP can provide information about neurological function during anaesthesia, surgery and in the unconscious patient after head injury. The feasibility of the method for intraoperative monitoring in neuro- and cardiac surgery and the influence of general anaesthetics and other contributing factors such as temperature, paCO2, pO2, part are discussed.

  15. Nõela all : Igakuine vinüülitutvustus / DJ Drummie

    Index Scriptorium Estoniae

    DJ Drummie

    1999-01-01

    Plaatidest Sandy Rivera feat. LT Brown "Come Into My Room", Deep Sensation "Somehow, Shomewhere (Soul Heaven)", Brothers of Soul "Eyes of Love", Dr.Gary Henry "'Faith", Royal Palm "Hecho En Inglaterra", La Cellule "Sweet Entourage EP", Antonio "Hyperfunk", DJ Paco & Terry Laird feat. MC Adrian "M.U.G. EP vol 1", DJ Brockie & Ed Solo "Represents/Shodown", Fresh and Vegas "Otto's Way/ Heatwave"

  16. Effect of carbon dioxide in acute mountain sickness

    DEFF Research Database (Denmark)

    Harvey, T C; Raichle, M E; Winterborn, M H;

    1988-01-01

    The effect of adding CO2 to inhaled air in six subjects with acute mountain sickness was investigated during a medical expedition to 5400 m.3% CO2 in ambient air increased ventilation and resulted in a rise in PaO2 of between 24% and 40%. There was a 9-28% increase in PaCO2 and a reduction of the...

  17. Diagnostic value of gas exchange tests in patients with clinical suspicion of pulmonary embolism

    OpenAIRE

    Prediletto, Renato; Miniati, Massimo; Tonelli, Lucia; Formichi, Bruno; Di Ricco, Giorgio; Marini, Carlo; Bauleo, Carolina; Allescia, Germana; Cocci, Franca; Monti, Simonetta; Pistolesi, Massimo; Giuntini, Carlo

    1999-01-01

    Objective: To assess the value of parameters derived from arterial blood gas tests in the diagnosis of pulmonary embolism. Method: We measured alveolar-arterial partial pressure of oxygen [P(A–a)O2] gradient, PaO2 and arterial partial pressure of carbon diaxide (PaCO2) in 773 consecutive patients with suspected pulmonary embolism who were enrolled in the Prospective Investigative Study of Acute Pulmonary Embolism. Diagnosis: The study design required pulmonary angiography in all patients with...

  18. Leptospirosis en camélidos sudamericanos. Estudio de prevalencia serológica en distintas regiones de la Argentina Leptospirosis in south-american camelids. A study on the serological prevalence in different regions of Argentina

    Directory of Open Access Journals (Sweden)

    P. LLORENTE

    2002-01-01

    Full Text Available Se evaluó la seroprevalencia en Camélidos Sudamericanos de Leptospirosis, zoonosis de distribución mundial, producida por espiroquetas patógenas del género Leptospira. Se examinaron 494 animales (llamas, guanacos y vicuñas, clínicamente sanos sin vacunar, de diferentes regiones geográficas de la República Argentina. Se utilizó la técnica, serovar específica, de microaglutinación (MAT. El estudio reveló prevalencias entre 47.3 y 96.2% en llamas, entre 0 y 13% en guanacos y entre 9 y 62.8% en vicuñas. De los serovares que se usaron como antígeno en las determinaciones, los que más frecuentemente reaccionaron con los anticuerpos séricos de los camélidos, fueron copenhageni y castellonisLeptospirosis is a zoonotic infectious disease, affecting wild and domestic animals and human beings, caused by pathogenic spirochetes, spread world wide, belonging to the genus Leptospira. It is transmited by direct contact with infected animal urine or tissues, and indirectly through contaminated water and soil. Leptospirosis has a negative economic impact on porcine and bovine productions. It causes abortions, stillbirths, placental retention, infertility and chronical renal deficiency, causing disturbance of flow milk and quality in dairy cattle. Studies on south-american camelids productive aspects, have increased during the last decades, in order to promote alternative regional economies. There exist three species in Argentina, llama (Lama glama, guanaco (Lama guanicoe and vicuña (Vicugna vicugna. The knowledge of physiological parameters and susceptibility and immune response to infectious agents of these animals, are required to improve their breeding efficiency. Leptospirosis is an infectious disease, which may affect reproduction efficiency. Leptospira antibody prevalence in 494 sera obtained from healthy non vaccinated llamas, vicuñas and guanacos from different geographic zones in Argentina, was evaluated. The serovar specific

  19. [Efficacy and safety of the use of levodropropizine in patients with chronic interstitial lung diseases].

    Science.gov (United States)

    Gunella, G; Zanasi, A; Massimo Vanasia, C B

    1991-02-28

    Efficacy and tolerability of an antitussive drug, levodropropizine, in 21 adult patients with interstitial lung disorders was evaluated in this study. Levodropropizine dosage was 60 mg t.i.d. for four days of therapy. The authors evaluated the effectiveness of the antitussive therapy and, on the other hand, the tolerability of levodropropizine in these patients, monitoring PaO2, PaCO2 and pH values. The changes in cough frequency (34.1 +/- 5.6 20.4 +/- 5.4 mean +/- d.s. before and after treatment) and the overall efficacy judgment as reported by the doctor indicate a decrease in cough as confirmed by the significance of Kruskal-Wallis test (p less than 0.05). Furthermore the tolerability has been excellent, because the PaO2, PaCo2 ad pH values before and after treatment were unchanged (PaO2 mmHg: basal 71 +/- 16.6, after treatment 73.8 +/- 14.2; PaCO2 mmHg: basal 36.6 +/- 5, after treatment 36.6 +/- 4.6; pH basal 7.4 +/- 0.03, after treatment 7.4 +/- 0.02).

  20. SMART phones and the acute respiratory patient.

    LENUS (Irish Health Repository)

    Gleeson, L

    2012-05-01

    Definition of Respiratory Failure using PaO2 alone is confounded when patients are commenced on oxygen therapy prior to arterial blood gas (ABG) measurement. Furthermore, classification of Respiratory Failure as Type 1 or Type 2 using PaCO2 alone can give an inaccurate account of events as both types can co-exist. 100 consecutive presentations of acute respiratory distress were assessed initially using PaO2, and subsequently PaO2\\/FiO2 ratio, to diagnose Respiratory Failure. Respiratory Failure cases were classified as Type 1 or Type 2 initially using PaCO2, and subsequently alveolar-arterial (A-a) gradient. Any resultant change in management was documented. Of 100 presentations, an additional 16 cases were diagnosed as Respiratory Failure using PaO2\\/FiO2 ratio in place of PaO2 alone (p = 0.0338). Of 57 cases of Respiratory Failure, 22 cases classified as Type 2 using PaCO2 alone were reclassified as Type 1 using A-a gradient (p < 0.001). Of these 22 cases, management changed in 18.

  1. [Efficacy and safety of the use of levodropropizine in patients with chronic interstitial lung diseases].

    Science.gov (United States)

    Gunella, G; Zanasi, A; Massimo Vanasia, C B

    1991-02-28

    Efficacy and tolerability of an antitussive drug, levodropropizine, in 21 adult patients with interstitial lung disorders was evaluated in this study. Levodropropizine dosage was 60 mg t.i.d. for four days of therapy. The authors evaluated the effectiveness of the antitussive therapy and, on the other hand, the tolerability of levodropropizine in these patients, monitoring PaO2, PaCO2 and pH values. The changes in cough frequency (34.1 +/- 5.6 20.4 +/- 5.4 mean +/- d.s. before and after treatment) and the overall efficacy judgment as reported by the doctor indicate a decrease in cough as confirmed by the significance of Kruskal-Wallis test (p less than 0.05). Furthermore the tolerability has been excellent, because the PaO2, PaCo2 ad pH values before and after treatment were unchanged (PaO2 mmHg: basal 71 +/- 16.6, after treatment 73.8 +/- 14.2; PaCO2 mmHg: basal 36.6 +/- 5, after treatment 36.6 +/- 4.6; pH basal 7.4 +/- 0.03, after treatment 7.4 +/- 0.02). PMID:1827388

  2. Population pharmacodynamic modeling and simulation of the respiratory effect of acetazolamide in decompensated COPD patients.

    Directory of Open Access Journals (Sweden)

    Nicholas Heming

    Full Text Available BACKGROUND: Chronic obstructive pulmonary disease (COPD patients may develop metabolic alkalosis during weaning from mechanical ventilation. Acetazolamide is one of the treatments used to reverse metabolic alkalosis. METHODS: 619 time-respiratory (minute ventilation, tidal volume and respiratory rate and 207 time-PaCO2 observations were obtained from 68 invasively ventilated COPD patients. We modeled respiratory responses to acetazolamide in mechanically ventilated COPD patients and then simulated the effect of increased amounts of the drug. RESULTS: The effect of acetazolamide on minute ventilation and PaCO2 levels was analyzed using a nonlinear mixed effect model. The effect of different ventilatory modes was assessed on the model. Only slightly increased minute ventilation without decreased PaCO2 levels were observed in response to 250 to 500 mg of acetazolamide administered twice daily. Simulations indicated that higher acetazolamide dosage (>1000 mg daily was required to significantly increase minute ventilation (P0.75 L min(-1 in 60% of the population. The model also predicts that 45% of patients would have a decrease of PaCO2>5 mmHg with doses of 1000 mg per day. CONCLUSIONS: Simulations suggest that COPD patients might benefit from the respiratory stimulant effect after the administration of higher doses of acetazolamide.

  3. Human cerebral circulation. Positron emission tomography studies

    International Nuclear Information System (INIS)

    We reviewed the literature on human cerebral circulation and oxygen metabolism, as measured by positron emission tomography (PET), with respect to normal values and of regulation of cerebral circulation. A multicenter study in Japan showed that between-center variations in cerebral blood flow (CBF), cerebral blood volume (CBV), cerebral oxygen extraction fraction (OEF) and cerebral metabolic rate of oxygen (CMRO2) values were not considerably larger than the corresponding within-center variations. Overall mean±SD values in cerebral cortical regions of normal human subjects were as follows: CBF=44.4±6.5 ml/100 ml/min; CBV=3.8±0.7 ml/100 ml; OEF=0.44±0.06; CMRO2=3.3±0.5 ml/100 ml/min (11 PET centers, 70 subjects). Intrinsic regulation of cerebral circulation involves several factors. Autoregulation maintains CBF in response to changes in cerebral perfusion pressure; chemical factors such as PaCO2 affect cerebral vascular tone and alter CBF; changes in neural activity cause changes in cerebral energy metabolism and CBF; neurogenic control of CBF occurs by sympathetic innervation. Regional differences in vascular response to changes in PaCO2 have been reported, indicating regional differences in cerebral vascular tone. Relations between CBF and CBV during changes in PaCO2 and during changes in neural activity were in good agreement with Poiseuille's law. The mechanisms of vascular response to neural activation and deactivation were independent on those of responses to PaCO2 changes. CBV in a brain region is the sum of three components: arterial, capillary and venous blood volumes. It has been reported that the arterial blood volume fraction is approximately 30% in humans and that changes in human CBV during changes in PaCO2 are caused by changes in arterial blood volume without changes in venous blood volume. These findings should be considered in future studies of the pathophysiology of cerebrovascular diseases. (author) 136 refs

  4. Migraciones en la puna: su relación con el uso de los recursos naturales del departamento Los Andes Migraciones en la puna: su relación con el uso de los recursos naturales del departamento Los Andes

    Directory of Open Access Journals (Sweden)

    Francisco R. Barbarán

    2009-12-01

    Full Text Available From an historic and demographic perspective, as well as the use of natural resources, we analyzed the relationship between human migrations and the economic activities of Los Andes Department, West of the Salta Province, in NW Argentina. Using the residual method, we calculated migratory balances between Argentinean population censuses carried out in 1947,1960, 1970, 1980 and 2001. The migratory balances were negative for all the periods studied. When the train started to run through Ramal C-14, the workers who built it have to find jobs somewhere else. At the same time, the railway made easier for the natives, to find better economicopportunities out of the Puna. The close of mine La Casualidad by the end of the 70’s, the low creation of jobs by the remaining mining operations, focused in to hire qualified technicians no available in Los Andes and the privatization of the railway in early 90’s, were important factors of emigration. Despite of cattle rising as the main economic activity in rural areas, it is practiced without any technology of management. The overgrazing caused for that reason, has reduced almost to the half the quantity of sheep by inhabitant between 1947 and 2001. That is why the local people have to press more on the wildlife, trading illegally with vicuña (Vicugna vicugna fiber. Despite of a touristic development plan, a law promoting sheep rising and a census of vicuña population carried out by the provincial government, these recent actions should be part of a development project of regional scale, oriented to the sustainable use of the natural resources of Los Andes Department. That project would create jobs and discourage emigration.Desde una perspectiva histórica, demográfica y del uso de los recursos naturales, analizamos la relación existente entre las migraciones humanas y las actividades económicas en el departamento Los Andes, ubicado al W de la provincia de Salta, en el Noroeste Argentino. Usando el m

  5. Porcine MAP3K5 analysis: molecular cloning, characterization, tissue expression pattern, and copy number variations associated with residual feed intake.

    Science.gov (United States)

    Pu, L; Zhang, L C; Zhang, J S; Song, X; Wang, L G; Liang, J; Zhang, Y B; Liu, X; Yan, H; Zhang, T; Yue, J W; Li, N; Wu, Q Q; Wang, L X

    2016-01-01

    Mitogen-activated protein kinase kinase kinase 5 (MAP3K5) is essential for apoptosis, proliferation, differentiation, and immune responses, and is a candidate marker for residual feed intake (RFI) in pig. We cloned the full-length cDNA sequence of porcine MAP3K5 by rapid-amplification of cDNA ends. The 5451-bp gene contains a 5'-untranslated region (UTR) (718 bp), a coding region (3738 bp), and a 3'-UTR (995 bp), and encodes a peptide of 1245 amino acids, which shares 97, 99, 97, 93, 91, and 84% sequence identity with cattle, sheep, human, mouse, chicken, and zebrafish MAP3K5, respectively. The deduced MAP3K5 protein sequence contains two conserved domains: a DUF4071 domain and a protein kinase domain. Phylogenetic analysis showed that porcine MAP3K5 forms a separate branch to vicugna and camel MAP3K5. Tissue expression analysis using real-time quantitative polymerase chain reaction (qRT-PCR) revealed that MAP3K5 was expressed in the heart, liver, spleen, lung, kidney, muscle, fat, pancrea, ileum, and stomach tissues. Copy number variation was detected for porcine MAP3K5 and validated by qRT-PCR. Furthermore, a significant increase in average copy number was detected in the low RFI group when compared to the high RFI group in a Duroc pig population. These results provide useful information regarding the influence of MAP3K5 on RFI in pigs. PMID:27525933

  6. Prolonged expiratory method and curve fitting method used in exploratory study of expiratory capnography in elderly patients with chronic obstructive pulmonary disease%延长呼气法和曲线拟合法在老年慢性阻塞性肺疾病呼吸衰竭患者呼出气二氧化碳图中的应用

    Institute of Scientific and Technical Information of China (English)

    刘杰; 陈荣昌; 陈瑞; 纪笑英; 王华; 钟南山

    2010-01-01

    目的 探讨老年慢性阻塞性肺疾病(COPD)呼吸衰竭患者应用呼出气二氧化碳分压(PCO2)监测估算动脉血PCO2(PaCO2)的方法,为无创动态监测COPD呼吸衰竭患者的PaCO2提供方法学依据.方法 30例COPD急性加重期(AECOPD)患者给予常规药物治疗,部分患者联用BiPAP呼吸机鼻(面)罩双水平正压辅助通气,疗程为5~7d,治疗前后均采用平静呼气法和延长呼气法记录呼出气PCO2曲线图.结果 患者治疗前平静呼吸呼气末PCO2[PETCO2(Q)]为(50.72±8.93)mm Hg(1mm Hg=0.133 kPa),延长呼气第5s末PCO2[(PETCO2(P)]为(70.35±8.91)mm Hg,PaCO2为(71.25±9.08)mm Hg.治疗前PETCO2(Q)显著低于PaCO2(F=38.73,P<0.01),PETCO2(P)与PaCO2基本一致(P>0.05),PETCO2(P)基本能反映PaCO2;治疗后复查的结果与治疗前类似.治疗前和治疗后PETCO2(P)和PaCO2均呈正相关(r=0.96和r=0.97,P<0.01).治疗前,根据从呼气开始到PCO2与PaCO2相等的时间(TABG)呼气时间,从平静呼气二氧化碳-时间拟合曲线公式求得PCO2(C)为(71.78±9.04)mm Hg,与PaCO2比较差异无统计学意义(P>0.05);治疗后复查的结果与治疗前类似.治疗前后PCO2(C)与PaCO2均呈正相关(r=0.97和r=0.98,P<0.01).结论 对于COPD伴Ⅱ型呼吸衰竭患者,延长呼气法测定PETCO2(P)可较准确地预测PaCO2,适合于PaCO2的动态预测.对于部分重度和极重度COPD患者,延长呼气法测定受到一定限制,平静呼气外推PCO2(C)值与延长呼气法测定PETCO2(P),均可较准确地预测PaCO2.%Objective To find noninvasive estimation of partial pressure of carbon dioxide in artery (PaCO2) by measuring the end-tidal CO2 partial pressure (PETCO2) in elderly patients with respiratory failure with chronic obstructive pulmonary disease (COPD). Methods All the 30 acutely exacerbated COPD subjects received routine clinical treatment including bronchodilators,mucolytics, glucocorticosteroid, antibiotics and oxygen therapy for 5-7 days, and part of them received

  7. Análise dos efeitos da manobra de recrutamento alveolar na oxigenação sanguínea durante procedimento bariátrico Análisis de los efectos de la maniobra de reclutamiento alveolar en la oxigenación sanguínea durante el procedimiento bariátrico Analysis of the effects of the alveolar recruitment maneuver on blood oxygenation during bariatric surgery

    Directory of Open Access Journals (Sweden)

    Alda Paiva de Souza

    2009-04-01

    Full Text Available JUSTIFICATIVAS E OBJETIVOS: A manobra de recrutamento alveolar (MRA é indicada no tratamento de atelectasias intraoperatórias. O objetivo do presente estudo foi comparar duas técnicas de MRA por meio da resposta da relação PaO2/FiO2 e da soma [PaO2+PaCO2], em pacientes obesos grau III. MÉTODO: Estudo prospectivo aberto em pacientes adultos, obesos grau III, submetidos a procedimento cirúrgico bariátrico em ventilação controlada a volume, pressão positiva no final da expiração (PEEP de 5 cmH2O e divididos em três grupos: G CONT: PEEP de 5 cmH2O; G MRA10/15/20 após sutura da aponeurose: aumento progressivo da PEEP para 10,15 e 20 cmH2O, pausa de 40 segundos e manutenção de cada valor da PEEP por 2 minutos; G MRA30: após sutura da aponeurose: aumento súbito da PEEP para 30 cmH2O, 40 segundos de pausa e manutenção da PEEP em 30 cmH2O por dois minutos. Foram analisadas as variáveis frequência cardíaca, pressão arterial média, sistólica, diastólica, pressão média das vias aéreas (P MVA e de platô (P PLAT, pressão arterial de oxigênio (PaO2, pressão arterial de CO2 (PaCO2, relação PaO2/FiO2 (fração inspiratória de oxigênio e soma [PaO2+PaCO2]. RESULTADOS: As variáveis que apresentaram diferença estatística significativa entre os três grupos foram: P PLAT, P MVA, PaO2, relação PaO2/FiO2 e soma [PaO2+PaCO2] (p JUSTIFICATIVAS Y OBJETIVOS: La maniobra de reclutamiento alveolar (MRA se indica en el tratamiento de atelectasias intraoperatorias. El objetivo del presente estudio fue comparar dos técnicas de MRA por medio de la respuesta de la relación PaO2/FiO2 y de la suma [PaO2+PaCO2], en pacientes obesos con grado III. MÉTODO: Estudio prospectivo abierto en pacientes adultos, obesos grado III, sometidos a procedimiento quirúrgico bariátrico en ventilación controlada a volumen, presión positiva al final de la expiración (PEEP de 5 cmH2O y divididos en tres grupos: G CONTROL: PEEP de 5 cmH2O; G MRA10

  8. Pulmonary Disease due to Mycobacterium tuberculosis in a Horse: Zoonotic Concerns and Limitations of Antemortem Testing.

    Science.gov (United States)

    Lyashchenko, Konstantin P; Greenwald, Rena; Esfandiari, Javan; Lecu, Alexis; Waters, W Ray; Posthaus, Horst; Bodmer, Thomas; Janssens, Jean-Paul; Aloisio, Fabio; Graubner, Claudia; Grosclaude, Eléonore; Piersigilli, Alessandra; Schiller, Irene

    2012-01-01

    A case of pulmonary tuberculosis caused by Mycobacterium tuberculosis was diagnosed in a horse. Clinical evaluation performed prior to euthanasia did not suggest tuberculosis, but postmortem examination provided pathological and bacteriological evidence of mycobacteriosis. In the lungs, multiple tuberculoid granulomas communicating with the bronchiolar lumen, pleural effusion, and a granulomatous lymphadenitis involving mediastinal and tracheobronchial lymph nodes were found. Serologic response to M. tuberculosis antigens was detected in the infected horse, but not in the group of 42 potentially exposed animals (18 horses, 14 alpacas, 6 donkeys, and 4 dogs) which showed no signs of disease. Diagnosis of tuberculosis in live horses remains extremely difficult. Four of 20 animal handlers at the farm were positive for tuberculous infection upon follow-up testing by interferon-gamma release assay, indicating a possibility of interspecies transmission of M. tuberculosis. PMID:22567544

  9. «El irracional es el otro»: Los mecanismos de la interpretación en Antropología

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    Xavier Ricard Lanata

    2005-12-01

    Full Text Available This article examines two dialogues between the anthropologist and alpaca shepherds of the Ausangate mountains (Cusco region, province of Canchis. Parting from the description and analysis of the concrete interpretation mechanisms used in the anthropological discipline (establishment of a lexicon, logical inferences, etc., and of its consequences (in particular, the attribution of a pre-rational or irrational mentality, on behalf of the anthropologist, to his farmer-indigent interpreters, the article proposes reflection on the methodological obstacles for an adequate anthropological interpretation of the other cultures. It attempts in this way, to contribute to define, from the hermeneutic practice of anthropology, methodological protection that guarantee the constitution of real spaces of intercultural dialogue.

  10. Construction of radiation hybrid panels.

    Science.gov (United States)

    Page, John E; Murphy, William J

    2008-01-01

    Whole-genome radiation hybrid (RH) mapping has proven to be a powerful tool for mapping genes and comparing genome architecture. We describe a protocol for constructing RH panels by rescuing irradiated fibroblast donor cells of any mammalian species by polyethylene glycol fusion to a thymidine kinase-deficient hamster cell line. Characterization and expansion of a panel of 90-100 cell lines can be used to map virtually any PCR-based marker that can be distinguished from the recipient hamster genome. The described procedure has been used successfully to create RH panels from diverse mammalian species such as macaques, elephants, alpacas, and armadillos, and may be applicable to nonmammalian vertebrates as well. PMID:18629660

  11. Pulmonary Disease due to Mycobacterium tuberculosis in a Horse: Zoonotic Concerns and Limitations of Antemortem Testing

    Directory of Open Access Journals (Sweden)

    Konstantin P. Lyashchenko

    2012-01-01

    Full Text Available A case of pulmonary tuberculosis caused by Mycobacterium tuberculosis was diagnosed in a horse. Clinical evaluation performed prior to euthanasia did not suggest tuberculosis, but postmortem examination provided pathological and bacteriological evidence of mycobacteriosis. In the lungs, multiple tuberculoid granulomas communicating with the bronchiolar lumen, pleural effusion, and a granulomatous lymphadenitis involving mediastinal and tracheobronchial lymph nodes were found. Serologic response to M. tuberculosis antigens was detected in the infected horse, but not in the group of 42 potentially exposed animals (18 horses, 14 alpacas, 6 donkeys, and 4 dogs which showed no signs of disease. Diagnosis of tuberculosis in live horses remains extremely difficult. Four of 20 animal handlers at the farm were positive for tuberculous infection upon follow-up testing by interferon-gamma release assay, indicating a possibility of interspecies transmission of M. tuberculosis.

  12. Persistent Bovine Viral Diarrhea Virus infection in domestic and wild small ruminants and camelids including the mountain goat (Oreamnos americanus

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    Danielle Darracq Nelson

    2016-01-01

    Full Text Available Bovine viral diarrhea virus (BVDV is a Pestivirus best known for causing a variety of disease syndromes in cattle, including gastrointestinal disease, reproductive insufficiency, immunosuppression, mucosal disease, and hemorrhagic syndrome. The virus can be spread by transiently infected individuals and by persistently infected animals that may be asymptomatic while shedding large amounts of virus throughout their lifetime. BVDV has been reported in over 40 domestic and free-ranging species, and persistent infection has been described in eight of those species: white-tailed deer, mule deer, eland, mousedeer, mountain goats, alpacas, sheep, and domestic swine. This paper reviews the various aspects of BVDV transmission, disease syndromes, diagnosis, control, and prevention, as well as examines BVDV infection in domestic and wild small ruminants and camelids including mountain goats (Oreamnos americanus.

  13. Middle East Respiratory Syndrome Coronavirus (MERS-CoV) origin and animal reservoir.

    Science.gov (United States)

    Mohd, Hamzah A; Al-Tawfiq, Jaffar A; Memish, Ziad A

    2016-01-01

    Middle East Respiratory Syndrome-Coronavirus (MERS-CoV) is a novel coronavirus discovered in 2012 and is responsible for acute respiratory syndrome in humans. Though not confirmed yet, multiple surveillance and phylogenetic studies suggest a bat origin. The disease is heavily endemic in dromedary camel populations of East Africa and the Middle East. It is unclear as to when the virus was introduced to dromedary camels, but data from studies that investigated stored dromedary camel sera and geographical distribution of involved dromedary camel populations suggested that the virus was present in dromedary camels several decades ago. Though bats and alpacas can serve as potential reservoirs for MERS-CoV, dromedary camels seem to be the only animal host responsible for the spill over human infections. PMID:27255185

  14. Influence of floating thoracic wall on dogs pulmonary function and curative effect of pressure dressing on chest%浮动胸壁对犬呼吸功能的影响及加压包扎治疗效果观察

    Institute of Scientific and Technical Information of China (English)

    周志明; 陈拥; 王泽学; 孙颢洁; 梁磊

    2014-01-01

    Objective To study the inlfuence of lfoating thoracic wall on dogs pulmonary function and the curative effect of pressure dressing on chest.Methods Floating thoracic wall models of large areas(20 cm2/kg ) and small areas(10 cm2/kg ) were established in 18 hybrid dogs. the intrpleural pressure(iPP), partial pressure of oxygen in artery(Pao2), partial pressure of carbon dioxide in artery(Paco2) and arterial oxygen saturation(sao2) were measured with blood gas analysis and intrathoracic cannula. and the curative effect of pressure dressing on chest on pulmonary function was studied, too.Results Pao2 and sao2 decreased(P <0.05), but Paco2 increased (P <0.05) in large areas group. Pao2 and sao2 decreased(P <0.05) in small areas group. Compared with the lfoating thoracic wall models, after treatment of pressure dressing on chest, pulmonary function data had no statistical signiifcance in large areas group. PaO2 and SaO2 increased (P <0.05), Paco2 decreased(P <0.05) in small areas group after treatment of pressure dressing on chest.Conclusion The lfail chest of large areas group had a great effect on pulmonary function, but the pressure dressing on chest did not show the therapeutic efifcacy. The pressure dressing on chest was an effective way for improvement of pulmonary function in lfail chest of small areas.%目的:观察浮动胸壁对犬呼吸功能的影响以及胸壁加压包扎的疗效。方法实验用杂交犬18只建立大面积(20cm2/kg)和小面积(10cm2/kg)两组胸壁浮动动物模型,用胸腔置管和血气分析等观察胸膜腔内压(iPP)、动脉血氧分压(Pao2)、动脉血二氧化碳分压(Paco2)及动脉血氧饱和度(sao2)变化和加压包扎治疗的效果。结果大面积组Pao2和sao2下降(P<0.05),Paco2升高(P<0.05);小面积组Pao2和sao2下降(P<0.05)。同模型制作后比较,加压包扎治疗后,大面积组呼吸功能指标差异无显著性意义;小面积

  15. Influence of low molecular heparin on blood coagulation function and lung function in AECOPD patients

    Institute of Scientific and Technical Information of China (English)

    Rui Deng

    2016-01-01

    Objective:To explore the influence of low molecular heparin on the blood coagulation function and lung function in acute exacerbation of chronic obstructive pulmonary disease (AECOPD) patients.Methods:A total of 100 cases AECOPD patients were divided into observation group and control group according to the present order and odd number by half. They were all given AECOPD conventional symptomatic treatment, on this basis, patients in the observation group were treated with low molecular heparin, 10 d after treatment, arterial blood gas index such as oxygen partial pressure (PaO2), oxygen saturation (SaO2), carbon dioxide partial pressure (PaCO2), pulmonary function index such as forced expiratory volume in one second (FEV1) and forced vital capacity (FVC), FEV1/FVC, blood coagulation function index such as fibrinogen (Fib), D-dimer (D-D), activated partial blood coagulation time (APTT) live enzymes, plasma prothrombin time (PT), thrombin time (TT) between two groups before and after treatment were compared.Results:Compared with before treatment, the levels of PaO2, SaO2, FEV1 and FVC, FEV1/FVC in control group after treatment were significantly elevated, PaCO2, D-D were significantly reduced, the difference were statistically significant (P<0.05); The levels of PaO2, SaO2, FEV1 and FVC, FEV1/FVC, PT, TT and APTT in observation group after treatment were significantly increased, and were significantly higher than the control group after treatment, PaCO2, D-D, Fib were significantly lower, and were lower than the control group after treatment, the differences were statistically significant (allP<0.05).Conclusions:AECOPD patients treated with low molecular heparin can help to improve the arterial blood gas, lung function and blood coagulation function.

  16. Effects of Breath Training Pattern "End-Inspiratory Pause" on Respiratory Mechanics and Arterial Blood Gas of Patients with COPD

    Institute of Scientific and Technical Information of China (English)

    梁永杰; 蔡映云

    2002-01-01

    Objective:In order to explore the mechanism of Chinese traditional breath training, theeffects of end-inspiratory pause breathing (EIPB) on the respiratory mechanics and arterial blood gas werestudied in patients with chronic obstructive pulmonary disease (COPD). Methods: Ten patients in steadystage participating in the study had a breath training of regulating the respiration rhythm as to having apause between the deep and slow inspiration and the slow expiration. Effect of the training was observed byvisual feedback from the screen of the respiratory inductive plethysmograph. The dynamic change of par-tial pressure of oxygen saturation in blood (SpO2) was recorded with sphygmo-oximeter, the pulmonarymechanics and EIPB were determined with spirometer, and the data of arterial blood gases in tranquilizedbreathing and EIPB were analysed. Results: After EIPB training, SpO2 increased progressively, PaO2 in-creased and PaCO2 decreased, and the PaO2 increment was greater than the PaCO2 decrement. Further-more, the tidal volume increased and the frequency of respiration decreased significantly, both inspirationtime and expiration time were prolonged. There was no significant change in both mean inspiration flowrate (VT/Ti) and expiration flow rate (VT/Te). The baselines in spirogram during EIPB training had noraise. Conclusion: EIPB could decrease the ratio of the dead space and tidal volume (VD/VT), cause in-crease of PaO2 more than the decrease of PaCO2, suggesting that this training could improve both the func-tion of ventilation and gaseous exchange in the lung. EIPB training might be a breathing training patternfor rehabilitation of patients with COPD.

  17. [Experimental evaluation of respiratory assist and hemodynamic changes by veno-venous bypass].

    Science.gov (United States)

    Shimizu, A

    1989-06-01

    The veno-venous bypass (VVB) with a membrane lung is one of the effective procedures to provide respiratory assistance even in patients with a high mortality rate when assisted only with mechanical ventilation. The purpose of this experimental study was to reveal the efficacy of respiratory assistance and the hemodynamic changes by VVB in acute respiratory failure. VVB was carried out in 22 mongrel dogs with acute respiratory failure induced by intratracheal seawater infusion. The ventilation-perfusion ratio (V/Q) of a membrane lung was changed to 1.0, 2.0 and 3.0 for each of the bypass flow rates of 20%, 40%, 60% and 80% of pre-perfusion cardiac output. For each condition variables indicating blood gas status and hemodynamic parameters were measured. As the indicator evaluating the efficiency of CO2 removal by VVB, the index of VVBCO2R was used, indicating the blood CO2 tension differences between IVC and the pulmonary artery. Arterial oxygen saturation was increased with bypass flow rates greater than 60% compared with pre-VVB, but the change was not marked. VVB was considered to be inadequate as a method of oxygenation. Besides, oxygenation was not able to be controlled by changing V/Q. However, significant reduction of arterial CO2 tension (PaCO2) could be obtained even with a bypass flow rate of 20%. As the blood flow rate increased, PaCO2 was lowered. But no more significant reductions of PaCO2 were obtained even with the flow rate of 60% and 80%. VVBCO2R was increased by changing the bypass flow rate from 20% to 40%, while no further increases were observed even with changes from 40% to 60% and 80%.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:2509600

  18. “Large Animal Model of Pumpless Arteriovenous Extracorporeal CO2 Removal Using Room Air Via Subclavian Vessels”

    Science.gov (United States)

    Witer, Lucas; Howard, Ryan; Trahanas, John; Bryner, Benjamin S.; Alghanem, Fares; Hoffman, Hayley R.; Cornell, Marie S.; Bartlett, Robert H.; Rojas-Peña, Alvaro

    2016-01-01

    End-stage lung disease (ESLD) causes progressive hypercapnia, dyspnea, and impacts quality of life. Many extracorporeal support (ECS) configurations for CO2 removal resolve symptoms but limit ambulation. An ovine model of pumpless ECS using subclavian vessels was developed to allow for ambulatory support. Vascular grafts were anastomosed to the left subclavian vessels in four healthy sheep. A low-resistance membrane oxygenator was attached in an arteriovenous (AV) configuration. Device function was evaluated in each animal while awake and spontaneously breathing, and while mechanically ventilated with hypercapnia induced. Sweep gas (FiO2=0.21) to the device was increased from 0-15 L/min and arterial and post-device blood gases, as well as post-device air, were sampled. Hemodynamics remained stable with average AV shunt flows of 1.34±0.14 L/min.. In awake animals, CO2 removal was 3.4±1.0 mL/kg/min at maximum sweep gas flow. Respiratory rate decreased from 60±25 at baseline to 30±11 breaths per minute. In animals with induced hypercapnia, PaCO2 increased to 73.9±15.1. At maximum sweep gas flow, CO2 removal was 3.4±0.4 mL/kg/min and PaCO2 decreased to 49.1±6.7 mmHg. Subclavian AV access is effective in lowering PaCO2 and respiratory rate, and is potentially an effective ambulatory destination therapy for ESLD patients. PMID:26461241

  19. Long-term gas exchange characteristics as markers of deterioration in patients with cystic fibrosis

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    Pramana Isabelle

    2009-11-01

    Full Text Available Abstract Background and Aim In patients with cystic fibrosis (CF the architecture of the developing lungs and the ventilation of lung units are progressively affected, influencing intrapulmonary gas mixing and gas exchange. We examined the long-term course of blood gas measurements in relation to characteristics of lung function and the influence of different CFTR genotype upon this process. Methods Serial annual measurements of PaO2 and PaCO2 assessed in relation to lung function, providing functional residual capacity (FRCpleth, lung clearance index (LCI, trapped gas (VTG, airway resistance (sReff, and forced expiratory indices (FEV1, FEF50, were collected in 178 children (88 males; 90 females with CF, over an age range of 5 to 18 years. Linear mixed model analysis and binary logistic regression analysis were used to define predominant lung function parameters influencing oxygenation and carbon dioxide elimination. Results PaO2 decreased linearly from age 5 to 18 years, and was mainly associated with FRCpleth, (p 1 (p 50 (p p 2 showed a transitory phase of low PaCO2 values, mainly during the age range of 5 to 12 years. Both PaO2 and PaCO2 presented with different progression slopes within specific CFTR genotypes. Conclusion In the long-term evaluation of gas exchange characteristics, an association with different lung function patterns was found and was closely related to specific genotypes. Early examination of blood gases may reveal hypocarbia, presumably reflecting compensatory mechanisms to improve oxygenation.

  20. Clinical predictors of a low central venous oxygen saturation after major surgery: a prospective prevalence study.

    Science.gov (United States)

    Litton, E; Silbert, B; Ho, K M

    2015-01-01

    Optimising perioperative haemodynamic status may reduce postoperative complications. In this prospective prevalence study, we investigated the associations between standard haemodynamic parameters and a low central venous oxygen saturation (ScvO2) in patients after major surgery. A total of 201 patients requiring continuous arterial and central venous pressure monitoring after major surgery were recruited. Simultaneous arterial and central venous blood gases, haemodynamic and biochemical data and perfusion index were obtained from patients at a single time-point within 24 hours of surgery. A low ScvO2 (ventilation, mean arterial pressure, central venous pressure, haemoglobin concentrations, arterial pH and lactate concentrations, arterial oxygen (PaO2) and carbon dioxide tensions (PaCO2) were all associated with a low ScvO2 in the univariate analyses. In the multivariate analysis, only a higher perfusion index (odds ratio [OR] 0.87, 95% confidence interval [CI] 0.78 to 0.98), PaO2 (OR 0.98 per mmHg increment, 95% CI 0.97 to 0.99) and PaCO2 (OR 0.88 per mmHg increment, 95% CI 0.82 to 0.95) and a lower central venous pressure (OR 1.14 per mmHg increment, 95% CI 1.04 to 1.25) were significantly associated with a reduced risk of a low ScvO2, all in a linear fashion. In conclusion, PaO2, PaCO2, perfusion index and central venous pressure were significant predictors of a low ScvO2 in patients after major surgery including cardiac surgery. PMID:25579290

  1. Clinical significance of blood gas and electrolyte analysis, CK, CK-MB and HBDH changes in neonatal asphyxia

    Institute of Scientific and Technical Information of China (English)

    Bao-Hua Xu; Xin Lin; Mi-Jia Huang

    2016-01-01

    Objective:To investigate the clinical significance of blood gas and electrolyte analysis, CK, CK-MB and HBDH changes in neonatal asphyxia.Methods:A total of 100 newborns with asphyxia who visited in our hospital were collected, and divided into severe group (n=20) and mild group (n=80) according to the asphyxia degree, and 50 healthy newborns regarded as control group. The 3 groups received blood gas analysis (pH, BE and PaCO2), electrolyte (K+, Na+ and Ca2+) and 3 kinds of enzymes (CK, CK-MB and HBDH) were tested and compared.Results: Compared with control group, pH and BE of blood gas indexes decreased significantly and PaCO2 increased significantly in severe group (P0.05). Compared with mild group, pH and BE of blood gas indexes decreased significantly and PaCO2 increased significantly in severe group (P0.05). Compared with mild group, the level of Ca2+ decreased significantly in severe group (P<0.05); Compared with control group, the levels of CK, CK-MB and HBDH increased significantly in severe and mild group (P<0.05). Compared with mild group, the levels of CK, CK-MB and HBDH increased significantly in severe group (P<0.05).Conclusions:The detection of blood gas and electrolyte analysis, CK, CK-MB and HBDH can provide an objective evidence for the diagnosis of neonatal asphyxia and estimation of severity degree which was helpful in clinical treatment.

  2. Effects of various combinations of benzodiazepines with buprenorphine on arterial blood gases in rats.

    Science.gov (United States)

    Pirnay, Stéphane O; Mégarbane, Bruno; Borron, Stephen W; Risède, Patricia; Monier, Claire; Ricordel, Ivan; Baud, Frédéric J

    2008-09-01

    Fatalities have been attributed to combinations of high-dose buprenorphine with benzodiazepines. In rats, high-dose buprenorphine combined with midazolam was shown to induce sustained respiratory acidosis, while buprenorphine alone did not. However, the effects of buprenorphine combined with pharmacological doses of benzodiazepines remain unknown. Our objective was to compare the acute effects of four selected benzodiazepines used intravenously at equi-efficacious doses in rats, alone and in combination with buprenorphine on sedation, respiratory rate and arterial blood gases. Buprenorphine (30 mg/kg) did not significantly modify sedation level or respiratory rate, but induced mild and transient effects on pH and PaCO(2) (P < 0.05). Similarly, despite having no effects on respiratory rate, nordiazepam (10 mg/kg), bromazepam (1 mg/kg) and oxazepam (12 mg/kg) mildly and transiently altered pH and PaCO(2) (P < 0.05), whereas clonazepam (5 mg/kg) did not. Buprenorphine combined with each benzodiazepine induced no significant effects on respiratory rate or blood gases, in comparison with buprenorphine alone. However, combinations of oxazepam or nordiazepam with buprenorphine significantly deepened sedation. While both combinations reduced respiratory rate, buprenorphine + 30 mg/kg clonazepam significantly increased PaCO(2) and buprenorphine + 30 mg/kg nordiazepam decreased PaO(2). In conclusion, not all benzodiazepines induce significant respiratory depression at therapeutic doses. We were unable to demonstrate significant effects on rat ventilatory parameters of buprenorphine combined with equi-efficacious pharmacological doses of benzodiazepines in comparison with buprenorphine alone. Our results may suggest that effects of these combinations are rather mild. Respiratory failure may, however, result from the association of buprenorphine with elevated doses of benzodiazepines. PMID:18684226

  3. Effects of regulation mode of cabin gas on arterial blood gas of mariners during a prolonged voyage in a nuclear submarine

    Directory of Open Access Journals (Sweden)

    Xiao-feng LIU

    2015-04-01

    Full Text Available Objective To study the effect of different regulation modes of the air in cabin on the arterial blood gas of mariners during a prolonged voyage in a nuclear submarine. Methods During three long distance voyages of the same nuclear submarine, the same air-regeneration device was adopted. According to the different doses and percentages of the oxygen-lithium hydroxide absorbers, the mariners of three voyages were divided by sequence of voyages into control group (C, observation group 1 (A, and observation group 2 (B. The change in arterial blood PaO2 and PaCO2 of mariners in the three groups were detected on the third day of surface navigation (T1, 10th day (T2, 12nd day (T3, 13th day (T4 of submarine navigation, and the day before returning (T5. Result There was no difference between the three groups in T1 and T2 (P>0.05. There was a significant difference in PaO2 and PaCO2 between the two observation groups and the control group on T3, T4 and T5 (P<0.05. Conclusions Different amount and percentage of the oxygenlithium hydroxide showed an influence on PaO2 and PaCO2 of the mariners. Optimal amount and percentage of the oxygen-lithium hydroxide is very important in keeping normal physiological status of mariners in a nuclear submarine. DOI: 10.11855/j.issn.0577-7402.2015.03.14

  4. Stability of blood gases when refrigerated

    OpenAIRE

    Ferreira, J.; S. Silva; Rodrigues, P.; Abreu, M.; Maia, J.; Carvalho, D; Carvalho, L.

    2012-01-01

    Background: Blood gas analysis is a widely used procedure. In clinical practice, the physicians may not always have a blood gas analyzer in their proximity. Not infrequently, blood gas samples are stored in a fridge or on ice and read retrospectively. Continued anaerobic and aerobic metabolism in the blood may alter blood gases in the interval between drawing arterial blood and its analysis, which may cause a fall in the PaO2 and pH and a rise in the PaCO2. Methods: Two s...

  5. Non-invasive ventilation in obesity hypoventilation syndrome without severe obstructive sleep apnoea

    Science.gov (United States)

    Masa, Juan F; Corral, Jaime; Caballero, Candela; Barrot, Emilia; Terán-Santos, Joaquin; Alonso-Álvarez, Maria L; Gomez-Garcia, Teresa; González, Mónica; López-Martín, Soledad; De Lucas, Pilar; Marin, José M; Marti, Sergi; Díaz-Cambriles, Trinidad; Chiner, Eusebi; Egea, Carlos; Miranda, Erika; Mokhlesi, Babak; García-Ledesma, Estefanía; Sánchez-Quiroga, M-Ángeles; Ordax, Estrella; González-Mangado, Nicolás; Troncoso, Maria F; Martinez-Martinez, Maria-Ángeles; Cantalejo, Olga; Ojeda, Elena; Carrizo, Santiago J; Gallego, Begoña; Pallero, Mercedes; Ramón, M Antonia; Díaz-de-Atauri, Josefa; Muñoz-Méndez, Jesús; Senent, Cristina; Sancho-Chust, Jose N; Ribas-Solís, Francisco J; Romero, Auxiliadora; Benítez, José M; Sanchez-Gómez, Jesús; Golpe, Rafael; Santiago-Recuerda, Ana; Gomez, Silvia; Bengoa, Mónica

    2016-01-01

    Background Non-invasive ventilation (NIV) is an effective form of treatment in patients with obesity hypoventilation syndrome (OHS) who have concomitant severe obstructive sleep apnoea (OSA). However, there is a paucity of evidence on the efficacy of NIV in patients with OHS without severe OSA. We performed a multicentre randomised clinical trial to determine the comparative efficacy of NIV versus lifestyle modification (control group) using daytime arterial carbon dioxide tension (PaCO2) as the main outcome measure. Methods Between May 2009 and December 2014 we sequentially screened patients with OHS without severe OSA. Participants were randomised to NIV versus lifestyle modification and were followed for 2 months. Arterial blood gas parameters, clinical symptoms, health-related quality of life assessments, polysomnography, spirometry, 6-min walk distance test, blood pressure measurements and healthcare resource utilisation were evaluated. Statistical analysis was performed using intention-to-treat analysis. Results A total of 365 patients were screened of whom 58 were excluded. Severe OSA was present in 221 and the remaining 86 patients without severe OSA were randomised. NIV led to a significantly larger improvement in PaCO2 of −6 (95% CI −7.7 to −4.2) mm Hg versus −2.8 (95% CI −4.3 to −1.3) mm Hg, (p<0.001) and serum bicarbonate of −3.4 (95% CI −4.5 to −2.3) versus −1 (95% CI −1.7 to −0.2 95% CI)  mmol/L (p<0.001). PaCO2 change adjusted for NIV compliance did not further improve the inter-group statistical significance. Sleepiness, some health-related quality of life assessments and polysomnographic parameters improved significantly more with NIV than with lifestyle modification. Additionally, there was a tendency towards lower healthcare resource utilisation in the NIV group. Conclusions NIV is more effective than lifestyle modification in improving daytime PaCO2, sleepiness and polysomnographic parameters. Long

  6. Medical image of the week: collapse of the trachea

    OpenAIRE

    Guruguri P; Takyar V; Campion J; Klotz S; Factor P

    2013-01-01

    No abstract available. Article truncated at 150 words. A 61 year old man with a history of chronic obstructive pulmonary disease (COPD) requiring multiple intubations over the past 2 years as well as obstructive sleep apnea (OSA) presented with acute dyspnea, cough and difficulty expectorating sputum over the last 24 hours. His physical exam was notable for expiratory and inspiratory wheezing. ABG revealed a pH of 7.24, PaCO2 of 71, PaO2 of 103, and HCO3 of 29 mMol consistent with an acute ...

  7. La caída del avechamán

    OpenAIRE

    Isaza Guerrero, Maria José

    2011-01-01

    Leticia, esa trifrontera combinada de turistas, antropólogos, biólogos, comerciantes, variedades de etnias indígenas, frutas y animales exóticos; pescado, mucho pescado, motores con llantas y motores de río; drogas prohibidas y alucinógenos permitidos, plantas sagradas, masato, cachaza, tucupi, fariña, almidón, mambe, ambíl y rapé; chontaduro, aguaje, madroña, uva caimarona y asaí; gusanos que se comen asados o moquiados y que les dicen “mojojoy”, peces gigantes como el paco, la gamitana o el...

  8. Sleep hypoventilation and daytime hypercapnia in stable chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Holmedahl NH

    2014-02-01

    Full Text Available Nils Henrik Holmedahl,1 Britt Øverland,2 Ove Fondenes,3 Ivar Ellingsen,1 Jon Andrew Hardie4 1Glittreklinikken LHL Helse as, Hakadal, Norway; 2Lovisenberg Diakonale Hospital, ENT Department, Oslo, Norway; 3Norwegian National Centre of Excellence in Home Mechanical Ventilation, Haukeland University Hospital, Bergen, Norway; 4Department of Clinical Science, University of Bergen, Norway Purpose: To explore the associations between sleep hypoventilation (SH and daytime arterial pressures of carbon dioxide (PaCO2, sleep stages, and sleep apneas/hypopneas (AHI in subjects with chronic obstructive pulmonary disease (COPD. SH has previously been found in COPD-subjects with chronic hypercapnic respiratory failure (CHRF using supplementary oxygen (LTOT, and has been proposed as a possible predictor for CHRF. Patients and methods: A prospectively designed observational study in a pulmonary rehabilitation hospital of 100 (39 male stable COPD inpatients with a mean forced expiratory volume in 1 second (FEV1 of 1.1 L (42% of predicted and a mean age of 64 years, using polysomnography with transcutaneous measurement of carbon dioxide pressure increase (ΔPtcCO2. Results: SH as defined by the American Academy of Sleep Medicine (AASM was found in 15 of the subjects, seven of whom used LTOT. However, six had SH despite being normocapnic during the daytime (only one on LTOT. Subjects with SH had a greater ΔPtcCO2 increase from nonrapid eye movement (NREM to rapid eye movement (REM sleep stages compared to non-SH subjects (mean [standard deviation] between-groups difference =0.23(0.20 kPa, P<0.0005. Subjects with apnea/hypopnea index ≥15 (overlap, N=27 did not differ from those with COPD alone (AHI <5, N=25 in sleep ΔPtcCO2 or daytime PaCO2. A regression model with the variables FEV1, LTOT, and sleep maximum ΔPtcCO2 explained 56% of the variance in daytime PaCO2 (F(3, 94 =40.37, P<0.001. Conclusion: In stable COPD, SH as defined by the AASM was found both in

  9. Kas sina julgeksid ennustada tulevikku? / Karolin Kuusik

    Index Scriptorium Estoniae

    Kuusik, Karolin

    2007-01-01

    Filmid ja nende kostüümikunstnikud, kes on mõjutanud rõivamoodi : "Barbarella" (1968), kostüümikunstnikud Jacques Fonteray ja Paco Rabanne; "Blade Runner" (1982), kunstnikud Charles Knode ja Michael Kaplan; "Matrix" ja selle järjed (1999, 2003), kostüümidisainer Kym Barrett; "Star Wars" ja selle järjed (1977, 1980, 1983, 1999, 2002, 2005), kunstnik John Mollo, hiljem Trisha Biggar; "Aeon Flux" (2005), kostüümikunstnik Beatrix Aruna Pasztor

  10. Assessment of the right ventricle by magnetic resonance imaging in chronic obstructive lung disease.

    OpenAIRE

    Turnbull, L W; Ridgway, J P; Biernacki, W; McRitchie, H; Muir, A L; Best, J J; MacNee, W

    1990-01-01

    Right ventricular wall and chamber volume were measured by magnetic resonance imaging in 16 patients with stable chronic obstructive lung disease who subsequently underwent measurement of pulmonary haemodynamics by right heart catheterisation. The patients had a forced expiratory volume in one second of 0.7 (SD 0.3) litres, a forced vital capacity of 2.4 (1.0) l, an arterial oxygen tension (PaO2) of 6.5 (1.3) kPa, an arterial carbon dioxide tension (PaCO2) of 6.5 (1.0) kPa, and a mean pulmona...

  11. Arhitektuurifoto konkurss "Majapilt" / Urmas Oja

    Index Scriptorium Estoniae

    Oja, Urmas, 1981-2012

    2009-01-01

    2008. a. oktoobris ja novembris Eesti Arhitektide Liidu, Delfi Pildi ja mitmete Eesti linnade koostöös peetud arhitektuurifotode konkursist "Majapilt". Vanema kategooria peapreemia pälvis Tõnis Kalve foto "Ööpäike" eest, nooremate seas sai esikoha Kristiine Raag foto "Jäetud" eest. Paco Ulmani kujundatud ja Urmas Oja kureeritud konkursitööde näitus rändab 2009. a. mööda sündmust toetanud Eesti linnu

  12. Eesti arhitektuuri päevad Tallinnas : 7.-17. oktoober 2005

    Index Scriptorium Estoniae

    2005-01-01

    Korraldaja: Eesti Arhitektide Liit. EAL-i aastanäitusest "Eramu" (kuraator Urmas Oja, kujundaja Paco-Ernest Ulman) Sakala keskuses. EAL-i preemia "Parim eramu 2004/2005" pälvis AB Muru & Pere Tabasalu eramu eest. EAL-i teenetemedalid: parim kriitik - Triin Ojari, parim tellija - Eesti Kontsert, parim ehitaja - Estconde-E. Arhitektuuriekskursiooni "Väike" 14. X juhtis Andres Kurg. Workshop'ist ja näitusest "Kodu kodutule" Disaini- ja Arhitektuurigaleriis, seminarist "Eesti arhitektuur" 12. X Von Krahli teatri baaris, autorikaitseseminarist 17. X, algklassidele korraldatud joonistusvõistlusest "Koht, kus mulle meeldib linnas olla"

  13. The usefulness of end-tidal carbon dioxide monitoring during apnea test in brain-dead patients

    OpenAIRE

    Kim, Ha Yeon; Kim, Gaab-Soo; Shin, Young Hee; Cha, So Ra

    2014-01-01

    Background The apnea test (AT) is essential to confirming the diagnosis of brain death, but critical complications can occur if the AT is maintained over a long period. To minimize the AT period, we used end-tidal carbon dioxide (ETCO2) monitoring because ETCO2 is closely correlated with partial pressure of arterial carbon dioxide (PaCO2). The aim of the present study is to evaluate the usefulness of ETCO2 monitoring during apnea testing. Methods We reviewed 61 patients who were pronounced br...

  14. Correlation of end-tidal carbon dioxide and arterial partial pressure of carbon dioxide during robotic cardiac surgery%机器人心脏手术中呼气末二氧化碳分压与动脉二氧化碳分压的相关性研究

    Institute of Scientific and Technical Information of China (English)

    王刚; 肖赛松; 高长青; 陈婷婷; 周琪; 李佳春; 王加利; 王瑶

    2011-01-01

    目的 探讨机器人心脏手术中体外循环前后及单肺通气条件下呼气末二氧化碳分压(PETCO2)与动脉二氧化碳分压(PaCO2)的相关性.方法 80例行机器人心脏手术的患者,按疾病种类分为三组:先天性心脏病组35例(A组),二尖瓣疾病组27例(B组),冠心病组18例(C组),分别在诱导后双肺通气(TLV)30 min(T1),单肺通气(OLV)30 min(T2),OLV+二氧化碳气胸30 min(T3),OLV+二氧化碳气胸60 min(T4),OLV+二氧化碳气胸90 min(T5),停体外循环后OLV 30 min(T6),恢复TLV 30 min(T7)等时刻抽取动脉血做血气分析,比较PaCO2与PETCO2.结果 三组患者的PETCO2与 PaCO2除了在T2时刻没有相关性外(P>0.05),其余时刻均有相关性(P<0.05);A组和B组的PETCO2、PaCO2和PETCO2与PaCO2的差值(Pa-ETCO2)在体外循环后均增加(P<0.05);C组PETCO2与PaCO2在T3、T4、T5时刻逐渐升高,Pa-ETCO2也逐渐增大(P<0.05).结论 在机器人心脏手术的各类心脏疾病中的PETCO2与PaCO2有良好的相关性,随着二氧化碳气胸时间的延长,两者的差值逐渐增大;在体外循环后两者的差异也比体外循环前明显增大,所以PETCO2监测不能完全替代机器人心脏手术中的PaCO2测定.%Objective This study was performed to estimate the relationship between end - tidal carbon dioxide ( PETCO2 ) and arterial PCO2( PaCO2 ) during robotic cardiac surgery. Methods Eighty patients were divided into three groups: congenital heart disease group ( Group A, n = 35 ), mitral valve disease group ( Group B, n = 27 ), and coronary heart disease group ( Group C, n = 18 ). The premedication were subcutaneous morphine 0. 1 mg/kg and intramuscular scopolamine 0. 15 - 0. 3 mg. Anesthesia was induced with midazolam 1 -5 mg, etomidate 0. 3 mg/kg, lidocaine 1.0 -1.5 mg/kg, pipecuronium 0. 15 mg/kg and sulfentanyl 1.0-1.5 μg/kg. Measurements of PETCO2 from capnography values and PaCO2 from arterial blood gases were registered at seven time points: 30 min after anesthesia

  15. Influencia del reclutamiento alveolar sobre los efectos del surfactante exógeno Influence of pulmonary recruitment on exogenous surfactant effects

    OpenAIRE

    Néstor R. Herrera; Roberto N. Regnicoli; Mario Silvestre Begnis; José Scrigna; Enzo Peralta; Lisandro Quadrelli

    2006-01-01

    Se investigaron los efectos producidos por una maniobra de insuflación sostenida previa a la administración de surfactante exógeno y los producidos por diferentes patrones ventilatorios sobre la respuesta al mismo. Se estudiaron 20 ratas albinas adultas a las que se les produjo una injuria pulmonar por repetidos lavados con solución fisiológica. Se evaluó el pH, PaO2, PaCO2, la presión arterial sistólica, la compliance toracopulmonar y la histología. Los animales se dividieron en 2 grupos seg...

  16. Amyotrophic lateral sclerosis: prospective study on respiratory parameters Esclerose lateral amiotrófica: estudo prospectivo de parâmetros respiratórios

    Directory of Open Access Journals (Sweden)

    Sara Regina Meira Almeida

    2010-04-01

    Full Text Available OBJECTIVE: To verify how efficient respiratory parameters are in the follow-up of subjects with amyotrophic lateral sclerosis (ALS and to observe possible correlations between respiratory and nutritional functions. METHOD: Sixteen patients with probable or defined ALS were selected and evaluated over eight months using the following respiratory parameters: spirometry, maximum inspiratory pressure (MIP, maximum expiratory pressure (MEP, arterial gasometry and pulse oximetry; and nutritional parameters such as body mass index (BMI and percentage weight loss. RESULTS: PaCO2 was a significant parameter to follow up disease evolution (p=0.051. There was significant correlation between MIP and MEP (r: 0.83; BMI and MIP (r: 0.70; BMI and MEP (r: 0.72; pulse oximetry and forced vital capacity (r: 0.57. CONCLUSION: PaCO2 was shown to be an efficient and significant parameter in the measurement of respiratory impairment; the correlations among MIP, MEP and BMI indicated that these are significant parameters for periodic clinical evaluation.OBJETIVO: Verificar a eficácia dos parâmetros respiratórios na evolução de indivíduos com esclerose lateral amiotrófica (ELA e identificar possíveis correlações entre função respiratória e nutricional. MÉTODO: 16 pacientes com diagnóstico provável ou definido de ELA foram selecionados por critérios definidos e avaliados, durante 8 meses, através de parâmetros respiratórios: espirometria, pressão inspiratória máxima (PIM, pressão expiratória máxima (PEM, gasometria arterial e oximetria de pulso; e parâmetros nutricionais: índice de massa corporal (IMC e porcentagem de perda de peso. RESULTADOS: PaCO2 foi um parâmetro significativo para acompanhar a evolução da doença (p=0.051. Houve correlação significante entre PIM e PEM (r: 0.83; IMC e PIM (r: 0.70; IMC e PEM (r: 0.72; oximetria de pulso e capacidade vital forçada (r: 0.57. CONCLUSÃO: PaCO2 foi marcador eficaz e significante para

  17. Education for childhood obesity prevention across the life-course: workshop conclusions

    OpenAIRE

    Pérez-Escamilla, R; Hospedales, J; Contreras, A; Kac, G

    2013-01-01

    The objectives of this paper are to present the conclusions from the workshop ‘Education for childhood obesity prevention: a life-course approach', coordinated by the Pan-American Health Organization and the Pan-American Health and Education Foundation, and held on 14 June 2012 in Aruba, as part of the II Pan-American Conference on Childhood Obesity (http://www.paco.aw/). This workshop focused on the need to recognize the life-course framework and education as a social determinant of health t...

  18. Dicty_cDB: Contig-U15827-1 [Dicty_cDB

    Lifescience Database Archive (English)

    Full Text Available AA from... 64 2e-08 2 ( DJ395561 ) Nucleic Acid Sequences Differentially Expressed i... 74 2e-08 1 ( DD06669...1 ) Nucleic Acid Sequences Differentially Expressed i... 74 2e-08 1 ( AC232720 ) Lama pacos clone CH246-257F...entially Expressed i... 72 5e-08 2 ( DD066150 ) Nucleic Acid Sequences Differential...e-08 3 ( DJ395676 ) Nucleic Acid Sequences Differentially Expressed i... 72 6e-08 2 ( DD066806 ) Nucleic Acid Sequences Differential... gateway clone IM... 72 8e-08 1 ( DJ395004 ) Nucleic Acid Sequences Differentially Expressed i... 72 8e-08 1

  19. Cerebral blood flow, oxidative metabolism and cerebrovascular carbon dioxide reactivity in patients with acute bacterial meningitis

    DEFF Research Database (Denmark)

    Møller, Kirsten; Strauss, Gitte Irene; Thomsen, Gerda;

    2002-01-01

    BACKGROUND: The optimal arterial carbon dioxide tension (P(a)CO(2)) in patients with acute bacterial meningitis (ABM) is unknown and controversial. The objective of this study was to measure global cerebral blood flow (CBF), cerebrovascular CO(2) reactivity (CO(2)R), and cerebral metabolic rates...... to baseline ventilation, whereas CMR(glu) increased. CONCLUSION: In patients with acute bacterial meningitis, we found variable levels of CBF and cerebrovascular CO(2) reactivity, a low a-v DO(2), low cerebral metabolic rates of oxygen and glucose, and a cerebral lactate efflux. In these patients...

  20. Study of Position effect on Results of ABG of Hospitalized Patients in ICU of Open Heart Surgery Center of Mazandaran

    Directory of Open Access Journals (Sweden)

    R Sadeghi

    2008-12-01

    Conclusion: In this study, it was observed that changing the position and duration don’t significantly change the rate of paO2, paCO2, spO2 and arterial blood gases and therefore these patients should not placed in semi sitting position to improve better gaseous exchange. This position doesn’t cause positive effect on exchange of arterial blood gases and it is better that those patients placed in supine position to prevent bedsore, in vulnerable area, and sliding patient over bed.

  1. Como llevar un río a un laboratorio

    OpenAIRE

    Instituto Pirenaico de Ecología (CSIC)

    2013-01-01

    5 minutos.- Vídeo realizado dentro del proyecto FECYT "Investiga con nosotros". Producción: FECYT, Delegación del CSIC en Aragón, CSIC. Instituto Pirenáico de Ecología (IPE), CSIC. Operador cámara: Albano Sanchez Técnico de sonido: Paco de Miguel Electrico maquinista: Omar Bartolomé Edición y sonorización: Arodar producciones audivisuales Locución: Megui Cabrera y Enrique Navarro Participan: Enrique Navarro Rodríguez e Iván Monge Adán Banda sonora: "El livre De Loop...

  2. Changes in dead space/tidal volume ratio and pulmonary mechanics after surfactant replacement therapy in respiratory distress syndrome of the newborn infants.

    OpenAIRE

    Chung, E. H.; Ko, S. Y.; Kim, I Y; Chang, Y. S.; Park, W. S.

    2001-01-01

    This study was performed to elucidate the mechanism of improved oxygenation after surfactant replacement therapy in respiratory distress syndrome (RDS) of the newborn infants. In 26 newborns with RDS, end tidal-CO2 tension (PetCO2), arterial blood gas analysis and pulmonary function tests were measured at baseline, 30 min, 2 hr and 6 hr after surfactant administration. The changes in dead space/tidal volume ratio (VD/VT ratio=(PaCO2-PetCO2)/PaCO2), oxygenation index and arterial-alveolar part...

  3. Medication effects on sleep and breathing.

    Science.gov (United States)

    Seda, Gilbert; Tsai, Sheila; Lee-Chiong, Teofilo

    2014-09-01

    Sleep respiration is regulated by circadian, endocrine, mechanical and chemical factors, and characterized by diminished ventilatory drive and changes in Pao2 and Paco2 thresholds. Hypoxemia and hypercapnia are more pronounced during rapid eye movement. Breathing is influenced by sleep stage and airway muscle tone. Patient factors include medical comorbidities and body habitus. Medications partially improve obstructive sleep apnea and stabilize periodic breathing at altitude. Potential adverse consequences of medications include precipitation or worsening of disorders. Risk factors for adverse medication effects include aging, medical disorders, and use of multiple medications that affect respiration.

  4. An evaluation of the role of noninvasive positive pressure ventilation in the management of acute respiratory failure in a developing country

    Directory of Open Access Journals (Sweden)

    George Ige

    2007-09-01

    Full Text Available Objective: Noninvasive positive pressure ventilation (NIPPV has been shown to decrease the need for invasive mechanical ventilation (MV in patients presenting with acute respiratory failure (ARF. We conducted a prospective study to assess if NIPPV use, in a developing country, was associated with clinical and physiological improvements. Design: Prospective observational study. Materials and Methods: Forty patients admitted to a medical intensive care unit during a 2-year period who fulfilled criteria for inclusion formed the study cohort to receive NIPPV. Findings: Baseline (mean ± SD pH, PaCO 2 and PaO 2 were 7.25 ± 0.08, 76.6 ± 20.9 and 79.18 ± 40.56 mmHg respectively. The primary indication for NIPPV was hypercapnic respiratory failure (n = 36, 90%. The success rate with NIPPV was 85%, with 34 of 40 patients weaned successfully. Significant improvements were observed at 1 hour following institution of NIPPV in pH (7.31 ± 0.09, P < 0.001 and PaCO 2 (65 ± 17.9, P < 0.001. These improvements continued up to the time of weaning (pH 7.38 ± 0.08, PaCO 2 54.7 ± 20 and maintained (within 12 h postweaning from the ventilator (pH 7.39 ± 0.08, PaCO 2 51.9 ± 12.4. No significant change in the PaO 2 was observed during NIPPV; PaO 2 after 1 h, prior to weaning and after weaning was 90.53 ± 42.85, 84.80 ± 33.76, 78.71 ± 43.81 respectively. Conclusion: This study has demonstrated benefits of NIPPV in avoiding the need for invasive MV in patients presenting with ARF of diverse etiology, with results comparable to developed nations. Increased use of NIPPV in ARF is likely to impact favorably in nations with limited resources.

  5. 全麻下老年糖尿病患者连续无创二氧化碳分压监测的准确性%Accuracy of continuous noninvasive partial pressure of carbon dioxide monitoring in old diabetic patients undergoing general anesthesia

    Institute of Scientific and Technical Information of China (English)

    张媛媛; 刘玉华; 于泳浩

    2016-01-01

    目的 评价全麻下老年糖尿病患者连续无创二氧化碳分压监测的准确性.方法 全麻下行择期手术的并存糖尿病的老年患者66例,性别不限,年龄65~76岁,体重49~ 95 kg,ASA分级Ⅰ或Ⅱ级,采用经皮二氧化碳分压监测仪监测经皮二氧化碳分压(TcPCO2).分别于气管插管后30、60 min时采集动脉血样,测定动脉血二氧化碳分压(PaCO2),并记录TcPCO2和呼气末二氧化碳分压(PETCO2).采用Bland-Altman法进行一致性分析.结果 气管插管后30 min时Bland-Altman一致性分析结果:PaCO2与TcPCO2的偏离度为1.3,95%可信区间(CI)为1.0~ 1.6,一致性界限为-1.1~3.7;PaCO2与PETCO2的偏离度为-3.2,95% CI为-3.6~-2.8,一致性界限为-6.6~0.2.气管插管后60 min时Bland-Altman一致性分析结果:PaCO2与TcPCO2的偏离度为1.4,95%CI为1.1~1.7,一致性界限为-1.0~3.4;PaCO2与PETCO2的偏离度为-3.1,95% CI为-3.5 ~-2.7,一致性界限为-6.7~0.5.2个时点PaCO2检测的重复系数为2.1,TcPCO2和PETCO2检测的重复系数均为2.3.结论 全麻下老年糖尿病患者连续无创二氧化碳分压监测的准确性高,可代替PaCO2监测,且准确性高于PETCO2.%Objective To evaluate the accuracy of continuous noninvasive partial pressure of carbon dioxide monitoring in the old diabetic patients undergoing general anesthesia.Methods Sixty-six old diabetic patients of both sexes,aged 65-76 yr,weighing 49-95 kg,of American Society of Anesthesiologists physical status Ⅰ or Ⅱ,undergoing elective surgery under general anesthesia,were included in this study.Transcutaneous partial pressure of carbon dioxide (TcPCO2) was monitored by a noninvasive transcutaneous carbon dioxide monitor.Arterial blood samples were collected at 30 and 60 min after endotracheal intubation,partial pressure of arterial carbon dioxide (PaCO2) was monitored,and TcPCO2 and end-tidal pressure of carbon dioxide (PET CO2) were recorded.Bland-Altman analysis was used to

  6. Kinetics of carbon dioxide during cardiopulmonary resuscitation

    DEFF Research Database (Denmark)

    Wiklund, L; Söderberg, D; Henneberg, S;

    1986-01-01

    CO2 kinetics during CPR was investigated in 15 anesthetized piglets. BP, blood gases, and acid-base balance were monitored through catheters in the carotid artery and a central vein, as well as in cerebrospinal fluid. Cardiac arrest was induced by a transthoracic direct current shock. CPR was begun...... an equivalent amount of tris-buffer mixture. The results of these experiments, as well as previously described circulatory variables during CPR, were analyzed using a computer model describing the CO2 kinetics of the pig. Our main finding was that PaCO2 was positively correlated to cardiac output during CPR...

  7. Comparative cardiopulmonary effects of carfentanil-xylazine and medetomidine-ketamine used for immobilization of mule deer and mule deer/white-tailed deer hybrids.

    OpenAIRE

    Caulkett, N A; Cribb, P H; Haigh, J C

    2000-01-01

    Three mule deer and 4 mule deer/white-tailed deer hybrids were immobilized in a crossover study with carfentanil (10 microg/kg) + xylazine (0.3 mg/kg) (CX), and medetomidine (100 microg/kg) + ketamine (2.5 mg/kg) (MK). The deer were maintained in left lateral recumbency for 1 h with each combination. Deer were immobilized with MK in 230+/-68 s (mean +/- SD) and with CX in 282+/-83 seconds. Systolic, mean and diastolic arterial pressure were significantly higher with MK. Heart rate, PaO2, PaCO...

  8. Effect of graded hyperventilation on cerebral metabolism in a cisterna magna blood injection model of subarachnoid hemorrhage in rats

    DEFF Research Database (Denmark)

    Ma, Xiaodong; Bay-Hansen, Rikke; Hauerberg, John;

    2006-01-01

    after experimental SAH in rats (injection of 0.07 mL of autologous blood into the cisterna magna). Four groups of Sprague-Dawley male rats were studied at predetermined PaCO2 levels: group A: normocapnia (5.01-5.66 kPa [38.0-42.0 mm Hg]); group B: slight hyperventilation (4.34-5.00 kPa [32.5-37.5 mm Hg......]); group C: moderate hyperventilation (3.67-4.33 kPa [27.5-32.4 mm Hg]); group D: profound hyperventilation (3.00-3.66 kPa [22.5-27.4 mm Hg]). Each of the four groups included eight rats with SAH and eight sham-operated controls. CBF was determined by the intracarotid Xe method; CMRo2, CMRglc, and CMRlac...... were obtained by cerebral arteriovenous differences. In both SAH rats and controls, hyperventilation decreased CBF in proportion to the decrement in PaCO2 without affecting either CMRO2, CMRglc, or CMRlac. In groups C and D, CBF decreased by 20%-35%, but CMRs were maintained by a compensatory increase...

  9. Meclofenamate increases ventilation in lambs.

    Science.gov (United States)

    Guerra, F A; Savich, R D; Clyman, R I; Kitterman, J A

    1989-01-01

    To investigate the effects of the prostaglandin synthetase inhibitor, meclofenamate, on postnatal ventilation, we studied 11 unanaesthetised, spontaneously-breathing lambs at an average age of 7.9 +/- 1.1 days (SEM; range 5-14 days) and an average weight of 4.9 +/- 0.5 kg (range 3.0-7.0 kg). After a 30-min control period we infused 4.23 mg/kg meclofenamate over 10 min and then gave 0.23 mg/h per kg for the remainder of the 4 h. Ventilation increased progressively from a control value of 515 +/- 72 ml/min per kg to a maximum of 753 +/- 100 ml/min per kg after 3h of infusion (P less than 0.05) due to an increased breathing rate; the effects were similar during both high- and low-voltage electrocortical activity. There were no significant changes in tidal volume, heart rate, blood pressure, arterial pH or PaCO2, the increased ventilation resulted from either an increase in dead space ventilation or an increase in CO2 production. This study indicates that meclofenamate causes an increase in ventilation in lambs but no changes in pH of PaCO2. The mechanism and site of action remain to be defined. PMID:2507622

  10. The Planck-ATCA Co-eval Observations project: analysis of radio source properties between 5 and 217 GHz

    Science.gov (United States)

    Massardi, Marcella; Bonaldi, Anna; Bonavera, Laura; De Zotti, Gianfranco; Lopez-Caniego, Marcos; Galluzzi, Vincenzo

    2016-01-01

    The Planck-ATCA Co-eval Observations (PACO) project has yielded observations of 464 sources with the Australia Telescope Compact Array (ATCA) between 4.5 and 40 GHz. The main purpose of the project was to investigate the spectral properties of mm-selected radio sources at frequencies below and overlapping with the ESA's Planck satellite frequency bands, minimizing the variability effects by observing almost simultaneously with the first two Planck all-sky surveys. In this paper we present the whole catalogue of observations in total intensity. By comparing PACO with the various measures of Planck Catalog of Compact Sources (PCCS) flux densities we found the best consistency with the PCCS `detection pipeline' photometry (DETFLUX) that we used to investigate the spectral properties of sources from 5 to 217 GHz. Of our sources, 91 per cent have remarkably smooth spectrum, well described by a double power-law over the full range. This suggests a single emitting region, at variance with the notion that `flat' spectra result from the superposition of the emissions from different compact regions, self-absorbed up to different frequencies. Most of the objects show a spectral steepening above ≃30 GHz, consistent with synchrotron emission becoming optically thin. Thus, the classical dichotomy between flat-spectrum/compact and steep-spectrum/extended radio sources, well established at cm wavelengths, breaks down at mm wavelengths. The mm-wave spectra do not show indications of the spectral break expected as the effect of `electron ageing', suggesting young source ages.

  11. Effects of heliox as carrier gas on ventilation and oxygenation in an animal model of piston-type HFOV: a crossover experimental study

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    Hiroma Takehiko

    2010-11-01

    Full Text Available Abstract Objective This study aimed to compare gas exchange with heliox and oxygen-enriched air during piston-type high-frequency oscillatory ventilation (HFOV. We hypothesized that helium gas would improve both carbon dioxide elimination and arterial oxygenation during piston-type HFOV. Method Five rabbits were prepared and ventilated by piston-type HFOV with carrier 50% helium/oxygen (heliox50 or 50% oxygen/nitrogen (nitrogen50 gas mixture in a crossover study. Changing the gas mixture from nitrogen50 to heliox50 and back was performed five times per animal with constant ventilation parameters. Arterial blood gas, vital function and respiratory test indices were recorded. Results Compared with nitrogen50, heliox50 did not change PaCO2 when stroke volume remained constant, but significantly reduced PaCO2 after alignment of amplitude pressure. No significant changes in PaO2 were seen despite significant decreases in mean airway pressure with heliox50 compared with nitrogen50. Conclusion This study demonstrated that heliox enhances CO2 elimination and maintains oxygenation at the same amplitude but with lower airway pressure compared to air/O2 mix gas during piston-type HFOV.

  12. The value of ETCO2 measurement for COPD patients in the emergency department.

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    Kartal, Mutlu; Goksu, Erkan; Eray, Oktay; Isik, Soner; Sayrac, Ali Vefa; Yigit, Ozlem Erken; Rinnert, Stephan

    2011-02-01

    We aimed to determine the value of sidestream end-tidal carbon dioxide (SS-ETCO2) measurement in patients with chronic obstructive pulmonary disease (COPD) in the emergency department. Cross-sectional associations between ETCO2 and PaCO2 were examined in the study. This prospective cross-sectional study has been carried out over a 3-month period in a tertiary care university hospital emergency department with an annual census of 75 000 visits. During the study period, simultaneous SS-ETCO2 measurement using a Medlab Cap 10 sidestream capnograph was performed on every COPD patient requiring arterial blood gas analysis. The demographics, diagnosis, vital signs, laboratory test results and clinical outcomes of the patients were recorded. SS-ETCO2 measurement and arterial blood gas analysis were carried out on 118 patients. Mean arterial PCO2 levels were 43.24±14.73 and mean ETCO2 levels were 34.23±10.86 mmHg. Agreement between PCO2 and ETCO2 measurements was 8.4 mmHg and a precision of 11.1 mmHg.As there is only a moderate correlation between PCO2 and ETCO2 levels in COPD patients, ETCO2 measurement should not be considered as a part of the decision-making process to predict PaCO2 level in COPD patients. PMID:20224417

  13. Use of helium-oxygen mixture in adult patients presenting with exacerbations of asthma and chronic obstructive pulmonary disease: a systematic review.

    Science.gov (United States)

    Colebourn, C L; Barber, V; Young, J D

    2007-01-01

    We examined systematically all controlled and cross-over randomised trials in patients with acute exacerbations of asthma and chronic obstructive pulmonary disease comparing Heliox against air-oxygen mixtures. Fourteen studies were identified. In asthma studies, peak expiratory flow rate (PEFR) was increased by an average of 29.6% (95% CI 16.6-42.6) by Heliox-driven nebulisers, or by 13.3 l.min(-1) (95% CI 3.71-22.81) absolute. In studies of patients with chronic obstructive pulmonary disease receiving non-invasive ventilation the arterial carbon dioxide tension (P(a)co(2)) and respiratory rate were unchanged: weighted mean difference for P(a)co(2)-0.29kPa (95% CI - 0.64-0.07) favoured Heliox, and for respiratory rate 1.6 breaths.min(-1) (95% CI - 0.93, 4.14) favoured control. Heliox minimally reduced the work of breathing in intubated patients, and reduced intrinsic positive end expiratory pressure (iPEEP). The use of Heliox to drive nebulisers in patients with acute asthma slightly improves airflow measures. We were unable to determine whether this improved recovery. PMID:17156225

  14. Effect of tracheostomy on pulmonary mechanics: An observational study

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    Sofi Khalid

    2010-01-01

    Full Text Available Background: This study was undertaken to find out the effect of early tracheostomy on weaning from mechanical ventilation. Pulmonary mechanics and arterial blood gases were assessed before and after tracheostomy in patients with severe head injury (Glasgow coma score < 8 requiring prolonged mechanical ventilation. Patients and Methods: The study included 20 mechanically ventilated patients of either sex between 20 and 45 years of age, who had suffered brain injury due to head trauma during admission (Glasgow coma scores of < 8. Mean airway pressure, peak airway pressure, plateau pressure, PaO 2 and PaCO 2 were measured 24 h before and after tracheostomy. Static and dynamic compliances were calculated. Results: Plateau airway pressures were not affected by tracheostomy, but peak airway pressure was reduced (29.90 ± 3.21 cm H 2 O before tracheostomy versus 24.30 ± 1.83 cm H 2 O after tracheostomy, P < 0.001. Dynamic compliance, but not static compliance, was improved by tracheostomy. Tracheostomy did not affect PaCO 2 , but it improved PaO 2 (83.09 ± 5.99 mmHg before versus 90.84 ± 5.61 mmHg after, P ≤ 0.001. Conclusions: The work of breathing through a tracheostomy tube may be less than through an endotracheal tube of same internal diameter.

  15. Treatment of life-threatening hypercapnia with isoflurane in an infant with status asthmaticus.

    Science.gov (United States)

    Masuda, Yoshiki; Tatsumi, Hiroomi; Goto, Kyoko; Imaizumi, Hitoshi; Yoshida, Shin-ichiro; Kimijima, Tomohiko; Yamakage, Michiaki

    2014-08-01

    We encountered a 2-year-old child with life-threatening hypercapnia, with a PaCO(2) of 238 mm Hg and severe respiratory and metabolic acidosis, due to status asthmaticus that was refractory to steroid and bronchodilator therapy. Suspecting ventilatory failure and excessive ventilation-induced obstructive shock, we started respiratory physiotherapy in synchrony with her respiration, to facilitate exhalation from her over-inflated lungs. Isoflurane inhalation was commenced in preparation for extracorporeal circulation, to reduce the hypercapnia. The combination of respiratory physiotherapy and isoflurane inhalation resulted in a rapid decrease in ventilatory resistance and PaCO(2) levels within a few minutes, with recovery of consciousness within 60 min. Isoflurane inhalation was gradually discontinued and steroid and aminophylline therapy were commenced. The patient recovered completely without any recurrence of her bronchospasm and without any residual neurological deficits. In our patient with a severe asthmatic attack, decreased exhalation secondary to asthma and overventilation during artificial ventilation resulted in overinflation of the lungs, which in turn led to cerebral edema and obstructive cardiac failure. The favorable outcome in this case was due to the short duration of hypercapnia. Hence, we conclude that the duration of hypercapnia is an important determinant of the morbidity and mortality of status asthmaticus-induced severe hypercapnia. PMID:24310852

  16. COMPARISON OF HIGH-FREQUENCY OSCILLATION VENTILATION WITH CONVENTIONAL MANDATORY VENTILATION IN ANIMAL ARDS MODEL

    Institute of Scientific and Technical Information of China (English)

    SHI Guo-chao; HUANG Shao-guang; LI Min; DENG Wei-wu; WAN Huan-ying

    2005-01-01

    Objective To compare effect of high-frequency oscillation ventilation (HFOV) and conventional mandatory ventilation (CMV) on lung injury development in rabbit with acute respiratory distress syndrome (ARDS). Methods Animals that underwent saline lung lavage to produce lung injury were randomized to one of the two treatment groups (HFOV or CMV, n=6). PaCO2 was maintained between 35-45mmHg and arterial oxygen saturation (SaO2) was maintain >88% by adjusting corresponding ventilator parameters. Ventilation period was 6h. Lung fluids were aspirated before and at the end of ventilation for cell analysis. Then the animals were euthanized, lung tissue was removed for wet/dry weight measurement, light and electron microscopic examination.Results The difference of artery blood gas analyses(pH, PaO2, PaCO2) between HFOV and CMV was insignificant. The difference between HFOV and CMV in cytological examination of lung fluids, wet/dry weight measurement was also insignificant. But compared with CMV,HFOV not only reduced the area of lung injury, but also reduced lung injury score in light and electron microscopic examination. Conclusion When same artery blood gas analysis was obtained, HFOV significantly reduced lung injury development in ARDS animal than CMV. As a lung protection strategy, HFOV can be used in the treatment of ARDS.

  17. Effect of ketamine on control of breathing in cats.

    Science.gov (United States)

    Jaspar, N; Mazzarelli, M; Tessier, C; Milic-Emili, J

    1983-09-01

    We studied minute ventilation, breathing pattern, end-tidal CO2 partial pressure (PACO2), and tracheal occlusion pressure in cats anesthetized with ketamine (40 and 80 mg/kg) before and after CO2 inhalation. Before CO2 administration ventilation was reduced and PACO2 increased relative to unanesthetized cats at both ketamine doses. Breathing pattern was of the "apneustic" type, being characterized by 1) prolonged inspiratory duration and relatively short expiratory time and 2) markedly curvilinear (convex upward) inspiratory volume-time profile. The latter reflected a similar curvilinearity in the tracheal occlusion pressure waveform. During CO2 inhalation, the ventilatory response to CO2 was similar to that in unanesthetized cats in spite of a depressed tracheal occlusion pressure response. This discrepancy was due to the fact that in the presence of a convex upward inspiratory volume-time profile, the shortening of inspiratory duration with increasing CO2 results in a marked increase of mean inspiratory flow, and hence the ventilatory response to CO2 remains high. PMID:6415013

  18. Nocturnal hypoxaemia and hypercapnia in children with neuromuscular disorders.

    Science.gov (United States)

    Bersanini, Chiara; Khirani, Sonia; Ramirez, Adriana; Lofaso, Frédéric; Aubertin, Guillaume; Beydon, Nicole; Mayer, Michèle; Maincent, Kim; Boulé, Michèle; Fauroux, Brigitte

    2012-05-01

    The aim of the study was to identify daytime predictors of nocturnal gas exchange anomalies in children with neuromuscular disease (NMD) and normal daytime gas exchange. Lung function tests, respiratory muscle evaluation and nocturnal gas exchange were obtained as part of routine evaluation. We included 52 consecutive children with Duchenne muscular dystrophy (n = 20), spinal muscular atrophy (n = 10) and other NMD (n = 22). 20 patients had nocturnal hypoxaemia, defined as minimal arterial oxygen saturation measured by pulse oximetry (S(p,O(2))) carbon dioxide tension (P(tc,CO(2))) >50 mmHg for ≥ 2% of night time. Forced vital capacity and helium functional residual capacity correlated with minimal nocturnal S(p,O(2)) (p = 0.009 and p = 0.01, respectively). Daytime pH correlated negatively with maximal nocturnal P(tc,CO(2)) (p=0.005) and daytime arterial carbon dioxide tension (P(a,CO(2))) correlated with the percentage of time with a P(tc,CO(2)) >50 mmHg (p = 0.02). Sniff nasal inspiratory pressure correlated with minimal nocturnal S(p,O(2)) (p = 0.02). Daytime P(a,CO(2)) was a weak predictor of nocturnal hypercapnia (sensitivity 80%; specificity 57%). Daytime lung function and respiratory muscle parameters correlate poorly with nocturnal hypoxaemia and hypercapnia in children with NMD and normal daytime gas exchange, which necessitates more systematic sleep studies in these children. PMID:22135279

  19. Cerebral oxygenation and hyperthermia

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    Anthony Richard Bain

    2014-03-01

    Full Text Available Hyperthermia is associated with marked reductions in cerebral blood flow (CBF. Increased distribution of cardiac output to the periphery, increases in alveolar ventilation and resultant hypocapnia each contribute to the fall in CBF during passive hyperthermia; however, their relative contribution remains a point of contention, and probably depends on the experimental condition (e.g. posture and degree of hyperthermia. The hyperthermia-induced hyperventilatory response reduces arterial CO2 pressure (PaCO2 causing cerebral vasoconstriction and subsequent reductions in flow. During supine passive hyperthermia, the majority of recent data indicate that reductions in PaCO2 may be the primary, if not sole, culprit for reduced CBF. On the other hand, during more dynamic conditions (e.g. hemorrhage or orthostatic challenges, an inability to appropriately decrease peripheral vascular conductance presents a condition whereby adequate cerebral perfusion pressure may be compromised secondary to reductions in systemic blood pressure. Although studies have reported maintenance of pre-frontal cortex oxygenation (assessed by near-infrared spectroscopy during exercise and severe heat stress, the influence of cutaneous blood flow is known to contaminate this measure. This review discusses the governing mechanisms associated with changes in CBF and oxygenation during moderate to severe (i.e. 1.0°C to 2.0°C increase in body core temperature levels of hyperthermia. Future research directions are provided.

  20. Validación del Protocolo de Reproducción de Colossoma macropomum, Piaractus brachypomus y Prochilodus nigricans en Condiciones Controladas

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    Lorgio Verdi-Olivares

    2014-07-01

    Full Text Available Protocolos aplicados a las diferentes etapas de la reproducción  inducida: tratamiento hormonal, incubación, manejo de larvas, y manejo de alevines en los peces de consumo humano Colossoma macropomum (gamitana, Piaractus brachypomus (paco y Prochilodus nigricans (boquichico fueron evaluados en el marco del proyecto UNAP “Cátedra CONCYTEC en Acuicultura Tropical” con el propósito de establecer los adecuados procedimientos en la búsqueda de una óptima productividad acuícola y una mejor rentabilidad económica en Loreto. Con este objetivo se utilizaron como inductores: para gamitana, Pituitaria de Carpa con dosis total de 6,0 mg/kg en hembras y 2,0 mg/kg en machos; Para machos y hembras de paco, Conceptal en dosis total de 2,6 ml/kg en hembras y 1,0 ml/kg en machos; y para boquichico, Pituitaria de Carpa con dosis total de 4,0 mg/kg en hembras y 2,0 mg/kg en machos. El desove se produjo en 11±2 horas; la eclosión ocurre después de 22 horas a partir de la fecundación, con  tasas promedios superiores al 70% y tasas de sobrevivencia, aún cundo por debajo del 50%, garantiza una alta producción de alevines.

  1. Carbon dioxide induced changes in cerebral blood flow and flow velocity: role of cerebrovascular resistance and effective cerebral perfusion pressure.

    Science.gov (United States)

    Grüne, Frank; Kazmaier, Stephan; Stolker, Robert J; Visser, Gerhard H; Weyland, Andreas

    2015-09-01

    In addition to cerebrovascular resistance (CVR) zero flow pressure (ZFP), effective cerebral perfusion pressure (CPPe) and the resistance area product (RAP) are supplemental determinants of cerebral blood flow (CBF). Until now, the interrelationship of PaCO2-induced changes in CBF, CVR, CPPe, ZFP, and RAP is not fully understood. In a controlled crossover trial, we investigated 10 anesthetized patients aiming at PaCO2 levels of 30, 37, 43, and 50 mm Hg. Cerebral blood flow was measured with a modified Kety-Schmidt-technique. Zero flow pressure and RAP was estimated by linear regression analysis of pressure-flow velocity relationships of the middle cerebral artery. Effective cerebral perfusion pressure was calculated as the difference between mean arterial pressure and ZFP, CVR as the ratio CPPe/CBF. Statistical analysis was performed by one-way RM-ANOVA. When comparing hypocapnia with hypercapnia, CBF showed a significant exponential reduction by 55% and mean VMCA by 41%. Effective cerebral perfusion pressure linearly decreased by 17% while ZFP increased from 14 to 29 mm Hg. Cerebrovascular resistance increased by 96% and RAP by 39%; despite these concordant changes in mean CVR and Doppler-derived RAP correlation between these variables was weak (r=0.43). In conclusion, under general anesthesia hypocapnia-induced reduction in CBF is caused by both an increase in CVR and a decrease in CPPe, as a consequence of an increase in ZFP.

  2. Physiological evaluation of free-ranging moose (Alces alces immobilized with etorphine-xylazine-acepromazine in Northern Sweden

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    Evans Alina L

    2012-12-01

    Full Text Available Abstract Background Evaluation of physiology during capture and anesthesia of free-ranging wildlife is useful for determining the effect that capture methods have on both ecological research results and animal welfare. This study evaluates capture and anesthesia of moose (Alces alces with etorphine-xylazine-acepromazine in Northern Sweden. Methods Fifteen adult moose aged 3–15 years were darted from a helicopter with a combination of 3.37 mg etorphine, 75 mg xylazine, and 15 mg acepromazine. Paired arterial blood samples were collected 15 minutes apart with the first sample at 15–23 minutes after darting and were analyzed immediately with an i-STAT®1 Portable Clinical Analyzer. Results All animals developed hypoxemia (PaO2 2 5.5-8 kPa. All moose were acidemic (ph2, 14 moose had mild hypercapnia (PaCO2 6-8 kPa and two had marked hypercapnia (PaCO2>8 kPa. Pulse, respiratory rate, pH and HCO3 increased significantly over time from darting whereas lactate decreased. Conclusions The hypoxemia found in this study is a strong indication for investigating alternative drug doses or combinations or treatment with supplemental oxygen.

  3. Per- and postoperative changes in the arterio-venous oxygen content difference (AVDO2) in patients subjected to craniotomy for cerebral tumours.

    Science.gov (United States)

    Asmussen, J; Elkjaer, S; Cold, G; Herlevsen, P; Melsen, N C; Engberg, M; Hove, B; Astrup, J

    1989-01-01

    Sixteen patients with supratentorial cerebral tumours were subjected to craniotomy under thiopentone, fentanyl, nitrous oxide, halothane anaesthesia during moderate hypocapnia (PaCO2 level 4.0 kPa). The arterio-venous oxygen content difference (AVDO2) was measured peroperatively, and repeatedly during the first three hours after extubation. Peroperatively the level of AVDO2 averaged 8.0 vol% during opening of the dura, and decreased to 7.0 vol% during closure of the dura (P less than 0.05). Immediately after extubation the AVDO2 decreased to 4.3 vol% (P less than 0.05), and during the next 3 hours a gradual increase to 5.8 vol% (P less than 0.05) was disclosed. In individual cases the postoperative changes in AVDO2 correlated fairly well with changes in mean arterial blood pressure (MABP), but other factors including duration of the operation, age of the patients, size of the tumour, level of PaCO2 and adaptation to prolonged hyperventilation during operation are supposed to be responsible for the low levels of AVDO2 observed in the postoperative period. PMID:2603775

  4. Breathing in thin air: acclimatization to altitude in ducks.

    Science.gov (United States)

    Powell, Frank L; Shams, Hashim; Hempleman, Steven C; Mitchell, Gordon S

    2004-12-15

    We measured ventilation (VI) and arterial blood gases in Pekin ducks during acclimatization to 3800 m altitude for 1-90 days. Four experimental series were conducted over 4 years using both natural altitude and a hypobaric chamber. PaCO2 decreased to 3.5 Torr, relative to the value measured during acute hypoxia after 1 day and remained at this level for up to 90 days. However, PaO2 did not increase. Arterial pH showed an unexpected metabolic alkalosis during the first hours at altitude but after 3 days, a metabolic acidosis partially compensated the respiratory alkalosis and pHa was constant thereafter. When normoxia was restored after hypoxia, PaCO2 was 5.5 Torr less than the original normoxic control value, but PaO2 was not increased. VI showed variable changes during acclimatization but if metabolic rate was constant in our study, as reported by others, then effective parabronchial V(VP) increased during acclimatization. Increased VP tends to restore PaO2 toward normoxic levels and decreases adverse effects of gas exchange limitation, which apparently increased during acclimatization in ducks.

  5. Pulmonary Effects of Neonatal Hydrocortisone Treatment in Ventilator-Dependent Preterm Infants

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    Sandra E. A. de Jong

    2011-01-01

    Full Text Available Background/Objective. Hydrocortisone, administered to ventilated preterm neonates to facilitate extubation, has no adverse long-term effects, but short-term pulmonary effects have not been described previously. In the present study, we analyzed effects of hydrocortisone on ventilator settings and FiO2 in ventilator-dependent preterm infants. Patients and Methods. Fifty-five preterm children were included in this retrospective cohort study. Hydrocortisone was administered at a postnatal age of > 7 days to treat chronic lung disease (CLD. Ventilator settings before and after hydrocortisone administration were recorded as well as FiO2 at 36 weeks' gestational age. Presence of cerebral palsy was assessed at a mean corrected age of 24.1 months. Results. Hydrocortisone administered at a median postnatal age of 14 days significantly reduced FiO2 from a median of 0.39 to 0.30, mean airway pressure (MAP from a median of 10.0 cm H2O to 7.6 cm H2O, and PaCO2 from a median of 53.5 mmHg to 47 mmHg. Extubation was achieved in all patients. CLD at 36 weeks was present in 11 of the 52 patients (21.1%. None developed cerebral palsy. Conclusions. Hydrocortisone was effective in reducing the FiO2, MAP, and PaCO2 and facilitated extubation. Hydrocortisone was not associated with cerebral palsy.

  6. CLINICAL ANALYSIS OF OBSTRUCTIVE SLEEP APNEASYNDROME WITH ACUTE RESPIRATORY FAILURE

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Objective To study the clinical characteristics of obstructive sleep apnea syndrome (OSAS) induced acute respiratory failure. Methods The clinical and laboratory characteristics of 9 patients were reviewed. Results 9 patients (8 females, 1 male) presented with obesity and mental disturbance, with a BMI being 44.97 kg /m2, (45.25 kg/m2 in the fe male). The mean age of the group was 67.89 years (61~74 years). All had respiratory acidosis (mean pH 7.17), hypercapni a (mean PaCO2 94.10mmHg) (63.97~143.18mmHg), and hypoxemia (mean PaO2 39mmHg) (29.03~44.03mmHg). During periods of clinical stability all but 2 had awaken hypercapnia (mean PaCO2 46.73mmHg) (38.25~54.68mmHg). Four of the 9 patients had pulmonary function test showing FEV1>70%. Conclusion OSAS induced acute respiratory fail ure has a sudden onset and various presentations and can be reversed with early and proper treatment. The severity of abnormal pulmonary function was less than what would be expected to cause respiratory failure.

  7. Effect of Ginkgo biloba extract in combined with prednisone on the arterial blood gas and pulmonary function in patients with idiopathic pulmonary fibrosis

    Institute of Scientific and Technical Information of China (English)

    Zhen-Chun Shi

    2016-01-01

    Objective:To explore the effect of Ginkgo biloba extract (EGb) in combined with prednisone on the arterial blood gas and pulmonary function in patients with idiopathic pulmonary fibrosis (IPF).Methods: A total of 76 patients with IPF who were admitted in our hospital from March, 2015 to March, 2016 were included in the study and randomized into the observation group and the control group. The patients in the two groups were given oxygen inhalation, bronchodilator agents, phlegm dissipating and asthma relieving, anti-infection, and other supporting treatments. The patients in the control group were orally given prednisone (0.5 mg/kg.d), continuously for 4 weeks, then in a dose of 0.25 mg/kg.d, continuously for 8 weeks, and finally the dosage was reduced to 0.125 mg/kg.d. On this basis, the patients in the observation group were given additional EGb, i.e. Ginkgo leaf capsule, 1 g/time, 3 times/d, continuously for 12 weeks. The efficacy was evaluated after 12-week treatment. PaO2, PaCO2, P(A-a)O2, and SaO2 before and after treatment were detected. FVC, FEV1/FVC, MVV, TLC, and DLCO before and after treatment were determined.Results: PaO2, PaCO2, and SaO2 after treatment were significantly elevated, while P(A-a)O2 was significantly reduced when compared with before treatment. The comparison of PaO2 and P(A-a)O2 between the two groups was statistically significant, while the comparison of PaCO2 and SaO2 between the two groups was not statistically significant. After treatment, FVC, FEV1/FVC, MVV, TLC, and DLCO in the two groups were significantly elevated when compared with before treatment, and those in the observation group were significantly superior to those in the control group.Conclusions:EGb in combined with prednisone in the treatment of IPF can effectively improve the arterial blood gas indicators and pulmonary function, and enhance the patients’ living qualities; therefore, it deserves to be widely recommended.

  8. Base excess, a marker of chronic hypercapnic respiratory failure and predictor of survival in COPD

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    Stephan Budweiser

    2006-12-01

    Full Text Available We studied the role of base excess (BE as marker of chronic hypercapnia and survival in patients with chronic obstructive pulmonary disease (COPD and chronic hypercapnic respiratory failure (CHRF. Moreover, it was investigated whether the effects of non-invasive positive pressure ventilation (NPPV on CHRF were reflected in BE and survival. In 240 (160 without exacerbation patients with COPD (mean±SD FEV1 30.7±9.7 %pred; PaCO2 56.9±9.9 mmHg body-mass index (BMI, lung function, respiratory muscle function, blood gases and 6-minute walking distance (6-MWD were assessed prior to initiation of NPPV. In addition, the changes of risk factors 6.3±2.9 months after initiation of NPPV were evaluated. Overall mortality during the follow-up time (26.0±24.5 months was 34.6%. Deaths resulted predominantly from respiratory causes (65.1%; among those, respiratory failure was most frequent (85.2%. Univariate analysis revealed BMI, FEV1, maximal inspiratory pressure (PImax, inspiratory load (P0.1, haemoglobin, 6-MWD, hyperinflation (IC/TLC, RV/TLC, blood gases and BE to be associated (p<0.05 each with prognosis. In multivariate analyses, however, only BMI, RV/TLC and BE turned out to be independent cross-sectional predictors (p<0.05. Kaplan-Meier analyses showed that BE had predictive value particularly in patients with BMI25 kg·m–2, RV/TLC70 % and PaCO257 mmHg. Furthermore, changes of BMI, RV/TLC and BE (p<0.01 were associated with improved prognosis in severe hypercapnic COPD. In patients with COPD and CHRF, BE was a prognostic marker for mortality, that was independent from other factors, particularly PaCO2. In addition, reversal of CHRF was reflected in BE and appeared to have an impact on prognosis.

  9. RESPIRATORY REHABILITATION IN ACUTE CARE OF PATIENTS WITH NEUROPARALYTIC SNAKE ENVENOMATION: CASE SERIES

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    Gitanjali Sikka

    2016-04-01

    Full Text Available Background: Snakebite is an environmental hazard associated with significant morbidity and mortality. Neurotoxic envenomations have the potency to cause a broad spectrum of presentations starting from ptosis and ophthalmoplegia to respiratory arrest. These patients require ventilatory assistance in addition to administration of anti-snake venom (ASV and other supportive measures. Mechanically ventilated patients are at risk for retained secretions due to endotracheal intubation disrupting mucociliary escalator, relative immobility of mechanically patient confined to bed can lead to postoperative atelectasis, impaired cough, and retained secretions and thereby physical therapy may be indicated for patients in the intensive care setting. Materials and Methods: A total of twenty four consecutive patients ranging in age from 25-45 years, who required, mechanical ventilation for respiratory muscle paralysis, secondary to snake envenomation, seen during three months period, recruited from various ICU’s were included in the study. All the patients included were mechanically ventilated on Hamilton Evita ventilator, on volume control (CMV mode with PEEP<10 cmH2O and had stable hemodynamics with heart rate = 60-100 beats/min; MABP = 70-110mm Hg. Patients received chest physiotherapy intervention twice in a day. Effects of physiotherapy treatment were studied on static lung compliance (CST, oxygenation ratio (PaO2:FiO2 ratio, partial pressure of carbon dioxide in arterial blood (PaCO2 , cologarithm of activity of dissolved hydrogen ions in arterial blood (pH and chest X-rays. Measurements of dependent variables were recorded (PRE before commencement of treatment, 30 minutes and 60 minutes after treatment. Physiotherapy intervention included bronchial hygiene therapy and manual hyperinflation using Mapleson-C circuit. Results: Analysis of variance showed that there was highly significant improvement in CST mean values (p<0.01 and significant improvement

  10. Efficacy of non-invasive positive pressure ventilation in the treatment of respiratory failure in patients with COPD at the acute exacerbation stage

    Institute of Scientific and Technical Information of China (English)

    De-Peng Li

    2016-01-01

    Objective:To observe the efficacy of non-invasive positive pressure ventilation (NIPPV) in the treatment of respiratory failure in patients with COPD at the acute exacerbation stage. Methods:A total of 38 COPD patients at the acute exacerbation stage with respiratory failure who were admitted in our hospital from January, 2012 to January, 2013 with complete medical materials were included in the study and divided into the observation group and the control group according to different treatment methods. On admission, the patients in the two groups were given oxygen inhalation, positive infection control, and drugs that could improve the respiratory function. On the basis, the patients in the observation group were given additional NIPPV. The improvement of blood gas indicators 4, 24, 72 d after admission, and 5, 30 d after discharge in the two groups was compared. The hospitalization time and the number of second hospitalization within 3 months in the two groups were compared.Results: In the observation group, pH value after 4 h ventilation was significantly elevated, and maintained at a stable state after 24 h ventilation, while in the control group, the change of pH value was not statistically significant, and after 5 d treatment, pH value was yet low. In the observation group, PaCO2 was significantly reduced in a short ventilation time, while in the control group, the descending range was small. The comparison of pH and PaCO2 4 h, 24 h, 72 h, and 5 d after treatment between the two groups was statistically significant, but PaCO2 in the two groups could not reduce to the normal level. PaO2 after treatment in the two groups was improved, but the improved degree in the observation degree was significantly superior to that in the control group. The comparison of blood gas indicators 30 d after discharge between the two groups was not statistically significant. The hospitalization time in the observation group was shortened, and the number of second hospitalization

  11. End-tidal arterial CO2 partial pressure gradient in patients with severe hypercapnia undergoing noninvasive ventilation

    Directory of Open Access Journals (Sweden)

    Defilippis V

    2013-06-01

    Full Text Available Vito Defilippis,1 Davide D’Antini,2 Gilda Cinnella,2 Michele Dambrosio,2 Fernando Schiraldi,3 Vito Procacci1 1Emergency Department, Riuniti Hospital, 2Department of Anaesthesiology and Intensive Care, University of Foggia, Foggia, 3Emergency Department, San Paolo Hospital, Naples, Italy Background: Patients with severe hypercapnia represent a particularly serious condition in an emergency department (ED, requiring immediate attention. Noninvasive ventilation (NIV is an integral part of the treatment for acute respiratory failure. The present study aimed to validate the measurement of end-tidal CO2 (EtCO2 as a noninvasive technique to evaluate the effectiveness of NIV in acute hypercapnic respiratory failure. Methods: Twenty consecutive patients admitted to the ED with severe dyspnea were enrolled in the study. NIV by means of bilevel positive airway pressure, was applied to the patients simultaneously with standard medical therapy and continued for 12 hours; the arterial blood gases and side-stream nasal/oral EtCO2 were measured at subsequent times: T0 (admission to the ED, T1h (after 1 hour, T6h (after 6 hours, and T12h (after 12 hours during NIV treatment. Results: The arterial CO2 partial pressure (PaCO2–EtCO2 gradient decreased progressively, reaching at T6h and T12h values lower than baseline (P < 0.001, while arterial pH increased during the observation period (P < 0.001. A positive correlation was found between EtCO2 and PaCO2 values (r = 0.89, P < 0.001 at the end of the observation period. Conclusion: In our hypercapnic patients, the effectiveness of the NIV was evidenced by the progressive reduction of the PaCO2–EtCO2 gradient. The measurement of the CO2 gradient could be a reliable method in monitoring the effectiveness of NIV in acute hypercapnic respiratory failure in the ED. Keywords: arterial end-tidal CO2 gradient, noninvasive ventilation, bilevel positive airway pressure, acute respiratory failure

  12. Variability of Acid-Base Status in Acetate-Free Biofiltration 84% versus Bicarbonate Dialysis

    Directory of Open Access Journals (Sweden)

    Harzallah Kais

    2008-01-01

    Full Text Available The ultimate goal of hemodialysis (HD treatment is to achieve the highest level of efficacy in the presence of maximal clinical tolerance. With an aim to offer good hemodynamic stability, as observed during the acetate-free biofiltration 14% (AFB 14% to patients who are intolerant to bicarbonate dialysis (BD and with less cost, we have developed since June 1994, a new HD technique, namely AFB 84%. This study was carried out to analyze acid-base variations during the AFB 84% in comparison to BD in hemodynamically stable patients on regular HD. This was a prospective randomized crossover study carried out on 12 patients (6 males and 6 females for a total of 144 HD sessions (72 BD and 72 AFB 84%. Patients with decompensated cardiomyopathy, respiratory diseases or uncontrolled hypertension were not included in the trial. All the patients were treated with BD or AFB 84%; the latter is characterized by the absence of acetate in the dialysate and a complete correction of buffer balance by post-dilutional infusion of bicarbonate-based replacement solution. The comparison of pre-dialysis arterial acid-base and blood-gas parameters revealed no significant differences of pH, HCO 3 - and paCO 2 levels between the two techniques. Analysis of post-dialysis parameters showed that, among patients dialyzed with BD, there was over correction of metabolic acidosis with a tendency towards metabolic alkalosis. In contrast, in patients dialyzed with AFB 84%, we observed a significant improvement in pH and HCO 3 - levels but the increase in paCO2 level was not significant. A comparison of these parameters between the two techniques showed statistically significant difference in pH, HCO3 - and paCO2 levels, but not for paO2 level. AFB 84% can offer some important advantages with the complete absence of acetate from the substitution fluids, and permits a better correction of metabolic acidosis than BD, without causing alkalosis.

  13. Silvergrove Nursing Home Limited, Main Street, Clonee, Meath.

    LENUS (Irish Health Repository)

    O' Leary, Niall D

    2011-10-13

    primer extension analysis. Comparative analyses of genomes encoding phenylacetyl CoA, (PACoA), catabolic operons identified a common association among styrene degradation linked PACoA catabolons in Pseudomonas species studied to date. Conclusions In summary, this is the first study to report RpoN dependent transcriptional activation of the PACoA catabolon paaL gene, encoding a transport protein essential for phenylacetic acid utilisation in P. putida CA-3. Bioinformatic analysis is provided to suggest this regulatory link may be common among styrene degrading Pseudomonads.

  14. Regulation of phenylacetic acid uptake is sigma54 dependent in Pseudomonas putida CA-3.

    LENUS (Irish Health Repository)

    O' Leary, Niall D

    2011-10-13

    primer extension analysis. Comparative analyses of genomes encoding phenylacetyl CoA, (PACoA), catabolic operons identified a common association among styrene degradation linked PACoA catabolons in Pseudomonas species studied to date. Conclusions In summary, this is the first study to report RpoN dependent transcriptional activation of the PACoA catabolon paaL gene, encoding a transport protein essential for phenylacetic acid utilisation in P. putida CA-3. Bioinformatic analysis is provided to suggest this regulatory link may be common among styrene degrading Pseudomonads.

  15. Hemometabolismo cerebral: variações na fase aguda do coma traumático

    Directory of Open Access Journals (Sweden)

    FALCÃO ANTONIO L. E.

    2000-01-01

    Full Text Available OBJETIVO: avaliar as interrelações entre as alterações hemometabólicas cerebrais e sistêmicas em pacientes com traumatismo craniencefálico (TCE grave submetidos a um protocolo terapêutico padronizado. DESENHO: estudo prospectivo, intervencionista em pacientes com coma traumático. LOCAL: uma UTI geral em hospital universitário. PACIENTES E MÉTODOS: vinte e sete pacientes (21M e 6F, idade 14-58 anos, com TCE grave, com três a oito pontos na escala de coma de Glasgow, foram avaliados prospectivamente segundo um protocolo cumulativo padronizado para tratamento da hipertensão intracraniana aguda, o qual incluía medidas rotineiras da pressão intracraniana (PIC e da extração cerebral de oxigênio (ECO2. Foram analisadas as interrelações hemometabólicas envolvendo: pressão arterial média (PAM, PIC, pressão parcial de gás carbônico arterial (PaCO2, ECO2, pressão de perfusão cerebral (PPC e extração sistêmica de oxigênio (ESO2. INTERVENÇÕES: apenas as padronizadas no protocolo terapêutico. RESULTADOS: não houve correlação entre a ECO2 e a PPC (r = -0,07; p = 0,41. Houve correlação inversa entre a PaCO2 e a ECO2 (r = -0,24; p = 0,005 e direta entre a ESO2 e a ECO2 (r = 0,24; p = 0,01. A mortalidade geral dos pacientes foi de 25,9% (7/27. CONCLUSÃO: 1 a PPC não se correlaciona com a ECO2 em quaisquer níveis de PIC; 2 a ECO2 está estreitamente relacionada aos diferentes níveis de PaCO2 ; e 3 durante a hiperventilação otimizada existe um acoplamento entre a ECO2 e a ESO2.

  16. A complete mitochondrial genome sequence of the wild two-humped camel (Camelus bactrianus ferus: an evolutionary history of camelidae

    Directory of Open Access Journals (Sweden)

    Meng He

    2007-07-01

    Full Text Available Abstract Background The family Camelidae that evolved in North America during the Eocene survived with two distinct tribes, Camelini and Lamini. To investigate the evolutionary relationship between them and to further understand the evolutionary history of this family, we determined the complete mitochondrial genome sequence of the wild two-humped camel (Camelus bactrianus ferus, the only wild survivor of the Old World camel. Results The mitochondrial genome sequence (16,680 bp from C. bactrianus ferus contains 13 protein-coding, two rRNA, and 22 tRNA genes as well as a typical control region; this basic structure is shared by all metazoan mitochondrial genomes. Its protein-coding region exhibits codon usage common to all mammals and possesses the three cryptic stop codons shared by all vertebrates. C. bactrianus ferus together with the rest of mammalian species do not share a triplet nucleotide insertion (GCC that encodes a proline residue found only in the nd1 gene of the New World camelid Lama pacos. This lineage-specific insertion in the L. pacos mtDNA occurred after the split between the Old and New World camelids suggests that it may have functional implication since a proline insertion in a protein backbone usually alters protein conformation significantly, and nd1 gene has not been seen as polymorphic as the rest of ND family genes among camelids. Our phylogenetic study based on complete mitochondrial genomes excluding the control region suggested that the divergence of the two tribes may occur in the early Miocene; it is much earlier than what was deduced from the fossil record (11 million years. An evolutionary history reconstructed for the family Camelidae based on cytb sequences suggested that the split of bactrian camel and dromedary may have occurred in North America before the tribe Camelini migrated from North America to Asia. Conclusion Molecular clock analysis of complete mitochondrial genomes from C. bactrianus ferus and L

  17. Proceedings First International Workshop on Process Algebra and Coordination

    CERN Document Server

    Aceto, Luca; 10.4204/EPTCS.60

    2011-01-01

    Process algebra provides abstract and rigorous means for studying communicating concurrent systems. Coordination languages also provide abstract means for the specifying and programming communication of components. Hence, the two fields seem to have very much in common and the link between these two research areas have been established formally by means of several translations, mainly from coordination languages to process algebras. There have also been proposals of process algebras whose communication policy is inspired by the one underlying coordination languages. The aim of this workshop was to push the state of the art in the study of the connections between process algebra and coordination languages by bringing together experts as well as young researchers from the two fields to communicate their ideas and findings. It includes both contributed and invited papers that have been presented during the one day meeting on Process Algebra and Coordination (PACO 2011) which took place on June 9, 2011 in Reykjav...

  18. Effect of hypotension and carbon dioxide changes in an improved genuine closed cranial window rat model

    DEFF Research Database (Denmark)

    Petersen, K A; Dyrby, Lone; Williamson, D;

    2005-01-01

    The genuine closed cranial window model, in which the thinned parietal bone constitutes the covering of the preparation, has contributed to a better understanding of the pathophysiological mechanisms in migraine. In its present form, only measurements of the middle meningeal artery (MMA) are...... performed. The aim of this study was, in addition, to measure pial artery/arteriole (PA) diameter and cortical cerebral blood flux in the same cranial window. The model was evaluated by studying the effects of hypotension and changes in arterial carbon dioxide pressure (PaCO2), because these parameters...... might influence the interpretation of pharmacological experiments. Out of 23 successful experiments it was possible to measure all three parameters in 19 animals. In four, PA diameter could not be measured, while MMA diameter and local cortical cerebral blood flux (LCBF(Flux)) always could. Haemorrhage...

  19. Phenylephrine decreases frontal lobe oxygenation at rest but not during moderately intense exercise

    DEFF Research Database (Denmark)

    Brassard, Patrice; Seifert, Thomas; Wissenberg, Mads;

    2010-01-01

    PCO2 (PaCO2) were measured and the cerebral metabolic rate for O2 (CMRO2) was calculated. In randomized order, a bolus of saline or 0.3 mg of phenylephrine was then injected during semisupine cycling, eliciting a low (approximately 110 beats/min) or a high (approximately 150 beats/min) heart rate......-infrared spectroscopy-derived frontal lobe oxygenation (ScO2) at rest and during exercise. At rest, nine healthy male subjects received bolus injections of phenylephrine (0.1, 0.25, and 0.4 mg), and changes in mean arterial pressure (MAP), MCA Vmean, internal jugular venous O2 saturation (SjvO2), ScO2), and arterial....... At rest, MAP and MCA Vmean increased approximately 20% (P

  20. Breathing pattern--gas exchange relation and acute effect of almitrine in severe chronic airflow obstruction.

    Science.gov (United States)

    Damato, S; Bellone, A; Castelli, T; Mendoza, M; Daniele, R

    1988-01-01

    Using a double-blind cross-over design, a single oral dose of 100 mg almitrine bismethylate and placebo were administered to 7 patients with chronic airflow limitation. In all patients, arterial blood gases at rest, ventilation and breathing pattern at rest and on exercise were measured before and 3 h after administration. Ventilation increased and PaCO2 decreased after almitrine; the mean PaO2 increase was statistically significant after active drug but the value increased more when tidal volume increased. It is concluded that in man the well-documented improvement in the V/Q relationship after almitrine is in part related to a pure ventilatory effect though the possibility of increasing ventilation by mainly increasing tidal volume. PMID:2907669

  1. Gasimetría arterial y espirometría en individuos con lesión medular crónica residentes en Bogotá, D.C / Blood gas and spyrometry in Bogotá inhabitants with chronic spinal cord injury

    OpenAIRE

    Rodríguez Vera, Johanna Milena

    2010-01-01

    Describir los valores de gasimetría arterial y espirometría en individuos que presentan lesión medular crónica que residen en la ciudad de Bogotá, D.C. Sujetos y métodos. En 12 sujetos que presentan Lesión Medular Crónica (más de 1 año de evolución) y en 17 controles sanos que residen en la ciudad de Bogotá, se tomó con un equipo I-Stat una gasimetría arterial convencional (pH, PaO2, PaCO2, HCO3, SaO2), Hb, Hcto, Exceso de Base y se calcularon los Hidrógenos metabólicos (H-met). De igual mane...

  2. A rapid decrease in pulmonary arterial pressure by noninvasive positive pressure ventilation in a patient with chronic obstructive pulmonary disease

    Directory of Open Access Journals (Sweden)

    Dursunoglu Nese

    2007-01-01

    Full Text Available The natural history of chronic obstructive pulmonary disease (COPD is characterized by progressive decrements in expiratory airflow, increments in end-expired pulmonary volume, hypoxaemia, hypercapnia and the progression of pulmonary arterial hypertension (PAH. Noninvasive positive pressure ventilation (NPPV treatment is increasingly used for the treatment of acute and chronic respiratory failure in patients with COPD. NPPV can increase PaO2 and decrease PaCO2 by correcting the gas exchange in such patients. The acute effect of NPPV on decreasing PAP is seen in patients with respiratory failure, probably due to the effect on cardiac output. Here, a case with COPD whose respiratory acidosis and PAH rapidly improved by NPPV was presented and therefore we suggested to perform an echocardiographic assessment to reveal an improvement of PAH as well as respiratory acidosis, hypercapnia and hypoxemia with that treatment.

  3. Siivsalt lahendatud Skoone bastion / Karin Paulus

    Index Scriptorium Estoniae

    Paulus, Karin, 1975-

    2005-01-01

    Tallinna vanalinnas asuva Skoone bastioni ja sellega külgneva staadioni arendamiseks väljakuulutatud ideekonkursi võidutöödest. Peapreemia sai töö "Glassii" (autorid Maarja Kask, Ralf Lõoke, Karli Luik arhitektuuribüroost Salto). Teise preemia pälvis töö "SK-one" (autorid Timo Subbi, Mihkel Urmet, Taavi Kaldaru arhitektuuribüroost Suburb OÜ). Kolmanda preemia sai töö "Karl XI" (autorid Ott Kadarik, Villem Tomiste, Mihkel Tüür, Paco-Ernest Ulman arhitektuuribüroost Kosmos). Võistlustöödega saab tutvuda Arhitektuuri- ja Disainigaleriis. Harry Liivranna lühike ülevaade Skone bastioni ajaloost

  4. Global INET 2012: Meeting at the Crossroads: Imagining the future Internet

    CERN Multimedia

    2012-01-01

    The Internet Society, the world's trusted independent source of leadership for Internet policy and technology standards, celebrates its 20th anniversary this year in Geneva.   Global INET 2012 will take place at the CICG on 22-24 April to discuss the topics and challenges that will shape the future of the Internet.  This is an excellent opportunity to meet, network with and learn from top Internet technologists, policymakers, business executives and other individuals from around the globe. The conference boasts a programme of over 50 speakers and panelists, all offering their insights into topics such as Internet governance, law, ecosystems, intellectual property, social networking and the link between the Internet and economic transformation. Panelists include Slim Amamou, Lynn St Amour, Vint Cerf, Lesley Cowley, Steve Crocker, Dr. Leonard Kleinrock, and co-founder of the Campus Party Paco Ragageles, as well as CERN Director-G...

  5. Capnography During Critical Illness.

    Science.gov (United States)

    Nassar, Boulos S; Schmidt, Gregory A

    2016-02-01

    Capnography has made steady inroads in the ICU and is increasingly used for all patients who are mechanically ventilated. There is growing recognition that capnography is rich in information about lung and circulatory physiology and provides insight into many diseases and treatments. These include conditions of impaired matching of ventilation and perfusion, such as pulmonary embolism and obstructive lung diseases; circulatory questions, such as the adequacy of chest compressions during cardiac arrest or fluid responsiveness in patients in shock; and the safety of procedural sedation. In this review, we emphasize analysis of the entire capnographic waveform as a way to glean additional useful information. We also discuss important limitations of capnography, especially when it is considered to be a surrogate for Paco2. PMID:26447854

  6. High-resolution CT in diffuse panbronchiolitis

    International Nuclear Information System (INIS)

    High-resolution CT (HRCT) of twenty patients with diffuse panbronchiolitis was reviewed to evaluate the correlation with the stage and pulmonary function. The most basic finding was diffuse small nodules, observed in all twenty patients. Of all HRCT findings diffuse small nodules correlated with %FEV 1 and PaO2 (p 2 and PaCO2 (p < 0.05). Multivariate analysis among HRCT features concerning the stage showed that involvement of thin subpleural area (SSA) was the most contributory finding (partial cor. = 0.70830) to the advanced state (stage 3) with statistically significant difference (p < 0.05). The finding concerned with such spared thin subpleural area is an important diagnostic clue in stage 3 as well as a clinical evidence of infection with Pseudomonas aeruginosa. According to this review, HRCT is considered to be an effective and promising modality in the evaluation of diffuse panbronchiolitis. (author)

  7. Avaliação da função pulmonar de recém-nascidos com síndrome do desconforto respiratório em diferentes pressões finais expiratórias positivas Assessment of pulmonary function of preterm newborn infants with respiratory distress syndrome at different positive end expiratory pressure levels

    Directory of Open Access Journals (Sweden)

    Luiz C.T. Consolo

    2002-09-01

    Full Text Available RESUMO\tABSTRACT \t Objetivo: verificar as alterações da função pulmonar: complacência dinâmica (Cdyn, volume corrente inspiratório (V Tinsp, pressão arterial de dióxido de carbono (PaCO2, em recém-nascidos pré-termo com síndrome do desconforto respiratório. Pacientes e Métodos: estudo de caso controle, incluindo 11 pré-termos com idade gestacional Objective: to verify the alterations of pulmonary function in preterm newborn infants with respiratory distress syndrome (RDS. The parameters analyzed were Dynamic Compliance (Cdyn, Inspiratory Tidal Volume (TVinsp, partial arterial pressure of carbon dioxide (PaCO2. Methods: eleven preterm newborn infants, with gestational age < 35 weeks, and birth weight < 2.500 g, were include in a control case study. All infants presented RDS and were treated with 120 mg/Kg of porcine surfactant. The initial positive end expiratory pressure (PEEP was 3 cm H2O. A pneumotachograph with a graphical monitor was used to assess the pulmonary function. After each increase in the PEEP (4 and 6 cm H2O, there was an interval of 20 minutes before measuring the arterial data of pulmonary function and arterial gases. Results: there were three males and eight females (1:2,7 among the infants with RDS. The mean gestational age was 30.78. 2.05 weeks, ranging from 26 to 34 weeks. The increase in the PEEP from 3 to 6 cm H2O caused significant decrease in the TVinsp (6.46 ±3.43 to 4.20 ±2.35, P=0.0262. With the increase in the PEEP from 4 to 6 cm H2O, there was also a decrease in the TVinsp (5.98.± 3.33 to 4.20.± 2.35, (P=0.0044. Regarding the Cdyn, when there was an increase in the PEEP from 3 to 6 cm H2O, the reduction was statistically significant (0.58.± 0.27 to 0.46± 0.25, P=0.0408 and from 4 to 6 cm H2O, the reduction in the Cdyn was also important (0.77± 0.27 to 0.46± 0.25, (P=0.0164. Increases in the PEEP from 4 to 6 cm H2O caused increases in the PaCO2 (52.81± 15.49 to 64.90± 12.69, (P= 0,0141. A

  8. Análise dos efeitos da manobra de recrutamento alveolar na oxigenação sanguínea durante procedimento bariátrico Análisis de los efectos de la maniobra de reclutamiento alveolar en la oxigenación sanguínea durante el procedimiento bariátrico Analysis of the effects of the alveolar recruitment maneuver on blood oxygenation during bariatric surgery

    OpenAIRE

    Alda Paiva de Souza; Márcia Buschpigel; Ligia Andrade Silva Telles Mathias; Carlos Alberto Malheiros; Vera Lucia dos Santos Alves

    2009-01-01

    JUSTIFICATIVAS E OBJETIVOS: A manobra de recrutamento alveolar (MRA) é indicada no tratamento de atelectasias intraoperatórias. O objetivo do presente estudo foi comparar duas técnicas de MRA por meio da resposta da relação PaO2/FiO2 e da soma [PaO2+PaCO2], em pacientes obesos grau III. MÉTODO: Estudo prospectivo aberto em pacientes adultos, obesos grau III, submetidos a procedimento cirúrgico bariátrico em ventilação controlada a volume, pressão positiva no final da expiração (PEEP) de 5 cmH...

  9. DIÁLOGO SOBRE OS FUNDAMENTOS DA EDUCAÇÃO: RECORTES E DISCUSSÕES, VOL. V

    Directory of Open Access Journals (Sweden)

    Eliane Pimentel Camillo Barra Nova de Melo

    2016-02-01

    Full Text Available A coleção Fundamentos da Educação: Recortes e Discussões chega ao seu quinto volume todos publicados pela Paco Editorial. O presente volume foi lançado em 2015 e contem 406 páginas, escritas por 21 autores, dentre eles graduados, especialistas, mestrandos, mestres, doutorandos, doutores, pós-doutores, todos estudiosos do campo educacional e comprometidos em compreender melhor tal fenômeno. Para isso buscaram, nesta obra, desvendar o pensamento pedagógico dos seguintes estudiosos: Charles Darwin, Herbert Spencer, Édouard Claparède, Adolphe Ferrière, Henri Wallon, Roger Cousinet, Alexander Luria, Alexei Leontiev, Ana Teberosky, Emília Ferreiro, Howard Gardner, Hannah Arendt, Augusto Comte, Émile Durkheim, B.F. Skinner, Lawrence Stenhouse, Anton Makarenko, Florestan Fernandes, Louis Althusser e Michel Foucault.

  10. Arrugas. Un viaje al extranjero, desde el comienzo hasta el final

    OpenAIRE

    Yébenes, Pilar

    2013-01-01

    [ES] Arrugas, dirigida por Ignacio Ferreras, es uno de los últimos largometrajes de animación 2D de factura "made in Spain" que nos deja disfrutar al público adulto de una historia dura y real, pero mágica. Arrugas no es de esas películas que dejan a uno indiferente. Hace pensar, hace entender, hace sentir, hace vivir, aunque el tema principal de la película sea justo lo contrario. Arrugas nació como cómic de las manos de Paco Roca, Premio Nacional de Cómic en España. Con las imágenes de la p...

  11. Design and evaluation of radiotracers for determination of regional cerebral blood flow with PET

    International Nuclear Information System (INIS)

    The tracer kinetics of 4-Fluoro(18F)-, 4-Bromo(82Br)- and 4-Iodo(125I)-antipyrine and 15O-water were compared in a cat or baboon animal model. First-pass cerebral extraction and clearance with alterations in PaCO2 were measured for whole brain. The Renkin/Crone model was used to evaluate brain capillary permeability-surface area product for 4-18FAP in cats. Positron-emission-tomographic measurements required development of an instrument and technique for control of the arterial concentration of the radiotracer as a ramp function, so that tracer concentration changes due to radioactive decay or altered physiological processes could be accurately described with PET. Pharmacokinetic and tissue-distribution studies in cats were used to determine dosimetry for 4-18FAP. 4-Bromoantipyrine labeled with 78Br (t = 6.5 m) is suggested as a tracer for determination of rCBF with PET

  12. The effect of the benzodiazepine antagonist flumazenil on regional cerebral blood flow in human volunteers

    DEFF Research Database (Denmark)

    Wolf, J; Friberg, L; Jensen, J;

    1990-01-01

    The influence of the benzodiazepine antagonist flumazenil on regional cerebral blood flow (rCBF) was investigated in ten healthy, alert volunteers. The design was a randomized, placebo-controlled, double-blind, cross-over study. rCBF was measured by 133-Xe inhalation and single photon emission...... computerized tomography, SPECT, immediately before, and 5 and 35 min after intravenous injection of flumazenil 1.0 mg or placebo. In addition, mean arterial blood pressures or PaCO2, rCBF were analysed for changes in various regions of interest (RoI). No alterations were found either in the global CBF or in r......CBF in RoI after flumazenil injection. The results showed that a clinically active dose of flumazenil did not directly affect the cerebral circulation in the normal brain and indicated absence of significant intrinsic activity of the drug....

  13. BiPAP plus vibrating sputum-ejection for acute exacerbation of chronic obstructive pulmonary disease with type Ⅱ respiratory failure%双水平气道正压通气联合振动排痰在AECOPD并Ⅱ型呼吸衰竭的应用

    Institute of Scientific and Technical Information of China (English)

    林增锐; 黄泽宽; 林武强

    2011-01-01

    目的 探讨双水平气道正压通气(BiPAP)结合振动排痰在慢性阻塞性肺疾病急性加重期(AECOPD)并Ⅱ型呼吸衰竭的临床应用价值.方法 30例AECOPD患者随机分为对照组和联合组,对照组予双水平气道正压通气辅助呼吸治疗;联合组在对照组治疗基础上联合 振动排痰.结果两组患者治疗后的HR、RR、pH、PaO2、PACO2有明显改善,有统计学意义(P<0.01).治疗1天后,联合组有8例患者的PaCO2降至50mmHg以下,对照组无一例;治疗3天后,联合组有10例患者PaCO2降至50 mmHg以下,对照组有6例,联合组的例数仍较多,联合组的患者其HR、RR、pH、PaO2、PaCO2的改善显著优于对照组(P<0.05).结论 双水平气道正压通气结合振动排痰治疗慢性阻塞性肺疾病急性加重期并Ⅱ型呼吸衰竭患者疗效肯定,有临床应用价值.%Objective To explore the values of bilevel positive airway pressure ventilation (BiPAP)combined with vibrating sputum-ejection for acute exacerbation of chronic obstructive pulmonary disease(AECOPD)with type Ⅱ respiratory failure.Methods 30 patients were randomly assigned to receive BiPAP alone(control group),or BiPAP plus vibrating sputum-ejection(combination group).Results HR,RR,pH,PaO2,and PaCO2 were obviously improved in the two groups after treatment,with statistical significances(P<0.01). PaCO2 decreased below 50 mmHg in 8 patients in the combination group ore clay after treatment while stayed still in the control group; and it dropped below 50 mmHg in 10 patients in the combination group three days after treatment but stayed unchanged in 6 patients in the control group.the improvement of HR,RR,pH,PaO2,and PaCO2 in the combination group was obviously superior to that in the control group(P<0.05).Conclusions Bilevel positive airway pressure ventilation combined with vibrating sputum-ejection is more effeetive in the treatment of acute exacerbation of chronic obstructive pulmonary disease with type

  14. Fascioliasis of livestock and snail host for Fasciola in the Altiplano Region of Bolivia.

    Science.gov (United States)

    Ueno, H; Arandia, R; Morales, G; Medina, G

    1975-01-01

    Fascioliasis caused by Fasciola hepatica was a serious problem for sheep and alpacas in the Altiplano Region of Bolivia. In some provinces close to Lake Titicaca, the raising of sheep was forced to discontinue, because infection with the fluke made it unprofitable and almost impossible. It was proved that in the Altiplano Region, two species of freshwater snails, Lymnaea viatrix and L. cubensis var., served as intermediate hosts for F. hepatica. In some subtropical areas of Bolivia, these snails could not be found, although other Lymnaea sp. was widely distributed there. As it is possible for Lymnaea sp. to be intermediate host for the fluke, further studies are required on the identification. Acute fascioliasis of sheep occurred in the Altiplano Region principally during a period from May to July, or the dry season. In some areas, the mortality rate of infected sheep was roughly estimated as 15 to 25% annually. Contamination with Fasciola metacercariae of herbage and semi-aquatic plants grown in a swamp in one of these areas was biologically assessed, using guinea pigs. Plants of Compositae and Eleocharis sp. were contaminated most intensely and those of Senicio sp. and Vallisneria sp. carried a fairly large number of cysts, while plants of Scirpus sp. and Ranunclaceae carried only a few cysts. No signs of Fasciola infection were observed in any animal given the plants of Liliaceae.

  15. A broad set of different llama antibodies specific for a 16 kDa heat shock protein of Mycobacterium tuberculosis.

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    Anke K Trilling

    Full Text Available BACKGROUND: Recombinant antibodies are powerful tools in engineering of novel diagnostics. Due to the small size and stable nature of llama antibody domains selected antibodies can serve as a detection reagent in multiplexed and sensitive assays for M. tuberculosis. METHODOLOGY/PRINCIPAL FINDINGS: Antibodies for Mycobacterium tuberculosis (M. tb recognition were raised in Alpaca, and, by phage display, recombinant variable domains of heavy-chain antibodies (VHH binding to M. tuberculosis antigens were isolated. Two phage display selection strategies were followed: one direct selection using semi-purified protein antigen, and a depletion strategy with lysates, aiming to avoid cross-reaction to other mycobacteria. Both panning methods selected a set of binders with widely differing complementarity determining regions. Selected recombinant VHHs were produced in E. coli and shown to bind immobilized lysate in direct Enzymelinked Immunosorbent Assay (ELISA tests and soluble antigen by surface plasmon resonance (SPR analysis. All tested VHHs were specific for tuberculosis-causing mycobacteria (M. tuberculosis, M. bovis and exclusively recognized an immunodominant 16 kDa heat shock protein (hsp. The highest affinity VHH had a dissociation constant (KD of 4 × 10(-10 M. CONCLUSIONS/SIGNIFICANCE: A broad set of different llama antibodies specific for 16 kDa heat shock protein of M. tuberculosis is available. This protein is highly stable and abundant in M. tuberculosis. The VHH that detect this protein are applied in a robust SPR sensor for identification of tuberculosis-causing mycobacteria.

  16. Carbon storage and long-term rate of accumulation in high-altitude Andean peatlands of Bolivia

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    J.A. Hribljan

    2015-11-01

    Full Text Available (1 The high-altitude (4,500+ m Andean mountain range of north-western Bolivia contains many peatlands. Despite heavy grazing pressure and potential damage from climate change, little is known about these peatlands. Our objective was to quantify carbon pools, basal ages and long-term peat accumulation rates in peatlands in two areas of the arid puna ecoregion of Bolivia: near the village of Manasaya in the Sajama National Park (Cordillera Occidentale, and in the Tuni Condoriri National Park (Cordillera Real. (2 We cored to 5 m depth in the Manasaya peatland, whose age at 5 m was ca. 3,675 yr. BP with a LARCA of 47 g m-2 yr-1. However, probing indicated that the maximum depth was 7–10 m with a total estimated (by extrapolation carbon stock of 1,040 Mg ha-1. The Tuni peat body was 5.5 m thick and initiated ca. 2,560 cal. yr. BP. The peatland carbon stock was 572 Mg ha-1 with a long-term rate of carbon accumulation (LARCA of 37 g m-2 yr-1. (3 Despite the dry environment of the Bolivian puna, the region contains numerous peatlands with high carbon stocks and rapid carbon accumulation rates. These peatlands are heavily used for llama and alpaca grazing.

  17. MicroRNA-21a-5p Functions on the Regulation of Melanogenesis by Targeting Sox5 in Mouse Skin Melanocytes.

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    Wang, Pengchao; Zhao, Yuanyuan; Fan, Ruiwen; Chen, Tianzhi; Dong, Changsheng

    2016-01-01

    MicroRNAs (miRNAs) play an important role in regulating almost all biological processes. miRNAs bind to the 3' untranslated region (UTR) of mRNAs by sequence matching. In a previous study, we demonstrated that miR-21 was differently expressed in alpaca skin with different hair color. However, the molecular and cellular mechanisms for miR-21 to regulate the coat color are not yet completely understood. In this study, we transfected miR-21a-5p into mouse melanocytes and demonstrated its function on melanogenesis of miR-21a-5p by targeting Sox5, which inhibits melanogenesis in mouse melanocytes. The results suggested that miR-21a-5p targeted Sox5 gene based on the binding site in 3' UTR of Sox5 and overexpression of miR-21a-5p significantly down-regulated Sox5 mRNA and protein expression. Meanwhile, mRNA and protein expression of microphthalmia transcription factor (MITF) and Tyrosinase (TYR) were up-regulated, which subsequently make the melanin production in melanocytes increased. The results suggest that miR-21a-5p regulates melanogenesis via MITF by targeting Sox5. PMID:27347933

  18. Morphology of the muscles of the shoulder, arms and forearms of the coati (Nasua nasua

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    Amilton Cesar dos Santos

    2010-09-01

    Full Text Available The coati is an animal that belongs to the Phylum Chordata, the Class Mammalia, the Order Carnivora and the Procyonidae family. The striking feature of the family Procyonidae is the presence of five digits on the paws. These animals are classified as plantigrades and can do hand movements in different directions. It has habits of climbing trees to procreate, fleeing from danger, and sleeping at night. It feeds on fruits, small vertebrates, insects, nectar, eggs and vegetables. For this work were used three euthanized animals, from the Scientific Breeding Center (CECRIMPAS – UNIFEOB authorized by IBAMA (Process nº 02027.003731/04-76, fixed in formaldehyde solution 10%. This work describes the morphology of the muscles of the forelimb of the coati, through dissection and photographic documentation. In the studied species, we found anatomical adaptations of thoracic limb muscles which had a mass volume much greater than in other species (puma, alpaca, dog, cat, lhama and Cebus apella monkeys, and this fact was found to be directly related to their abilities in climbing and handicraft.

  19. From single nucleotide substitutions up to chromosomal deletions: genetic pause of leucism-associated disorders in animals.

    Science.gov (United States)

    Fleck, Katharina; Erhardt, Georg; Lühken, Gesine

    2016-01-01

    Leucism is characterized by a complete or partial white skin and hair in combination with pigmented irides, which can be vivid blue or heterochromatic. This is due to a complete or partial lack of melanocytes. The underlying pathogenesis is a disturbed emigration or differentiation of neural crest-derived cells. Therefore, leucistic phenotypes can be associated with defects, which mainly impair sensory organs and nerves. In humans, a well-known example is the Waardenburg syndrome. Leucism-associated disorders were also described in mouse, rat, hamster, rabbit, mink, cat, dog, pig, sheep, llama, alpaca, cattle and horse. In some of these species already identified causal mutations affect the genes EDN3, EDNRB, KIT, MITF, PAX3, SILV and SOX10. Defect alleles represent different types of genetic variation, ranging from single nucleotide substitutions up to larger chromosomal deletions. Some of the defect alleles produce desired coat color patterns. In some but not all cases, available genetic tests enable breeders to avoid production of animals affected by a leucism-associated disorder. PMID:27529988

  20. Ovulation-inducing factor: a protein component of llama seminal plasma

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    Huanca Wilfredo

    2010-05-01

    Full Text Available Abstract Background Previously, we documented the presence of ovulation-inducing factor (OIF in the seminal plasma of llamas and alpacas. The purpose of the study was to define the biochemical characteristics of the molecule(s in seminal plasma responsible for inducing ovulation. Methods In Experiment 1, llama seminal plasma was centrifuged using filtration devices with nominal molecular mass cut-offs of 30, 10 and 5 kDa. Female llamas (n = 9 per group were treated i.m. with whole seminal plasma (positive control, phosphate-buffered saline (negative control, or the fraction of seminal plasma equal or higher than 30 kDa, 10 to 30 kDa, 5 to 10 kDa, or Results In Experiment 1, all llamas in the equal or higher than 30 kDa and positive control groups ovulated (9/9 in each, but none ovulated in the other groups (P Conclusions We conclude that ovulation-inducing factor (OIF in llama seminal plasma is a protein molecule that is resistant to heat and enzymatic digestion with proteinase K, and has a molecular mass of approximately equal or higher than 30 kDa.

  1. MicroRNA-21a-5p Functions on the Regulation of Melanogenesis by Targeting Sox5 in Mouse Skin Melanocytes

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    Pengchao Wang

    2016-06-01

    Full Text Available MicroRNAs (miRNAs play an important role in regulating almost all biological processes. miRNAs bind to the 3′ untranslated region (UTR of mRNAs by sequence matching. In a previous study, we demonstrated that miR-21 was differently expressed in alpaca skin with different hair color. However, the molecular and cellular mechanisms for miR-21 to regulate the coat color are not yet completely understood. In this study, we transfected miR-21a-5p into mouse melanocytes and demonstrated its function on melanogenesis of miR-21a-5p by targeting Sox5, which inhibits melanogenesis in mouse melanocytes. The results suggested that miR-21a-5p targeted Sox5 gene based on the binding site in 3′ UTR of Sox5 and overexpression of miR-21a-5p significantly down-regulated Sox5 mRNA and protein expression. Meanwhile, mRNA and protein expression of microphthalmia transcription factor (MITF and Tyrosinase (TYR were up-regulated, which subsequently make the melanin production in melanocytes increased. The results suggest that miR-21a-5p regulates melanogenesis via MITF by targeting Sox5.

  2. Australian methodology for the estimation of greenhouse gas emissions and sinks: Agriculture: Workbook for livestock: Workbook 6.0

    Energy Technology Data Exchange (ETDEWEB)

    Bureau of Resource Sciences, Canberra, ACT (Australia)

    1994-12-31

    This workbook details a methodology for estimating methane emissions from Australian livestock. The workbook is designed to be consistent with international guidelines and takes into account special Australian conditions. While regarded as a significant source of anthropogenic methane emissions, it is also acknowledged in this document that livestock do not provide sinks for methane or any other greenhouse gas. Methane can originate from both fermentation processes in the digestive tracts of all livestock and from manure under certain management conditions. Methane emissions were estimated from beef cattle, dairy cattle, sheep, pigs, poultry, goats, horses, deer, buffalo, camels, emus and ostriches, alpacas and donkeys and mules. Two methodologies were used to estimate emissions. One is the standard Intergovernmental Panel on Climate Change (IPCC) Tier 1 methodology that is needed to provide inter-country comparisons of emissions. The other has been developed by the Inventory Methodology Working Group. It represents the best current Australian method for estimating greenhouse gas emissions from Australian livestock. (author). 6 tabs., 22 refs.

  3. Endoparasites of exotic ungulates from the Giraffidae and Camelidae families kept ex situ.

    Science.gov (United States)

    Nosal, Paweł; Kowal, Jerzy; Kornaś, Sławomir; Wyrobisz, Anna; Skotnicki, Józef; Basiaga, Marta; Plucińska, Natalia E

    2016-01-01

    Giraffes and camels are popular attractions at zoological gardens. In order to present the diversity of parasites infecting exotic ungulates from zoos, faecal samples from three giraffes and six camels from both the Silesian Zoological Garden in Chorzów, and Kraków Zoological Garden, were examined. The research was carried out over a ten-month period in 2013 and 2014. In total, 100 faecal samples from 18 animals were analysed with the use of the McMaster method. Moreover, coccidian oocysts were incubated to investigate their development and larvoscopic examination was conducted to detect the presence of nematode species. Giraffes were infected with coccidia from the genus Eimeria, and gastrointestinal nematodes from the Strongylida order, and Trichuris and Aonhotheca genera. One male giraffe was uninfected. The level of infection in giraffes was low when compared to camels kept in both of the zoos. Limited contact with other animal species contributed greatly to the lower level of infection in camels from Kraków Zoo than those from Chorzów, which were kept in the same enclosure as alpacas and Shetland ponies. PMID:27262960

  4. Use of eugenol in Jundiá da Amazônia (Leiarius marmoratus: effects on sedation and evaluation hemogasometry

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    Claucia Aparecida Honorato

    2014-10-01

    Full Text Available This work aims to evaluate the use of eugenol as an anesthetic for jundiá da Amazônia (Leiarius marmoratus, measuring the time to anesthesia induction in different concentrações and their effects in gas exchange. The results were analyzed according to a completely randomized design (DIC with eight treatments (control, 10, 20, 40, 80, 120, 150, 200 mg L-1 of eugenol and ten repetitions. Time values of anesthetic induction and recovery, according to the level of eugenol underwent polynomial regression (p<0.05. The analysis of variance (ANOVA and averages were compared by Tukey test. Were determined the time of anesthesia and recovery. The parameters were analyzed blood glucose, pH, partial pressure of oxygen (PaO2, partial pressure of carbon dioxide (PaCO2, concentration of bicarbonate (HCO-3, sodium (Na, potassium (K, calcium (Ca and chloride (Cl. The concentrations of 40 and 80 mg.L-1 of eugenol were the ones who presented time deep anesthesia induction of 59.5 ± 17.5 sec. and 58.4 ± 18.6 sec. respectively. The concentrations above 120 mg. L-¹ presented mortality. These fish subjected to different level of eugenol did not show changes in blood oxygen pressure (PaO2 and carbon dioxide (PaCO2. The fish when subjected to concentrations above 80 mg L-1 showed an increase of bicarbonate. The plasma glucose values showed significant elevation in response to the bath with anesthetic eugenol. The concentrations of sodium, chloride, potassium and plasma protein remained constants indicating that the process of anesthesia was not long lasting enough to induce changes in the electrolyte balance. Within the conditions of this study, it can be concluded that eugenol is a suitable anesthetic for the silver. This product may be used at a concentration of 40 mg. L-1 without causing changes hemogasométrica.

  5. Noninvasive ventilation: Are we overdoing it?

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    Purwar, Sankalp; Venkataraman, Ramesh; Senthilkumar, R.; Ramakrishnan, Nagarajan; Abraham, Babu K.

    2014-01-01

    Background: Use of noninvasive ventilation (NIV) outside guideline recommendations is common. We audited use of NIV in our tertiary care critical care unit (CCU) to evaluate appropriateness of use and patient outcomes when used outside level I recommendations. Materials and Methods: Prospective observational study of all patients requiring NIV. Clinical parameters and arterial blood gases were recorded at initiation of NIV and 2 h later (or earlier if clinically warranted). NIV titration and decision to intubate were left to the discretion of treating intensivist. Patients were categorized into two groups: Group 1: Those with level I indications for use of NIV and group 2: All other levels of indications. Patients were followed until hospital discharge. Results: From January 2010 to June 2010, 1120 patients were admitted to the CCU. Of these 106 patients required NIV support with 40.6% (n = 43/106) being in group 1 and 59.4% (n = 63/106) in group 2. Of these 35.8% patients (38/106) failed NIV and required endotracheal intubation. NIV failure rates (41.27% vs. 27.91%; P = 0.02) and mortality (30.6% vs. 18.6%; P = 0.03) were significantly higher in group 2 patients. In a logistic regression analysis Acute Physiology and Chronic Health Evaluation (APACHE) II score (P = 0.02), time on NIV before intubation (P = 0.001) and baseline PaCO2 levels (P = 0.01) were strongly associated with mortality. Conclusion: Noninvasive ventilation failure and mortality rates were significantly higher when used outside level I recommendations. APACHE II score, baseline PaCO2 and duration on NIV prior to intubation were predictors of increased mortality. PMID:25136188

  6. Noninvasive ventilation: Are we overdoing it?

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    Sankalp Purwar

    2014-01-01

    Full Text Available Background: Use of noninvasive ventilation (NIV outside guideline recommendations is common. We audited use of NIV in our tertiary care critical care unit (CCU to evaluate appropriateness of use and patient outcomes when used outside level I recommendations. Materials and Methods: Prospective observational study of all patients requiring NIV. Clinical parameters and arterial blood gases were recorded at initiation of NIV and 2 h later (or earlier if clinically warranted. NIV titration and decision to intubate were left to the discretion of treating intensivist. Patients were categorized into two groups: Group 1: Those with level I indications for use of NIV and group 2: All other levels of indications. Patients were followed until hospital discharge. Results: From January 2010 to June 2010, 1120 patients were admitted to the CCU. Of these 106 patients required NIV support with 40.6% (n = 43/106 being in group 1 and 59.4% (n = 63/106 in group 2. Of these 35.8% patients (38/106 failed NIV and required endotracheal intubation. NIV failure rates (41.27% vs. 27.91%; P = 0.02 and mortality (30.6% vs. 18.6%; P = 0.03 were significantly higher in group 2 patients. In a logistic regression analysis Acute Physiology and Chronic Health Evaluation (APACHE II score (P = 0.02, time on NIV before intubation (P = 0.001 and baseline PaCO 2 levels (P = 0.01 were strongly associated with mortality. Conclusion: Noninvasive ventilation failure and mortality rates were significantly higher when used outside level I recommendations. APACHE II score, baseline PaCO 2 and duration on NIV prior to intubation were predictors of increased mortality.

  7. Positive End-expiratory Pressure Titration after Alveolar Recruitment Directed by Electrical Impedance Tomography

    Institute of Scientific and Technical Information of China (English)

    Yun Long; Da-Wei Liu; Huai-Wu He; Zhan-Qi Zhao

    2015-01-01

    Background:Electrical impedance tomography (EIT) is a real-time bedside monitoring tool,which can reflect dynamic regional lung ventilation.The aim of the present study was to monitor regional gas distribution in patients with acute respiratory distress syndrome (ARDS) during positive-end-expiratory pressure (PEEP) titration using EIT.Methods:Eighteen ARDS patients under mechanical ventilation in Department of Critical Care Medicine of Peking Union Medical College Hospital from January to April in 2014 were included in this prospective observational study.After recruitment maneuvers (RMs),decremental PEEP titration was performed from 20 cmH2O to 5 cmH2O in steps of 3 cmH2O every 5-10 min.Regional over-distension and recruitment were monitored with EIT.Results:After RMs,patient with arterial blood oxygen partial pressure (PaO2) + carbon dioxide partial pressure (PaCO2) >400 mmHg with 100% of fractional inspired oxygen concentration were defined as RM responders.Thirteen ARDS patients was diagnosed as responders whose PaO2 + PaCO2 were higher than nonresponders (419 ± 44 mmHg vs.170 ± 73 mmHg,P < 0.0001).In responders,PEEP mainly increased recruited pixels in dependent regions and over-distended pixels in nondependent regions.PEEP alleviated global inhomogeneity of tidal volume and end-expiratory lung volume.PEEP levels without significant alveolar derecruitment and over-distension were identified individually.Conclusions:After RMs,PEEP titration significantly affected regional gas distribution in lung,which could be monitored with EIT.EIT has the potential to optimize PEEP titration.

  8. Use of butorphanol during immobilization of free-ranging white rhinoceros (Ceratotherium simum).

    Science.gov (United States)

    Miller, Michele; Buss, Peter; Joubert, Jenny; Mathebula, Nomkhosi; Kruger, Marius; Martin, Laura; Hofmeyr, Markus; Olea-Popelka, Francisco

    2013-03-01

    Forty free-ranging white rhinoceros (Ceratotherium simum) were anesthetized with etorphine, azaperone, and hyaluronidase in Kruger National Park, South Africa, between February and August 2009. Eighteen rhinoceros received butorphanol in the dart combination, and 22 rhinoceros had butorphanol administered intravenously within 15 min of darting. Body position, blood gas values, heart rate, respiratory rate, and temperature were measured at two time points after darting, approximately 10 min apart (sample 1 mean collection time after darting, 9.4 +/- 2.7 min; sample 2 mean collection time, 18.6 +/- 2.8 min). A significant number of field-captured rhinoceros remained standing at the first sample period when butorphanol was administered in the dart. Higher median values for arterial partial pressure of oxygen (PaO2) in combination with lower arterial partial pressure of carbon dioxide (PaCO2) in standing versus recumbent rhinoceros suggested improved ventilation in this posture (P < 0.05). When the effect of time, body position, and age was controlled, median values for respiratory rate, lactate, and pH were better in rhinoceros that received butorphanol in the dart (P < 0.05). There was also a trend toward higher median values for SO2 and bicarbonate in rhinoceros receiving butorphanol in the dart. Intravenous administration of butorphanol resulted in significantly decreased median PaCO2 and heart rate in recumbent rhinoceros (P < 0.05) without changes in PaO2 between sample periods 1 and 2. However, rhinoceros remained hypoxemic during the short anesthetic procedure despite butorphanol administration. Preliminary results suggest that administration of butorphanol (either in the dart or intravenously) improves some metabolic parameters in free-ranging recumbent white rhinoceros without significantly affecting ventilation. It is hypothesized that this may be due to a lighter state of immobilization. Addition of butorphanol to the dart provides handling and physiologic

  9. Effect of sedation with detomidine and butorphanol on pulmonary gas exchange in the horse

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    Morgan Karin

    2009-05-01

    Full Text Available Abstract Background Sedation with α2-agonists in the horse is reported to be accompanied by impairment of arterial oxygenation. The present study was undertaken to investigate pulmonary gas exchange using the Multiple Inert Gas Elimination Technique (MIGET, during sedation with the α2-agonist detomidine alone and in combination with the opioid butorphanol. Methods Seven Standardbred trotter horses aged 3–7 years and weighing 380–520 kg, were studied. The protocol consisted of three consecutive measurements; in the unsedated horse, after intravenous administration of detomidine (0.02 mg/kg and after subsequent butorphanol administration (0.025 mg/kg. Pulmonary function and haemodynamic effects were investigated. The distribution of ventilation-perfusion ratios (VA/Q was estimated with MIGET. Results During detomidine sedation, arterial oxygen tension (PaO2 decreased (12.8 ± 0.7 to 10.8 ± 1.2 kPa and arterial carbon dioxide tension (PaCO2 increased (5.9 ± 0.3 to 6.1 ± 0.2 kPa compared to measurements in the unsedated horse. Mismatch between ventilation and perfusion in the lungs was evident, but no increase in intrapulmonary shunt could be detected. Respiratory rate and minute ventilation did not change. Heart rate and cardiac output decreased, while pulmonary and systemic blood pressure and vascular resistance increased. Addition of butorphanol resulted in a significant decrease in ventilation and increase in PaCO2. Alveolar-arterial oxygen content difference P(A-aO2 remained impaired after butorphanol administration, the VA/Q distribution improved as the decreased ventilation and persistent low blood flow was well matched. Also after subsequent butorphanol no increase in intrapulmonary shunt was evident. Conclusion The results of the present study suggest that both pulmonary and cardiovascular factors contribute to the impaired pulmonary gas exchange during detomidine and butorphanol sedation in the horse.

  10. Developmental changes in regional cerebral blood flow in fetal and newborn lambs.

    Science.gov (United States)

    Szymonowicz, W; Walker, A M; Cussen, L; Cannata, J; Yu, V Y

    1988-01-01

    Developmental changes in regional cerebral blood flow (CBF) were determined using radioactively labeled microspheres to measure flow to the cortex, brain stem, cerebellum, white matter, caudate nucleus, and choroid plexus in three groups of chronically catheterized lambs under physiological conditions: 90- to 100-day preterm fetal lambs (n = 14), 125- to 136-day near-term fetal lambs (n = 11), and newborn lambs 5-44 days old (n = 10). We continually monitored heart rate, central venous pressure, and mean arterial blood pressure (MAP) and periodically measured arterial blood O2 and CO2 tensions (PaO2, PaCO2, respectively), pH, hemoglobin, and oxygen saturation (SaO2). The regional CBF measurements (ml.100 g-1.min-1) revealed that in all three age groups the high flow areas are the choroid plexus and caudate nucleus, whereas the lowest flow area is the white matter. There is, however, a different hierarchy of regional CBF in utero (cortex less than cerebellum and brain stem) compared with extrauterine life in the newborn lamb (cortex and cerebellum greater than brain stem). Analysis of regional cerebral oxygen delivery [CBF times arterial oxygen content (CaO2)] demonstrated a progressively increasing oxygen transport to the cortex with increasing gestational maturity and after birth. Oxygen transport to the brain stem, cerebellum, and white matter increased with gestational age, but did not increase after birth. Relationships between regional CBF and natural physiological variations of cardiorespiratory parameters (PaO2, SaO2, CaO2, pH, PaCO2, and MAP) were assessed using regression analysis. Correlations of regional CBF with PaO2 and SaO2 suggest that cerebral perfusion is not primarily determined by CaO2 when variations occur within the physiological range.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:3337259

  11. Magnetic Resonance Imaging Quantification of Regional Cerebral Blood Flow and Cerebrovascular Reactivity to Carbon Dioxide in Normotensive and Hypertensive Rats

    Science.gov (United States)

    Leoni, Renata F.; Paiva, Fernando F.; Henning, Erica C.; Nascimento, George C.; Tannús, Alberto; de Araujo, Draulio B.; Silva, Afonso C.

    2011-01-01

    Hypertension afflicts 25% of the general population and over 50% of the elderly. In the present work, arterial spin labeling MRI was used to non-invasively quantify regional cerebral blood flow (CBF), cerebrovascular resistance and CO2 reactivity in spontaneously hypertensive rats (SHR) and in normotensive Wistar Kyoto rats (WKY), at two different ages (3 months and 10 months) and under the effects of two anesthetics, α-chloralose and 2% isoflurane (1.5 MAC). Repeated CBF measurements were highly consistent, differing by less than 10% and 18% within and across animals, respectively. Under α-chloralose, whole brain CBF at normocapnia did not differ between groups (young WKY: 61±3ml/100g/min; adult WKY: 62±4ml/100g/min; young SHR: 70±9ml/100g/min; adult SHR: 69±8ml/100g/min), indicating normal cerebral autoregulation in SHR. At hypercapnia, CBF values increased significantly, and a linear relationship between CBF and PaCO2 levels was observed. In contrast, 2% isoflurane impaired cerebral autoregulation. Whole brain CBF in SHR was significantly higher than in WKY rats at normocapnia (young SHR: 139±25ml/100g/min; adult SHR: 104±23ml/100g/min; young WKY: 55±9ml/100g/min; adult WKY: 71±19ml/100g/min). CBF values increased significantly with increasing CO2; however, there was a clear saturation of CBF at PaCO2 levels greater than 70 mmHg in both young and adult rats, regardless of absolute CBF values, suggesting that isoflurane interferes with the vasodilatory mechanisms of CO2. This behavior was observed for both cortical and subcortical structures. Under either anesthetic, CO2 reactivity values in adult SHR were decreased, confirming that hypertension, when combined with age, increases cerebrovascular resistance and reduces cerebrovascular compliance. PMID:21708273

  12. Heart Rate Variability in Patients with Chronic Obstructive Pulmonary Disease Treated by Noninvasive Mechanic Ventilation

    Directory of Open Access Journals (Sweden)

    Zekeriya Küçükdurmaz

    2011-08-01

    Full Text Available Aims: This study aimed to investigate heart rate variability (HRV of patients with severe COPD who are treated by noninvasive mechanic ventilation (NIMV.Patients and Method: Twenty-seven patient (58±8 years, 9 F with severe COPD treated by nocturnal NIMV at home and 23 sex and age matched volunteers (56±8 years, 11 F who has not dyspnea as a control group recruited in the study. Subjects underwent spirometry, blood gas analysis, transthoracic echocardiography, 24 hours ambulatory ECG analysis. Time domain HRV analysis performed from ambulatory ECG records. Results: 52% of patients at NYHA functional class II, 36% at class III, and 12% at class IV when they have been treated by NIMV. Groups were similar for age and sex (p>0.05 for both. Heart rates of patients were higher significantly than controls’ (p0.05. But, systolic pulmonary pressures were higher of COPD group (p<0.01. 24 hours heart rate was higher, and standard deviation of normal R-R intervals (SDNN 24 hours, SDNN night, SDNN day, SDNN index (SDNNI and standard deviation of mean R-R intervals (SDANNI values were lower in COPD group significantly. SDNN was inversely correlated with duration of daily NIMV usage, intensive care unit administration and entubation rate and PaCO2. SDNNI was inversely correlated with functional class, duration of daily NIMV usage, intensive care unit administration rate and PaCO2. Else, SDNNI was correlated with predicted forced vital capacity % (FVC% and predicted forced expiratory volume at 1 second % (FEV1%.Conclusion: Time domain HRV decreases in patients with severe COPD. Decrease is correlated with severity of disease, and it presents in despite of the chronic nocturnal NIMV application. These patients have high risk for cardiovascular morbidity and mortality and should be monitored and manegement for cardiovascular events.

  13. ANTI-HYPOXIA AND ANTI-OXIDATION EFFECTS OF AMINOPHYLLINE ON HUMAN WITH ACUTE HIGH-ALTITUDE EXPOSURE

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    Bo Yang; Guang-yi Wang; Bin Chen; Rong-bin Qin; Si Lang Zha Xi; Lian Chen

    2007-01-01

    Objective To investigate the anti-hypoxia and anti-oxidation effects of aminophylline on human with acute high-altitude exposure.Methods Totally 100 young male army members newly recruited from Sichuan province (400 meters above sea level) were enrolled. They were randomly divided into two groups; 50 in aminophylline group (A group) and 50 in control group (C group). A group and C group orally took aminophylline and placebo respectively for 10 days, 7 days before entering Lhasa (3 658 meters above sea level) by air and 3 days after it Several parameters were measured at three time points: before drug taken, 7 days after drug taken, and 3 days after ascending high altitude. These parameters included serum levels of nitric oxide (NO), superoxide dismutase (SOD), catalase (CAT), hydrogen dioxide (H2O2), lactic acid (LA), as well as arterial oxygen saturation (SO2) , arterial oxygen partial pressure (PaO2), and arterial carbon dioxide partial pressure (PaCO2). Statistical analysis was conducted to compare the difference between two groups with Stata 7.0 software system.Results There were no statistical differences between groups in hypoxia and oxidation indicators before and after drug taken in plain area. Three days after ascending high altitude, the serum levels of SOD, CAT, H2O2, LA, PaCO2 increased in both groups, yet to a much larger degree in C group than A group (P < 0.01); and NO, SO2, PaO2 decreased more markedly in C group (P < 0.05 for NO, P < 0.0001 for SO2 and PaO2).Conclusion Aminophylline has significant anti-hypoxia and anti-oxidation effects at high altitude.

  14. Effect of mechanical pressure-controlled ventilation in patients with disturbed respiratory function during laparoscopic cholecystectomy

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    Šurbatović Maja

    2013-01-01

    Full Text Available Background/Aim: Laparoscopic cholecystectomy is considered to be the gold standard for laparoscopic surgical procedures. In ASA III patients with concomitant respiratory diseases, however, creation of pneumoperitoneum and the position of patients during surgery exert additional negative effect on intraoperative respiratory function, thus making a higher challenge for the anesthesiologist than for the surgeon. The aim of this study was to compare the effect of intermittent positive pressure ventilation (IPPV and pressure controlled ventilation (PCV during general anesthesia on respiratory function in ASA III patients submitted to laparoscopic cholecystectomy. Methods. The study included 60 patients randomized into two groups depending on the mode of ventilation: IPPV or PCV. Respiratory volume (VT, peak inspiratory pressure (PIP, compliance (C, end-tidal CO2 pressure (PETCO2, oxygen saturation (SpO2, partial pressures of O2, CO2 (PaO2 and PaCO2 and pH of arterial blood were recorded within four time intervals. Results. There were no statistically significant differences in VT, SpO2, PaO2, PaCO2 and pH values neither within nor between the two groups. In time interval t1 there were no statistically significant differences in PIP, C, PETCO2 values between the IPPV and the PCV group. But, in the next three time intervals there was a difference in PIP, C, and PETCO2 values between the two groups which ranged from statistically significant to highly significant; PIP was lower, C and PETCO2 were higher in the PCV group. Conclusion. Pressure controlled ventilation better maintains stability regarding intraoperative ventilatory parameters in ASA III patients with concomitant respiratory diseases during laparoscopic cholecystectomy.

  15. Observation on the efficacy of noninvasive ventilator of ICU in the treatment of COPD merged with type II respiratory failure

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    Xiu-Min Zhang; Hai-Yan Wu; Xiao-Juan Sun

    2016-01-01

    Objective:To explore the efficacy of noninvasive ventilator of ICU in the treatment of COPD merged with type II respiratory failure. Methods:A total of 70 patients with COPD merged with type II respiratory failure were randomized into the observation group and the control group. The patients in the two groups were given anti-infection, cough relieving, phlegm dispersing, asthma relieving, cardiac function improving, electrolyte disturbance and acid-base balance correcting, and appropriate nursing interventions. The patients in the control group were given low-flow oxygen inhalation, while the patients in the observation group were given additional noninvasive ventilator for mask assisted ventilation through the mouth and nose. The changes of PaO2, PaCO2, SaO2, RR, and HR before treatment, and 3d after treatment were detected. The efficacy was evaluated, and the adverse reactions were observed. Results:After treatment, PaO2 and SaO2 in the two groups were elevated, while PaCO2 was reduced when compared with before treatment, and those in the observation group were significantly superior to those in the control group. After treatment, RR and HR were reduced, and those in the observation group were significantly superior to those in the control group. The total effective rate in the observation group was significantly higher than that in the control group (57.1%). And the comparison of the adverse reactions between the two groups was not statistically significant. Conclusions:ICU noninvasive ventilator in the treatment of COPD merged with type II respiratory failure can effectively improve hypoxia and CO2 retention, and rapidly relieve dyspnea, in combined with appropriate nursing intervention can guarantee the successful treatment.

  16. Inhibition of breathing after surfactant depletion is achieved at a higher arterial PCO2 during ventilation with liquid than with gas

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    Sindelar Richard

    2005-03-01

    Full Text Available Abstract Background Inhibition of phrenic nerve activity (PNA can be achieved when alveolar ventilation is adequate and when stretching of lung tissue stimulates mechanoreceptors to inhibit inspiratory activity. During mechanical ventilation under different lung conditions, inhibition of PNA can provide a physiological setting at which ventilatory parameters can be compared and related to arterial blood gases and pH. Objective To study lung mechanics and gas exchange at inhibition of PNA during controlled gas ventilation (GV and during partial liquid ventilation (PLV before and after lung lavage. Methods Nine anaesthetised, mechanically ventilated young cats (age 3.8 ± 0.5 months, weight 2.3 ± 0.1 kg (mean ± SD were studied with stepwise increases in peak inspiratory pressure (PIP until total inhibition of PNA was attained before lavage (with GV and after lavage (GV and PLV. Tidal volume (Vt, PIP, oesophageal pressure and arterial blood gases were measured at inhibition of PNA. One way repeated measures analysis of variance and Student Newman Keuls-tests were used for statistical analysis. Results During GV, inhibition of PNA occurred at lower PIP, transpulmonary pressure (Ptp and Vt before than after lung lavage. After lavage, inhibition of inspiratory activity was achieved at the same PIP, Ptp and Vt during GV and PLV, but occurred at a higher PaCO2 during PLV. After lavage compliance at inhibition was almost the same during GV and PLV and resistance was lower during GV than during PLV. Conclusion Inhibition of inspiratory activity occurs at a higher PaCO2 during PLV than during GV in cats with surfactant-depleted lungs. This could indicate that PLV induces better recruitment of mechanoreceptors than GV.

  17. Variability of Transcutaneous Oxygen and Carbon Dioxide Pressure Measurements Associated with Sensor Location.

    Science.gov (United States)

    Górska, K; Korczyński, P; Maskey-Warzęchowska, M; Chazan, R; Krenke, R

    2015-01-01

    Transcutaneous measurement of oxygen and carbon dioxide pressure (PtcO2 and PtcCO2) is useful in gas exchange monitoring. However, the relationship between PtcO2, pulse oximetry (SaO2) and arterial blood gases (ABG) is unclear. The aim of the present study was to compare PtcO2 and PtcCO2 with SaO2 and ABG, to evaluate the effect of sensor location on the results and stability of PtcO2 and PtcCO2, and to assess the impact of body composition on PtcO2 and PtcCO2. PtcO2 and PtcCO2 were measured in 20 healthy volunteers at three locations: right second intercostal space, lateral surface of the abdomen, and the inner surface of the left arm. The results were recorded 10, 15, and 20 min after sensor fixation and compared with SaO2 and ABG measured 20 min after electrode placement on the chest. Body composition was evaluated by bioimpedance. The findings were that PtcO2 was stable on the chest; but on the arm and abdomen it increased and reached maximum at 20 min. Transcutaneous PCO2 stabilized at 10 min in all the three locations. No significant correlations between PtcO2 and SaO2 or PaO2 were found. Transcutaneous PCO2 correlated with PaCO2. Both PtcO2 and PtcCO2 were not influenced by body composition. We conclude that the value of PtcO2 in monitoring of blood oxygenation was not unequivocally confirmed; PtcCO2 reliably reflects PaCO2, irrespective of sensor location. Body composition does not affect PtcO2 and PtcCO2. PMID:25820668

  18. Addressing Assumptions for the Use of Non-invasive Cardiac Output Measurement Techniques During Exercise in COPD.

    Science.gov (United States)

    Perrault, Hélène; Richard, Ruddy; Kapchinsky, Sophia; Baril, Jacinthe; Bourbeau, Jean; Taivassalo, Tanja

    2016-01-01

    The multifactorial functional limitation of COPD increasingly demonstrates the need for an integrated circulatory assessment. In this study cardiac output (Qc) derived from non-inert (CO2-RB), inert (N2O-RB) gas rebreathing approaches and bioimpedance were compared to examine the limitations of currently available non-invasive techniques for exercise Qc determination in patients with chronic lung disease. Thirteen COPD patients (GOLD II-III) completed three constant cycling bouts at 20, 35, and 50% of peak work on two occasions to assess Qc with bioimpedance as well as using CO2-RB and N2O-RB for all exercise tests. Results showed significantly lower Qc using the N2O-RB or end-tidal CO2-derived Qc compared to the PaCO2-derived CO2-RB or the bioimpedance at rest and for all exercise intensities. End-tidal CO2-derived values are however not statistically different from those obtained using inert-gas rebreathing. This study show that in COPD patients, CO2-rebreathing Qc values obtained using PaCO2 contents which account for any gas exchange impairment or inadequate gas mixing are similar to those obtained using thoracic bioimpedance. Alternately, the lower values for N2O rebreathing derived Qc indicates the inability of this technique to account for gas exchange impairment in the computation of Qc. These findings indicate that the choice of a gas rebreathing technique to measure Qc in patients must be dictated by the ability to include in the derived computations a correction for either gas exchange inadequacies and/or a vascular shunt. PMID:26408087

  19. Arterial blood gas analysis and electrolyte determination in neonates with asphyxia

    Institute of Scientific and Technical Information of China (English)

    Zi-Mei Sun

    2015-01-01

    Objective:To explore the value of arterial blood gas analysis and electrolyte determination in the diagnosis of neonatal asphyxia.Methods: A total of 100 neonates with asphyxia who were admitted in our department from March, 2013 to March, 2014 were included in the study and divided into the mild asphyxia group and the severe asphyxia group according to Apgar scoring. Moreover, 50 normal neonates were served as the control group and used for comparative analysis. AVL blood-gas analyzer was used to detect the levels of pH, PaO2, HCO3-, BE, PaCO2, K+, Na+, Cl-, and Ca2+.Results:The concentrations of pH, PaO2, HCO3-, and BE in the severe asphyxia group were significantly lower than those in the mild asphyxia group and the control group, while PaCO2 level was significantly higher than that in the mild asphyxia group and the control group. The comparison of the various indicators between the control group and the mild asphyxia group was not statistically significant. The comparison of serum K+, Na+,and Cl- levels among the control group, the mild asphyxia group, and the severe asphyxia group was not statistically significant. The serum Ca2+ level in the severe asphyxia group was significantly lower than that in the mild asphyxia group and the control group, while the comparison between the mild asphyxia group and the control group was also statistically significant.Conclusions:Blood gas analysis and electrolyte determination to the arterial blood in neonates can compensate for the insufficiency of Apgar scoring and provide an objective evidence for the diagnosis of neonatal asphyxia and the estimation of severity degree. Clinical combination with Apgar scoring is of great significance in enhancing the diagnosis of neonatal asphyxia and the accuracy of severity evaluation.

  20. Predictive Value of Capnography for Suspected Diabetic Ketoacidosis in the Emergency Department

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    Soleimanpour, Hassan

    2013-11-01

    Full Text Available Introduction: Metabolic acidosis confirmed by arterial blood gas (ABG analysis is one of the diagnostic criteria for diabetic ketoacidosis (DKA. Given the direct relationship between end-tidal carbon dioxide (ETco2, arterial carbon dioxide (PaCO2 and metabolic acidosis, measuring ETco2 may serve as a surrogate for ABG in the assessment of possible DKA. The current study focuses on the predictive value of capnography in diagnosing DKA in patients referring to the emergency department (ED with increased blood sugar levels and probable diagnosis of DKA.Methods: In a cross-sectional prospective descriptive-analytic study carried out in an ED, we studied 181 patients older than 18 years old with blood sugar levels of higher than 250 mg/dl and probable DKA. ABG and capnography were obtained from all patients. To determine predictive value, sensitivity, specificity and cut-off points, we developed receiver operating characteristic curves.Results: Sixty-two of 181 patients suffered from DKA. We observed significant differences between both groups (DKA and non-DKA regarding age, pH, blood bicarbonate, PaCO2 and ETco2 values (P≤0.001. Finally, capnography values more than 24.5 mmHg could rule out the DKA diagnosis with a sensitivity and specificity of 0.90.Conclusion: Capnography values greater than 24.5 mmHg accurately allow the exclusion of DKA in ED patients suspected of that diagnosis. Capnography levels lower that 24.5 mmHg were unable to differentiate between DKA and other disease entities. [West J Emerg Med. 2013;14(6:590–594.

  1. Early postoperative cognitive recovery and gas exchange patterns after balanced anesthesia with sevoflurane or desflurane in overweight and obese patients undergoing craniotomy: a prospective randomized trial.

    Science.gov (United States)

    Bilotta, Federico; Doronzio, Andrea; Cuzzone, Vincenzo; Caramia, Remo; Rosa, Giovanni

    2009-07-01

    Overweight and obese patients are at especially high risk for delayed awakening after general surgery. Whether this risk also applies to cerebral neurosurgical procedures remains unclear. This study evaluated early postoperative cognitive recovery and gas exchange patterns, after balanced anesthesia with sevoflurane or desflurane, in overweight and obese patients undergoing craniotomy for supratentorial expanding lesions. Fifty-six patients were consecutively enrolled, and randomly assigned to 1 of 2 study groups to receive balanced anesthesia with sevoflurane or desflurane. Cognitive function was evaluated with the Short Orientation Memory Concentration Test and the Rancho Los Amigos Scale and gas exchange patterns (pH, PaO2, and PaCO2) were recorded in all patients at 5 time-points: preoperatively and postoperatively, after patients reached an Aldrete score >or=9, at 15, 30, 45, and 60 minutes. Preoperative cognitive status was similar in the 2 treatment groups. Early postoperative cognitive recovery was more delayed and Short Orientation Memory Concentration Test scores at 15 and 30 minutes postanesthesia were lower in patients receiving sevoflurane-based anesthesia than in those receiving desflurane-based anesthesia (21.5+/-3.5 vs. 14.9+/-3.5) (P<0.005) and (26.9+/-0.7 vs. 21.5+/-1.4) (P<0.005), and the postoperative Rancho Los Amigos Scalegrade 8 showed a similar trend (25/28 patients 89% vs. 8/28 patients 28% (P<0.005) and 28/28 patients (100% vs. 13/28 patients 46%) (P<0.005). Similarly, gas-exchange analysis showed higher PaCO2 at 15 and 30 minutes and lower pH up to 45 minutes postextubation in patients receiving sevoflurane-based anesthesia. In overweight and obese patients undergoing craniotomy desflurane-based anesthesia allows earlier postoperative cognitive recovery and reversal to normocapnia and normal pH. PMID:19542997

  2. Efficacy of budesonide in treatment of acute exacerbation of chronic obstructive pulmonary disease

    Institute of Scientific and Technical Information of China (English)

    Xue-Dong Chen; Jun Wei; Jun-Qing Ren; Xue-Fen Shuai; Ling Cheng; Dong-Gen Wu; Wei Wei; Jun Sun

    2016-01-01

    Objective:To explore the clinical efficacy of budesonide in the treatment of acute exacerbation of chronic obstructive pulmonary disease (AECOPD).Methods:A total of 60 patients with moderate and severe AECOPD who were admitted in our hospital from January, 2015 to January, 2016 were included in the study and randomized into the experiment group and the control group. The patients in the two groups were given oxygen inhalation, anti-infection, phlegm dispersing, ipratropium bromide (0.5 mg/time), and aerosol liquid of salbutamol sulfate (2.5 mg/time), 3 times/d, 20 min/time, aerosol inhalation. The patients in the experiment group were given budesonide (2 mg/time), while the patients in the control group were given budesonide (1 mg/time), every 8 h for one aerosol inhalation. The patients in the two groups were continuously treated for 7 d. The changes of PaO2, PaCO2, FEV1, and FEV1/FVC before and after treatment were detected, and the efficacy was evaluated. Results:After treatment, PaO2 and PaCO2 in the two groups were significantly improved when compared with before treatment, and the improved degree in the observation group was significantly superior to that in the control group. After treatment, FEV1 and FEV1/FVC in the two groups were significantly improved when compared with before treatment, and the improved degree in the observation group was significantly superior to that in the control group. The total effective rate in the observation group (93.33%) was significantly higher than that in the control group (76.67%).Conclusions:Aerosol inhalation of budesonide in the treatment of AECOPD in a large dose for a short term can significantly improve the blood gas and pulmonary function.

  3. An open randomized controlled trial of noninvasive positive pressure ventilation in patients of acute on chronic hypercapnic respiratory failure in a general respiratory ward setting

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    Prasad R

    2007-01-01

    Full Text Available Objective : To compare the standard medical therapy (SMT and noninvasive posi-tive pressure ventilation (NPPV in acute on chronic hypercapnic respiratory fail-ure due to exacerbation of chronic obstructive pulmonary disease (COPD. Method : Between June 2002 and May 2003, 19 patients with acute on chronic hypercapnic respiratory failure were prospectively and randomly recruited to re-ceive either SMT (n=10 or NPPV plus SMT (n=9 in a general respiratory ward and followed up after 4 to 6 weeks after discharge. NPPV was given with a silicone cushioned nasal mask via a bilevel ventilator with initial pressure support of 5 cm of H 2 O. Results : At the time of randomization there was no significant difference in respiratory rate, PaO 2 , PaCO 2 , pH and HCO3 - , between the two groups. At 2 hours with SMT, there was significant improvement only in respiratory rate (p = 0.0000 and PaO 2 (p=0.0014. However with NPPV, respiratory rate (p=0.0000, PaO2 (p=0.0011, pH (0.0002, pulse rate (p=0.0329 and mean arterial pressure (p=0.0096 improved significantly at 2 hours while PaCO2 (p=0.0008 significantly improved at24 hours. Hospital stay was significantly shorter for NPPV group as compared to SMT group (9.63 + 1.4 days vs. 13.33 + 4.69 days, p < 0.05. There was 1 failure (12.5% in NPPV group as compared to 2 failures (20% in SMT group of which one was salvaged by NPPV. Conclusion : The study suggests that early application of NPPV in acute on chronic hypercapnic respiratory failure due to COPD facilitates improvement, favors early mobiliation and discharge from hospital.

  4. Compliance versus dead space for optimum positive end expiratory pressure determination in acute respiratory distress syndrome

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    Ghada Fouad El-Baradey

    2014-01-01

    Full Text Available Objective: To Compare compliance versus dead space (Vd targeted positive end-expiratory pressure (PEEP as regard its effect on lung mechanics and oxygenation. Materials and Methods: This study was carried out on 30 adult acute respiratory distress syndrome patients. The ventilator was initially set on volume controlled with tidal volume (Vt 7 mL/kg predicted body weight (PBW, inspiratory plateau pressure (Ppl 30 cm H 2 O with a TV of 6 mL/kg PBW, a step-wise Vt reduction of 1 mL/kg PBW to as low as 4 mL/kg/PBW was allowed. Respiratory rate adjusted to maintain pH 7.30-7.45. FiO 2 start at 100%. Best PEEP determined at 2 points, one by titrating PEEP until reaching the highest static compliance (Cst (PEEP Cst and the other one is at the lowest Vd/Vt (PEEP Vd/Vt. The following data measured before and 30 min after setting PEEP Cst and PEEP Vd/Vt. Cst, PaCO 2 - PetCO 2 , Vd/Vt, PaO 2 /FiO 2 , Ppl, heart rate, mean arterial pressure and oxygen saturation. Results: optimum PEEP determined by Vd/Vt was significantly (P < 0.05 lower than the optimum PEEP determined by Cst. Best PEEP Vd/Vt showed a significant decrease (P < 0.05 in Cst, PaCO 2 - PetCO 2, Vd/Vt and Ppl in comparison with best PEEP Cst. The PaO 2 /FiO 2 showed a significant increase (P < 0.05 with best PEEP Vd/Vt in comparison with best PEEP Cst. Conclusion: Vd guided PEEP improved compliance and oxygenation with less Ppl. Hence, its use as a guide for best PEEP determination may be useful.

  5. Constant-flow ventilation in canine experimental pulmonary emphysema.

    Science.gov (United States)

    Hachenberg, T; Wendt, M; Meyer, J; Struckmeier, O; Lawin, P

    1989-07-01

    The efficacy of constant-flow ventilation (CFV) was investigated in eight mongrel dogs before (control-phase) and after development of papain-induced panlobular emphysema (PLE-phase). For CFV, heated, humidified and oxygen-enriched air was continuously delivered via two catheters positioned within each mainstem bronchus at flow rates (V) of 0.33, 0.5 and 0.66 l/s. Data obtained during intermittent positive pressure ventilation (IPPV) served as reference. In the control-phase, Pao2 was lower (P less than or equal to 0.05) and alveolo-arterial O2 difference (P(A-a)O2) was higher (P less than or equal to 0.01) during CFV at all flow rates when compared with IPPV. This may be due to inhomogeneities of intrapulmonary gas distribution and increased ventilation-perfusion (VA/Q) mismatching. Paco2 and V showed a hyperbolic relationship; constant normocapnia (5.3 kPa) was achieved at 0.48 +/- 0.21 l/s (V53). Development of PLE resulted in an increase of functional residual capacity (FRC), residual volume (RV) and static compliance (Cstat) (P less than or equal to 0.05). PaO2 had decreased and P(A-a)O2 had increased (P less than or equal to 0.05), indicating moderate pulmonary dysfunction. Oxygenation during CFV was not significantly different in the PLE-phase when compared with the control-phase. Paco2 and V showed a hyperbolic relationship and V5.3 was even lower than in the control-group (0.42 +/- 0.13 l/s). In dogs with emphysematous lungs CFV maintains sufficient gas exchange. This may be due to preferential ventilation of basal lung units, thereby counterbalancing the effects of impaired lung morphometry and increased airtrapping. Conventional mechanical ventilation is more effective in terms of oxygenation and CO2-elimination. PMID:2800979

  6. Quantitative evaluation of right ventricular overload in cor pulmonale using 201Tl myocardial SPECT

    International Nuclear Information System (INIS)

    To determine quantitatively the discriminant and characteristics of cor pulmonale, 201Tl myocardial perfusion SPECT was performed in 16 patients with chronic obstructive pulmonary disease (COPD) and 7 with restrictive pulmonary disease (RPD). One section of the short-axis SPECT image in which the right ventricle was most clearly visualized was selected. Tl-score was defined as the ratio of the sum of counts in the region of interest (ROI) at the anterior, mid, and posterior regions of the right ventricular free wall to the sum of counts in ROI at the posterior, lateral, and anterior walls of the left ventricle, and the anterior and posterior regions of the interventricular septum. In the group of COPD patients, Tl-score was positively correlated with mean pulmonary arterial pressure (mPAP), total pulmonary vascular resistance (TPR), and arterial carbon dioxide tension (PaCO2), while it was inversely correlated with arterial oxygen tension (PaO2). However, there was no significant correlation between Tl-score and mPAP, TPR, PaCO2, and PaO2 in the group of RPD patients. In assessing pulmonary hypertension as defined by mPAP over 20 mmHg, a Tl-score greater than 0.25 was useful with a sensitivity of 69% and a specificity of 90%. The occurrence of cor pulmonale is a major factor in determining the prognosis of COPD patients. It was concluded that 201Tl myocardial SPECT is useful for evaluating right ventricular overload quantitatively, as well as for assessing core pulmonale, especially in COPD patients, since the ratio of Tl counts in the right and left ventricles was significantly correlated with right cardiopulmonary hemodynamic parameters. (N.K.)

  7. Long-term oxygen therapy: Are we prescribing appropriately?

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    Mª Rosa Güell Rous

    2008-06-01

    Full Text Available Mª Rosa Güell RousDepartament de Pneumologia, Hospital de la Santa Creu I de Sant Pau, Barcelona, SpainAbstract: Long-term oxygen therapy (LTOT is the treatment proven to improve survival in chronic obstructive pulmonary disease (COPD patients with chronic respiratory failure. It also appears to reduce the number of hospitalizations, increase effort capacity, and improve health-related quality of life. Standard LTOT criteria are related to COPD patients who have PaO2 <60 mmHg, are in a clinical stable situation, and are receiving optimal pharmacological treatment. According to LTOT guidelines, oxygen should be prescribed for at least 18 hours per day although some authors consider 24 hours would be more beneficial. The benefits of LTOT depend on correction of hypoxemia. Arterial blood gases should be measured at rest. During exercise, an effort test should be done to assure adequate SaO2. During sleep, continuous monitoring of SaO2 and PaCO2 should be performed to confirm correction of SaO2 overnight. An arterial blood gas sample should be taken at awakening to assess PaCO2 in order to prevent hypoventilation from the oxygen therapy. Several issues that need to be addressed are the use of LTOT in COPD patients with moderate hypoxemia, the efficacy of LTOT in patients who desaturate during exercise or during sleep, the optimal dosage of oxygen supplementation, LTOT compliance, and the LTOT prescription in diseases other than COPD.Keywords: long-term oxygen therapy, COPD, oxygen supplementation, chronic respiratory failure, hypoxemia

  8. Sleep pattern in patients with Chronic Obstructive Pulmonary Disease and correlation among gasometric, spirometric, and polysomnographic variables

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    Santos Carlos Eduardo Ventura Gaio dos

    2003-01-01

    Full Text Available OBJECTIVE: There are few studies on chronic obstructive pulmonary disease (COPD establishing differences between the functional parameters of the disease and sleep variables. The aim of the study was to describe the sleep pattern of these patients and to correlate spirometric, gasometric and polysomnographic variables. METHODS: Transversal study using COPD patients submitted to spirometry, arterial gasometry, and polysomnography. RESULTS: 21 male patients were studied with average age = 67 ± 9; 7 ± 4 average points in the Epworth sleepiness scale, average Tiffenau's index (FEV1/FVC = 54 ± 13.0%, average PaO2 = 68 ± 11 mmHg, average PaCO2 = 37 ± 6 mmHg. Sleep efficiency decreased (65 ± 16% with the reduction of slow wave sleep (8 ± 9% and rapid eye movement (REM sleep (15 ± 8%. Average T90 was 43 ± 41%. Average apnea-hypopnea index (AHI = 3 ± 5/h, where two patients (9.5% presented obstructive sleep apnea. A significant correlation was observed between PaO2 and T90 (p < 0.01, PaCO2 and T90 (p < 0.05, and AHI and the cardiac rate during REM (p < 0.01. A higher number of arousals and stage change was observed. There was no linear correlation between spirometric and polysomnographic variables. CONCLUSION: Poor sleep quality of these patients was characterized by low sleep efficiency, high number of awakenings and shift of stages. There were no correlations between the spirometric and polysomnographic variables.

  9. The clinical study of noninvasive ventilation in treatment with chronic obsUuctive pulmonary disease with respiratory failure%无创通气治疗慢性阻塞性肺疾病急性加重合并呼吸衰竭的临床研究

    Institute of Scientific and Technical Information of China (English)

    冉梅

    2011-01-01

    Objective To observe the clinical effect of noninvasive ventilation( NIPPV) in treatment with chronic obstructive pulmonary disease(COPD) with respiratory failure. Methods From December 2009 to December 2010, 102 cases with COPD complicated respiratory failure were randomly classified into two groups, which control group with 51 cases were treated with normal therapy and treatment group with 51 cases were treated with NIPPV at the basis of normal therapy. The changes of respiration, heart rate, PaO2 and PaCO2 between the two groups were compared. Results Compared with pretreatment, the respiration and heart rate were not significantly changed(P>. 05) , PaO2 was significantly increased(P<0. 05) and PaCO3 was significantly decreased(P<0. 05)in control group; the respiration, heart rate and PaCO2 were significantly decreased(P<0. 05) and PaO2 was significantly increased(P<0. 05) in observation group(P<0. 05). Moreover, after treatment, the respiration, heart rate, PaO2 and PaCO2 in observation group were significantly better than those in control group(P<0. 05). The cannula rate in observation group was significantly lower than that in control group(P<0. 05). The hospitalized time of observation group was shorter than control group(P<0. 05). There was no significant difference in ase-fatality rate between the two groups(P>0. 05). Conclusion NIPPV in treatment with COPD with respiratory failure can improve respiration, heart rate, PaO2 and PaCO2, degrade cannula rate, shorten hospitalized time, which is a safe and effective method.%目的 观察无创通气( NIPPV)治疗慢性阻塞性肺疾病(COPD)急性加重合并呼吸衰竭中的临床效果.方法 2009年12月~2010年12月,所有患者随机分为两组,对照组采用常规治疗,观察组在常规治疗基础上采用NIPPV,比较两组的呼吸、心率及PaO2、PaCO2变化.结果 与治疗前比较,对照组治疗后呼吸、心率无明显变化(P>0.05),PaO2明显升高(P<0.05),PaCO2

  10. The Clinical Research on Patients with Acute Respiratory Failure Treated by Noninvasive Positive Pressure Ventilation%无创正压通气治疗急性呼吸衰竭临床研究

    Institute of Scientific and Technical Information of China (English)

    何忠红; 邓上安; 池琦

    2015-01-01

    Objective:To explore the clinical research on patients with acute respiratory failure treated by noninvasive positive pressure ventilation(NIPPV) and provide the clinical basis.Method:72 patients with acute respiratory failure were selected randomly from July 2012 to December 2013 in our hospital. According to the application of ventilation, they were divided into invasive mechanical ventilation group(the control group) and noninvasive positive pressure ventilation group (the observation group), which were 36 cases in each groups respectively. The main assessment indexes of two groups were PaO2, PaCO2 and SaO2 after 4 h and 24 h ventilation; mechanical ventilation, VAP occurrence rate.Result:In the observation group,4 h PaO2, PaCO2 ventilation and SaO2 were (82.77±1.68)mm Hg, (57.80±1.13)mm Hg,(77.19±5.46)%;24 h PaO2, ventilation PaCO2 and SaO2 were (92.48±1.41)mm Hg, (49.85±1.02)mm Hg,(93.83±6.07)%.In the control group,PaO2, PaCO2 4 h ventilation and SaO2 were (91.43±1.92)mm Hg,(52.37±0.81)mm Hg,(81.31±6.68)%,24 h PaO2,PaCO2 ventilation and SaO2 were (94.55±1.30)mm Hg,(50.34±0.89)mm Hg,(94.02±7.96)%,there was a statistically significant difference in ventilation 4 hours between the two groups(P<0.05), there was no significant differences in ventilation 24 hours.The incidence of VAP in the observation group was 8.33%, which was lower than 27.78% in the control group, the difference was statistically significant(P<0.05).Hospital stay in the observation group was (17.19±0.46)d, which was lower than (21.31±0.68)d in the control group, the difference was statistically significant(P<0.05).Conclusion:NIPPV could effectively improve the gas exchange of the patients with acute respiratory failure, without the need for tracheotomy, effectively avoid various complications occurred.%目的:探讨无创正压通气(NIPPV)治疗急性呼吸衰竭患者的临床效果,为临床治疗提供依据。方法:随机选择本院2012年7月-2013年12

  11. The adaptive evolution of the mammalian mitochondrial genome

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    O'Brien Stephen J

    2008-03-01

    Full Text Available Abstract Background The mitochondria produce up to 95% of a eukaryotic cell's energy through oxidative phosphorylation. The proteins involved in this vital process are under high functional constraints. However, metabolic requirements vary across species, potentially modifying selective pressures. We evaluate the adaptive evolution of 12 protein-coding mitochondrial genes in 41 placental mammalian species by assessing amino acid sequence variation and exploring the functional implications of observed variation in secondary and tertiary protein structures. Results Wide variation in the properties of amino acids were observed at functionally important regions of cytochrome b in species with more-specialized metabolic requirements (such as adaptation to low energy diet or large body size, such as in elephant, dugong, sloth, and pangolin, and adaptation to unusual oxygen requirements, for example diving in cetaceans, flying in bats, and living at high altitudes in alpacas. Signatures of adaptive variation in the NADH dehydrogenase complex were restricted to the loop regions of the transmembrane units which likely function as protons pumps. Evidence of adaptive variation in the cytochrome c oxidase complex was observed mostly at the interface between the mitochondrial and nuclear-encoded subunits, perhaps evidence of co-evolution. The ATP8 subunit, which has an important role in the assembly of F0, exhibited the highest signal of adaptive variation. ATP6, which has an essential role in rotor performance, showed a high adaptive variation in predicted loop areas. Conclusion Our study provides insight into the adaptive evolution of the mtDNA genome in mammals and its implications for the molecular mechanism of oxidative phosphorylation. We present a framework for future experimental characterization of the impact of specific mutations in the function, physiology, and interactions of the mtDNA encoded proteins involved in oxidative phosphorylation.

  12. An Anti-proteome Nanobody Library Approach Yields a Specific Immunoassay for Trypanosoma congolense Diagnosis Targeting Glycosomal Aldolase

    Science.gov (United States)

    Odongo, Steven; Sterckx, Yann G. J.; Stijlemans, Benoît; Pillay, Davita; Baltz, Théo; Muyldermans, Serge; Magez, Stefan

    2016-01-01

    Background Infectious diseases pose a severe worldwide threat to human and livestock health. While early diagnosis could enable prompt preventive interventions, the majority of diseases are found in rural settings where basic laboratory facilities are scarce. Under such field conditions, point-of-care immunoassays provide an appropriate solution for rapid and reliable diagnosis. The limiting steps in the development of the assay are the identification of a suitable target antigen and the selection of appropriate high affinity capture and detection antibodies. To meet these challenges, we describe the development of a Nanobody (Nb)-based antigen detection assay generated from a Nb library directed against the soluble proteome of an infectious agent. In this study, Trypanosoma congolense was chosen as a model system. Methodology/Principal Findings An alpaca was vaccinated with whole-parasite soluble proteome to generate a Nb library from which the most potent T. congolense specific Nb sandwich immunoassay (Nb474H-Nb474B) was selected. First, the Nb474-homologous sandwich ELISA (Nb474-ELISA) was shown to detect experimental infections with high Positive Predictive Value (98%), Sensitivity (87%) and Specificity (94%). Second, it was demonstrated under experimental conditions that the assay serves as test-of-cure after Berenil treatment. Finally, this assay allowed target antigen identification. The latter was independently purified through immuno-capturing from (i) T. congolense soluble proteome, (ii) T. congolense secretome preparation and (iii) sera of T. congolense infected mice. Subsequent mass spectrometry analysis identified the target as T. congolense glycosomal aldolase. Conclusions/Significance The results show that glycosomal aldolase is a candidate biomarker for active T. congolense infections. In addition, and by proof-of-principle, the data demonstrate that the Nb strategy devised here offers a unique approach to both diagnostic development and target

  13. Isolation and Characterization of Dromedary Camel Coronavirus UAE-HKU23 from Dromedaries of the Middle East: Minimal Serological Cross-Reactivity between MERS Coronavirus and Dromedary Camel Coronavirus UAE-HKU23

    Directory of Open Access Journals (Sweden)

    Patrick C. Y. Woo

    2016-05-01

    Full Text Available Recently, we reported the discovery of a dromedary camel coronavirus UAE-HKU23 (DcCoV UAE-HKU23 from dromedaries in the Middle East. In this study, DcCoV UAE-HKU23 was successfully isolated in two of the 14 dromedary fecal samples using HRT-18G cells, with cytopathic effects observed five days after inoculation. Northern blot analysis revealed at least seven distinct RNA species, corresponding to predicted subgenomic mRNAs and confirming the core sequence of transcription regulatory sequence motifs as 5′-UCUAAAC-3′ as we predicted previously. Antibodies against DcCoV UAE-HKU23 were detected in 58 (98.3% and 59 (100% of the 59 dromedary sera by immunofluorescence and neutralization antibody tests, respectively. There was significant correlation between the antibody titers determined by immunofluorescence and neutralization assays (Pearson coefficient = 0.525, p < 0.0001. Immunization of mice using recombinant N proteins of DcCoV UAE-HKU23 and Middle East respiratory syndrome coronavirus (MERS-CoV, respectively, and heat-inactivated DcCoV UAE-HKU23 showed minimal cross-antigenicity between DcCoV UAE-HKU23 and MERS-CoV by Western blot and neutralization antibody assays. Codon usage and genetic distance analysis of RdRp, S and N genes showed that the 14 strains of DcCoV UAE-HKU23 formed a distinct cluster, separated from those of other closely related members of Betacoronavirus 1, including alpaca CoV, confirming that DcCoV UAE-HKU23 is a novel member of Betacoronavirus 1.

  14. Glacier Retreat in the Southern Peruvian Andes: Climate Change, Environmental Impacts, Human Perception and Social Response

    Science.gov (United States)

    Orlove, B.

    2007-12-01

    This paper presents results from recent environmental and anthropological research near glacierized areas in the department of Cusco, Peru, home to the well-known Quelccaya Ice Cap and to the peak of Ausangate (6384 m). Glaciers in the region are in negative mass balance, losing volume and area, with upslope movement of the glacier fronts. Somewhat paradoxically, flows in many streams close to the glaciers are reduced, particularly in the dry season, due to a shift in the seasonal distribution of melting, to increased evaporation and to increased percolation into newly-exposed sands and gravels. Associated with this reduction in flow is a desiccation of some anthropogenic and natural wetlands, reducing the availability of dry season forage to wild (vicuna) and domesticated (alpaca, llama) ruminants. Interviews and ethnographic observations with local populations of Quechua-speaking herders at elevations of 4500-5200 meters provide detailed comments on these changes. They have an extensive vocabulary of terms for glacial features associated with retreat. They link this treat with environmental factors (higher temperatures, greater winds that deposit dust on lower portions of glaciers) and with religious factors (divine punishment for human wrong-doing, failure of humans to respect mountain spirits). They describe a variety of economic and extra-economic impacts of this retreat on different spatial, social and temporal scales. Though they face other issues as well (threats of pollution from new mining projects, inadequacy of government services), glacier retreat is their principal concern. Many herders express extreme distress over this unprecedented threat to their livelihoods and communities, though a few propose responses - out-migration, the formation of an association of neighboring communities, development of irrigation works - that could serve as adaptations.

  15. An Anti-proteome Nanobody Library Approach Yields a Specific Immunoassay for Trypanosoma congolense Diagnosis Targeting Glycosomal Aldolase.

    Directory of Open Access Journals (Sweden)

    Steven Odongo

    2016-02-01

    Full Text Available Infectious diseases pose a severe worldwide threat to human and livestock health. While early diagnosis could enable prompt preventive interventions, the majority of diseases are found in rural settings where basic laboratory facilities are scarce. Under such field conditions, point-of-care immunoassays provide an appropriate solution for rapid and reliable diagnosis. The limiting steps in the development of the assay are the identification of a suitable target antigen and the selection of appropriate high affinity capture and detection antibodies. To meet these challenges, we describe the development of a Nanobody (Nb-based antigen detection assay generated from a Nb library directed against the soluble proteome of an infectious agent. In this study, Trypanosoma congolense was chosen as a model system.An alpaca was vaccinated with whole-parasite soluble proteome to generate a Nb library from which the most potent T. congolense specific Nb sandwich immunoassay (Nb474H-Nb474B was selected. First, the Nb474-homologous sandwich ELISA (Nb474-ELISA was shown to detect experimental infections with high Positive Predictive Value (98%, Sensitivity (87% and Specificity (94%. Second, it was demonstrated under experimental conditions that the assay serves as test-of-cure after Berenil treatment. Finally, this assay allowed target antigen identification. The latter was independently purified through immuno-capturing from (i T. congolense soluble proteome, (ii T. congolense secretome preparation and (iii sera of T. congolense infected mice. Subsequent mass spectrometry analysis identified the target as T. congolense glycosomal aldolase.The results show that glycosomal aldolase is a candidate biomarker for active T. congolense infections. In addition, and by proof-of-principle, the data demonstrate that the Nb strategy devised here offers a unique approach to both diagnostic development and target discovery that could be widely applied to other infectious

  16. Isolation and Characterization of Dromedary Camel Coronavirus UAE-HKU23 from Dromedaries of the Middle East: Minimal Serological Cross-Reactivity between MERS Coronavirus and Dromedary Camel Coronavirus UAE-HKU23

    Science.gov (United States)

    Woo, Patrick C. Y.; Lau, Susanna K. P.; Fan, Rachel Y. Y.; Lau, Candy C. Y.; Wong, Emily Y. M.; Joseph, Sunitha; Tsang, Alan K. L.; Wernery, Renate; Yip, Cyril C. Y.; Tsang, Chi-Ching; Wernery, Ulrich; Yuen, Kwok-Yung

    2016-01-01

    Recently, we reported the discovery of a dromedary camel coronavirus UAE-HKU23 (DcCoV UAE-HKU23) from dromedaries in the Middle East. In this study, DcCoV UAE-HKU23 was successfully isolated in two of the 14 dromedary fecal samples using HRT-18G cells, with cytopathic effects observed five days after inoculation. Northern blot analysis revealed at least seven distinct RNA species, corresponding to predicted subgenomic mRNAs and confirming the core sequence of transcription regulatory sequence motifs as 5′-UCUAAAC-3′ as we predicted previously. Antibodies against DcCoV UAE-HKU23 were detected in 58 (98.3%) and 59 (100%) of the 59 dromedary sera by immunofluorescence and neutralization antibody tests, respectively. There was significant correlation between the antibody titers determined by immunofluorescence and neutralization assays (Pearson coefficient = 0.525, p < 0.0001). Immunization of mice using recombinant N proteins of DcCoV UAE-HKU23 and Middle East respiratory syndrome coronavirus (MERS-CoV), respectively, and heat-inactivated DcCoV UAE-HKU23 showed minimal cross-antigenicity between DcCoV UAE-HKU23 and MERS-CoV by Western blot and neutralization antibody assays. Codon usage and genetic distance analysis of RdRp, S and N genes showed that the 14 strains of DcCoV UAE-HKU23 formed a distinct cluster, separated from those of other closely related members of Betacoronavirus 1, including alpaca CoV, confirming that DcCoV UAE-HKU23 is a novel member of Betacoronavirus 1. PMID:27164099

  17. Algas alimenticias para mejorar la calidad nutritiva de los productos cárnicos

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    Brita Anaya González

    2014-12-01

    Full Text Available Objetivos: Mejorar la calidad nutritiva de los productos cárnicos a través de algas alimenticias. Métodos: Investigación básica experimental, con un diseño aleatorizado. La población estuvo constituida por diversos tipos de carne: res, cordero, cerdo y alpaca; y algas: Nostoc sp. conocido como nostoc, Gigartina chamissoi (qochayuyo y Ulva sp. (yuyo que llegan al mercado Nery García de la ciudad de Huamanga, capital del departamento de Ayacucho. La muestra comprendió 2 kg de cada tipo de carne y algas. La determinación de nutrientes fue sobre la base de los métodos de la AOAC (Official Methods of Analysis. Resultados: Al ser comparadas 5 mezclas de diferentes proporciones de carnes y algas, la diferencia encontrada fue significativa entre el contenido de valor calórico (P=0,000 y nutritivo (P=0,000. La mezcla A fue la ideal con un porcentaje de proteínas de 31,87 g%, las grasas con un valor de 12,95 g%, inferior a lo existente en las carnes lo que es favorable para una disminución de riesgos de enfermedades. El porcentaje de carbohidratos reportó 7,10 g% cantidad baja, pero con buen tenor de fibra 16,00 g% sumamente importante para el peristaltismo y buen funcionamiento del sistema digestivo. La cantidad de cenizas de 4,02 g%, significa que existe un buen aporte de minerales indispensables para el organismo. Conclusiones: Se mejoró la calidad nutritiva de los productos cárnicos al adicionar algas, con un valor calórico de 272,43 kcal/100g satisfactorio, y el valor nutritivo de 2,41 lo identifica como altamente nutritivo.

  18. Estudio preliminar de los efectos cardio-respiratorios del fentanilo en caninos anestesiados con halotano Preliminary study of the cardiorespiratory effects of fentanyl in halothane anesthetized dogs

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    P. OTERO

    2000-01-01

    Full Text Available El propósito de este trabajo fue evaluar los efectos cardiovasculares y respiratorios del fentanilo administrado en dosis única por vía endovenosa a caninos anestesiados con halotano. Con este fin se utilizaron 12 caninos adultos, sanos, los cuales fueron premedicados con acepromacina y atropina, inducidos con tiopental sódico y mantenidos con halotano en un plano anestésico determinado. Los animales recibieron uno de dos tratamientos: 25 µg/kg de una solución de 50 µg/ml fentanilo en bolo intravenoso (FNT, n = 6 o un mismo volumen de solución salina estéril (SAL, n = 6. Durante la experiencia se registraron, en tiempos predeterminados, antes y después del tratamiento los siguientes parámetros: frecuencia cardíaca (FC, presión arterial sistólica (PAS, diastólica (PAD y media (PAM, presión venosa central (PVC, temperatura corporal, saturación de oxígeno arterial (SaO2%, presión arterial de anhídrido carbónico (paCO2 y pH. Los resultados mostraron diferencias estadísticamente significativas (PThe purpose of this study was to evaluate selected cardiovascular and respiratory effects of fentanyl administered intravenously to halothane anesthetized dogs. Twelve healthy dogs were anesthetized with halothane, held constant at 1.5 MAC with 2L/min oxygen flow rate up to 40 minutes after treatment was administered. Each dog was given one of 2 treatments: fentanyl (FNT, 25 µg/kg, IV or isotonic saline (SAL, 0.5 ml/kg. The following values were recorded throughout the study: mean (MAP, systolic (SAP and diastolic (DAP arterial blood pressures (mmHg, central venous pressure, (CVP, mmHg, heart rate (HR, beats/minute, oxygen arterial saturation (SaO2,%, pH, arterial carbon dioxide pressure, (paCO2, mm Hg, bicarbonate (CO3H, mmol/l, esophageal temperature (°C, respiratory rate (RR, beats/min. These data were collected at predetermined times before (base line data and after treatment. Results showed statistically significant differences

  19. Effect of high-frequency oscillatory ventilation for treatment of respiratory failure in neonates%高频振荡通气治疗新生儿呼吸衰竭疗效观察

    Institute of Scientific and Technical Information of China (English)

    邱其周; 肖毅; 刘仁红; 杨梦雅; 史学凯; 吴时光

    2013-01-01

    目的 探讨高频振荡通气(HFOV)治疗新生儿呼吸衰竭的疗效及安全性.方法 分析HFOV和常频机械通气(CMV)对45例呼吸衰竭新生儿的治疗效果,对比分析两种通气方式对患儿的肺通气氧合功能及并发症的差异.结果 两组患儿二氧化碳分压(PaCO2)、吸入氧浓度(FiO2)、氧合指数(OI)、动脉/肺泡氧分压比值(PaO2/PAO2)在机械通气0h比较,差异无统计学意义(P>0.05);HFOV组治疗后1、6、12、24、48 h PaCO2、FiO2、OI低于CMV组,PaO2/PAO2高于CMV组,差异有统计学意义(P<0.05或P<0.01);HFOV组气胸、慢性肺部疾病的发生率低于CMV组(P<0.05),两组颅内出血的发生率差异无统计学意义(P >0.05).结论 HFOV治疗新生儿呼吸衰竭安全、有效,并能更好、更快地改善呼吸衰竭患儿的肺通气氧合功能.%Objective To investigate the efficacy and safety of high-frequency oscillatory ventilation (HFOV) for treatment of respiratory failure in neonates.Methods The clinical effect for the treatment of respiratory failure was retrospectively evaluated in 22 neonates with HFOV and 23 neonates with conventional mechanical ventilation (CMV)by comparing the oxygenate function and complications.Results There were no statistical differences before treatment in the PaCO2,FiO2,OI,and PaO2/PAO2between two groups (P >0.05).PaCO2,FiO2,and OI were lower and PaO2/PAO2 was higher at 1,6,12,24,and 48 h after treatment in HFOV group compared to those in CMV group (P <0.05).The incidence of pneumothorax and chronic lung disease was lower in HFOV group compared to that in CMV group (P < 0.05).There were no statistical differences in the incidence of intracranial hemorrhage between two groups (P > 0.05).Conclusions HFOV may be relatively safe and effective for the treatment of respiratory failure in neonates.

  20. 探讨BiPAP治疗重症哮喘致呼吸衰竭的效果分析%Analysis of the Effect of BiPAP on Respiratory Failure Induced by Severe Asthma

    Institute of Scientific and Technical Information of China (English)

    徐超; 刘君; 李宗芳

    2015-01-01

    Objective To observe and analyze the clinical therapeutic effect of BiPAP on respiratory failure caused by severe asthma. Methods 52 cases with respiratory failure due to severe asthma admitted in our hospital from May 2013 to May 2014 were selected as the subjects and randomly divided into two groups, namely, group A(26 cases) and group B(26 cases). Patients in group B were treated by the conventional therapy, and those in group A were treated by bi-level positive airway pressure (BiPAP) venti-lation based on the conventional therapy. And the clinical efficacy of the two groups was observed and compared. Results After treatment, the heart rate, respiration, PaO2 and PaCO2 and other indicators of group A were much better than those before treatment with statistical significant differences (P<0.05); the heart rate, respiration, PaO2 and PaCO2 and other indicators of group B after treatment were better than those before treatment with statistically significant differences (P<0.05); after treatment, the levels of PaO2 and PaCO2 of group A were obviously better than those of group B, there were statistically significant differences between the two groups(P<0.05). Conclusion For respiratory failure caused by severe asthma, BiPAP ventilation has ideal treatment effect, so it is worthy of clinical application and promotion vigorously.%目的:对BiPAP在重症哮喘致呼吸衰竭患者中的临床治疗效果进行观察与分析。方法择选该院2013年5月—2014年5月所收治的重症哮喘致呼吸衰竭患者52例作为研究对象,随机将其分成两组,即甲组(26例)与乙组(26例),对乙组患者予以常规治疗,在此基础上,对甲组患者予以双水平气道正压(BiPAP)通气治疗,且对其临床治疗效果进行观察与比较。结果治疗后,甲组中患者的心率、呼吸、PaO2以及PaCO2等指标均优于治疗前,差异有统计学意义(P<0.05);治疗后乙组患者的心率、呼吸、PaO2

  1. Development of an instrument to indirectly monitor arterial pCO2 during cardiopulmonary bypass.

    Science.gov (United States)

    Høgetveit, Jan Olav; Kristiansen, Frode; Pedersen, Thore H

    2006-01-01

    Arterial blood carbon dioxide tension (PaCO2) during cardiopulmonary bypass (CBP) is important to the conduct of perfusion with alpha-stat or pH-stat strategy. Temperature changes during CBP complicate any attempts to monitor carbon dioxide tension in the exhaust outlet of an oxygenator (PexCO2) because CO2 becomes more soluble with decreasing temperatures. Normally, this would have been the obvious and easy choice of method to indirectly measure the patient's PaCO2. Several tests have been performed with ordinary capnographs modified to measure pCO2 at the oxygenator exhaust gas port. These tests have shown varying degrees of precision (Br I Anaesth 1999; 82(6): 843-46; 1 Extra-Corpor Technol 2003; 35(3): 218-23; Br JAnaesth 2000; 84: 536; J Extra-Corpor Technol 1994; 26: 64-67). Some of the best results have been achieved by Potger et al. (JExtra-Corpor Technol 2003; 35(3): 218-23), who found a strong correlation between the arterial temperature-corrected PexCO2 when using a standard capnograph monitoring the PaCO2 measured from a blood gas analyser (PbCO2). Our group has developed a new instrument, especially designed for oxygenator gas exhaust monitoring. The new instrument has automatic temperature correction, enabling it to show both original and corrected pCO2 values, simultaneously. Ordinary capnograph functions, such as zeroing, flow control and calibration routines, are included. The solution consists of a pCO2 sensor module, a temperature sensor, a water trap and a dedicated PC mounted on a heart-lung machine. Since the heart-lung machine was already equipped with a computer for data logging and a temperature sensor, only a box containing the pCO2 sensor module and the water trap had to be added. The PC uses a specially written program designed to collect data, make the necessary calculations and display the results on the computer screen. A temperature correction was developed based on a linear regression analysis for a data-set of 15 patients, assuming

  2. Efeitos cardiorrespiratórios da buprenorfina em cães anestesiados pelo desfluorano Cardiorespiratory effects of buprenorphine in dogs anesthetized with desflurane

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    Almir Pereira de Souza

    2005-12-01

    Full Text Available Objetivou-se, com este estudo, avaliar os efeitos da buprenorfina sobre variáveis cardiovasculares e respiratórias em cães durante anestesia com desfluorano. Para tanto, foram utilizados 20 cães adultos, distribuídos em dois grupos (GB e GC. A anestesia foi induzida com propofol (8mg kg-1 IV e em seguida os animais foram intubados com sonda de Magill, a qual foi conectada ao aparelho de anestesia para administração de desfluorano (1,5 CAM. Após 30 minutos, foi aplicado no GB buprenorfina (0,02mg kg-1 e no GC solução de NaCl à 0,9% (0,05ml kg-1. Avaliaram-se: freqüências cardíaca e respiratória (FC e ¦; pressões arteriais sistólica, diastólica e média (PAS, PAD e PAM; débito cardíaco (DC; pressão venosa central (PVC; e as variáveis hemogasométricas pH, PaCO2, PaO2, HCO3, SatO2 e DB. As colheitas dos dados foram feitas aos 30 minutos após o início da administração do desfluorano (MO, 15 minutos após a administração do opióide ou placebo (M15, e a cada 15 minutos após Ml5 (M30, M45, M60 e M75. A avaliação estatística dos dados foi efetuada por meio de Análise de Perfil (P¦ e o pH tiveram reduções no GB, enquanto a PaCO2 esteve aumentada. Concluiu-se que a inclusão da buprenorfina durante anestesia inalatória pelo desfluorano determina discretas alterações cardiovasculares, bem-como potencializa a hipoventilação promovida pelo desfluorano, com a manifestação de hipercapnia, o que não contra-indica o seu uso em pacientes estáveis.The aim of this study was to evaluate the effects of buprenorphine on cardiovascular and respiratory variables in dogs anesthetized with desflurane. Twenty adult healthy male and female mongrel dogs were randomly distributed in two groups of ten animals each (GB and GC. The anesthetic induction was done using propofol (8mg kg-1, IV, and immediately, the dogs were intubated and submited to desflurane anesthesia administrated at 1.5 MAC. After 30 minutes of induction, animals

  3. The effects of long-term noninvasive ventilation in hypercapnic COPD patients: a randomized controlled pilot study

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    De Backer L

    2011-11-01

    Full Text Available L De Backer¹, W Vos², B Dieriks¹, D Daems¹, S Verhulst¹, S Vinchurkar², K Ides¹, J De Backer², P Germonpre¹, W De Backer¹1Antwerp University Hospital, Department of Respiratory Medicine, 2FluidDa, Antwerp, BelgiumIntroduction: Noninvasive ventilation (NIV is a well-established treatment for acute-on-chronic respiratory failure in hypercapnic COPD patients. Less is known about the effects of a long-term treatment with NIV in hypercapnic COPD patients and about the factors that may predict response in terms of improved oxygenation and lowered CO2 retention.Methods: In this study, we randomized 15 patients to a routine pharmacological treatment (n = 5, age 66 [standard deviation ± 6] years, FEV1 30.5 [±5.1] %pred, PaO2 65 [±6] mmHg, PaCO2 52.4 [±6.0] mmHg or to a routine treatment and NIV (using the Synchrony BiPAP device [Respironics, Inc, Murrsville, PA] (n = 10, age 65 [±7] years, FEV1 29.5 [±9.0] %pred, PaO2 59 [±13] mmHg, PaCO2 55.4 [±7.7] mmHg for 6 months. We looked at arterial blood gasses, lung function parameters and performed a low-dose computed tomography of the thorax, which was later used for segmentation (providing lobe and airway volumes, iVlobe and iVaw and post-processing with computer methods (providing airway resistance, iRaw giving overall a functional image of the separate airways and lobes.Results: In both groups there was a nonsignificant change in FEV1 (NIV group 29.5 [9.0] to 38.5 [14.6] %pred, control group 30.5 [5.1] to 36.8 [8.7] mmHg. PaCO2 dropped significantly only in the NIV group (NIV: 55.4 [7.7] → 44.5 [4.70], P = 0.0076; control: 52.4 [6.0] → 47.6 [8.2], NS. Patients actively treated with NIV developed a more inhomogeneous redistribution of mass flow than control patients. Subsequent analysis indicated that in NIV-treated patients that improve their blood gases, mass flow was also redistributed towards areas with higher vessel density and less emphysema, indicating that flow was

  4. Acid-Base Balance Changes after Liver Transplantation%肝移植术后酸碱平衡的变化▲

    Institute of Scientific and Technical Information of China (English)

    覃一流; 汤展宏; 张驰; 胡军涛; 尹祥; 董旻

    2013-01-01

    Objective To explore the change rules of acid-base balance after liver transplantation .Methods To record the transfusion volumes of red blood cells ,plasma,sodium bicarbonate and Ringer's lactate,and operation time ,intraoperative urine volume in 40 patients undergoing liver transplantation .The blood gas analysis and lactic acid value were respectively recorded at several time points such as pre-operation,entering intensive care unit(ICU),and the 1st,2nd,3rd,4th and 5th day after operation .An analysis on the indices above was conducted .Results pH,bi-carbonate (HCO3 -),beryllium (BE) were the lowest when patients’ entering ICU.pH,partial pressure carbon diox-ide (PaCO2 ),BE and HCO3 -were the highest on the 2nd day after operation,and they gradually decreased over time;pH returned to preoperative level on the 5 th day after operation while the levels of PaCO 2 ,BE and HCO 3 -were higher than those of the preoperative .Lactic acid value was the highest on the day of entering ICU , which showed a trend of gradual decline , and the decrease was the most significant on the first day after operation .Conclusion Strengthening the monitoring of acid-base balance in patients undergoing liver transplantation has an important clinical significance for management of patients after liver transplantation .%目的探讨肝移植手术后的酸碱平衡变化规律。方法记录肝移植病人40例术中输注红细胞、血浆、碳酸氢钠及乳酸林格的使用量、手术持续时间、术中尿量等;记录肝移植手术前、术后进入重症监护病房当时(入室)、术后第1天、术后第2天、术后第3天、术后第4天、术后第5天的血气分析及乳酸值,并对上述指标进行比较分析。结果 pH、碳酸氢根(HCO3-)、碱剩余(BE)在入室时为最低值,术后第2天pH、二氧化碳分压( PaCO2)、BE、HCO3-均达到最高值,并随着时间的推移逐渐下降;pH在术后第5天时基本

  5. Expression and function of secretory type Ⅱ phospholipase A2 in lung of severe acute pancreatitis of rats%重症急性胰腺炎肺组织Ⅱ型分泌型磷脂酶A2的表达及功能改变

    Institute of Scientific and Technical Information of China (English)

    张雪梅; 陈海龙; 王朝晖

    2012-01-01

    [目的]探讨重症急性胰腺炎(SAP)时肺组织Ⅱ型分泌型磷脂酶A2(sPLA2 -Ⅱ)的表达及功能改变.[方法]将SD大鼠随机分为假手术组(SO组,n=10)、模型组(SAP组,n=10).SO组仅行剖腹术,翻动胰腺;SAP组用去氧胆酸钠胰管逆行注射建立SAP合并肺损伤模型.2组动物在术后24 h测pH、PaQ、PaCO2、血淀粉酶、sPLA2 -Ⅱ,肺湿/干比值.应用RT-PCR、western-blot观察肺组织sPLA2-Ⅱ表达,并观察胰、肺组织病理变化.[结果]SAP组血淀粉酶、sPLA2、肺湿/干比值显著高于SO组(P<0.05).SAP组PaO2、pH显著低于SO组(P<0.05),PaCO2、sPLA -Ⅱ显著高于SO组(P<0.05).[结论]AAP时肺组织sPLA2 -Ⅱ表达增高,可能是急性肺损伤的发病机制之一.%[Objective] To investigate the expression of secretory type Ⅱ phospholipase A2 (sPLA2-Ⅱ )in lung in rats with severe acute pancreatitis. [Methods]SD rats were randomly divided into 2 groups of sham operation group(SO,n=10)and SAP model group(SAP,n=10). Severe acute pancreatitis was induced in SAP. Sham operation was only made in SO group. Serum amylase( AMY) levels, Ph, PaO2, PaCO2, sPLA2 and lung wet/dry ratio( W/D) were determined. sPLA2-Ⅱ mRNA expression in lung was detected by RT-PCR. The sPLA2- Ⅱ protein expression in lung was detected by western-blot. The pathologic changes of pancreas and lung were observed 24 hours after establishment of the model. [Results]Serum levels of AMY([7144.19 ±727. 91]U/ L),sPLA2([45.13±6.05]nmol·min-1·ml-1),W/D(8. 57±2.45)and PaCO2([47. 57±2. 55] mmHg)in SAP were remarkably higher than those in SO([1193. 41±192. 54]U/L, [29. 94± 6. 39]nmol·min-1·ml-1 ,[3. 70±0. 90],[27.69±1.02]mmHg,P<0.05). The levels of PaO2 ([79. 24± 5. 84] mmHg)and pH(7. 269±0. 054)in SAP were lower than that in SO([96. 78± 3. 81] mmHg,7. 391±0. 054,P<0. 05). The expression of sPLA2-Ⅱ in lung in SAP was significantly increased than in SO( P<3. 05). The pathologic changes of pancreas and lung in SO

  6. Toracotomia em eqüinos sob anestesia com ventilação mecânica controlada Equine thoracotomy under anesthesia with controlled mechanical ventilation (CMV

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    Raquel Yvonne Arantes Baccarin

    1998-06-01

    Full Text Available Diversos procedimentos cirúrgicos e diagnósticos podem ser realizados através da cirurgia torácica em eqüinos. Para tanto faz-se necessária a utilização da ventilação controlada mecânica (VCM e a compreensão dos efeitos respiratórios deste tipo de ventilação durante a toracotomia. Foram utilizados seis eqüinos hígidos, sob anestesia com ventilação controlada, para a realização de acesso cirúrgico ao hemitórax direito com o objetivo de se avaliar, através da mensuração dos parâmetros fisiológicos, ventigrafia, pH e gases sangüíneos, a eficácia da ventilação controlada em otimizar a ventilação e a oxigenação e em prevenir a atelectasia pulmonar durante manipulações intratorácicas. Verificou-se diminuição dos valores da PaCO2 e aumento dos valores de pH durante a ventilação controlada, mesmo com o pneumotórax instalado. A pressão interpleural também apresentou aumento de seus valores durante a VCM. Concluiu-se que o uso da VCM, durante a prática da toracotomia, permite a padronização da freqüência respiratória com melhora da ventilação, e subseqüente normalização das alterações da pressão parcial de dióxido de carbono e pH, bem como mantém visualmente adequada a expansão pulmonar. A VCM promove aumento da pressão interpleural, enquanto o tórax permanece fechado.Several surgical and diagnostic procedures can be performed on thoracic surgery in the equine. To carry out these procedures controlled mechanical ventilation (CMV is necessary, as well as full understanding of the possible side effects of this type of ventilation. Six healthy equine were used under anesthesia wiith CMV to do right hemithorax approach. The goals were to evaluate efficiency of CMV in the improvement of ventilation and oxigenation as well as in the prevention of pulmonar atelectasis during intrathoracic manipulation. For such evaluation of physiologic parameters measurement, ventigraphy and blood gas analysis

  7. Comparison of neonatal tolerance to thoracoscopic and open repair of esophageal atresia with tracheoesophageal fistula

    Institute of Scientific and Technical Information of China (English)

    MA Li; LIU Yong-zhe; MA Ya-qun; ZHANG Sheng-suo; PAN Ning-ling

    2012-01-01

    Background Advances in minimally invasive surgical techniques and neonatal intensive care for neonates have allowed for repair of the neonatal esophageal atresia with tracheoesophageal fistula (EA/TEF) to be approached endoscopically.However,thoracoscopic surgery in children is still performed in only a few centers throughout the world.The aim of this study was to compare the neonatal tolerance to the thoracoscopic repair (TR) and the open repair (OR)and also to discuss anesthetic management in thoracoscopic procedure.Methods We performed a prospective study enrolling newborns diagnosed with EA with distal TEF (type C) receiving the repair surgery between June 2009 and January 2012 in our institution.Data collected included the newborns' gestational age and weight at the time of the operation,operative time,parameters of intraoperative mechanical ventilation,oxygenation,end-tidal carbon dioxide (ETCO2),and analysis of blood gases.Time to extubation and length of stay were also recorded.Results Intravenous induction with muscle paralysis followed by pressure-control ventilation and tracheal intubation regardless of the position of the fistula can be performed uneventfully in EA/TEF newborns with no additional airway anomalies and large,pericarinal fistulas in our experiences.The thoracoscopic approach appeared to take longer than the open approach.During the procedure of repair,hypercarbia and acidosis developed immediately 1 hour after pneumothorax in both groups.CO2 insufflation did have additional influence on the respiratory function of the newborns in the TR group; values of PaCO2 and ETCO2 were higher in the TR group but the difference did not reach statistical significance.By the end of the procedure,values of PaCO2 and ETCO2 returned to the baseline levels while pH did not,but all parameters made no difference in the two groups.Besides,time to extubation was shorter in the TR group.Conclusions Thoracoscopic repair of EA/TEF is comparable to the open repair

  8. Severe hypoxaemia in field-anaesthetised white rhinoceros (Ceratotherium simum and effects of using tracheal insufflation of oxygen

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    M. Bush

    2004-06-01

    Full Text Available White rhinoceros anaesthetised with etorphine and azaperone combination develop adverse physiological changes including hypoxia, hypercapnia, acidosis, tachycardia and hypertension. These changes are more marked in field-anaesthetised rhinoceros. This study was designed to develop a technique to improve safety for field-anaesthetised white rhinoceros by tracheal intubation and oxygen insufflation. Twenty-five free-ranging white rhinoceros were anaesthetised with an etorphine and azaperone combination for translocation or placing microchips in their horns. Once anaesthetised the rhinoceros were monitored prior to crating for transportation or during microchip placement. Physiological measurements included heart and respiratory rate, blood pressure and arterial blood gas samples. Eighteen rhinoceros were intubated using an equine nasogastric tube passed nasally into the trachea and monitored before and after tracheal insufflation with oxygen. Seven rhinoceros were not intubated or insufflated with oxygen and served as controls. All anaesthetised rhinoceros were initially hypoxaemic (percentage arterial haemoglobin oxygen saturation (% O2Sa = 49 % + 16 (mean + SD and PaO2 = 4.666 + 1.200 kPa (35 + 9 mm Hg, hypercapnic (PaCO2 = 8.265 + 1.600 kPa (62 + 12 mm Hg and acidaemic (pHa = 7.171 + 0.073 . Base excess was -6.7 + 3.9 mmol/ℓ, indicating a mild to moderate metabolic acidosis. The rhinoceros were also hypertensive (systolic blood pressure = 21.861 + 5.465 kPa (164 + 41 mm Hg and tachycardic (HR = 107 + 31/min. Following nasal tracheal intubation and insufflation, the % O2Sa and PaO2 increased while blood pHa and PaCO2 remained unchanged.Tracheal intubation via the nose is not difficult, and when oxygen is insufflated, the PaO2 and the % O2Sa increases, markedly improving the safety of anaesthesia, but this technique does not correct the hypercapnoea or acidosis. After regaining their feet following reversal of the anaesthesia, the animals

  9. Anestesia por isofluorano em eqüinos submetidos à infusão contínua de medetomidina ou xilazina Isoflurane anesthesia in horses during medetomidine or xilazine continuous infusion

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    Renata Gebara Sampaio Dória

    2009-04-01

    Full Text Available Avaliaram-se oito eqüinos sob anestesia geral inalatória com isofluorano (1CAM e infusão contínua de xilazina (0,35mg kg-1h-1 ou medetomidina (3,5µg kg-1h-1, em relação à freqüência cardíaca, ritmo cardíaco, freqüência respiratória, pressão arterial, hemogasometria arterial e temperatura, nos tempos T0 (imediatamente antes do início da infusão contínua e T10 ao T60 (intervalos de 10 minutos, após início da infusão contínua. Houve redução da freqüência cardíaca e da temperatura e elevação da pressão arterial média. A paCO2 (no GM elevou-se e a paO2 mostrou-se maior no GM que no GX. Conclui-se que a infusão contínua de doses equipotentes de xilazina e medetomidina, durante anestesia geral inalatória, com isofluorano, em eqüinos, promove alterações cardiocirculatórias, respiratórias, térmicas e hemogasométricas discretas e equivalentes.Eight horses under inhalant general anesthesia with isoflurane (1MAC and continuous infusion of xylazine (0.35mg kg-1h-1 or medetomidine (3.5µg kg-1h-1 were evaluated for heart rate and rhythm, respiratory rate, arterial blood pressure, arterial blood gas analysis and temperature immediately before the beginning of the continuous infusion (T0 and in intervals of 10 minutes after the beginning of the continuous infusion (T10 to T60. Heart rate and temperature decreased and mean arterial pressure increased. PaCO2 (in GM increased and GM showed a higher paO2 than GX. We conclude that equipotent doses of continuous infusion of medetomidine and xylazine during inhalant general anesthesia with isoflurane in horses promote slight and equivalent cardiocirculatory, respiratory, thermic and arterial blood gases changes.

  10. Liquid extracorporeal carbon dioxide removal: use of THAM (tris-hydroxymethyl aminomethane) coupled to hemofiltration to control hypercapnic acidosis in a porcine model of protective mechanical ventilation

    Science.gov (United States)

    Tapia, Pablo; Lillo, Felipe; Soto, Dagoberto; Escobar, Leslie; Simon, Felipe; Hernández, Karina; Alegría, Leyla; Bruhn, Alejandro

    2016-01-01

    A promising approach to facilitate protective mechanical ventilation is the use of extracorporeal CO2 removal techniques. Several strategies based on membrane gas exchangers have been developed. However, these techniques are still poorly available. The goal of this study was to assess the efficacy and safety of THAM infusion coupled to hemofiltration for the management of hypercapnic acidosis. A severe respiratory acidosis was induced in seven anesthetized pigs. Five of them were treated with THAM 8-mmol·kg-1·h-1 coupled to hemofiltration (THAM+HF group) at 100 mL·kg-1·h-1. After 18-hours of treatment the THAM infusion was stopped but hemofiltration was kept on until 24-hours. The 2 other animals were treated with THAM but without hemofiltration. After 1-hour of treatment in THAM+HF, PaCO2 rapidly decreased from a median of 89.0 (IQR) (80.0, 98.0) to 71.3 (65.8, 82.0) mmHg (P<0.05), while pH increased from 7.12 (7.01, 7.15) to 7.29 (7.27, 7.30) (P<0.05). Thereafter PaCO2 remained stable between 60-70 mmHg, while pH increased above 7.4. After stopping THAM at 18 hours of treatment a profound rebound effect was observed with severe hypercapnic acidosis. The most important side effect we observed was hyperosmolality, which reached a maximum of 330 (328, 332) mOsm·kg H2O-1 at T18. The animals treated only with THAM developed severe hypercapnia, despite the fact that pH returned to normal values, and died after 12 hours. Control-group had an uneven evolution until the end of the experiment. A combined treatment with THAM coupled to hemofiltration may be an effective treatment to control severe hypercapnic acidosis. PMID:27648139

  11. 不同氧疗方式对急性一氧化碳中毒大鼠血气的影响%Effect of different oxygen therapy on blood gas in rats following acute carbon monoxide poisoning

    Institute of Scientific and Technical Information of China (English)

    马琳琳; 葛环; 高春锦; 宋鸿雁; 刘福佳; 侯晓敏

    2010-01-01

    目的 观察不同氧疗方式对急性一氧化碳中毒(acute carbon monoxide poisoning,ACOP)大鼠血气的影响.方法 将70只雄性Wistar大鼠随机分成健康对照组10只;染毒即刻组12只;余48只CO染毒后再分为4组,分别为空气组、鼻导管组、面罩组、HBO组各12只.制备ACOP动物模型,给予3种不同方式的氧疗,自腹主动脉取血行血气分析.结果 pH值:染毒即刻即出现明显下降(P0.05).PaO2及PaCO2:染毒后各组差异无统计学意义(P>0.05).乳酸及COHb%:染毒即刻即出现明显升高(P0.05).HCO3-:染毒后各组均明显低于正常(P0.05); PaO2 and PaCO2: no statistical significance in PaO2 or PaCO2 could be seen between the groups after ACOP(P >0.05); Lactic acid and COHb%: levels of lactic acid and COHb% in the COST group increased significantly, when compared with those of the control group (P 0.05); Bicarbonate (HCO3 -):statistical differences in HCO3 - between the groups could be noted after ACOP (P < 0. 05). Conclusions Various types of oxygen therapy could rectify hypoxia and metabolic acidosis in rats following ACOP. Compared with other two types of therapy, HBO could remove carboxyhemoglobin (COHb) from the body most significantly.

  12. 无创机械通气治疗慢性阻塞性肺病合并呼吸衰竭疗效观察%Non-invasive mechanical ventilation in the treatment of chronic obstructive pulmonary disease with respiratory failure Efficacy

    Institute of Scientific and Technical Information of China (English)

    李玉

    2010-01-01

    Objective To explore the bi-level positive airway pressure non-invasive ventilation (BI-PAP) for chronic obstructive pulmonary disease (COPD)with respiratory failure,the value of the cure.Methods COPD patients with type Ⅱ respiratory failure 47 regular bi-level positive airway pressure non-invasive ventilation(BIPAP) ,recorded the change before treatment,on the plane two hours after one day,three days PH,PaO2 ,PaCO2,SPO2 change.Results All patients through the bi-level positive airway pressure non-invasive ventilation,the clinical symptoms significantly improved after treatment,blood gas analysis The PH,PaO2,PaCO2 ,SPO2 a significant improvement compared with before treatment (P < 0.05).Conclusion The bi-level positive airway pressure non-invasive ventilation (BIPAP) for chronic obstructive pulmonary disease (COPD) with respiratory failure has a significant effect.%目的 探讨双水平气道正压无创通气(BIPAP)对慢性阻塞性肺病(COPD)合并呼吸衰竭的冶疗价值.方法 对COPD合并Ⅱ型呼吸衰竭患者47例行双水平气道正压无创通气(BIPAP),记录治疗前,上机后2 h、1 d、3 d的pH、PaO2、PaCO2、SPO2变化.结果 所有患者经过双水平气道正压无创通气后,临床症状有明显好转,治疗后血气分析中的pH、PaO2、PaCO2、SPO2较治疗前有明显改善(P<0.05).结论 双水平气道正压无创通气(BIPAP)对慢性阻塞性肺病(COPD)合并呼吸衰竭患者疗效显著.

  13. Influence of anesthesia by sevoflurane and propofol on the Pulmonary function in patients receiving gynecological laparoscopic surgery%七氟醚与异丙酚麻醉对妇科腹腔镜手术患者肺功能的影响

    Institute of Scientific and Technical Information of China (English)

    陈广军

    2014-01-01

    Objective To explore the influence of anesthesia by sevoflurane and propofol on the pulmonary function in patients receiving gynecological laparoscopic surgery. Methods A retrospective analysis was conducted on the clinical data of 60 patients receiving gynecological laparoscopic surgery in our hospital.The 30 patients in the PR group were given anesthesia by propofol and remifentanil,while the 30 patients in the SR group were given anesthesia by sevoflu-rane and remifentanil.PaO2,PaCO2,PETCO2,Ppeak,QS/QT and dynamic lung compliance in two groups were compared respec-tively. Results PaCO2 was significantly higer at 5 min after pneumoperitoneum,15 min after pneumoperitoneum and 15 min after deflation than that before anesthesia induction,with statistical difference (P0.05).Ppeak was higher at 5 min after pneumoperitoneum and 15 min after pneumoperitoneum than that at 5 min before pneumoperitoneum,with statistical difference (P0.05).Dynamic lung compliance was lower at 5 min after pneumoperitoneum and 15 min after pneumoperi-toneum than that at 5 min before pneumoperitoneum,with statistical difference (P0.05);两组的Ppeak在气腹后5 min、气腹后15 min较气腹前5 min显著升高,差异有统计学意义(P0.05);两组的肺动态顺应性在气腹后5 min、气腹后15 min较气腹前5 min显著下降,差异有统计学意义(P<0.05),SR组的肺动态顺应性在气腹后5 min、气腹后15 min显著低于PR组,差异有统计学意义(P<0.05)。结论与七氟醚麻醉相比,异丙酚麻醉对患者呼吸功能的影响相对较轻。

  14. A comparison of synchronized intermittent mandatory ventilation and pressure-regulated volume control ventilation in elderly patients with acute exacerbations of COPD and respiratory failure

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    Chang SC

    2016-05-01

    Full Text Available Suchi Chang,1 Jindong Shi,2 Cuiping Fu,1 Xu Wu,1 Shanqun Li1 1Department of Respiratory Medicine, Zhongshan Hospital, Fudan University, Shanghai, 2Department of Respiratory Medicine, The Fifth People’s Hospital of Shanghai, Fudan University, Shanghai, People’s Republic of China Background: COPD is the third leading cause of death worldwide. Acute exacerbations of COPD may cause respiratory failure, requiring intensive care unit admission and mechanical ventilation. Intensive care unit patients with acute exacerbations of COPD requiring mechanical ventilation have higher mortality rates than other hospitalized patients. Although mechanical ventilation is the most effective intervention for these conditions, invasive ventilation techniques have yielded variable effects. Objective: We evaluated pressure-regulated volume control (PRVC ventilation treatment efficacy and preventive effects on pulmonary barotrauma in elderly COPD patients with respiratory failure. Patients and methods: Thirty-nine intubated patients were divided into experimental and control groups and treated with the PRVC and synchronized intermittent mandatory ventilation – volume control methods, respectively. Vital signs, respiratory mechanics, and arterial blood gas analyses were monitored for 2–4 hours and 48 hours. Results: Both groups showed rapidly improved pH, partial pressure of oxygen (PaO2, and PaO2 per fraction of inspired O2 levels and lower partial pressure of carbon dioxide (PaCO2 levels. The pH and PaCO2 levels at 2–4 hours were lower and higher, respectively, in the test group than those in the control group (P<0.05 for both; after 48 hours, blood gas analyses showed no statistical difference in any marker (P>0.05. Vital signs during 2–4 hours and 48 hours of treatment showed no statistical difference in either group (P>0.05. The level of peak inspiratory pressure in the experimental group after mechanical ventilation for 2–4 hours and 48

  15. Up-regulation of ICAM-1mRNA and IL-1βmRNA in lung tissues of a rat model of COPD.

    Science.gov (United States)

    Ji, Mingli; Wang, Yuxia; Li, Xiaopeng; Qian, Zhibin

    2015-01-01

    Chronic obstructive pulmonary disease (COPD) is a common respiratory disease characterized by airflow obstruction that is usually progressive and not fully reversible. It is accompanied by the abnormal inflammatory response of lung to toxic particles or gas. Studies indicate that chronic inflammatory injuries of airway, pulmonary parenchyma and pulmonary vessels are the characteristic changes of COPD. Adhesion of inflammatory cells is the important link of pulmonary infection. Intercellular adhesion molecule-1 (ICAM-1) is a glycoprotein involved in binding with mediated cells or with the extracellular matrix in the process called cell adhesion. IL-1β is an important inflammatory mediator as well as the promoter and critical inducer of cytokine cascade reaction. In this study, the rat model of COPD was established by smoking + intratracheal instillation of LPS (the experimental group). PaO2 and PaCO2 were measured. ICAM-1mRNA and IL-1βmRNA level in lung homogenate were detected by immunohistochemistry and RT-PCR and were compared with those of the rats treated by smoke exposure (the control group) and the healthy rats (the blank group) in order to investigate the effect of ICAM-1 and IL-1β in lung injury of COPD. This study showed that the respiratory function of rats with COPD was decreased. PaO2 of rats in the experimental group, the control group and the blank group decreased successively, and the comparison between any two groups had significant difference. PaCO2 increased successively, and the comparison between any two groups had significant difference. Immunohistochemistry results showed that protein expression of ICAM-1 and IL-1β in lung tissues of rats in the experimental group was higher than that in the control group and the blank group, and the comparison between any two groups had significant difference. RT-PCR results showed that ICAM-1mRNA and IL-1βmRNA level of rats in the experimental group was higher than that in the control group and the

  16. The effects of 10 cmH 2 O positive end-expiratory pressure on arterial oxygenation, respiratory mechanics and hemodynamic parameters in laparoscopic cholecystectomy operations

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    Fatma Çiçek

    2014-09-01

    Full Text Available Objective: The effects of 10cmH2O Positive End-expiratory Pressure (PEEP on respiratory mechanics, arterial oxygenation and hemodynamics in laparoscopic cholecystectomy operation were investigated. Methods: The study was planned on ASA I-II, 18-65 years old, forty patients scheduled for laparoscopic cholecystectomy under general anesthesia. The patients were divided into two groups which PEEP implemented Group 0 and 10 cmH2O PEEP applied Group P (Group 0, n=20; Group P, n=20. Heart rate, Mean arterial blood pressure, arterial oxygen saturation (SpO2, partial pressure of end-tidal carbon dioxide (PEtCO2, Peak inspiratory pressure (PİP, plato pressure (Pplato, partial pressure of oxygen in arterial blood (PaO2, partial pressure of carbon dioxide in arterial blood (PaCO2 values were evaluated at 5 minutes after induction, 5 minutes after CO2 insufflation, after the head-up position and the right side in the 10th and 30th minutes, After 10 minutes desufflation and in the recovery room. The Alveolar–arterial oxygen pressure gradient (P(A-a O2, the ratio of physiologic dead space over tidal volume (VD/VT, Arterial to End Tidal CO2 gradient (P(a-et CO2, static compliance (CS, dynamic compliance (CD were assessed same times. Results: The assessment between the groups, there were not statistical differences about mean blood pressure, heart rate, SpO2, PetCO2, PaO2, plateau pressure, and P (A-a values (p>0.05. Peak inspiratory pressure was higher in Group P (p<0.05. Peak inspiratory pressure and plateau pressure increased with CO2 insufflation in both groups. PaCO2 and P(a-et CO2 were higher statistically significantly in Group 0 (p<0.05. There was no difference between the groups in terms of the PetCO2 values. VD/VT ratios were statistically significantly lower in the Group P (p<0.05. There was no difference at static compliance values between the groups, dynamic compliance was lower in Group P. According to the initial values, there was a decrease in

  17. 兔颈部CO_2和生理盐水灌注内镜甲状腺手术%Endoscopic thyroidectomy with filling the neck of rabbits withcarbon dioxide and saline

    Institute of Scientific and Technical Information of China (English)

    谢明; 周争; 周梁

    2009-01-01

    Objective:The study was aimed to inverstigate the effects of different levels of pressure and dura-tion of carbon dioxide and saline in the neck of rabbits on metabolic, hemodynamic, serum sodium concentrations and hematocrit changes. Method:Twenty-one New Zealand rabbits were randomly divided into 7 groups according to the following pressure of CO_2 or saline:0 kPa, 0. 67 kPa CO_2, 1.33 kPa CO_2,2.00 kPa CO_2 , 0.67 kPa saline, 1.33 kPa saline, and 2.00 kPa saline. In order to make a space for the endoscopic thyroidectomy, we filled the neck of rabbits with carbon dioxide and saline . Arterial partial pressure of CO_2(PaCO_2), pH, heart rate (HR), mean arterial pressure (MAP) , central venous pressure (CVP), serum sodium concentration and hematocrit were measured at baseline, 45 min and 90 min after filling with gas or saline and 30 tnin post-filling. Result:Insufflation of CO_2 at 0.67 kPa did not have any significant effect on the parameters. PaCO_2 increased significantly 45 min and 90 min after insufflation of 1.33 kPa CO_2(P0.05). CVP increased significantly 90min after saline irrigation at 1.33 kPa(P 0.05).1.33 kPa生理盐水组在T_2时,2.00 kPa生理盐水组在T1和T2时,CVP显著升高(P<0.05).各组HR和MAP在整个实验过程中变化不明显.结论:生理盐水灌注法不会引起高碳酸血症、酸中毒和稀释性低钠血症,在颈部内镜手术中可作为建立和维持手术空间的一种选择方法.

  18. Advances in regional cerebral blood flow measurement and patho-physiological analysis by SPECT

    International Nuclear Information System (INIS)

    Recently, two kinds of radiopharmaceuticals have been developed to represent the biodistribution of regional blood flow, which are N-isopropyl-p-[123I]iodoamphetamine (IMP) and 99mTc-hexamethylpropylene-amine-oxime (HMPAO). In this paper, I mentioned the charachteristics, clinical usage and imitation of these two radiolabeled agents. The advantage of 123I-IMP is that it has high first-pass extraction and long retention in brain tissue, hence it can be used to measure the absolute values of regional cerebral blood flow (rCBF). When the kinetics of 123I-IMP is assumed to be freely diffusible in the brain, its behavior is considered by 2-compartment model, especially which is assumed by the microsphere model in the early period after the i.v. injection of 123I-IMP. Comparing the rCBF measured by 123I-IMP with that by 133Xe inhalation SPECT method, we have to consider PaCO2 when both SPECT studies are performed, because PaCO2 is one of the big factors which make effects on the alteration of rCBF. 123I-IMP has an interesting character of the redistribution phenomenon which represrent the degree of ischemia in the cerebrovascular diseases. Distribution volume is one of the important information obtained by the SPECT study with 123I-IMP, which represent the degree of retention, i.e. binding potential of 123I-IMP in the brain tissue. I introduced the usage of the distribution volume of 123I-IMP, which was constructed in the rate constant square method, in the differential diagnosis of Parkinson's disease and progressive supranuclear palsy (PSP). The clinical usage of 99m Tc-HMPAT was mentioned, the advantage of which is the rapid fixation in the brain tissue and the distribution does not change for long time after the i.v. injection. Hence 99mTc-HMPAO is used for the diagnosis of epileptic foci and certain loading tests such as balloon occlusion test, postural test and acetazolamide loading test. (author)

  19. 珂立苏与固尔苏治疗新生儿呼吸窘迫综合征的疗效比较%Comparison of the effect of Calsurf and Curosurf in treating respiratory distress syndrome of preterm infants

    Institute of Scientific and Technical Information of China (English)

    林杨; 潘家华; 陈名武

    2012-01-01

    Objective To compare the effect of Calsurf ( Calf Pulmonary Surfactant for Injection ) and Curosurf( Poractant Alfa Injection ) in treating respiratory distress syndrome of preterm infants. Methods Sixty premature infants diagnosed as NRDS after birth were divided into three groups. The first group including 20 nonates was dripped in Calsurf through trachea, and the second group was dripped Curosurf, and the third group of another 20 neonates with the same condition served as the control group. Results In the two therapeutic groups, the pH, PaO2 and PaCO2 were improved significantly ( P 0.05 ). Compared to the control group, the total time of breathing machine was shortened of the two therapeutic groups ( P <0. 05 ). Conclusion The Calsurf and Curosurf can rapidly and effectively help the neonates to improve their pulmonary ventilation, whose therapeutic effects were the same.%目的 比较固尔苏与珂立苏在治疗新生儿呼吸窘迫综合征(NRDS)的临床疗效.方法 确诊 NRDS 患儿60例,20例采用珂立苏治疗,20例采用固尔苏治疗,20例为对照组,分别比较珂立苏和固尔苏治疗组患儿用药前后血气指标(pH,PaO2,PaCO2)的变化情况,比较治疗组和对照组上机时间等.结果 珂立苏和固尔苏治疗组患儿用药前后血气指标比较,差异均有统计学意义(P<0.05).珂立苏组和固尔苏组治疗前后血气指标差异无统计学意义(P>0.05).治疗组和对照组比较,上机时间明显缩短,差异有统计学意义(P<0.05).结论 临床治疗 NRDS时,应首选肺表面活性物质治疗,可显著改善血气指标和机械通气参数,国产珂立苏和进口固尔苏具有同样疗效.

  20. Association of CRP and D-Dimer with secondary pulmonary hypertension in patients with AECOPD%CRP及D-Dimer在慢性阻塞性肺疾病急性加重期继发肺动脉高压中的相关性

    Institute of Scientific and Technical Information of China (English)

    金丛; 黄相增

    2014-01-01

    Objective To explore the clinical significance of C-reaction protein ( CRP ) and D-Dimer levels in patients with acute exacerbation of chronic obstructive pulmonary disease ( AECOPD ) complicated by pulmonary hypertension (PH) and their association with HP. Methods Arterial blood gas and levels of CRP and D-Dimer were detected in 150 patients with AECOPD. Results Levels of CRP, D-Dimer, and PaCO2 were higher but PO2 level was lower in patients with moderate to severe PH than those with mild PH and the control subjects. Levels of CRP and D-Dimer were higher in patients with mild PH than the control subjects. Levels of CRP, D-Dimer, and PCO2 levels had a linear relationship with PASP, while PO2 was negatively correlated with PASP. Levels of CRP and D-Dimer were positively related with PCO2, while were negatively correlated with PO2. Conclusions Levels of CRP and D-Dimer can be used as an indicator for estimating the severity of pulmonary hypertension in patients with AECOPD.%目的:探讨C反应蛋白(CRP)及D-二聚体(D-Dimer)在慢性阻塞性肺疾病急性加重期(AECOPD)合并肺动脉高压( PH )患者中的临床意义及相关性。方法:150例AECOPD患者进行CRP、D-Dimer及动脉血气检测。结果:AECOPD合并中重度PH组患者CRP、D-Dimer、PaCO2水平高于轻度PH组及对照组,(P<0.05),而PaO2水平低于轻度PH组及对照组(P<0.05)。AECOPD合并轻度PH组患者CRP、D-Dimer水平高于对照组(P<0.05)。 CRP、D-Dimer、PaCO2与肺动脉收缩压(PASP)呈正相关;PaO2与PASP呈负相关;CRP、D-Dimer 与 PaCO2呈正相关;CRP、D-Dimer 与 PaO2呈负相关。结论:CRP 及 D-Dimer 水平可作为AECOPD患者判断PH严重程度的指标。

  1. 探究双管鼻塞式CPAP对新生儿呼吸衰竭的治疗效果观察%To explore two pipe blocked nose type CPAP therapeutic effect observation of neonatal respiratory failure

    Institute of Scientific and Technical Information of China (English)

    陈鹏

    2014-01-01

    ObjectiveTo explore the double tube block type CPAP therapeutic effect observation of neonatal respiratory failure.MethodsFrom April 2013 to January 2014, the selection of our new pediatric in 46 patients with respiratory failure of nasal congestion using double tube CPAP treatment, observation of treatment before and after 24 h of blood gas index.Results The patients with neonatal respiratory failure after two pipe blocked nose type CPAP treatment before and after the blood gas index, pH, PaO2, SaO2 were signiifcantly increased (P < 0.05), and PaCO2 dropped signiifcantly (P < 0.05), the more close to normal.ConclusionDouble tube nasal CPAP type has a good effect in the treatment of neonatal respiratory failure, is worth further promotion in the clinical practice.%目的:探究双管闭塞式CPAP对新生儿呼吸衰竭的治疗效果观察。方法从2013年4月到2014年1月,选取我院新生儿科的46例呼吸衰竭患者使用双管鼻塞式CPAP进行治疗,观察治疗前和治疗24h后的血气指标状况。结果新生儿呼吸衰竭患者在经过双管鼻塞式CPAP治疗前后的血气指标比较,pH、PaO2以及SaO2均有明显升高(P<0.05), PaCO2显著下降(P<0.05),更接近正常水平。结论双管鼻塞式CPAP在新生儿呼吸衰竭的治疗中疗效显著,结构简单方便,治疗价格低廉,值得临床进一步推广。

  2. Liquid extracorporeal carbon dioxide removal: use of THAM (tris-hydroxymethyl aminomethane) coupled to hemofiltration to control hypercapnic acidosis in a porcine model of protective mechanical ventilation.

    Science.gov (United States)

    Tapia, Pablo; Lillo, Felipe; Soto, Dagoberto; Escobar, Leslie; Simon, Felipe; Hernández, Karina; Alegría, Leyla; Bruhn, Alejandro

    2016-01-01

    A promising approach to facilitate protective mechanical ventilation is the use of extracorporeal CO2 removal techniques. Several strategies based on membrane gas exchangers have been developed. However, these techniques are still poorly available. The goal of this study was to assess the efficacy and safety of THAM infusion coupled to hemofiltration for the management of hypercapnic acidosis. A severe respiratory acidosis was induced in seven anesthetized pigs. Five of them were treated with THAM 8-mmol·kg(-1)·h(-1) coupled to hemofiltration (THAM+HF group) at 100 mL·kg(-1)·h(-1). After 18-hours of treatment the THAM infusion was stopped but hemofiltration was kept on until 24-hours. The 2 other animals were treated with THAM but without hemofiltration. After 1-hour of treatment in THAM+HF, PaCO2 rapidly decreased from a median of 89.0 (IQR) (80.0, 98.0) to 71.3 (65.8, 82.0) mmHg (P<0.05), while pH increased from 7.12 (7.01, 7.15) to 7.29 (7.27, 7.30) (P<0.05). Thereafter PaCO2 remained stable between 60-70 mmHg, while pH increased above 7.4. After stopping THAM at 18 hours of treatment a profound rebound effect was observed with severe hypercapnic acidosis. The most important side effect we observed was hyperosmolality, which reached a maximum of 330 (328, 332) mOsm·kg H2O(-1) at T18. The animals treated only with THAM developed severe hypercapnia, despite the fact that pH returned to normal values, and died after 12 hours. Control-group had an uneven evolution until the end of the experiment. A combined treatment with THAM coupled to hemofiltration may be an effective treatment to control severe hypercapnic acidosis. PMID:27648139

  3. Clinical nursing of pulmonary surfactant in treatment of premature babies with respiratory distress syndrome%肺泡表面活性物质用于早产儿呼吸窘迫综合征治疗的护理

    Institute of Scientific and Technical Information of China (English)

    贾艳玲

    2011-01-01

    Objective To investigate the therapeutic effect and nursing ways of pulmonary surfactant in premature babies with respiratory distress syndrome. Methods From July 2008 to January 2011,63 cases of premature babies with respiratory distress syndrome were admitted to our department, pulmonary surfactant was dripped through trachea into these patients, the treatment effect after medication was observed. Results Among these premature babies, one case died of respiratory failure, one case died from pulmonary hemorrhage, sixty-one cases were cured, the cure rate was 96.8%. After treatment, the arterial blood pH, partial pressure of oxygen(PaO2) and oxygen saturation(SaO2) of the 61 patients was significantly higher than before treatment, the arterial blood partial pressure of carbon dioxide (PaCO2)、 total carbon dioxide (TCO2)、actual bicarbonate (AB)was significantly lower than before treatment. Conclusions Pulmonary surfactant combined with appropriate nursing ways is able to cure premature babies with respiratory distress syndrome effectively.%目的 探讨肺泡表面活性物质治疗早产儿呼吸窘迫综合征的疗效和护理对策.方法 2008年7月至2011年1月共收治早产儿呼吸窘迫综合征患儿63例,向患儿的气管内滴入肺泡表面活性物质,观察用药后的疗效.结果 63例患儿有1例因合并呼吸衰竭死亡,1例因合并肺出血死亡,余61例治愈出院,治愈率为96.8%.61例治愈的患儿,治疗后动脉血pH、氧分压(PaO2)、血氧饱和度(SaO2)显著高于治疗前.治疗后动脉血二氧化碳分压(PaCO2)、二氧化碳总量(TCO2)、实际碳酸氢盐(AB)显著低于治疗前.结论 肺泡表面活性物质联合适宜的护理措施能有效地治疗早产儿呼吸窘迫综合征.

  4. Prediction of arterial blood gas values from arterialized earlobe blood gas values in patients treated with mechanical ventilation

    Directory of Open Access Journals (Sweden)

    Honarmand Azim

    2008-01-01

    Full Text Available Background/Objective: Arterial blood gas (ABG analysis is useful in evaluation of the clinical condition of critically ill patients; however, arterial puncture or insertion of an arterial catheter may sometimes be difficult and cause many complications. Arterialized ear lobe blood samples have been described as adequate to gauge gas exchange in acute and chronically ill pediatric patients. Purpose: This study evaluates whether pH, partial pressure of oxygen (PO 2 , partial pressure of carbon dioxide (PCO 2 , base excess (BE, and bicarbonate (HCO 3 values of arterialized earlobe blood samples could accurately predict their arterial blood gas analogs for adult patients treated by mechanical ventilation in an intensive care unit (ICU. Setting: A prospective descriptive study Methods: Sixty-seven patients who were admitted to ICU and treated with mechanical ventilation were included in this study. Blood samples were drawn simultaneously from the radial artery and arterialized earlobe of each patient. Results: Regression equations and mean percentage-difference equations were derived to predict arterial pH, PCO 2 , PO 2 , BE, and HCO 3 -values from their earlobe analogs. pH, PCO 2 , BE, and HCO 3 all significantly correlated in ABG and earlobe values. In spite of a highly significant correlation, the limits of agreement between the two methods were wide for PO 2 . Regression equations for prediction of pH, PCO 2 , BE, and HCO3- values were: arterial pH (pHa = 1.81+ 0.76 x earlobe pH (pHe [r = 0.791, P < 0.001]; PaCO 2 = 1.224+ 1.058 x earlobePCO 2 (PeCO 2 [r = 0.956, P < 0.001]; arterial BE (BEa = 1.14+ 0.95 x earlobe BE (BEe [r= 0.894, P < 0.001], and arterial HCO 3 - (HCO 3 -a = 1.41+ earlobe HCO 3 (HCO 3 -e [r = 0.874, P < 0.001]. The predicted ABG values from the mean percentage-difference equations were derived as follows: pHa = pHe x 1.001; PaCO 2 = PeCO 2 x 0.33; BEa = BEe x 0.57; and HCO 3 -a = HCO 3 -e x 1.06. Conclusions: Arterialized

  5. Inhaled nitric oxide combining high frequency oscillatory ventilation and oral sildenafil for refractory persistent pulmonary hypertension of newborn%iNO联合高频震荡通气并西地那非口服对难治性 PPHN 的作用

    Institute of Scientific and Technical Information of China (English)

    李菊花; 康鹏讲; 张茹; 安媛; 张小敏; 于瑛; 张阿维; 刘俐

    2015-01-01

    Objective To investigate the clinical effect of inhaled nitric oxide (iNO) combining high frequency oscillatory ventilation ( HFOV) and oral sildenafil for refractory persistent pulmonary hypertension of newborns ( PPHN) .Methods Thirteen cases of refractory PPHN, receiving normal frequency ventilation and nitric oxide inhalation without effect in neonatal intensive care unit ( NICU) of Xianyang Pediatrics Hospital from January 2012 to January 2014, accepted HFOV and iNO therapy.The changes of PaO2 , PaCO2 , SaO2 , FiO2 , pulmonary artery pressure, mean pressure and oxygenation index before and after treatment were analyzed.Results Two hours after the treatment, PaCO2 did not change remarkably (t=0.86,P>0.05), while PaO2 was significantly different (t=4.54,P0.05), but pulmonary artery pressure declined by 28%compared with that before treatment (t=7.51, P0.05),而PaO2 干预前后存在显著统计学差异(t=4.54,P0.05),而肺动脉压较治疗前显著下降28%(t=7.51,P<0.01). 治疗后24h与治疗后2h比较,FiO2 较前持续下降约31%(t=6.76,P<0.01),氧合指数提高约83%(t=5.92,P<0.01),存在显著统计学差异. 经治疗有效12例,无效1例,有效率为92.3%. 结论 iNO联合高频震荡通气并西地那非口服治疗能够有效改善患儿血氧指标,对难治性新生儿持续肺动脉高压疗效显著,增加了持续性肺动脉高压抢救成活率.

  6. PETCO2 measurement and feature extraction of capnogram signals for extubation outcomes from mechanical ventilation

    International Nuclear Information System (INIS)

    Capnography is a continuous and noninvasive method for carbon dioxide (CO2) measurement, and it has become the standard of care for basic respiratory monitoring for intubated patients in the intensive care unit. In addition, it has been used to adjust ventilatory parameters during mechanical ventilation (MV). However, a substantial debate remains as to whether capnography is useful during the process of weaning and extubation from MV during the postoperative period. Thus, the main objective of this study was to present a new use for time-based capnography data by measuring the end-tidal CO2 pressure (PETCO2), partial pressure of arterial CO2 (PaCO2) and feature extraction of capnogram signals before extubation from MV to evaluate the capnography as a predictor of outcome extubation in infants after cardiac surgery. Altogether, 82 measurements were analysed, 71.9% patients were successfully extubated, and 28.1% met the criteria for extubation failure within 48 h. The ROC-AUC analysis for quantitative measure of the capnogram showed significant differences (p < 0.001) for: expiratory time (0.873), slope of phase III (0.866), slope ratio (0.923) and ascending angle (0.897). In addition, the analysis of PETCO2 (0.895) and PaCO2  (0.924) obtained 30 min before extubation showed significant differences between groups. The PETCO2 mean value for success and failure extubation group was 39.04 mmHg and 46.27 mmHg, respectively. It was also observed that high CO2 values in patients who had returned MV was 82.8  ±  21 mmHg at the time of extubation failure. Thus, PETCO2 measurements and analysis of features extracted from a capnogram can differentiate extubation outcomes in infant patients under MV, thereby reducing the physiologic instability caused by failure in this process. (paper)

  7. Análisis de factores relacionados con hipercapnia crónica en la distrofia miotónica

    Directory of Open Access Journals (Sweden)

    Patricia K. Aruj

    2013-12-01

    Full Text Available La distrofia miotónica (DM es la distrofia muscular más común en adultos. Diversos factores pueden explicar la retención crónica de CO2. La selección de pacientes, diferentes estadios evolutivos y formas de evaluación, pueden explicar los resultados disímiles al respecto. Nuestros objetivos fueron caracterizar la función respiratoria y analizar los factores relacionados con la retención crónica de CO2 en la DM. Se incluyeron 27 pacientes ambulatorios consecutivos, estables clínicamente y se los agrupó como normocápnicos e hipercápnicos (PaCO2 ≥ 43 mm Hg. Se determinaron capacidad vital forzada (FVC, presiones estáticas máximas, tiempo de apnea voluntaria, escala de Epworth y gases arteriales. La quimiosensibilidad al CO2 se evaluó mediante la reinhalación de CO2 (método de Read. La pendiente ∆P0.1/∆PCO2 expresa la quimiosensibilidad al CO2. El 59.3% tenían hipercapnia. La FVC y la fuerza muscular respiratoria fueron normales o mostraron disminución leve a moderada, sin diferencias significativas en ambos grupos. La inadecuada respuesta al CO2 (pendientes ∆P0.1/∆PCO2 bajas (< 0.1 cmH2O/mm Hg o planas se asoció con hipercapnia (p < 0.005 y ésta significó un riesgo 11.6 veces mayor de inadecuada respuesta al CO2. El grupo con pendiente ∆P0.1/∆PCO2 baja-plana mostró mayor PaCO2 (p = 0.0017 y tiempo de apnea voluntaria más prolongado (p = 0.002. Concluimos que, en nuestros pacientes con DM, la hipercapnia crónica se asoció a la presencia de anomalías del control central de la respiración. Estos resultados permiten explicar los informes previos que describen la llamativa ocurrencia de insuficiencia respiratoria postoperatoria y las dificultades en el proceso de desvinculación de asistencia ventilatoria mecánica en estos pacientes.

  8. 运动并呼吸肌锻炼对COPD患者康复影响的Meta分析%The inlfuence of physical therapy and respiratory muscle training on rehabilitation of patients with chronic obstructive pulmonary disease:Meta-analysis

    Institute of Scientific and Technical Information of China (English)

    田凌云; 张莹; 田含章; 姜鲜银; 李映兰

    2014-01-01

    目的:评价运动并呼吸肌锻炼对慢性阻塞性肺疾病(COPD)患者的康复效果是否具有显著影响。方法:通过计算机检索相关文献,按一定标准筛选文献,进行质量评价,共纳入7篇随机对照试验研究文献,采用Cochrane协作网的Rev-Manv5.3软件包处理,以肺功能[FEV1、FEV1%、FEV1/FVC(%)]、动脉血气分析(PaCO2、PaO2)、6min步行距离进行Meta分析。结果:在FEV1方面,运动并呼吸肌锻炼干预组与对照组之间差异不具有统计学意义;而在FEV1%、FEV1/FVC(%)、动脉血气分析(PaCO2、PaO2)、6min步行距离方面,干预组与对照组之间差异有统计学意义。结论:运动并呼吸肌锻炼有益于改善COPD患者肺功能、动脉血气及体能状况。%Objective: To evaluate whether physical therapy and respiratory muscle training have remarkable inlfuence on the rehabilitation of patients with chronic obstructive pulmonary disease. Methods: Correlative literature was searched through computer. A total of seven studies of randomized controlled trial were brought into this research according to the inclusion and the exclusion criteria. Meta-analysis was used in six aspects including the FEV1,FEV1%, FEV1/FVC (%), arterial blood gas (PaCO2, PaO2), six minutes walking distance. Results: It showed signiifcant differences in FEV1% , FEV1/FVC (%), arterial blood gas (PaCO2, PaO2), six minutes walking distance, but no signiifcant difference in FEV1. Conclusion: Physical therapy and respiratory muscle training are beneifcial to improving the pulmonary function, arterial blood gas and physical condition of patients with COPD.

  9. Pulmonary Functions After Injection Sclerotherapy Of Esophageal Varices & After Band Ligation

    Directory of Open Access Journals (Sweden)

    Mohamed A. Metwally*, Ahmad Abdelsadek Mohammad,**Galal A. Moawad,*.

    2013-04-01

    Full Text Available Aim of the study: To study changes in pulmonary function tests after esophageal variceal injection sclerotherapy in comparison to changes after esophageal variceal band ligation.Patients & methods:This study was designed as non randomized controlled study. Thirty patients with hepatic cirrhosis & portal hypertension who were admitted to Hepatology, Gastroenterology and Infectious Diseases department , Benha university hospital for elective esophageal variceal therapy (secondary prophylaxis were classified into group I:15 patients treated with sclerotherapy by using 5-15 ml ethanolamine oleate and group II:15 patients treated with band ligation. Patients were subjected for full clinical evaluation including history, general, chest, and abdominal examination. Laboratory and radiological investigation including complete blood count, liver function tests, kidney function tests and blood sugar and plain chest x-ray (P.A. and lateral views were done. Pulmonary function tests and arterial blood gasses were done before, one day after and one week after the procedure.Results:The results revealed , significant decrease in vital capacity in group I one day after injection ( p ˂ 0.05,but no significant decrease in vital capacity in group II. There was a significant decrease in PaO2 in group I one day after injection sclerotherapy ( p ˂ 0.05 but no significant changes in group II and no significant changes in PaCO2 in both groups one day after the procedures. The study has also revealed no significant changes in FVC,FEV1/FVC and PaCO2 in group I and group II after procedures. The study revealed significant linear correlation between the decreases in PaO2 and the percentage decrease in vital capacity( p ˂ 0.05. One week after procedure, pulmonary functions that has been affected in group I returned back to baseline values.Conclusions: esophageal injection sclerotherapy produces restrictive defect (decrease in PaO2 and vital capacity in pulmonary functions

  10. 无创机械通气治疗急性呼吸窘迫综合征的临床观察%Clinical observation of non-invasive mechanical ventilation for acute respiratory distress syndrome

    Institute of Scientific and Technical Information of China (English)

    耿新普

    2012-01-01

    目的 观察无创机械通气治疗急性呼吸窘迫综合征(ARDS)的临床疗效.方法 72例急性呼吸窘迫综合征患者在常规治疗(药物治疗+吸氧)基础上加用无创机械通气,观察患者治疗前后临床症状和动脉血气分析.结果 给予无创机械通气后患者呼吸困难症状明显改善,pH、SaO2、PaO2、PaO2/FiO2等指标上升明显,与治疗前相比差异有统计学意义(P<0.05);呼吸频率、心率、血压、PaCO2,等指标明显下降,与治疗前相比差异有统计学意义(P<0.05).动脉血气PaO2明显上升(P<0.05),PaCO2下降明显(P<0.05).结论 无创机械通气治疗能有效缓解急性呼吸窘迫综合征患者的临床症状,并改善患者的各项血气指标,值得在临床中推广应用.%Objective To investigate the clinical efficacy of the non-invasive mechanical ventilation in acute respiratory distress syndrome. Methods 72 patients with acute respiratory distress syndrome were used non-invasive mechanical ventilation on the basis of the conventional therapy( drug treatment + oxygen ). Before and after treatment, clinical symptoms and arterial blood gas analysis were measured. Results After treatment, the original dificulty breathing symptoms of patients improved, pH,SaO2 ,PaO2 ,PaO2/FiO2 increased significantly, and there were significant differences compared with before treatment P <0. 05 );respiratory rate, heart rate, blood pressure, PaCO2 decreased significantly compared with before treatment with significant differences( P <0. 05 ). Conclusion Non-invasive mechanical ventilation in acute respiratory distress syndrome can quickly relieve the clinical symptoms and improve the blood gas analysis in patients. It is worthy of clinically use.

  11. Cerebral vascular autoregulation and CO2 reactivity following onset of the delayed postischemic hypoperfusion state in dogs.

    Science.gov (United States)

    Christopherson, T J; Milde, J H; Michenfelder, J D

    1993-03-01

    A small number of animal studies have suggested that during the delayed postischemic hypoperfusion state, CO2 reactivity of the cerebral vasculature is lost whereas autoregulation is retained. These findings, however, are inconsistent with the bulk of experimental evidence which demonstrates that CO2 reactivity is more robust and may be retained in pathologic circumstances which abolish autoregulation. These opposing viewpoints were therefore further evaluated in 18 dogs in which complete global ischemia was induced by cerebrospinal fluid (CSF) compression for periods of 12 (n = 12) and 18 (n = 6) min. Following 45 min of reperfusion and with onset of the delayed postischemic hypoperfusion state, autoregulation and CO2 reactivity were evaluated using a continuous measurement of CBF (by sagittal sinus outflow). CO2 reactivity was tested over a PaCO2 range of 20 to 60 mm Hg; autoregulation was tested over a blood pressure range of 60 to 140 mm Hg. Results demonstrated that after both 12 and 18 min of complete global ischemia, autoregulation and CO2 reactivity of the cerebral vasculature were both present, but attenuated. In the case of CO2 reactivity, the slope of the CBF response was decreased approximately 75%. In the case of autoregulation, the response in some dogs was incomplete as compared with their preischemic response. PMID:8436617

  12. Partial liquid ventilation decreases tissue and serum tumor necrosis factor-α concentrations in acute lung injury model of immature piglet induced by oleic acid

    Institute of Scientific and Technical Information of China (English)

    ZHU Yao-bin; FAN Xiang-ming; LI Xiao-feng; LI Zhi-qiang; WANG Qiang; SUN Li-zhong; LIU Ying-long

    2012-01-01

    Background Pediatric patients are susceptible to lung injury.Acute lung injury in children often results in high mortality.Partial liquid ventilation (PLV) has been shown to markedly improve oxygenation and reduce histologic evidence of injury in a number of lung injury models.This study was designed to examine the hypothesis that PLV would attenuate the production of local and systemic tumor necrosis factor (TNF)-α in an immature piglet model of acute lung injury induced by oleic acid (OA).Methods Twelve Chinese immature piglets were induced acute lung injury by OA.The animals were randomly assigned to two groups of six animals,(1) conventional mechanical ventilation (MV) group and (2) PLV with 10 ml/kg FC-77 group.Results Compared with MV group,the PLV group had better cardiopulmonary variables (P <0.05).These variables included heart rate,mean blood pressure,blood pH,partial pressure of arterial oxygen (PaO2),PaO2/inspired O2 fraction (FiO2) and partial pressure of arterial carbon dioxide (PaCO2).PLV reduced TNF-α levels both in plasma and tissue compared with MV group (P <0.05).Conclusion PLV provides protective effects against TNF-a response in OA-induced acute lung injury in immature piglets.

  13. Effect of partial liquid ventilation on oleic acid-induced inflammatory responses in piglets

    Institute of Scientific and Technical Information of China (English)

    ZHU Yao-bin; WANG Qiang; LIU Ying-long; LI Xiao-feng; LI Jian-an; L(U) Xiao-dong; LING Feng; LIU Ai-jun; FAN Xiang-ming

    2010-01-01

    Background Pediatric patients are susceptible to lung injury.Acute lung injury (ALI) in children often results in a high mortality.Partial liquid ventilation (PLV) has been shown to markedly improve oxygenation and reduce histologic evidence of injury in a number of lung injury models.This study aimed to examine the hypothesis that PLV would attenuate the production of local and systemic cytokines in an immature piglet model of ALI induced by oleic acid (OA).Methods Twelve Chinese immature piglets were induced to develop ALI by oleic acid.The animals were randomly assigned to two groups (n=6): (1) conventional mechanical ventilation (MV) group and (2) PLV with FC-77 (10 ml/kg) group.Results Compared with MV group, PLV group got better cardiopulmonary variables (P <0.05).These variables included heart rate, mean blood pressure, blood pH, partial pressure of arterial oxygen (PaO2), PaO2/FiO2 and partial pressure of arterial carbon dioxide (PaCO2).Partial liquid ventilation reduced IL-1β, IL-6, IL-10 and TN F-α both in plasma and tissue concentrations compared with MV group (P <0.05).Conclusions Partial liquid ventilation provides protective effects against inflammatory responses in the lungs of oleic acid-induced immature piglets.

  14. A novel, stable and reproducible acute lung injury model induced by oleic acid in immature piglet

    Institute of Scientific and Technical Information of China (English)

    ZHU Yao-bin; LING Feng; ZHANG Yan-bo; LIU Ai-jun; LIU Dong-hai; QIAO Chen-hui; WANG Qiang; LIU Ying-long

    2011-01-01

    Background Young children are susceptible to pulmonary injury,and acute lung injury (ALl) often results in a high mortality and financial costs in pediatric patients.A good ALl model will help us to gain a better understanding of the real pathophysiological picture and to evaluate novel treatment approaches to acute respiratory distress syndrome (ARDS) more accurately and liberally.This study aimed to establish a hemodynamically stable and reproducible model with ALl in piglet induced by oleic acid.Methods Six Chinese mini-piglets were used to establish ALl models by oleic acid.Hemodynamic and pulmonary function data were measured.Histopathological assessment was performed.Results Mean blood pressure,heart rate (HR),cardiac output (CO),central venous pressure (CVP) and left atrial pressure (LAP) were sharply decreased after oleic acid given,while the mean pulmonary arterial pressure (MPAP) was increased in comparison with baseline (P <0.05).pH,arterial partial pressure of O2 (PaO2),PaO2/inspired O2 fraction (FiO2) and lung compliance decreased,while PaCO2 and airway pressure increased in comparison with baseline (P <0.05).The lung histology showed severe inflammation,hyaline membranes,intra-alveolar and interstitial hemorrhage.Conclusion This experiment established a stable model which allows for a diversity of studies on early lung injury.

  15. Ventricular performance during exercise in patients with chronic obstructive pulmonary disease (COPD)

    International Nuclear Information System (INIS)

    We assessed ventricular performance during exercise in 16 chronic obstructive pulmonary disease (COPD) patients and 8 normal control subjects by means of radionuclide equilibrium angiography using technetium-99m as a tracer. Supine exercise on a bicycle ergometer was performed until symptom-limited exhaustion. Data were accumulated for 300 heart beats at rest and 150 heart beats during exercise. We used the standard voxel count method to calculate the ventricular volumes. Age, FEV1.0%, %VC, PaO2 and PaCO2 of the COPD patients were 63±8 yr, 46±11%, 69±18%, 68±11 Torr and 44±7 Torr (mean±SD), respectively. Systolic dysfunction of both the left and right ventricles was well confirmed in the present study. In 12 patients who also underwent hemodynamic studies, resting total pulmonary vascular resistance index (TPVRI) and mean pulmonary artery pressure (P-barpa) significantly correlated with right ventricular end-systolic volume index (RVESVI) obtained by RI angiography; γ=0.769 (p<0.01) and γ=0.631 (p<0.05), respectively. A significant relationship was also observed between left ventricular dysfunction and the degree of hypercapnia. In response to exercise testing, 10 of 16 patients exhibited insufficient augmentation of stroke volume, and both left and right end-diastolic volumes decreased in half of 10 patients. It is suggested that cardiac function may be disturbed by mechanical factors such as pulmonary hyperinflation in COPD patients. (author)

  16. Chinese Herbal Medicine (Weijing Decoction Combined with Pharmacotherapy for the Treatment of Acute Exacerbations of Chronic Obstructive Pulmonary Disease

    Directory of Open Access Journals (Sweden)

    Shaonan Liu

    2014-01-01

    Full Text Available Objective. To evaluate the efficacy and safety of Weijing decoction combined with routine pharmacotherapy (RP for the treatment of acute exacerbations of chronic obstructive pulmonary disease (AECOPD. Methods. Randomized controlled trials (RCT evaluating Weijing decoction for AECOPD were included. English, Chinese, and Japanese databases were searched from their respective inceptions to June 2013. The methodological quality was assessed according to the Cochrane Collaboration’s risk of bias tool. All data were analyzed and synthesized using RevMan 5.2 software. Results. Fifteen (15 studies involving 986 participants were included. Participants were diagnosed with COPD in the acute exacerbation stage. In addition, most of studies reported that they included participants with the Chinese medicine syndrome, phlegm-heat obstructing the Lung. Weijing decoction combined with RP improved lung function (forced expiratory volume in one second; FEV1, arterial blood gases (PaO2 and PaCO2, clinical effective rate, and reduced inflammatory biomarkers (TNF-α and IL-8 when compared with RP alone. No severe adverse events were reported in these studies. Conclusions. Weijing decoction appeared to be beneficial for AECOPD and well-tolerated when taken concurrently with RP, such as antibiotics, bronchodilators (oral and inhaled, and mucolytics.

  17. Generation of a phage-display library of single-domain camelid VH H antibodies directed against Chlamydomonas reinhardtii antigens, and characterization of VH Hs binding cell-surface antigens.

    Science.gov (United States)

    Jiang, Wenzhi; Rosenberg, Julian N; Wauchope, Akelia D; Tremblay, Jacqueline M; Shoemaker, Charles B; Weeks, Donald P; Oyler, George A

    2013-11-01

    Single-domain antibodies (sdAbs) are powerful tools for the detection, quantification, purification and subcellular localization of proteins of interest in biological research. We have generated camelid (Lama pacos) heavy chain-only variable VH domain (VH H) libraries against antigens in total cell lysates from Chlamydomonas reinhardtii. The sdAbs in the sera from immunized animals and VH H antibody domains isolated from the library show specificity to C. reinhardtii and lack of reactivity to antigens from four other algae: Chlorella variabilis, Coccomyxa subellipsoidea, Nannochloropsis oceanica and Thalassiosira pseudonana. Antibodies were produced against a diverse representation of antigens as evidenced by sera ELISA and protein-blot analyses. A phage-display library consisting of the VH H region contained at least 10(6) individual transformants, and thus should represent a wide range of C. reinhardtii antigens. The utility of the phage library was demonstrated by using live C. reinhardtii cells to pan for VH H clones with specific recognition of cell-surface epitopes. The lead candidate VH H clones (designated B11 and H10) bound to C. reinhardtii with EC50 values ≤ 0.5 nm. Treatment of cells with VH H B11 fused to the mCherry or green fluorescent proteins allowed brilliant and specific staining of the C. reinhardtii cell wall and analysis of cell-wall genesis during cell division. Such high-complexity VH H antibody libraries for algae will be valuable tools for algal researchers and biotechnologists.

  18. Time course and recovery of arterial blood gases during exacerbations in adults with Cystic Fibrosis.

    LENUS (Irish Health Repository)

    Waterhouse, D F

    2012-02-01

    INTRODUCTION: Hypoxia and hypercapnia are closely linked to morbidity and mortality in patients with Cystic Fibrosis (CF). The aims of this study were to describe the changes in blood gases during and following an acute pulmonary exacerbation in adults with CF. METHODS: We performed a prospective observational study of patients with CF admitted for management of an acute exacerbation. Blood gas and spirometric analysis was performed on admission, throughout the treatment period, and 31 days after discharge (day 45). RESULTS: At presentation, eight of nineteen patients had evidence of either hypoxia (PaO(2)<8 kPa) and\\/or hypercapnia (PaCO(2)>6.6 kPa). Blood gas parameters stabilized following two weeks of intravenous antibiotic therapy, with little difference evident in between treatment completion and subsequent review following discharge. Hypercapnia reversed in three patients, with persistent hypercapnia evident in two patients. CONCLUSION: In our study group, hypoxemia and hypercapnia were frequently observed at presentation of the acute exacerbation. Blood gases stabilized following two weeks of intravenous antibiotic therapy, with arterial PCO(2) one month following hospital discharge generally similar to that at time of discharge.

  19. Exogenous surfactant therapy in a patient with adult respiratory distress syndrome after near drowning.

    Science.gov (United States)

    Staudinger, T; Bankier, A; Strohmaier, W; Weiss, K; Locker, G J; Knapp, S; Röggla, M; Laczika, K; Frass, M

    1997-10-01

    A 24-year-old woman developed adult respiratory distress syndrome (ARDS) after near-drowning due to attempted suicide. Conventional mechanical ventilation together with prone positioning and inhaled nitric oxide could not provide sufficient oxygenation. Surface tension data (gamma min = 27 dyn/cm, stability index = 0.341) from a lavage sample supported the hypothesis that the surfactant function of this patient was drastically reduced due to a washout effect by aspiration of fresh water. Porcine surfactant (Curosurf, 50 mg/kg for each lung) was instilled via fibreoptic bronchoscope. The partial arterial carbon dioxide pressure (paCO2) and fraction of inspired oxygen (FiO2) ratio as well as shunt fraction (Qs/Qt) improved impressively. When respiratory situation deteriorated again, surfactant application was repeated. Altogether, six bolus instillations of surfactant (total dose 300 mg/kg = 18,000 mg) were administered until the respiratory situation had stabilized and oxygenation could be maintained by conventional mechanical ventilation. The radiological findings did not show substantial amelioration. The patient developed septic shock and died 12 days after admission. Surfactant application apparently led to a significant improvement of the respiratory function. However, the outcome could not be influenced positively. The high cost of surfactant therapy prevents the more widespread early administration in patients at risk.

  20. Immobilisation of impala (Aepyceros melampus with a ketamine hydrochloride / medetomidine hydrochloride combination, and reversal with atipamezole hydrochloride

    Directory of Open Access Journals (Sweden)

    M. Bush

    2004-06-01

    Full Text Available A combination of medetomidine hydrochloride (medetomidine and ketamine hydrochloride (ketamine was evaluated in 16 boma-confined and 19 free-ranging impalas (Aepyceros melampus to develop a non-opiate immobilisation protocol. In free-ranging impala a dose of 220 + 34 mg/kg medetomidine and 4.4 + 0.7 mg/kg ketamine combined with 7500 IU of hyaluronidase induced recumbency within 4.5+1.5 min, with good muscle relaxation, a stable heart rate and blood pH. PaCO2 was maintained within acceptable ranges. The animals were hypoxic with reduced oxygen saturation and low PaO2 in the presence of an elevated respiration rate, therefore methods for respiratory support are indicated. The depth of sedation was adequate for minor manipulations but additional anaesthesia is indicated for painful manipulations. Immobilisation was reversed by 467 + 108 mg/kg atipamezole hydrochloride (atipamezole intramuscularly, but re-sedation was observed several hours later, possibly due to a low atipamezole:medetomidine ratio of 2:1. Therefore, this immobilisation and reversal protocol would subject impalas to possible predation or conspecific aggression following reversal if they were released into the wild. If the protocol is used on free-ranging impala, an atipamezole:medetomidine ratio of 5:1 should probably be used to prevent re-sedation.

  1. [Anesthetic management of posterior lumbar spinal fusion in a patient suspected of having acute exacerbation of chronic interstitial pneumonia].

    Science.gov (United States)

    Sakai, Mayuko; Takenami, Tamie; Otsuka, Tomohisa; Hayashi, Norito; Yoshino, Kazuhisa; Matsumoto, Shigehiro; Okamoto, Hirotsugu

    2014-02-01

    A patient complicated with interstitial pneumonia required emergency posterior lumbar spinal fusion. The blood gas analysis showed relatively benign values (PaO2 81 torr, PaCO2 44 torr, under room air), but the honeycombing lungs were noted in the bilateral lung fields on CT, and the KL-6 level was high (1,000 U x ml(-1)), for which the acute exacerbation of interstitial pneumonia was suspected. Sivelestat sodium administration was initiated during the surgery and continued postoperatively. During surgery, setting the FIO2 at 0.34, the P/F ratio and intra-airway pressure could be maintained at 500 and 25 mmHg, respectively. To reduce postoperative respiratory complication, anesthesia was maintained with desflurane, which is dissipated easily, and 0.5% ropivacaine 15 ml was subcutaneously injected to the surgical field at the time of wound closure to reduce the total doses of intraoperative fentanyl and postoperative analgesics. After the completion of surgery, the endotracheal tube was removed with head elevated position, and the patient was transported back to the ward. No acute exacerbation occurred thereafter, and the patient was discharged 67 days after surgery. The prediction of acute exacerbation of interstitial pneumonia is difficult. Moreover, there is no established preventive method, although the mortality is high. Therefore, physicians should be thoroughly informed about the currently available evidence, including developmental factors. PMID:24601111

  2. Improved survival with an ambulatory model of non-invasive ventilation implementation in motor neuron disease.

    Science.gov (United States)

    Sheers, Nicole; Berlowitz, David J; Rautela, Linda; Batchelder, Ian; Hopkinson, Kim; Howard, Mark E

    2014-06-01

    Non-invasive ventilation (NIV) increases survival and quality of life in motor neuron disease (MND). NIV implementation historically occurred during a multi-day inpatient admission at this institution; however, increased demand led to prolonged waiting times. The aim of this study was to evaluate the introduction of an ambulatory model of NIV implementation. A prospective cohort study was performed. Inclusion criteria were referral for NIV implementation six months pre- or post-commencement of the Day Admission model. This model involved a 4-h stay to commence ventilation with follow-up in-laboratory polysomnography titration and outpatient attendance. Outcome measures included waiting time, hospital length of stay, adverse events and polysomnography data. Results indicated that after changing to the Day Admission model the median waiting time fell from 30 to 13.5 days (p Survival was also prolonged (median (IQR) 278 (51-512) days pre- vs 580 (306-1355) days post-introduction of the Day Admission model; hazard ratio 0.41, p = 0.04). Daytime PaCO2 was no different. In conclusion, reduced waiting time to commence ventilation and improved survival were observed following introduction of an ambulatory model of NIV implementation in people with MND, with no change in the effectiveness of ventilation.

  3. La ventilación mecánica no invasiva domiciliaria en el paciente EPOC Non-invasive home mechanical ventilation in the COPD patient

    Directory of Open Access Journals (Sweden)

    C. I. González Rodríguez

    2005-12-01

    Full Text Available Fundamento. El potencial beneficio de la ventilación mecánica no invasiva en los pacientes EPOC clínicamente estables no es aún bien conocido ni ha sido suficientemente estudiado. Se pretende valorar si la ventilación mecánica no invasiva beneficia a estos pacientes. Material y métodos. Se realiza un estudio transversal valorando la aplicación de la ventilación mecánica no invasiva (BIPAP domiciliaria durante el descanso nocturno en 23 pacientes EPOC, los cuales se caracterizaban por presentar hipercapnia en la gasometría arterial basal realizada durante la estabilidad clínica. Se realizan revisiones clínicas, gasométricas y espirométricas a los 3, 6 y 12 meses de instaurar dicha terapia. Así mismo se evalúa el número de ingresos por agudización de la patología respiratoria subyacente durante un año. Resultados. Los pacientes incluidos en el estudio tenían una media de edad de 68,83 años. El 60,9% presentaban grado severo de EPOC. El 69,6% del total de la muestra recibían previamente oxigenoterapia continua domiciliaria; de ellos el 75% presentaban EPOC severa o muy severa. Durante el período de tiempo del estudio se objetivó un descenso en el número de ingresos hospitalarios por agudización (0,61±0,15 ingresos anuales de media respecto al mismo período de tiempo previo a la ventilación mecánica no invasiva (1,07±0,16 ingresos de media resultando más beneficiados los que presentaban previamente un mayor número de ingresos y los que asociaban comorbilidad. También se aprecia disminución de la presión arterial de dióxido de carbono (PaCO2 en la mayoría de los casos, principalmente aquellos que presentaban al inicio del estudio una PaCO(263,32 mm de Hg; dicha mejoría se aprecia desde los primeros tres meses de tratamiento.Background. The potential benefits of non-invasive mechanical breathing in clinically stable COPD patients are still not well known, nor have they been sufficiently studied. We evaluate

  4. Medical image of the week: collapse of the trachea

    Directory of Open Access Journals (Sweden)

    Guruguri P

    2013-07-01

    Full Text Available No abstract available. Article truncated at 150 words. A 61 year old man with a history of chronic obstructive pulmonary disease (COPD requiring multiple intubations over the past 2 years as well as obstructive sleep apnea (OSA presented with acute dyspnea, cough and difficulty expectorating sputum over the last 24 hours. His physical exam was notable for expiratory and inspiratory wheezing. ABG revealed a pH of 7.24, PaCO2 of 71, PaO2 of 103, and HCO3 of 29 mMol consistent with an acute on chronic respiratory acidosis. In the Emergency Department, the patient was given multiple bronchodilators and eventually placed on BiPAP with gradual improvement. CT of the chest revealed the caliber of the trachea was narrowed greater than 50% during expiration (Figure 1B consistent with dynamic airway collapse of tracheobronchomalacia. This often overlooked condition may be related to past intubations or COPD with chronic bronchitis and is often misdiagnosed as COPD or treatment resistant asthma. Stents are often …

  5. Behavioral, Ventilatory and Thermoregulatory Responses to Hypercapnia and Hypoxia in the Wistar Audiogenic Rat (WAR Strain.

    Directory of Open Access Journals (Sweden)

    Érica Maria Granjeiro

    Full Text Available We investigated the behavioral, respiratory, and thermoregulatory responses elicited by acute exposure to both hypercapnic and hypoxic environments in Wistar audiogenic rats (WARs. The WAR strain represents a genetic animal model of epilepsy.Behavioral analyses were performed using neuroethological methods, and flowcharts were constructed to illustrate behavioral findings. The body plethysmography method was used to obtain pulmonary ventilation (VE measurements, and body temperature (Tb measurements were taken via temperature sensors implanted in the abdominal cavities of the animals.No significant difference was observed between the WAR and Wistar control group with respect to the thermoregulatory response elicited by exposure to both acute hypercapnia and acute hypoxia (p>0.05. However, we found that the VE of WARs was attenuated relative to that of Wistar control animals during exposure to both hypercapnic (WAR: 133 ± 11% vs. Wistar: 243 ± 23%, p<0.01 and hypoxic conditions (WAR: 138 ± 8% vs. Wistar: 177 ± 8%; p<0.01. In addition, we noted that this ventilatory attenuation was followed by alterations in the behavioral responses of these animals.Our results indicate that WARs, a genetic model of epilepsy, have important alterations in their ability to compensate for changes in levels of various arterial blood gasses. WARs present an attenuated ventilatory response to an increased PaCO2 or decreased PaO2, coupled to behavioral changes, which make them a suitable model to further study respiratory risks associated to epilepsy.

  6. Hypoxic ventilatory drive in dogs during thiopental, ketamine, or pentobarbital anesthesia.

    Science.gov (United States)

    Hirshman, C A; McCullough, R E; Cohen, P J; Weil, J V

    1975-12-01

    The ventilatory responses to isocapnic hypoxia and hypercapnia were studied in seven chronically tracheostomized dogs awake and during anesthesia with pentobarbital (30 mg/kg, iv), ketamine, or thiopental (10 and 15 mg/kg, respectively, followed by infusion). Isocapnic hypoxic ventilatory drive (HVD) was expressed as the parameter A such that the higher the A, the greater the hypoxic drive. HVD(A) was significantly reduced from 259 +/- 28 (mean +/- SEM) in awake dogs, to 96 +/- 14 after pentobarbital, 161 +/- 27 after thiopental, and 213 +/- 23 after ketamine. Hypercapnic ventilatory drive (HCVD) as measured by S (slope of the VE-PACO2 response curve) was significantly reduced from 1.3 +/- .32 in awake dogs to 0.4 +/- .13 after pentobarbital, 0.5 +/- .12 after thiopental, and 0.6 +/- .11 after ketamine. In addition, hypercapnia-induced augmentation of hypoxic drive was markedly diminished by the two barbiturates but was unaffected by ketamine. Therefore, ketamine at this dose level afforded greater protection during exposure to hypoxia than did barbiturates. (Key words: Ventilation, hypoxic response; Hypoxia, ventilation; Oxygen, ventilatory response; Carbon dioxide, ventilatory response; Anesthetics, intravenous, ketamine; Anesthetics, intravenous, thiopental; Hypnotics, barbiturates, pentobarbital.) PMID:1190538

  7. Epidemiology of central sleep apnoea in heart failure.

    Science.gov (United States)

    Naughton, Matthew T

    2016-03-01

    Central sleep apnoea occurs in about a third of patients with reduced systolic heart failure and is a marker of increased mortality. Such patients usually are older males with advanced heart failure (i.e., high pulmonary wedge pressure), often in atrial fibrillation, with evidence of hyperventilation (i.e., low PaCO2) in the absence of hypoxemia. Characteristically, ventilation waxes and wanes in a sinusoidal pattern, with mild hypoxemia, occurring in the lighter levels of sleep usually when supine. Snoring may also occur in central sleep apnoea, often at the peak of hyperventilation, sometimes contributing to the confusion or overlap with obstructive sleep apnoea. Central sleep apnoea is associated with orthopnoea, paroxysmal nocturnal dyspnoea and an oscillatory respiratory pattern with an incremental cardiopulmonary exercise study. Importantly, heart failure therapies (e.g., afterload reduction, diuresis, pacemakers, transplantation) attenuate central sleep apnoea. Night to night variability in severity of central sleep apnoea may occur with changes in patients' posture during sleep (less severe when sleeping on-side or upright). PMID:26948168

  8. 右美托咪定对全麻腹腔镜手术术后CO2蓄积患者复苏阶段的影响%Effects of Dexmedetomidine to Anesthesia Laparoscopic Surgery on Postoperative Recovery Phase CO2 Accumulation Patients

    Institute of Scientific and Technical Information of China (English)

    邓方方; 吴昱

    2014-01-01

    观察右美托咪定对全麻腹腔镜手术术后CO2蓄积患者复苏阶段的影响。方法择期全麻行腹腔镜手术的患者,术毕前约40min测动脉血气,选取其中PaCO270~90mmHg ,pH0.05)。结论腹腔镜手术中,在CO2蓄积致高碳酸血症患者的麻醉复苏阶段,右美托咪定的作用是安全有效的。%Objective To observe the effects of dexmedetomidine to anesthesia laparoscopic sur⁃gery on postoperative recovery phase CO2 accumulation in patients. Methods Chose patients un⁃dergoing laparoscopic operation. Before the end of operation about 40 min measured arterial blood gas. Selecting 40 cases of patients with PaCO2 70-90mmHg and pH 0. 05). Conclu⁃sion Laparoscopic surgery,CO2 accumulation in patients with hypercapnia recovery phase of anes⁃thesia,given dexmedetomidine is safe and effective.

  9. Pulmonary hypertension due to acute respiratory distress syndrome

    Directory of Open Access Journals (Sweden)

    S.A. Ñamendys-Silva

    2014-10-01

    Full Text Available Our aims were to describe the prevalence of pulmonary hypertension in patients with acute respiratory distress syndrome (ARDS, to characterize their hemodynamic cardiopulmonary profiles, and to correlate these parameters with outcome. All consecutive patients over 16 years of age who were in the intensive care unit with a diagnosis of ARDS and an in situ pulmonary artery catheter for hemodynamic monitoring were studied. Pulmonary hypertension was diagnosed when the mean pulmonary artery pressure was >25 mmHg at rest with a pulmonary artery occlusion pressure or left atrial pressure <15 mmHg. During the study period, 30 of 402 critically ill patients (7.46% who were admitted to the ICU fulfilled the criteria for ARDS. Of the 30 patients with ARDS, 14 met the criteria for pulmonary hypertension, a prevalence of 46.6% (95% CI; 28-66%. The most common cause of ARDS was pneumonia (56.3%. The overall mortality was 36.6% and was similar in patients with and without pulmonary hypertension. Differences in patients' hemodynamic profiles were influenced by the presence of pulmonary hypertension. The levels of positive end-expiratory pressure and peak pressure were higher in patients with pulmonary hypertension, and the PaCO2 was higher in those who died. The level of airway pressure seemed to influence the onset of pulmonary hypertension. Survival was determined by the severity of organ failure at admission to the intensive care unit.

  10. Short-lived isotopes in central chemical control of ventilation

    International Nuclear Information System (INIS)

    Central chemical ventilatory drive is dependent on elecrolyte and acid-base status of brain ECF, as well as the interaction between H+ metabolism and CO2 fixation and metabolism of amino acid neutrotransmitters - GABA and glutamate. In the anesthetized dogs, using the short-lived positron emitting isotope of carbon (11C) either in the form of molecular CO2 or as HCO3- injected intraarterially it was demonstrated that there is first pass uptake of 16% of HCO3- from blood into brain and 86% uptake of molecular CO2, thus indicating that the brain-blood barrier is permeable to HCO3-, but that HCO3- content in the CNS is regulated as a function of dissociation of strong ions such as Cl- and Na+. Relationship between CO2 fixations and brain glutamine was studied with intraarterial injection of 13N-ammonia and its turnover into glutamine when PCO2 was increased. Ammonia turnover into glutamine was increased by a factor of 2 when PaCO2 was increased by 35 torr, and this rise in glutamine was linearly related to the rise in CSF [HCO3-]. Glutamine is then converted into the active neurotransmitters GABA and glutamate. Thus, the short-lived isotopes allow for assessment of the interaction of biochemical events in the CNS in the central respiratory drive. (orig.)

  11. [Bowel obstruction-induced cholinergic crisis with progressive respiratory failure following distigmine bromide treatment].

    Science.gov (United States)

    Kobayashi, Kazuki; Sekiguchi, Hiroshi; Sato, Nobuhiro; Hirose, Yasuo

    2016-03-01

    A 54-year-old female experienced rapid respiratory failure while being transported in an ambulance to our emergency department for evaluation and management of constipation and abdominal pain. The patient was on treatment with distigmine bromide for postoperative urination disorder and magnesium oxide for constipation. Increased salivary secretions, diminished respiratory excursion, type 2 respiratory failure (PaCO2 : 65 mmHg), low serum cholinesterase, and hypermagnesemia were detected. Imaging studies revealed that the patient had bilateral aspiration pneumonia, fecal impaction in the rectum, and a distended colon causing ileus. The patient was mechanically ventilated and was weaned off the ventilator on day 3. Therapeutic drug monitoring after discharge revealed that the serum level of distigmine bromide on admission was markedly elevated (377.8 ng/mL vs. the normal therapeutic level of 5-10 ng/mL). Distigmine bromide induced a cholinergic crisis with a resultant increase in airway secretions and respiratory failure. In this particular case, orally administered distigmine bromide was excessively absorbed because of prolonged intestinal transit time secondary to fecal impaction and sluggish bowel movement; this caused a cholinergic crisis and hypermagnesemia contributing to respiratory failure. Clinicians should be aware that bowel obstruction in a patient treated with distigmine bromide can increase the risk of a cholinergic crisis. PMID:27255021

  12. Applying a low-flow CO2 removal device in severe acute hypercapnic respiratory failure.

    Science.gov (United States)

    Sharma, Ajay S; Weerwind, Patrick W; Strauch, Uli; van Belle, Arne; Maessen, Jos G; Wouters, Emiel F M

    2016-03-01

    A novel and portable extracorporeal CO2-removal device was evaluated to provide additional gas transfer, auxiliary to standard therapy in severe acute hypercapnic respiratory failure. A dual-lumen catheter was inserted percutaneously in five subjects (mean age 55 ± 0.4 years) and, subsequently, connected to the CO2-removal device. The median duration on support was 45 hours (interquartile range 26-156), with a blood flow rate of approximately 500 mL/min. The mean PaCO2 decreased from 95.8 ± 21.9 mmHg to 63.9 ± 19.6 mmHg with the pH improving from 7.11 ± 0.1 to 7.26 ± 0.1 in the initial 4 hours of support. Three subjects were directly weaned from the CO2-removal device and mechanical ventilation, one subject was converted to ECMO and one subject died following withdrawal of support. No systemic bleeding or device complications were observed. Low-flow CO2 removal adjuvant to standard therapy was effective in steadily removing CO2, limiting the progression of acidosis in subjects with severe acute hypercapnic respiratory failure. PMID:26040584

  13. Regional differences of ventilation and perfusion demonstrated by 133Xe and sup(99m)Tc-MAA before and after surgery

    International Nuclear Information System (INIS)

    Radioisotope techniques have recently improved our ability to demonstrate regional differences of ventilation and perfusion. In ten laparotomy patients regional differences of ventilation and perfusion were evaluated before and after surgery. After an intravenous injection of 5 mCi of 133Xe dissolved in saline, the washout of the tracer by ventilation was measured in six separate lung fields. The ventilation rate (lambda) and the washout time (t) were calculated by the height over area method, and the initial slope (K) was calculated by the initial slope method. The distribution of perfusion was evaluated by counting at various positions after injection of 5 mCi of sup(99m)Tc-MAA in saline. In the postoperative period, lambda was reduced and t was prolonged in five of the six separate areas, the only unaffected area being the left upper lung field. K was reduced in the left lower lung field. The distribution of perfusion was affected only by gravity. These results indicate that ventilation was easily affected by an increased time constant, presumably small airway closure, without significant changes of Pao2, Paco2 or A-aDo2. (author)

  14. Clinical observation on effects of high frequency oscillating ventilation on patients with early acute respiratory distress syndrome

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    Zhi-gang ZHANG

    2013-01-01

    Full Text Available Objective  To investigate the effect of high frequency oscillating ventilation (HFOV on patients with early acute respiratory distress syndrome (ARDS and its mechanism. Methods  Through self controlled study, in 25 patients who met criteria of ARDS, their PaO2/FiO2, Paw, arterial blood pH, PaCO2, Cst, cadiac index (CI, heart rate (HR, central venous pressure (CVP, percentage pulmonary shunt (QS/QT, oxygen index (OI and incidence rate of ventilator associated lung injury (VALI, ventilator associated pneumonia (VAP were recorded 1, 3, 5 days before and after HFOV. Results  Five days later, X ray examination showed that all of the patients got better. Seven days later, 3 patients died because of original diseases, but their symptoms of ARDS improved. Three days after HFOV treatment, the value of PaO2/FiO2 (172.5±69.8 and Cst (63.4±10.5 increased compared with baseline (95.5±29.5, 31.5±4.5, P0.05. Conclusion  HFOV can improve oxygenation index and pulmonary complications of patients with early ARDS.

  15. Evaluation of Dogs with Border Collie Collapse, Including Response to Two Standardized Strenuous Exercise Protocols.

    Science.gov (United States)

    Taylor, Susan; Shmon, Cindy; Su, Lillian; Epp, Tasha; Minor, Katie; Mickelson, James; Patterson, Edward; Shelton, G Diane

    2016-01-01

    Clinical and metabolic variables were evaluated in 13 dogs with border collie collapse (BCC) before, during, and following completion of standardized strenuous exercise protocols. Six dogs participated in a ball-retrieving protocol, and seven dogs participated in a sheep-herding protocol. Findings were compared with 16 normal border collies participating in the same exercise protocols (11 retrieving, five herding). Twelve dogs with BCC developed abnormal mentation and/or an abnormal gait during evaluation. All dogs had post-exercise elevations in rectal temperature, pulse rate, arterial blood pH, PaO2, and lactate, and decreased PaCO2 and bicarbonate, as expected with strenuous exercise, but there were no significant differences between BCC dogs and normal dogs. Electrocardiography demonstrated sinus tachycardia in all dogs following exercise. Needle electromyography was normal, and evaluation of muscle biopsy cryosections using a standard panel of histochemical stains and reactions did not reveal a reason for collapse in 10 dogs with BCC in which these tests were performed. Genetic testing excluded the dynamin-1 related exercise-induced collapse mutation and the V547A malignant hyperthermia mutation as the cause of BCC. Common reasons for exercise intolerance were eliminated. Although a genetic basis is suspected, the cause of collapse in BCC was not determined. PMID:27487345

  16. Associação entre índice de ventilação e tempo de ventilação mecânica em lactentes com bronquiolite viral aguda Association between ventilation index and time on mechanical ventilation in infants with acute viral bronchiolitis

    Directory of Open Access Journals (Sweden)

    Armando A. Almeida-Júnior

    2005-12-01

    Full Text Available OBJETIVO: Avaliar a associação entre tempo de ventilação mecânica e variáveis antropométricas, clínicas e de função pulmonar, precocemente, em lactentes com insuficiência respiratória por bronquiolite viral aguda em ventilação mecânica invasiva, e a evolução temporal das variáveis significativamente correlacionadas. MÉTODOS: Foram estudados 29 lactentes admitidos na unidade de terapia intensiva pediátrica do Hospital de Clínicas da UNICAMP, com diagnóstico de bronquiolite viral aguda, definido por critérios clínicos e radiológicos. Lactentes com doenças crônicas ou instabilidade hemodinâmica foram excluídos. Todas as medidas foram feitas entre 24 e 72 horas em ventilação mecânica, usando capnografia volumétrica e análise dos gases sangüíneos. O tempo de ventilação mecânica foi dividido em: menor ou igual que 7 dias e maior que 7 dias. A associação entre o tempo de ventilação e as variáveis analisadas foi determinada pelo coeficiente de correlação de Spearman (r s RESULTADOS: O tempo de ventilação mecânica apresentou correlação positiva significativa com a PaCO2 (r s = 0,45, p = 0,01 e com o índice de ventilação (r s = 0,51, p = 0,005, e negativa com o pH (r s = -0,40, p = 0,03. Índice de ventilação com valor de 37, avaliado do primeiro ao quinto dia, foi associado a risco progressivamente aumentado de tempo de ventilação mecânica maior que 7 dias (OR = 4,2 no primeiro dia a 15,71 no quarto dia CONCLUSÕES: Índice ventilatório, PaCO2 e pH, precocemente medidos, foram associados com tempo prolongado em ventilação mecânica, refletindo a gravidade do distúrbio ventilatório e necessidade de suporte.OBJECTIVE: To evaluate the association between time on mechanical ventilation and anthropometric, clinical and pulmonary function variables, measured early, in infants on invasive mechanical ventilation with acute respiratory failure due to viral bronchiolitis, and the temporal progression

  17. PCA-induced respiratory depression simulating stroke following endoluminal repair of abdominal aortic aneurysm: a case report

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    Ahmad Javed

    2007-07-01

    Full Text Available Abstract Aim To report a case of severe respiratory depression with PCA fentanyl use simulating stroke in a patient who underwent routine elective endoluminal graft repair for abdominal aortic aneurysm (AAA Case presentation A 78-year-old obese lady underwent routine endoluminal graft repair for AAA that was progressively increasing in size. Following an uneventful operation postoperative analgesia was managed with a patient-controlled analgesia (PCA device with fentanyl. On the morning following operation the patient was found to be unusually drowsy and unresponsive to stimuli. Her GCS level was 11 with plantars upgoing bilaterally. A provisional diagnosis of stroke was made. Urgent transfer to a high-dependency unit (HDU was arranged and she was given ventilatory support with a BiPap device. CT was performed and found to be normal. Arterial blood gas (ABG analysis showed respiratory acidosis with PaCO2 81 mmHg, PaO2 140 mmHg, pH 7.17 and base excess -2 mmol/l. A total dose of 600 mcg of fentanyl was self-administered in the 16 hours following emergence from general anaesthesia. Naloxone was given with good effect. There was an increase in the creatinine level from 90 μmol/L preoperatively to 167 μmol/L on the first postoperative day. The patient remained on BiPap for two days that resulted in marked improvement in gas exchange. Recovery was complete.

  18. Ventilatory adaptation to hypoxia occurs in serotonin-depleted rats.

    Science.gov (United States)

    Olson, E B

    1987-08-01

    To test the hypothesis that serotonin mediated respiratory activity is involved in ventilatory adaptation to hypoxia, rats were treated with parachlorophenylalanine (PCPA), a potent, long-acting inhibitor of tryptophan hydroxylase, the rate-limiting enzyme in the biosynthesis of serotonin. In normoxia, a single, intraperitoneal injection of 300 mg PCPA/kg body weight decreased the Paco2 from a control level at 39.1 +/- 0.6 Torr (mean +/- 95% confidence limits) to 34.0 +/- 0.6 Torr measured during a period from 1 to 48 h following PCPA treatment. This PCPA-produced hyperventilation corresponds to an increase of 3.7 +/- 0.5 in the VA (BTPS)/Vco2 (STPD) ratio. Hyperventilation during ventilatory adaptation to hypoxia (PIO2 approximately equal to 90 Torr) was superimposed in an additive fashion on the underlying hyperventilation due to PCPA pretreatment. Specifically, PCPA pretreatment caused an average 3.5 +/- 1.2 increase in the VA/VCO2 ratio determined in acute (1 h) hypoxia, chronic (24 h) hypoxia and acute return to normoxia following chronic hypoxia. Since ventilatory adaptation to hypoxia occurred in rats treated with PCPA, the prolonged, serotonin mediated respiratory activity described by Millhorn et al. (1980b) is probably not important in ventilatory acclimatization to - or deacclimatization from - hypoxia. PMID:2957766

  19. A Retrospective Observational Case Series of Low-Flow Venovenous Extracorporeal Carbon Dioxide Removal Use in Patients with Respiratory Failure.

    Science.gov (United States)

    Moss, Caroline E; Galtrey, Eleanor J; Camporota, Luigi; Meadows, Chris; Gillon, Stuart; Ioannou, Nicholas; Barrett, Nicholas A

    2016-01-01

    We aimed to describe the use of venovenous extracorporeal carbon dioxide removal (ECCO2R) in patients with hypercapnic respiratory failure. We performed a retrospective case note review of patients admitted to our tertiary regional intensive care unit and commenced on ECCO2R from August 2013 to February 2015. Fourteen patients received ECCO2R. Demographic data, physiologic data (including pH and partial pressure of carbon dioxide in arterial blood [PaCO2]) when starting ECCO2R (t = 0), at 4 hourly intervals for the first 24 hours, then at 24 hour intervals until cessation of ECCO2R, and overall outcome were recorded. Patients are reported separately depending on whether the indication for ECCO2R was an exacerbation of chronic obstructive pulmonary disease (COPD; n = 5), or acute respiratory distress syndrome (ARDS) and persisting hypercapnoea (n = 9). Patients were managed with ECCO2R (Hemolung, ALung Inc, Pittsburgh, PA). Median duration of ECCO2R was 5 days. Four complications related to ECCO2R were reported, none resulting in serious adverse outcomes. Ten patients were discharged from intensive care unit (ICU) alive. A statistically significant improvement in pH (p = 0.012) was demonstrated. Our observational series of ECCO2R shows that this technique can be safely used to achieve therapeutic goals in patients requiring lung protection, and in COPD, in line with current publications in this area. PMID:27195746

  20. Cardiopulmonary effects and eyeball centralization with low-dose atracurium in spontaneously breathing, anesthetized dogs Avaliação cardiopulmonar e da centralização do globo ocular em cães com baixas doses de atracúrio mantidos em anestesia inalatória sob ventilação espontânea

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    Adriano Bonfim Carregaro

    2010-07-01

    Full Text Available The objective was to determine the cardiopulmonary effects and eyeball centralization time obtained with 15 or 30µg kg-1 of atracurium in anesthetized dogs under spontaneous breathing. Eighteen healthy adult mixed-breed dogs were used, which received 0.1mg kg-1 acepromazine and 0.5mg kg-1 morphine IM, followed by 4mg kg-1 propofol IV and maintained on isoflurane anesthesia with spontaneous breathing. Animals received 1mL 0.9% NaCl IV (CG, 15µg kg-1 (G15 or 30µg kg-1 (G30 of atracurium IV. Eyeball centralization time was measured; heart rate (HR, systolic (SAP, mean (MAP and diastolic (DAP arterial pressures, respiratory rate (RR, tidal volume (Vt and minute volume (Vm were determined every 5min, and pH, arterial CO2 pressure (PaCO2 , arterial O2 pressure (PaO2 , hemoglobin oxygen saturation (SaO2 , bicarbonate (HCO3- and base excess (BE every 15min until 60min. Both doses of atracurium produced a similar period of eyeball centralization. Vt in groups treated with atracurium was lower than in CG up to 15min. Vm in G15 differed from CG up to 10min and in G30 up to 25min. No differences were observed for cardiovascular parameters, RR, SaO2, PaO2, HCO3- and BE. pH decreased in CG between 30 and 60min and in G15 and G30 at 15min. G30 differed from CG between 15 and 30min. PaCO2 in GC differed from baseline between 30 and 60min and in G15 differed at 15min. Atracurium at the dose of 15µg kg-1 is adequate for short corneal procedures in inhalant-anesthetized dogs under spontaneous breathing.Objetivou-se determinar os efeitos cardiopulmonares e o tempo de centralização do globo ocular obtidos com 15 ou 30µg kg-1 de atracúrio em cães anestesiados sob ventilação espontânea. Dezoito cães adultos foram pré-medicados com 0,1mg kg-1 de acepromazina e 0,5mg kg-1 de morfina IM, anestesiados com 4mg kg-1 de propofol IV e mantidos sob anestesia inalatória com isofluorano em ventilação espontânea. Os animais receberam 1mL de NaCl 0,9% IV (GC, 15

  1. Intratracheal pulmonary ventilation and congenital diaphragmatic hernia: a report of two cases.

    Science.gov (United States)

    Wilson, J M; Thompson, J R; Schnitzer, J J; Bower, L K; Lillehei, C W; Perlman, N D; Kolobow, T

    1993-03-01

    Previous studies from our institution have shown that neonates with congenital diaphragmatic hernia (CDH), whose best postductal PaO2 (BPDPO2) was less than 100 mm Hg while on maximal conventional mechanical ventilation (CMV), had a mortality exceeding 90%. When combined with extracorporeal membrane oxygenation (ECMO), the mortality rose to 100% in those infants who developed hypercarbia following decannulation. Historically, those patients have required increasing ventilator support, leading to iatrogenic lung damage, and eventual death. Intratracheal pulmonary ventilation (ITPV) using the reverse thrust catheter (RTC) developed by Kolobow incorporates a continuous flow of humidified gas through a reverse Venturi catheter positioned at the distal end of the endotracheal tube. In animal studies, ITPV was shown to result in a reduced physiological dead-space (VD), to facilitate expiration, and to enhance CO2 elimination. In our current study, we have applied ITPV in two neonates with CDH who could not be weaned from ECMO because of uncontrollable hypercapnia, and who met above criteria for 100% mortality. In both cases, ITPV restored normal PaCO2 at low peak inspiratory pressure (PIP) with a substantial decrease in VD. We believe ITPV is suited to ventilating newborns with CDH in whom barotrauma is known to be common. Beyond its present use, ITPV may be useful to ventilate children with other forms of respiratory failure, and should be so considered along with other now available methods of mechanical pulmonary ventilation. PMID:8468666

  2. To-and-for extracorporeal lung assist (ECLA) through a single catheter-in premature goats as an experimental model of infant respiratory Insufficiency.

    Science.gov (United States)

    Tanoue, T; Terasaki, H; Sadanaga, M A; Tsuno, K; Morioka, T

    1988-09-01

    A new to-and-fro V-V bypass extracorporeal lung assist (ECLA) through a single catheter as a blood access was investigated for its efficacy on six premature goats delivered by Cesarean section at a gestational age of 118 approximately 139 days as an experimental model of infant respiratory insufficiency, then applied to a human premature infant suffering from life threatening barotrauma that had developed from mechanical pulmonary ventilation. The extracorporeal bypass flow and the gas flow to the artificial membrane lung were controlled to keep Pa(O)(2) above 40 mmHg and Pa(CO)(2) within normal limits. The neonate's own lungs were treated with a continuous positive airway pressure of 5 approximately 12 cmH(2)O, apneic oxygenation or IMV. Two goats weighing 1250 g and 700 g died 2 approximately 2.5 hours after birth from severe circulatory distress. However, the other four neonates which were heavier than 2000 g, were successfully weaned from ECLA, and three of these could be weaned from mechanical ventilation as well. A human infant also survived and was weaned from ECLA on the third day.(Tanoue T, Terasaki H, Sadanaga M et al.: To-and-fro extracorporeal lung assist (ECLA) through a single catheter-in premature goats as an experimental model of infant respiratory insufficiency. PMID:15236069

  3. An 88-Year-Old Man with Sudden Onset Abdominal Pain

    Directory of Open Access Journals (Sweden)

    Mohammad Manouchehrifar

    2015-07-01

    Full Text Available An 88-year-old man presented to the emergency department with sudden onset of abdominal pain since 6 hours before. He was a known case of chronic renal failure that underwent hemodialysis three times a week. He also suffered from hypertension and benign prostatic hyperplasia. The patients’ on-arrival vital signs were as follows: systolic blood pressure: 100/60 mmHg, pulse rate: 88/minute, respiratory rate: 25/minute, oral temperature: 36◦C, oxygen saturation 93% in room air.  He had severely ill appearance on admission. Distended abdomen was considerable but had normal bowel sound and clearly, pain was disproportionate to physical examination. His electrocardiogram showed sinus rhythm and venous blood gas analysis revealed the following: pH=6.96, PaCO2=49 mmHg, HCO3=11 mEq/L, Base excess= -20.  The bedside ultrasonography showed echogenic particles in hepatic parenchyma and same findings that were passing through the portal vein. Chest and abdominal X-rays were reported as normal. The patient underwent abdominal and pelvic computed tomography (CT scan with oral contrast.What is your diagnosis?

  4. Effect of Naloxone combined with noninvasive positive pressure ventilation therapy on blood gas indexes and serum indexes of COPD complicated with respiratory failure patients

    Institute of Scientific and Technical Information of China (English)

    Zhi-Xin Huang

    2015-01-01

    Objective: To analyze effect of Naloxone combined with noninvasive positive pressure ventilation therapy on blood gas indexes and serum indexes of COPD complicated with respiratory failure patients. Methods: 116 cases of COPD complicated with respiratory failure patients treated in our hospital from June 2012 to June 2014 were enrolled and randomly divided into observation group (58 cases) who received Naloxone combined with noninvasive positive pressure ventilation therapy, and control group (58 cases) who received plain noninvasive positive pressure ventilation therapy. Then differences of blood gas indexes, serum inflammatory factor levels and serum prognosis-related factor levels of both groups were compared. Results: 1) after treatment, artery blood PaO2 and PH level of observation group were higher than those of control group; PaCO2 level was lower than that of control group (P<0.05); 2) after treatment, serum factor levels of IL-13, IL-18, sICAM-1, PGE2 and hs-CRP, etc of observation group were all significantly lower than those of control group (P<0.05); 3) after treatment, serum α1-AT, D-Dimer and BNP levels of observation group were lower than those of control group; FT3 level was higher than that of control group (P<0.05). Conclusion:Naloxone combined with noninvasive positive pressure ventilation therapy helps to improve ventilation and oxygenation levels of COPD complicated with respiratory failure patients, reduce systemic inflammatory response and optimize prognosis-related indexes.

  5. 双水平正压通气在早产儿呼吸窘迫综合征治疗中的应用%A clinical trial of duo positive airway pressure ventilation versus nasal continuous positive airway pressure in treatment of preterm infant with neonatal respiratory distress syndrome after INSURE

    Institute of Scientific and Technical Information of China (English)

    戴立英; 张健; 王琍琍

    2014-01-01

    Objective To explore the efficacy of duo positive airway pressure ventilation in treating preterm infant with neonatal respiratory distress syndrome (RDS). Methods 65 preterm infants admitted to the neonatal intensive care unit from December 2012 to December 2013 were randomly divided into DuoPAP group (34 cases) or NCPAP (31 cases) group. Blood gas analysis(pH value, PaO2, PaCO2 and OI) at 1h, 12h, 24h, and 72h, and incidence of apnea, pulmonary air leak, repeated application of pulmonary surfactant and non-invasive ventilation failure at 72h in the two groups were measured and compared after using intubate surfactant extubate (INSURE). Results OI after non-invasive ventilation at 1h, 12h, and 24h was signiifcantly higherin DuoPAP group than that in NCPAP group P0.05)。结论 DuoPAP治疗NRDS与nCPAP相比能更快改善氧合,减少CO2潴留,减少有创机械通气比例。

  6. Humidification during invasive and noninvasive mechanical ventilation: 2012.

    Science.gov (United States)

    Restrepo, Ruben D; Walsh, Brian K

    2012-05-01

    We searched the MEDLINE, CINAHL, and Cochrane Library databases for articles published between January 1990 and December 2011. The update of this clinical practice guideline is based on 184 clinical trials and systematic reviews, and 10 articles investigating humidification during invasive and noninvasive mechanical ventilation. The following recommendations are made following the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) scoring system: 1. Humidification is recommended on every patient receiving invasive mechanical ventilation. 2. Active humidification is suggested for noninvasive mechanical ventilation, as it may improve adherence and comfort. 3. When providing active humidification to patients who are invasively ventilated, it is suggested that the device provide a humidity level between 33 mg H(2)O/L and 44 mg H(2)O/L and gas temperature between 34°C and 41°C at the circuit Y-piece, with a relative humidity of 100%. 4. When providing passive humidification to patients undergoing invasive mechanical ventilation, it is suggested that the HME provide a minimum of 30 mg H(2)O/L. 5. Passive humidification is not recommended for noninvasive mechanical ventilation. 6. When providing humidification to patients with low tidal volumes, such as when lung-protective ventilation strategies are used, HMEs are not recommended because they contribute additional dead space, which can increase the ventilation requirement and P(aCO(2)). 7. It is suggested that HMEs are not used as a prevention strategy for ventilator-associated pneumonia.

  7. Load-distributing band improves ventilation and hemodynamics during resuscitation in a porcine model of prolonged cardiac arrest

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    Wang Shuo

    2012-09-01

    Full Text Available Abstract Background The use of mechanical cardiopulmonary resuscitation (CPR has great potential for the clinical setting. The purpose of present study is to compare the hemodynamics and ventilation during and after the load-distributing band CPR, versus the manual CPR in a porcine model of prolonged cardiac arrest, and to investigate the influence of rescue breathing in different CPR protocols. Methods Sixty-four male pigs (n = 16/group, weighing 30 ± 2 kg, were induced ventricular fibrillation and randomized into four resuscitation groups: continuous load-distributing band CPR without rescue ventilation (C-CPR, load-distributing band 30:2 CPR (A-CPR, load-distributing band CPR with continuous rescue breathing (10/min (V-CPR or manual 30:2 CPR (M-CPR. Respiratory variables and hemodynamics were recorded continuously; blood gas was analyzed. Results Tidal volume produced by compressions in the A-, C- and V-CPR groups were significantly higher compared with the M-CPR group (all p 2 of the A-, C- and V-CPR groups were significantly higher and PaCO2 were significantly lower compared with the M-CPR (both p  Conclusions The load-distributing band CPR significantly improved respiratory parameters during resuscitation by augmenting passive ventilation, and significantly improved coronary perfusion pressure. The volume of ventilation produced by the load-distributing band CPR was adequate to maintain sufficient gas exchange independent of rescue breathing.

  8. Hyperbaric oxygen preconditioning induces tolerance against spinal cord ischemia in rabbits

    Institute of Scientific and Technical Information of China (English)

    DONG Hai-Long; XIONG Li-Ze; ZHU Zheng-Hua

    2000-01-01

    Objective To determine whether the ischemic tolerance could be induced in the spinal cord by pretreated with Hyperbaric oxygen (HBO). Methods 23 New Zealand white rabbits(2. 1 ±0.3Kg) were randomly assigned to three groups. Control Group: n=8,no hyperbaric oxygen was applied before spinal cord ischemia; HBO-1 Group: n=8,hyperbaric oxygen (2.5ATA, 100% O2, 1 hr per day) pretreated for 3 days before ischemia; HBO-2 Group: n=7, hyperbaric oxygen pretreated for 5 days before ischemia. Infrarenal aorta clamping modal was used in this study. Ischemia lasted for 20-min. MAP(proximal Distal)- HR、 PaO2、 PaCO2、 pH、 rectal temperature and plasma glucose were measured during experiment. Results The neurologic outcome both in HBO-1 and HE-2 Groups were better than that of Control Group (P<0.05). The neruologic outcome in HBO-2 was better than that of HBO-1 Group (P<0.05). The normal neurons in the anterior spinal cord of HBO-2 Group were more than that of Control and HBO-1 Groups.The number of normal neurons in the anterior spinal cord of HBO-1 Group was similar with that of Control Group. Conclusion hyperbaric oxygen preconditioning could induce ischemic tolerance on spinal cord in rabbits. 5 days period of HBO preconditioning induce stronger ischemic tolerance than 3 days of HBO preconditioning.

  9. Maternal and fetal arterial blood gas data during general anaesthesia for caesarean delivery of preterm twin lambs.

    Science.gov (United States)

    Musk, G C; Kemp, M W

    2016-06-01

    Much remains to be understood with regards the effects of prolonged anaesthesia on maternal and fetal haemodynamics and oxygenation. With the aim of improving anaesthetic management of pregnant sheep undergoing recovery surgery under anaesthesia, paired maternal and fetal arterial blood samples were collected during caesarean delivery of twin preterm lambs to document the blood gas status of the ewe and fetus. Twenty-one Merino twin pregnant ewes at 126 (±1) days of gestation were anaesthetized for caesarean delivery of their fetuses. Arterial blood samples were collected from the radial artery of the ewe and umbilical artery of the fetus at the point of delivery. There was a significant difference between maternal PaCO2 and end-tidal CO2 and alveolar and arterial PaO2, indicating ventilation perfusion mismatch. Interestingly, the ewes were anaemic but the fetuses were not. These data underscore the need to undertake further work to determine the optimal anaesthetic regimen for twin pregnant ewes at different gestational ages in a biomedical research setting. PMID:26219550

  10. 呼吸衰竭患者血气酸碱平衡变化与预后的相关性%Respiratory Failure in Patients with Blood Acid-base Balance Change and Prognosis

    Institute of Scientific and Technical Information of China (English)

    谢丹

    2014-01-01

    目的:探讨呼吸衰竭患者血气酸碱平衡变化与预后的相关性。方法选择我院2011年5月至2013年6月收治的呼吸衰竭患者116例,都给予机械通气治疗,在治疗前后均进行血气酸碱平衡变化分析。结果经过治疗后,总有效率为94.8%。有效组在治疗前后的PaCO2和PaO2值对比差异有统计学意义(P0.05)。治疗前PaCO2和PaO2值与预后之间有直线相关关系(P0.05). PaCO2 and PaO2 values before treatment and prognosis linear correlation between (P<0.05). Conclusion Arterial blood gas changes in acid-base balance is to determine the prognosis of patients with respiratory failure, an important indicator of clinically can guide treatment.

  11. Effects of tramadol on ventilation function%曲马多对通气功能的影响

    Institute of Scientific and Technical Information of China (English)

    罗玉琳

    2003-01-01

    目的:了解曲马多作为麻醉辅助用药,对通气功能的影响.方法:将 30例患者随机分成曲马多组( T组)和哌替啶组( P组),采用曲马多 2 mg/kg(≤ 100 mg/次)及哌替啶 1 mg/kg(≤ 50 mg/次), 5分钟滴完后,观察其 5、 10、 20、 30分钟 HR、 SPO2、 VT、 VE及动脉血气分析各项指标.结果: P组与 T组均有 PaCO2轻度上升( P>0.05), P组 VT、 VE及 SPO2短期下降明显并低于 T组( P0.05).结论:提示哌替啶有明显呼吸抑制作用,而曲马多麻醉期间辅助用药无进一步降低每分通气量之虑,但应注意用量及滴注速度.

  12. Maintained inspiratory activity during proportional assist ventilation in surfactant-depleted cats early after surfactant instillation: phrenic nerve and pulmonary stretch receptor activity

    Directory of Open Access Journals (Sweden)

    Schaller Peter

    2006-03-01

    Full Text Available Abstract Background Inspiratory activity is a prerequisite for successful application of patient triggered ventilation such as proportional assist ventilation (PAV. It has recently been reported that surfactant instillation increases the activity of slowly adapting pulmonary stretch receptors (PSRs followed by a shorter inspiratory time (Sindelar et al, J Appl Physiol, 2005 [Epub ahead of print]. Changes in lung mechanics, as observed in preterm infants with respiratory distress syndrome and after surfactant treatment, might therefore influence the inspiratory activity when applying PAV early after surfactant treatment. Objective To investigate the regulation of breathing and ventilatory response in surfactant-depleted young cats during PAV and during continuous positive airway pressure (CPAP early after surfactant instillation in relation to phrenic nerve activity (PNA and the activity of PSRs. Methods Seven anesthetized, endotracheally intubated young cats were exposed to periods of CPAP and PAV with the same end-expiratory pressure (0.2–0.5 kPa before and after lung lavage and after surfactant instillation. PAV was set to compensate for 75% of the lung elastic recoil. Results Tidal volume and respiratory rate were higher with lower PaCO2 and higher PaO2 during PAV than during CPAP both before and after surfactant instillation (p Conclusion PSR activity and the control of breathing are maintained during PAV in surfactant-depleted cats early after surfactant instillation, with a higher ventilatory response and a lower breathing effort than during CPAP.

  13. Complex Sleep Apnea Syndrome

    Directory of Open Access Journals (Sweden)

    Muhammad Talha Khan

    2014-01-01

    Full Text Available Complex sleep apnea is the term used to describe a form of sleep disordered breathing in which repeated central apneas (>5/hour persist or emerge when obstructive events are extinguished with positive airway pressure (PAP and for which there is not a clear cause for the central apneas such as narcotics or systolic heart failure. The driving forces in the pathophysiology are felt to be ventilator instability associated oscillation in PaCO2 arterial partial pressure of Carbon Dioxide, continuous cositive airway pressure (CPAP related increased CO2 carbon dioxide elimination, and activation of airway and pulmonary stretch receptors triggering these central apneas. The prevalence ranges from 0.56% to 18% with no clear predictive characteristics as compared to simple obstructive sleep apnea. Prognosis is similar to obstructive sleep apnea. The central apnea component in most patients on followup using CPAP therap, has resolved. For those with continued central apneas on simple CPAP therapy, other treatment options include bilevel PAP, adaptive servoventilation, permissive flow limitation and/or drugs.

  14. [The two components of carbon monoxide global exchange: CO intake and ductance. Relations with hematosis in invalidating chronic obstructive bronchopneumopathy (COBP) (author's transl)].

    Science.gov (United States)

    Breant, J; Fleury, M F

    1980-01-01

    In lasting rest, V'COs (or CO intake standardized for FICO = 0.0001) measures for this gas the activity of the exchange and its yield by DuCO. When V'COs (ml) is expressed for one litre of CO2 reject measured simultaneously, that is for a given metabolic activity, a constant standard is obtained in a healthy non smoking subject independent of its age and of ventilatory or morphometric data. Its lower limit (-2 standard deviations) is 12. V'COs/v'co2 and DuCO express 2 complementary data of the global CO exchange: the specific capacity of CO exchange (relatively to the exchange of the respiratory gas) and its quality. They are linked by ERCO2 indicating the degree of ventilatory compensation. In 65 cases of invalidating chronic obstructive bronchopneumopathy (COBP), the proposed test and the classic CO criteria were measured. A sample was taken simultaneously for arterial gasometry. Among all criteria of CO exchange, V'COs/V'CO2 appears as the most closely related to blood gases. The relationships of PaCO2 with the elements of the CO global exchange reflect and explain in the exchanges the clinical diversities of COBP. PMID:6770356

  15. Treatment of pulmonary surfactant in 12 premature infants with hyaline membrane disease%肺表面活性物质治愈早产儿肺透明膜病12例

    Institute of Scientific and Technical Information of China (English)

    黄建伟; 陶立生; 黄润忠; 吴彤; 彭通

    2000-01-01

    目的探讨用外源性肺表面活性物质(PS)治疗肺透明膜病(HMD)的方法及效果.方法采用气管插管、从气管内滴入PS,用药前吸净呼吸道分泌物.结果用药后,HMD患儿症状、体征渐减轻直至消失,动脉血氧分压(PaO2)、经皮血氧饱和度(TcSaO2)升高,动脉血二氧化碳分压降低,12 h后,PaO2,PaCO2,TcSaO2已达正常.24 h后,胸片示肺充气好转,透亮度增加.结论 PS能改善HMD患儿肺顺应性及氧合功能,使用时应注意方法.

  16. Correlation of pulmonary perfusion volume analysis with pulmonary function in emphysema

    International Nuclear Information System (INIS)

    Pulmonary perfusion single photon emission tomography with 99mTc MAA was performed on 13 pulmonary emphysema patients and 6 controls. We calculated perfusion volume with lower 10%, 20%, 30%, 40% and 50% of the highest counts/boxels in the lung cut-off. And perfusion index (PI) was defined as follows; PI=((A% cut-off volume)-(B% cut-off volume))/(A% cut-off volume); A and B take 10 to 50, A1, FEV1%, VC, VC%, FVC, FVC%, PaO2 and PaCO2) was examined. There were significant correlation between every PI and FEV1 or FEV1% (p1 (r=0.680) and FEV1% (r=0.830). And the PI showed an increasing tendency along with the rise of the emphysema severity. The PI may have the clinical utility of the evaluation of pulmonary function. Moreover, we showed the lung CT painted the area where the uptake counts/boxels was more than 10% and less than 40% of the highest counts/boxels. This makes it easy to understand the severe emphysematous area. (author)

  17. Treatment of giant pulmonary interstitial emphysema by ipsilateral bronchial occlusion with a Swan-Ganz catheter

    International Nuclear Information System (INIS)

    Unilateral giant pulmonary interstitial emphysema (PIE) can be seen as a complication of chronic ventilation in extremely low-birth-weight babies. Many can be managed by conventional pulmonary care which includes positioning, suctioning, chest physiotherapy, gentle conventional ventilation and high-frequency ventilation. Some may need invasive procedures such as lung puncture, pleurotomies and excisional surgery. This is the group in which single-lung ventilation may be beneficial and circumvent the need for an invasive procedure. We describe the technique of single-lung ventilation using a Swan-Ganz catheter to block the main stem bronchus on the diseased side in air-leak syndromes. A retrospective chart review was done on 17 newborns undergoing single-lung ventilation using this technique at the Children's Hospital of New York, Columbia University, from 1986 to 2000. The technique was successful in the management of severe, neonatal unilateral lung disease not responsive to conventional modes of therapy in all but two neonates as seen by a significant improvement in pH and a decrease in PaCO2 levels. In one neonate malpositioning of the Swan-Ganz catheter balloon could have contributed to the development of pneumothorax. The described technique of single-lung ventilation provides a safe, minimally invasive and economically feasible method of management of unilateral giant PIE in newborns not responsive to conventional modes of therapy with minimal complications. (orig.)

  18. Mechanisms of O2 transport in Andean dogs.

    Science.gov (United States)

    Banchero, N; Cruz, J; Bustinza, J

    1975-04-01

    Using previously inserted catheters, 11 dogs native to high altitude (7.5-23 kg bwt) were studied standing and unsedated in Cerro de Pasco, Peru at 4350 meters. Hemoglobin (Hb), hematocrit (Hct), O2 and CO2 contents, PO2, PCO2 and pH were measured in simultaneously obtained arterial and mixed venous blood samples. Blood pressures were measured in the pulmonary artery and the left ventricle and cardiac output (Q) was determined by dye dilution. Moderately higher values for Hb and Hct were found in these dogs. Hb-O2 affinity was no different than that found in sea level dogs: the P50 in the Andean dogs was 31.6 mm Hg at 38 degrees C and pH of 7.4. Because of the low barometric pressure at 4350 m (458 mmHg) the partial pressures of oxygen in inspired and in alveolar air were lower than at sea level: 84.3 and 56.4 mm Hg, respectively. PAO2 and PVO2, were 55.5 and 32.9 mm Hg while the SAO2 and SVO2 were 79.5 and 50.7%, respectively. Marked hyperventilation was observed (PACO2, 25.6 mm Hg) however, pH was normal. Cardiac output was normal (average 162 plus or minus 39 ml/min/kg). Moderate pulmonary arterial hypertension was observed in the presence of normal left ventricular end diastolic pressure suggesting increased pulmonary vascular resistance.

  19. Rationale and Description of Right Ventricle-Protective Ventilation in ARDS.

    Science.gov (United States)

    Paternot, Alexis; Repessé, Xavier; Vieillard-Baron, Antoine

    2016-10-01

    Pulmonary vascular dysfunction is associated with ARDS and leads to increased right-ventricular afterload and eventually right-ventricular failure, also called acute cor pulmonale. Interest in acute cor pulmonale and its negative impact on outcome in patients with ARDS has grown in recent years. Right-ventricular function in these patients should be closely monitored, and this is helped by the widespread use of echocardiography in intensive care units. Because mechanical ventilation may worsen right-ventricular failure, the interaction between the lungs and the right ventricle appears to be a key factor in the ventilation strategy. In this review, a rationale for a right ventricle-protective ventilation approach is provided, and such a strategy is described, including the reduction of lung stress (ie, the limitation of plateau pressure and driving pressure), the reduction of PaCO2 , and the improvement of oxygenation. Prone positioning seems to be a crucial part of this strategy by protecting both the lungs and the right ventricle, resulting in increased survival of patients with ARDS. Further studies are required to validate the positive impact on prognosis of right ventricle-protective mechanical ventilation.

  20. The effect of ketanserin upon postoperative blood pressure, cerebral blood flow and oxygen metabolism in patients subjected to craniotomy for cerebral tumours.

    Science.gov (United States)

    Felding, M; Cold, G E; Jacobsen, C J; Stjernholm, P; Voss, K

    1995-07-01

    Hypertension and cerebral hyperperfusion are often seen in the immediate postoperative period after craniotomy for supratentorial tumours. This study was performed to evaluate the effect of ketanserin, given at the end of the peroperative period, upon cerebral blood flow (CBF), and cerebral metabolic rate of oxygen (CMRO2) before extubation. Mean arterial blood pressure (MABP), cerebral arterio-venous oxygen content difference (AVDO2), PaO2, and PaCO2 were repeatedly measured during the operation, and 180 minutes after extubation. Ten patients were included in this study. The results were compared to those from a recent study in which ten patients served as control. All patients were anaesthetized with thiopentone, fentanyl, nitrous oxide 67%, halothane 0.5% anesthesia. Ten patients were given ketanserin 10-20 mg (mean 18.5 mg) before extubation. There was no significant difference in CBF- and CMRO2 values between the two groups. During the period between closure of the dura and 5 minutes after extubation, an increase in MABP was observed in the control group (P < 0.05) but not in the ketanserin group. During the same period, a decrease in AVDO2 was observed in both groups (P < 0.05) and during the next 10 minutes an increase was observed. However, no difference in AVDO2 values between the two groups was found. These findings suggest that peroperative treatment with ketanserin reduces postoperative hypertension without influencing the cerebral blood flow or metabolism. PMID:7572004

  1. Effect of caffeine citrate on the blood gas indexes in newborns with apnea

    Institute of Scientific and Technical Information of China (English)

    Chun-Yan Wu; Xiao-Jiao Wang; Yuan-Yuan Wang

    2015-01-01

    Objective:To explore the effect of caffeine citrate on the blood gas indexes in newborns with apnea.Methods: A total of 108 primary premature infants diagnosed with apnea were included in the study and randomized into the caffeine citrate treatment group and the aminophylline control group with 54 cases in each group. The apnea episode duration 72 h after medication, and the blood gas before medication and 24, 48, 72 h after medication between the two groups were compared.Results: The apnea episode duration 24, 48, 72 h after medication in the treatment group was significantly shorter than that in the control group. PaO2 24, 48, 72 h after medication in the treatment group was significantly higher than that in the control group, while PaCO2 was significantly reduced when compared with the control group.Conclusions:Caffeine citrate has achieved a significantly clinical effect in the treatment of newborn apnea, as a new therapeutic drug, is worthy of being widely recommended in the clinic.

  2. End tidal-to-arterial CO2 and O2 gas gradients at low- and high-altitude during dynamic end-tidal forcing.

    Science.gov (United States)

    Tymko, Michael M; Ainslie, Philip N; MacLeod, David B; Willie, Chris K; Foster, Glen E

    2015-06-01

    We sought to characterize and quantify the performance of a portable dynamic end-tidal forcing (DEF) system in controlling the partial pressure of arterial CO2 (Pa(CO2)) and O2 (Pa(O2)) at low (LA; 344 m) and high altitude (HA; 5,050 m) during an isooxic CO2 test and an isocapnic O2 test, which is commonly used to measure ventilatory and vascular reactivity in humans (n = 9). The isooxic CO2 tests involved step changes in the partial pressure of end-tidal CO2 (PET(CO2)) of -10, -5, 0, +5, and +10 mmHg from baseline. The isocapnic O2 test consisted of a 10-min hypoxic step (PET(O2) = 47 mmHg) from baseline at LA and a 5-min euoxic step (PET(O2) = 100 mmHg) from baseline at HA. At both altitudes, PET(O2) and PET(CO2) were controlled within narrow limits (DEF. Future research is needed to validate these prediction algorithms and determine the implications of end-tidal-to-arterial gradients in the assessment of ventilatory and/or vascular reactivity. PMID:25810386

  3. High-intensity non-invasive positive pressure ventilation for stable hypercapnic COPD

    Directory of Open Access Journals (Sweden)

    Wolfram Windisch, Moritz Haenel, Jan H Storre, Michael Dreher

    2009-01-01

    Full Text Available Background: The objective of the present analysis is to describe the outcomes of high-intensity non-invasive positive pressure ventilation (NPPV aimed at maximally decreasing PaCO2 as an alternative to conventional NPPV with lower ventilator settings in stable hypercapnic COPD patients. Methods: Physiological parameters, exacerbation rates and long-term survival were assessed in 73 COPD patients (mean FEV1 30±12 %predicted who were established on high-intensity NPPV due to chronic hypercapnic respiratory failure between March 1997 and May 2006. Results: Controlled NPPV with breathing frequencies of 21±3 breath/min and mean inspiratory/expiratory positive airway pressures of 28±5/5±1 cmH2O led to significant improvements in blood gases, lung function and hematocrit after two months. Only sixteen patients (22% required hospitalisation due to exacerbation during the first year, with anaemia increasing the risk for exacerbation. Two- and five-year survival rates of all patients were 82% and 58%, respectively. The five year survival rate was 32% and 83% in patients with low (≤39% and high (≥55% hematocrit, respectively. Conclusion: High-intensity NPPV improves blood gases, lung function and hematocrit, and is also associated with low exacerbation rates and a favourable long-term outcome. The current report strongly emphasises the need for randomised controlled trials evaluating the role of high-intensity NPPV in stable hypercapnic COPD patients.

  4. Gasometria arterial em dois diferentes métodos de transporte intra-hospitalar no pós-operatório imediato de cirurgia cardíaca

    Directory of Open Access Journals (Sweden)

    Newton Almeida Lima Junior

    2012-06-01

    Full Text Available OBJETIVO: Avaliar as repercussões gasométricas de dois métodos de ventilação (ventilador de transporte e ressuscitador manual autoinflável durante o transporte intra-hospitalar de pacientes submetidos à cirurgia cardíaca. MÉTODOS: Estudo observacional, longitudinal, prospectivo e randomizado. Foram coletadas gasometrias arteriais ao final da cirurgia e ao final do transporte do paciente. RESULTADOS: Foram incluídos 23 pacientes: 13 no Grupo ventilador de transporte e 10 no ressuscitador manual autoinflável. As características dos pacientes entre os grupos foram semelhantes, exceto pela maior gravidade no Grupo ventilador de transporte. Observaram-se diferenças significativas nas comparações das variações percentuais dos dados gasométricos: pH (VT: + 4% vs RMA: - 5%, p=0,007, PaCO2 (VT: - 8% vs RMA: + 13%, p=0,006, PaO2 (VT: + 47% vs RMA: - 34%, p=0,01 e SatO2 (VT: + 0,6% vs RMA: - 1,7%, p=0,001. CONCLUSÃO: O uso de ventilador mecânico causa menor repercussão nos gases sanguíneos no transporte intra-hospitalar de pacientes após de cirurgia cardíaca.

  5. [A surgical case of angina pectoris with a severe stenosis of Lt. mid-cerebral artery: the usefulness of the monitoring of cerebral blood flow].

    Science.gov (United States)

    Ayusawa, Y; Endo, M; Nishida, H; Tomizawa, Y; Uwabe, K; Maeda, T; Tei, I; Takiguchi, M; Ishida, T; Koyanagi, H

    1998-08-01

    A 64-year-old male patient had two episodes of transient ischemic attack and a cerebral infarction. Cerebral angiography showed 50% stenosis at the junction of left internal carotid artery and 90% stenosis at left mid-cerebral artery (MCA). Coronary angiography showed two vessel disease with arteriosclerotic change and underwent coronary artery bypass grafting. To prevent intraoperative cerebral infarction, we used brain protect solution just before starting ECC, set perfusion flow around 3 l/min/m2, monitored the flow of left MCA using Transcranial Doppler (TCD) and the saturation of left internal jugular vein (SjO2) continuously. PaCO2 was controlled around 45 mmHg. TCD showed good pulsatile flow, and SjO2 was kept over 60%. The patient recovered consciousness 2 hours after operation in the intensive care unit without paresthesia. We thought the number of open-heart cases with cerebrovascular disease increased, and pulsatile low of ECC by intraaortic balloon pumping and the monitoring of SjO2 are useful for the cases.

  6. Assessment of blood gas analysis results and degree of infection in children with severe pneumonia and respiratory failure after NCPAP therapy

    Institute of Scientific and Technical Information of China (English)

    Yao Luo

    2016-01-01

    Objective:To analyze the blood gas analysis results and degree of infection in children with severe pneumonia and respiratory failure after NCPAP therapy.Methods:A total of 60 cases of children with severe pneumonia and respiratory failure who were treated in our hospital from August 2013 to August 2015 were included in the study and randomly divided into observation group and control group (n=30). Control group received routine anti-infection and oxygen inhalation by nasal tube, observation group received additional NCPAP therapy, and then differences in values of blood gas and oxygen metabolism indexes, resting pulmonary function, respiratory mechanics indexes and serum infection-related parameters were compared between two groups.Results: After observation group received NCPAP therapy, PaO2, PH, CaO2, DO2 and SaO2 values were higher than those of control group while PaCO2 and VO2 values were lower than those of control group; VC%, FVC%, FEV1%, PEF%, MMEF% and MVV% values were higher than those of control group; respiratory mechanics parameters PIP, PP, Pm, VE and R values were lower than those of control group; serum CHE and PA values were higher than those of control group while sTREM-1 and HMGB-1 values were lower than those of control group.Conclusion:NCPAP therapy can significantly optimize the respiratory function and promote the recovery from infection in children with severe pneumonia and respiratory failure, and it has positive clinical significance.

  7. Clinical study of simultaneous lung volume reduction surgery during resection of pulmonary or esophageal neoplasms

    Institute of Scientific and Technical Information of China (English)

    TANG Yi-jun; WANG Chao-yang; WANG Cheng-de; DONG Yao-zhong

    2009-01-01

    Background If the emphysema lesions are not symmetrical, unilateral lung volume reduction surgery (LVRS) can be carried out on the more severe side. The aim of this research was to evaluate the feasibility and effects of LVRS performed simultaneously with resection of pulmonary and esophageal neoplasms.Methods Forty-five patients with pulmonary neoplasm and 37 patients with esophageal neoplasm were randomly assigned to group A or group B. In group A, LVRS was performed simultaneously on the same side as thoracotomy. In group B, only tumor resection was performed. The nonfunctional lung area was determined by preoperative chest computed tomography and lung ventilation/perfusion scan. The lung volume removed was about 20% to 30% of the lobes on one side. Preoperative and postoperative indexes including pulmonary function testing variables, arterial blood gas analysis variables, dyspnea scale, 6-minute walk distance, etc., were compared between the groups.Results There were no surgical deaths in this study. The postoperative forced vital capacity in 1 second, PaO_2, PaCO_2,dyspnea scale, and 6-minute walk distance were improved significantly in group A, whereas these indexes did not change or decreased slightly in group B.Conclusions For tumor patients who have associated emphysema, simultaneous LVRS not only increases the chance of receiving surgical therapy, but also improves the postoperative quality of life of the patient. LVRS has expanded thesurgical indication for tumor patients.

  8. Expression of secretory type Ⅱ phospholipase A2 in acute lung injury following acute pancreatitis and interventional effect of Qingyi decoction(清胰汤) on it%急性胰腺炎肺损伤时肺组织Ⅱ型分泌型磷脂酶A2表达及清胰汤的干预作用

    Institute of Scientific and Technical Information of China (English)

    张雪梅; 陈海龙; 王朝晖

    2010-01-01

    Objective To investigate the expression of secretory type Ⅱ phospholipase A2 (sPLA2-Ⅱ) in lung of rats with acute lung injury (ALI) complicating severe acute pancreatitis (SAP), and the effect of Qingyi decoction (QYT, 清胰汤) on ALI. Methods Thirty Sprague Dawley (SD) rats were randomly divided into three groups: sham operation (SO) group, model group and QYT group, with 10 rats in each group. SAP model was reproduced by reverse injection of sodium deoxycholate into the common bile-pancreatic duct of rats. The pancreas of rats was just exposed in SO group. QYT (10 ml/kg) was gavaged 30 minutes and 12 hours after SAP was induced in QYT group. The blood gas analysis was performed 24 hours after operation. Serum amylase (AMY) levels, sPLA2 and lung wet/dry ratio (W/D) were determined. The sPLA2-Ⅱ mRNA and sPLA2-Ⅱ protein expression in lung were detected by reverse transcription-polymerase chain reaction (RT-PCR) and Western blotting. The pathological changes in lung and pancreas were observed. Results Compared with SO group, the levels of arterial partial pressure of oxygen (PaO2) and pH value in model group were significantly decreased [PaO2 (mm Hg, 1 mm Hg=0.133 kPa): 79.24±5.84 vs. 96.78±3.81, pH value: 7.269±0.054 vs. 7.391±0.054], arterial partial pressure of carbon dioxide (PaCO2), the serum levels of AMY, W/D ratio and the serum levels of sPLA2 were significantly increased [PaCO2 (mm Hg): 47.57±2.55 vs. 27.69±1.02, AMY (U/L): 7 144.19±727.91 vs. 1 193.41±192.54, W/D ratio: 8.57±2.45 vs. 3.70±0.90, sPLA2 (nmol·min-1·ml-1): 45.13±6.05 vs. 29.94±6.39], the expression of sPLA2-Ⅱ mRNA (1.28±0.21 vs. 0.80±0.08) and protein were significantly increased (all P<0.05). Compared with model group, blood PaO2 and pH value were significantly increased [PaO2: (88.16±5.07) mm Hg, pH value: 7.322±0.039], the PaCO2, the serum levels of AMY, W/D ratio and the serum levels of sPLA2 in QYT group were significantly decreased [PaCO2: (33.13±2.14) mm

  9. Clinical observation of home noninvasive positive pressure ventilation in hypercapnic patient with stable severe chronic obstructive pulmonary disease%无创机械通气对伴高碳酸血症的稳定期慢性阻塞性肺疾病患者的治疗作用

    Institute of Scientific and Technical Information of China (English)

    陆鹏; 吴晓梅; 李兆国; 阳成成

    2012-01-01

    目的 评估家庭无创正压机械通气(HNIPPV)在治疗伴高碳酸血症的稳定期重度慢性阻塞性肺疾病(COPD)患者中的效果及安全性.方法 回顾性分析2009年1月至2010年12月在哈尔滨医科大学附属第二医院呼吸内科经住院治疗处于稳定期而出院的106例重度COPD患者中动脉血二氧化碳分压( PaCO2)≥55 mm Hg的44例患者的临床资料(男30例,女14例,年龄60~80岁,平均68.5岁).其中20例(HNIPPV组)采用多索茶碱片口服+噻托溴铵吸入+HNIPPV治疗,24例(对照组)采用多索茶碱片口服+噻托溴铵吸入+持续低流量吸氧治疗,总观察时间为6个月.对治疗前、治疗6个月后两组患者的肺功能、6 min步行距离(6MWD)、动脉血氧分压(PaO2)、PaCO2、呼吸困难分级评分、心理情绪评分及平均肺动脉压(mPAP)进行对比分析.结果 两组基线资料比较差异无统计学意义.治疗前两组第1秒用力呼气容积( FEV1)、用力肺活量(FVC)、深吸气量(IC)、6MWD、PaO2、PaCO2、呼吸困难分级评分、住院率、焦虑评分、抑郁评分、mPAP差异均无统计学意义(均P>0.05).治疗6个月后HNIPPV组IC、6MWD、PaO2 、PaCO2、呼吸困难分级评分、焦虑评分、抑郁评分、mPAP分别为(1.80±0.14)L、(266±24)m、(62.6±4.6) mm Hg(1 mm Hg =0.133 kPa)、(46.8±2.2) mmHg、(2.2±0.5)分、(6.5±2.4)分、(6.0±1.6)分、(33.8±2.4) mmHg,与对照组[(1.62±0.14)L、( 194±23)m、(56.2±3.8) mmHg、(55.6±3.0) mmHg、(3.2±0.6)分、(10.6±2.8)分、(10.2±2.4)分、( 36.6±2.4)mm Hg]比较差异均有统计学意义(P值分别为0.031、0.018、0.025、0.026、0.001、0.013、0.002、0.014);HNIPPV组FEV1、FVC改善均优于对照组,但差异均无统计学意义(均P>0.05).对照组在治疗过程中有2例发生急性加重住院,住院率高于HNIPPV组,但差异无统计学意义(P>0.05).HNIPPV组患者机械通气耐受性、依从性较好,无肺气压伤.结论 HNPPV联合噻托溴铵及

  10. Remifentanil versus dexmedetomidina como coadjuvantes de técnica anestésica padronizada em pacientes com obesidade mórbida Remifentanil versus dexmedetomidina como coadyuvantes de técnica anestésica de modelo en pacientes con obesidad mórbida Remifentanil versus dexmedetomidine as coadjutants of standardized anesthetic technique in morbidly obese patients

    Directory of Open Access Journals (Sweden)

    Eliana Cristina Murari Sudré

    2004-04-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Comparou-se a ação de duas drogas coadjuvantes da anestesia, remifentanil e dexmedetomidina, na recuperação anestésica e na evolução do pH e da PaCO2, em pacientes com obesidade mórbida que foram submetidos à cirurgia de Capella. MÉTODO: O estudo foi aleatório, prospectivo e duplamente encoberto. Noventa e dois pacientes foram designados a um de dois grupos e submetidos à técnica anestésica (geral/peridural padronizada. O grupo Remifentanil (Grupo R e o da Dexmedetomidina (Grupo D receberam infusão contínua por via venosa destas drogas (0,1 µg.kg-1.min-1 e 0,5 µg.kg-1.h-1 peso ideal mais 30% para ambas logo após a intubação traqueal. Os pacientes foram monitorizados com pressão arterial média invasiva, oximetria de pulso, EEG bispectral (BIS, capnografia, estimulador de nervo periférico e ECG. Foram avaliados: 1 diferentes tempos de recuperação anestésica (abertura dos olhos, reinicio da respiração espontânea, tempo de extubação traqueal, tempo para de alta da sala de recuperação pós-anestésica e hospitalar, 2 a evolução da gasometria arterial, e 3 analgesia pós-operatória. RESULTADOS: Oitenta e oito pacientes foram avaliados. Os pacientes do grupo R apresentaram abertura ocular precoce (9,49 ± 5,61 min versus 18,25 ± 10,24 min, p JUSTIFICATIVA Y OBJETIVOS: Comparamos la acción de dos drogas coadyuvantes de la anestesia, remifentanil y dexmedetomidina, en la recuperación anestésica y en la evolución del pH y de la PaCO2, en pacientes con obesidad mórbida que fueron sometidos a cirugía de Capella. MÉTODO: El estudio fue aleatorio, prospectivo y duplamente encubierto. Noventa y dos pacientes fueron designados a uno de dos grupos y sometidos a la técnica anestésica (general/peridural de modelo. El grupo Remifentanil (Grupo R y el de la dexmedetomidina (Grupo D recibieron infusión continua por vía venosa de estas drogas (0,1 µg.kg-1.min-1 y 0,5 µg.kg-1.h-1 peso ideal m

  11. Utilización de los test de Fluorescencia Polarizada (FP y Elisa de Competencia (C-Elisa en el diagnóstico de brucelosis de camélidos The use of polarized fluorescence assay (PF and competitive ELISA test (C-Elisa for the diagnosis of Brucellosis in South American camelids

    Directory of Open Access Journals (Sweden)

    X Rojas

    2004-01-01

    Full Text Available En Chile, como en muchos países de Latinoamérica, la brucelosis es una zoonosis presente, representando no sólo un factor de riesgo para las explotaciones pecuarias sino también para quienes laboran y hacen usufructo de ella, especialmente por el consumo de leche cruda y sus derivados. Como la Brucella afecta a diferentes especies de animales, el objetivo de este trabajo fue utilizar las técnicas de unión primaria, como son Fluorescencia Polarizada (FP y Elisa de Competencia (C-Elisa, para la detección de anticuerpos anti-Brucella en suero de camélidos y, comparar sus respuestas con las pruebas de Rosa de Bengala (RB, Aglutinación Lenta en Tubo (SAT y Fijación de Complemento (FC en atención a que estas especies representan un potencial pecuario de cierta trascendencia. Para ello se analizaron 336 sueros, de los cuales 315 pertenecían a llamas y 21 a alpacas, provenientes de un predio de la Novena Región clínica y serológicamente libre de Brucella. Los resultados obtenidos señalan que el umbral de positividad para FP, calculado según la mediana del último percentil, fue de 98.7 milipolarizaciones (mP y, el corte para C-Elisa con el mismo método fue de 32% de Inhibición (% I. Todas las muestras analizadas dieron resultados negativos a RB y SAT. Los resultados con FC no pudieron ser considerados, por cuanto un alto porcentaje de las muestras fueron anticomplementarias. Con las técnicas de C-Elisa y FP, dos muestras reaccionaron positivamente en cada uno de los test con valores en el nivel de corte o levemente superiores. Se discute la significación de ellas.Brucellosis is a zoonotic disease representing a risk contact with, or consuming, their raw milk and raw dairy several animal species, including camelids, the aim of this Polarization assay (PF and Competitive ELISA (C-ELISA, along with conventional serological tests such as the Rose Complement Fixation test (CF. A total of 336 serum samples herd of the IXth Region (Chile

  12. 两种肺表面活性物质不同剂量早期治疗晚期早产儿呼吸窘迫综合征临床研究%Clinical study of two different doses of pulmonary surfactant of early treatment for late preterm children with respiratory distress syndrome

    Institute of Scientific and Technical Information of China (English)

    李俊敏; 于凤丹

    2015-01-01

    目的:探讨猪肺表面活性物质(进口)与牛肺表面活性物质(国产)分别采用足量和低量早期治疗晚期早产儿呼吸窘迫综合征的临床效果、安全性和成本,为临床选择治疗方案提供参考。方法呼吸窘迫综合征晚期早产儿分为足量 A 组24例,低量 A 组25例,足量 B 组26例,低量 B 组24例。足量 A 组首剂量猪肺表面活性物质为200 mg/kg,低量 A 组首剂量猪肺表面活性物质为100 mg/kg,再次给药剂量均为100 mg/kg;足量 B 组首剂量牛肺表面活性物质为70 mg/kg,低量 B 组首剂量猪肺表面活性物质为50 mg/kg,再次给药剂量均为50 mg/kg。观察各组临床疗效。结果两个低量组治疗后动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)、吸氧浓度(FiO2)、氧合指数(OI)与足量 A 组比较差异均有统计学意义,足量 B 组6 h的 PaCO2、FiO2与足量 A 组差异均有统计学意义(q =3.273、3.236,均 P <0.05)。低量 A 组6 h 的 PaO2与足量 B 组差异有统计学意义(q =3.823,P <0.05),12 h 的 PaO2、PaCO2、FiO2、OI 与足量 B 组差异有统计学意义(q =3.293、3.923、3.423、3.434,均 P <0.05),24 h 的 FiO2、OI 明显低于足量 B 组(q =3.234、3.356,均 P <0.05)。低量 B 组6 h、12 h、24 h 的 PaO2明显低于足量 B 组,6 h、12 h 的 PaCO2均明显高于足量 B 组(q =3.892、3.922、3.583,均 P <0.05),12 h、24 h 的 FiO2、OI 均明显高于足量 B 组(1 h 的 q =3.892、3.762,24 h 的q =3.819、3.678,均 P <0.05),24 h 的 OI 明显高于低量 A 组(q =3.784,P <0.05)。X 线胸片评价12 h、24 h各组分级差异有统计学意义(Z =3.982、5.323,P <0.05)。两低量组呼吸机相关性肺炎发生率分别为16.00%、16.67%,均明显高于两足量组(低量 A 组χ2=4.988、5

  13. Hipercapnia acentuada durante circulação extracorpórea em cirurgia para revascularização do miocárdio: relato de caso Hipercapnia acentuada durante circulación extracorpórea en cirugía para revascularización del miocárdio: relato de caso Marked hypercapnia during cardiopulmonary bypass for myocardial revascularization: case report

    Directory of Open Access Journals (Sweden)

    Maurício Serrano Nascimento

    2002-04-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A função primordial de desviar o sangue do coração e retorná-lo oxigenado à circulação sistêmica é conseguida às custas de importantes alterações na fisiologia cardiopulmonar. O objetivo deste relato é apresentar uma complicação anestésica que ocorreu durante a CEC e alertar para a necessidade da interação de toda a equipe anestésico-cirúrgica na prevenção de eventos adversos per-operatórios. RELATO DO CASO: Paciente feminina, parda, 56 anos, 95 kg, altura 1,65 m, estado físico ASA IV, portadora de insuficiência renal crônica em hemodiálise, foi admitida para realização de revascularização do miocárdio. A monitorização constou de eletrocardiograma (ECG, medida invasiva da pressão arterial, oximetria de pulso, capnografia, temperatura esofágica, pressão venosa central e análise dos gases anestésicos. A paciente recebeu como medicação pré-anestésica, midazolam (0,05 mg.kg-1, por via venosa. Iniciou-se indução venosa com fentanil (16 µg.kg-1, etomidato (0,3 mg.kg-1 e pancurônio (0,1 mg.kg-1. A manutenção foi feita com oxigênio, isoflurano (0,5 - 1 CAM e infusão contínua de fentanil. A gasometria arterial colhida após a indução demonstrou: pH: 7,41; PaO2: 288 mmHg; PaCO2: 38 mmHg; HCO3: 24 mmol.L-1; BE: 0 mmol.L-1; SatO2: 100%. A segunda gasometria arterial, colhida logo após o início da CEC, chegou em 30 minutos e apresentou: pH 7,15; PaO2: 86 mmHg; PaCO2 224 mmHg; HCO3: 29 mmol.L-1; BE: -3 mmol.L-1; SatO2: 99%. Foi feita verificação completa e urgente dos equipamentos anestésicos e de perfusão. Foi constatada conexão do misturador de gases de perfusão (blender à rede de O2 e a um cilindro de dióxido de carbono (CO2, quando deveria estar conectado ao cilindro de ar comprimido. CONCLUSÕES: Falhas mecânicas dos componentes do circuito de extracorpórea podem ocorrer no per-operatório e exigem correções rápidas. Os avanços tecnológicos nos equipamentos

  14. 急诊抢救重症哮喘并发呼吸衰竭的临床研究%Clinical Research on Emergency Treatment for Severe Asthma Combined with Failure of Respiration

    Institute of Scientific and Technical Information of China (English)

    张国英

    2016-01-01

    目的:研究分析急诊抢救重症哮喘并发呼吸衰竭的临床效果。方法整群选取该院2013年1月—2016年1月收治的218例重症哮喘并发呼吸衰竭患者作为研究对象,均分为对照组和观察组,对照组患者采用常规治疗,对另外109例观察组患者则在此基础上结合机械通气辅助治疗,并对两组的治疗效果等进行对比分析。结果经统计分析,相比于治疗前,两组患者治疗后4 h的呼吸频率(RR)、PaCO2、PaO2、心律(HR)均有明显改善(P<0.05),且相比于对照组,观察组的改善更为显著(P<0.05),在两组长期使用茶碱类药物比例、间断应用吸入β2激动剂比例及规律使用皮质类激素比例、病死率的对比方面,观察组病死率(0%)明显低于对照组(6.4%)。结论经该院研究得出,在对重症哮喘并发呼吸衰竭患者的急诊抢救方面,常规治疗联合机械通气辅助治疗的疗效较好,可以降低病死率,缓解哮喘发作,从而最大限度地抢救患者生命,应当推广使用。%Objective To research and analyze the clinical effect of emergency treatment for severe asthma combined with failure of respiration. Methods 218 cases of patients with severe asthma combined with failure of respiration admitted and treated in our hospital from January 2013 to January 2016 were selected as the research objects and divided into two groups with 109 cases in each, the control group adopted conventional treatment, the observation group adopted mechanical venti-lation therapy combined with conventional treatment, and the treatment effects of the two groups were compared and ana-lyzed. Results After statistical analysis, the respiratory rate, PaCO2, PaO2, heart rhythm at 4h after treatment were obviously improved compared with those before treatment, P<0.05, and the improvement of the respiratory rate, PaCO2, PaO2, heart rhythm in the observation group was more obvious compared with that in the

  15. The use of mechanical ventilation in acute left heart failure patients%机械通气抢救急性左心衰竭伴呼吸衰竭的临床观察

    Institute of Scientific and Technical Information of China (English)

    林道德

    2008-01-01

    Objective To evaluate the efficacy of mechanical ventilation in acute left heart failure.Methods 32 patients with acute left heart failure,routine treatments unsuccessful,use mechanical ventilation.Observe the change of heart rate,respiration rate,mean artery pressure,blood gas analysis(pH,PaO2,SaO2,PaCO2)and clinical symptoms.Results After mechanical ventilation,the clinical symptoms of 28 patients were improved,4 patients were dead.After one hour mechanical ventilation,respiration rate decreased from(33.6±7.8)/min to(21.3±3.2)/min(P<0.05),heart rate decreased from(117.8±17.5)/min to(86.7±10.5)/min(P<0.05),mean artery pressure decreased from(96.4±5.2)mmHg to(83.9±7.8)mmHg(P<0.05),SaO2 increased from(75.8±8.6)%to(95.6±3.7)%(P<0.01),PaO2 increased from(49.8±8.7)to(85.3±6.1)(P<0.01),pH and PaCO2 have no significant improve.Conclusion Mechanical ventilation is a safe and effective treatment for acute left heart failure patients.%目的 评价机械通气治疗急性左心衰竭的疗效.方法 对32例常规治疗无效的重症急性左心衰竭患者加用机械通气治疗,观察通气前后HR、RR、平均动脉压(MAP)、动脉血气分析指标(pH、PaO2、SaO2、PaCO2)的变化及临床症状的改善情况.结果 机械通气治疗后,32例患者中28例病情好转,4例死亡.通气1 h后RR由(33.6±7.8)次/min 降至(21.3±3.2)次/min(P<0.05),HR由(117.8±17.5)次/min降至(86.7±10.5)次/min(P<0.05),MAP由(96.4±5.2)mm Hg降至(83.9±7.8)mm Hg(P<0.05).通气前及通气后1 h查血气,SaO2由(75.8±8.6)%升高至(95.6±3.7)%(P<0.01),PaO2由(49.8±8.7)mm Hg升高至(85.3±6.1)mm Hg(P<0.01),pH、PaCO2无显著变化.结论 机械通气是治疗急性左心衰竭伴呼吸衰竭安全有效的方法.

  16. 不同供氧流量对新生儿头罩吸氧的吸入氧浓度和动脉血二氧化碳分压的影响%Oxygen concentration analyzer combines with blood gas analysis to lead the choice of oxygen flow with oxygen hood for the newborn

    Institute of Scientific and Technical Information of China (English)

    宋才好; 何燕

    2012-01-01

    目的 检测新生儿头罩吸氧时不同供氧流量下患儿血液中二氧化碳分压(PaCO2)与吸入氧浓度(FIO2)的变化关系,分析得出新生儿安全头罩用氧的规律.方法 调节氧气流量,测定在不同流量下新生儿头罩内FIO2.结果 氧气流量在3 L/min以下时,3组FIO2均小于35%,中小号头罩组有CO2潴留;氧流量在3~5 L/min时,中小号头罩组FIO2为35%左右,大号头罩组FIO2接近30%,小号头罩组有CO2潴留;氧流量在5~7 L/min时,中小头罩组FIO2为40%~50%,大号头罩组FIO2接近40%,3组均无CO2潴留;氧流量大于7 L/min时,3组FIO2均在50%以上,无CO2潴留.结论 纯氧下,选择流量在3~5 L/min,选择大中号头罩吸氧相对安全.对于没有空氧混合仪及氧浓度检测设备的基层医院进行氧气治疗有一定指导作用.%Objective By monitoring the relationship of change between pressure of carbon dioxide ( Paco2 ) and inspired oxygen concentration ( Fio2 ) when the newborn oxygen hood with different flow of oxygen, to analyze and obtain laws of newborn s safe oxygen hood. Methods The oxygen flow rate was adjusted, Fio, and Paco, in the hood under different oxygen flow were measured. Results When oxygen flow was under 3L/MIN, Fio2 of the all three groups was less than 35% , and medium and small hood groups had CO2 retention; when oxygen flow was between 3 -5L/MIN, the Fio2 of medium and small hood groups was around 35% and Fio2 of large hood group was close to 30% , and small group hood had CO2 retention; when oxygen flow was between 5 - 7L/MIN, the Fio, of medium and small hood groups was 40 -50% while the large hood group was close to 40% , and three groups had no CO2 retention; when oxygen flow was greater than 7L/MIN, the Fio2 of three groups was above 50% , without CO2 retention. Conclusion When pure oxygen is used, the oxygen flow is between 3 - 5L/ MIN, selection of the large and medium oxygen hood is relatively safe. It plays a guiding role for primary

  17. Acute severe asthma: new approaches to assessment and treatment.

    Science.gov (United States)

    Papiris, Spyros A; Manali, Effrosyni D; Kolilekas, Likurgos; Triantafillidou, Christina; Tsangaris, Iraklis

    2009-01-01

    same time decrease oxygen consumption and carbon dioxide production. Benzodiazepines can be safely used for sedation of the asthmatic patient, but time to awakening after discontinuation is prolonged and difficult to predict. The most common alternative is propofol, which is attractive in patients with sudden-onset (near-fatal) asthma who may be eligible for extubation within a few hours, because it can be titrated rapidly to a deep sedation level and has rapid reversal after discontinuation; in addition, it possesses bronchodilatory properties. The addition of an opioid (fentanyl or remifentanil) administered by continuous infusion to benzodiazepines or propofol is often desirable in order to provide amnesia, sedation, analgesia and respiratory drive suppression. Acute severe asthma is characterized by severe pulmonary hyperinflation due to marked limitation of the expiratory flow. Therefore, the main objective of the initial ventilator management is 2-fold: to ensure adequate gas exchange and to prevent further hyperinflation and ventilator-associated lung injury. This may require hypoventilation of the patient and higher arterial carbon dioxide (PaCO(2)) levels and a more acidic pH. This does not apply to asthmatic patients intubated for cardiac or respiratory arrest. In this setting the post-anoxic brain oedema might demand more careful management of PaCO(2) levels to prevent further elevation of intracranial pressure and subsequent complications. Monitoring lung mechanics is of paramount importance for the safe ventilation of patients with status asthmaticus. The first line of specific pharmacological therapy in ventilated asthmatic patients remains bronchodilation with a SABA, typically salbutamol (albuterol). Administration techniques include nebulizers or metered-dose inhalers with spacers. Systemic corticosteroids are critical components of therapy and should be administered to all ventilated patients, although the dose of systemic corticosteroids in

  18. Comparison of a New Miniaturized Extracorporeal Membrane Oxygenation System With Integrated Rotary Blood Pump to a Standard System in a Porcine Model of Acute Lung Injury.

    Science.gov (United States)

    Pilarczyk, Kevin; Heckmann, Jens; Lyskawa, Kathrin; Strauß, Andreas; Haake, Nils; Wiese, Ingo; Jakob, Heinz; Kamler, Markus; Pizanis, Nikolaus

    2016-07-01

    Extracorporeal membrane oxygenation (ECMO) is used for severe acute respiratory distress syndrome. However, available ECMO systems are large and not well designed for fast delivery, emergency implantation, and interhospital transfer. Therefore, a new miniaturized oxygenator with integrated rotary blood pump (ILIAS) was developed and compared with a standard ECMO system in a large animal model. Acute lung injury was induced with repeated pulmonary saline lavage in 14 pigs until PaO2 /FiO2 -ratio was <100 mm Hg with a positive-end-expiratory-pressure of 5 mbar. Pigs were assigned to the following three groups: group 1 (n = 4): control group with conventional ventilation; group 2 (n = 5): standard vv-ECMO; group 3 (n = 5): vv-ILIAS. Gas exchange, hemodynamics, hemolysis, and coagulation activation were examined over a period of 8 h. No device failed during the observation period. PaCO2 decreased from 59.40 ± 4.14 mm Hg to 48.62 ± 4.50 mm Hg after 1 h in the ILIAS group compared with an improvement of PaCO2 from 48.86 ± 7.45 to 40.10 ± 6.02 in the conventional ECMO group (P = not significant [n.s.]). ARDS-induced respiratory acidosis was controlled promptly with a pH of 7.2 ± 0.1 at baseline increasing to 7.4 ± 0.1 in both study groups after 60 min of ECMO support. Mean carbon dioxide transfer was comparable between the conventional ECMO and ILIAS (211.36 ± 78.39 mL/min vs. 219.99 ± 76.72 mL/min, P = n.s.). PaO2 /FiO2 increased from 118.4 ± 15.5 mm Hg to 179.1 ± 72.4 mm Hg in the ILIAS group compared with an improvement of oxygenation from 107.1 ± 24.9 mm Hg to 179.0 ± 45.7 mm Hg in the standard ECMO group (P = n.s.). Mean oxygen transfer was calculated with 136.09 ± 30.25 mL/min for the ILIAS and 129.05 ± 36.28 mL/min for the standard ECMO. Hemodynamic instability or significant activation of the plasmatic coagulation was not

  19. Ablação curativa da fibrilação atrial: comparação entre sedação profunda e anestesia geral Curative ablation of atrial fibrillation: comparison between deep sedation and general anesthesia

    Directory of Open Access Journals (Sweden)

    Elizabeth Bessadas Penna Firme

    2012-12-01

    Full Text Available OBJETIVO: Comparar sedação profunda com anestesia geral para ablação curativa de fibrilação atrial. MÉTODOS: Estudo prospectivo, aleatório, com 32 pacientes, idades entre 18 e 65 anos, ASA 2 e 3, IMC d" 30kg/m², distribuídos em dois grupos: sedação profunda (G1 e anestesia geral (G2. Todos receberam midazolan (0,5mg/kg venoso. O G1 recebeu propofol (1mg/kg e máscara facial de O2, seguido da infusão contínua de propofol (25-50mg/kg/min e remifentanil (0,01-0,05µg/kg/min. O G2 recebeu propofol (2mg/kg e máscara laríngea com tubo de drenagem, seguido da infusão contínua de propofol (60-100mg/kg/min e remifentanil (0,06-0,1µg/kg/min. Foram comparados: frequência cardíaca, pressão arterial invasiva, complicações, recidiva (desfecho em três meses e gasometrias. RESULTADOS: Os pacientes do G1 apresentaram gasometrias arteriais com níveis de PaCO2 maiores e pH menores (p=0,001 e maior incidência de tosse. Ocorreu diminuição da PAM e FC no G2. Exceto a tosse, as complicações e recidivas foram semelhantes em ambos os grupos. CONCLUSÃO: Ambas as técnicas podem ser utilizadas para a ablação curativa da fibrilação atrial. A anestesia geral proporcionou menores alterações respiratórias e maior imobilidade do paciente.OBJECTIVE: To compare deep sedation with general anesthesia for curative ablation of atrial fibrillation. METHODS: We conducted a prospective, randomized study with 32 patients, aged between 18 and 65 years, ASA 2 and 3, BMI d" 30kg/m2, divided into two groups: deep sedation (G1 and general anesthesia (G2. All patients received intravenous midazolam (0.5 mg / kg. G1 received propofol (1mg/kg and O2 by facemask, followed by continuous infusion of propofol (25-50mg/kg/min and remifentanil (0.01-0.05 mg / kg / min. G2 received propofol (2mg/kg and laryngeal mask with built-in drain tube, followed by continuous infusion of propofol (60-100mg/kg/min and remifentanil (0.06 to 0.1g/kg/min. We compared heart rate

  20. [Ketamine racemate and S-(+)-ketamine. Cerebrovascular effects and neuroprotection following focal ischemia].

    Science.gov (United States)

    Werner, C; Reeker, W; Engelhard, K; Lu, H; Kochs, E

    1997-03-01

    , increases in CBF with racemic ketamine (1 mg/kg) may also occur during normocapnia and without changes in CMRO2. This effect is related to some additional direct cerebral vasodilating potency of racemic ketamine based on a mechanism involving blockade of Ca++ channels. The effects of racemic ketamine on CBF autoregulation have not been investigated systematically. However, studies in rats have shown that CBF autoregulation was maintained with low- and high-dose S(+)-ketamine. Infusion of racemic ketamine alters intracranial volume and ICP. Studies in spontaneously ventilating pigs with and without intracranial hypertension have shown that racemic ketamine (0.5-5.0 mg/kg) produces increases in PaCO2 and ICP. In contrast, identical experiments with mechanical ventilation and controlled PaCO2 showed no changes in ICP following racemic ketamine infusion. This implies that increases in ICP are related to inadequate ventilation with consecutive hypercapnia and increases in intracranial blood volume. However, mechanical ventilation may not be sufficient to control ICP following racemic ketamine. Experiments in mechanically ventilated dogs indicate that racemic ketamine (2 mg/kg) increases cerebral blood volume and ICP even in the presence of normoventilation, a response that is reversible by hyperventilation or the administration of diazepam. Studies in patients have shown that racemic ketamine (2.0 mg/kg) reduces CBF in the presence of cerebral vasodilators like halothane or N2O. In contrast, studies in unanaesthetised humans showed increases in CBF after racemic ketamine (2-3 mg/kg). This observation is consistent with animal studies and suggests that the cerebrovascular effects of racemic ketamine are related to the pre-existing cerebrovascular tone induced by background anaesthetics. Studies in humans with and without intracranial pathology confirm the data from animal experiments. (ABSTRACT TRUNCATED) PMID:9163280

  1. Controle ácido-básico na hipotermia The acid-base management in hypothermia

    Directory of Open Access Journals (Sweden)

    Walter José Gomes

    1993-09-01

    Full Text Available O emprego da hipotermia profunda tem se constituído, atualmente, numa Importante estratégia para melhoria da qualidade técnica e resultados em cirurgia cardiovascular. A hipotermia reduz os danos teciduais induzidos pela isquemia por diminuir o metabolismo e preservar os fosfatos energéticos. A regulação do pH tecidual durante a hipotermia é fundamental para a manutenção da homeostasia celular, já que a hipotermia induz alterações desse pH pela mudança provocada na constante de dissociação da água. A questão do melhor manuseio dos gases sangüíneos durante a hipotermia induzida tem sido objeto de controvérsia. Duas abordagens têm sido preconizadas para o manejo das alterações iónicas durante a hipotermia. A regulção pH-stat envolve a manutenção do pH constante de 7,40 em todas as temperaturas com ajustes da PaCO2 e a regulação α-stat permite a variação do pH sangüíneo, que aumenta conforme a diminuição da temperatura e o conteúdo total corpóreo de CO2 é mantido constante. Nesta presente revisão a relação entre pH sangüíneo e intracelular e as alterações iónicas induzidas pela hipotermia são discutidas.Deep hypothermia is a usefull tool to improve technical results in cardiovascular surgery and is nowadays the major strategy used to reduce ischemic injury. Hypothermia reduces metabolism and preserves cellular stores of high-energy phosphates. The regulation of tissue pH during hypothermia is important for cellular homeostasis. Furthermore, hypothermia has important effects on pH by altering the dissociation constant of water and various metabolics intermediates and the question of optimal blood gas management during deliberate hypothermia has been subject of much controversy. Two approaches have been advocated for pH management during hypothermia, the first termed pH strategy, where blood pH is maintained constant at 7,40 at all temperatures with PaCO2 adjustment, and in the second type of

  2. Effect of special nursing group for critical y il patients on the quality of nursing care and prognosis of patients with COPD complicated with respiratory failure%危重症专职护理小组对COPD伴呼吸衰竭患者护理质量及预后的影响

    Institute of Scientific and Technical Information of China (English)

    李师娟

    2015-01-01

    Objective:To investigate the effect of special nursing group for critically ill patients on the quality of nursing care and prog-nosis of patients with chronic obstructive pulmonary disease ( COPD) complicated with respiratory failure. Methods:62 patients with COPD complicated with respiratory failure were randomly divided into the observation group and the control group (31 cases in each group). The patients in the control group were given routine nursing care and the patients in the observation group were given nursing care by the spe-cial nursing group,the nursing quality and prognosis of the patients were compared between the two groups. Results:The PaCO2 ,PaO2 , SaO2 and pH value were higher in the observation group than those in the control group (P<0. 05);the incidence of complications was low-er in the observation group than the control group (P<0. 05);the length of stay in ICU,mechanical ventilation time and average hospitali-zation days were shorter in the observation group than those in the control group (P<0. 05);the scores of satisfaction were higher in the observation group than the control group (P<0. 05);compared with the control group,the total score of basic nursing care,document man-agement,specific nursing care, ward environment and safety, emergency items and equipment, disinfection, health education and nursing quality significantly increased in the observation group (P<0. 05). Conclusion:The special nursing group for critically ill patients can ef-fectively improve the quality of nursing care for patients with COPD complicated with respiratory failure and promote the prognosis of the patients.%目的:探讨危重症专职护理小组对慢性阻塞性肺疾病( COPD)伴呼吸衰竭患者护理质量及预后的影响. 方法:将62例COPD合并呼吸衰竭患者随机分为观察组和对照组各31例,对照组给予常规性护理,观察组应用危重症专职护理小组实施护理,对比分析两组护理质量及预后的情况. 结

  3. Influência da estratégia ventilatória no desempenho funcional de enxertos pulmonares em um modelo experimental de transplante pulmonar unilateral de doadores após parada cardiocirculatória Ventilation strategy and its influence on the functional performance of lung grafts in an experimental model of single lung transplantation using non-heart-beating donors

    Directory of Open Access Journals (Sweden)

    Elaine Aparecida Felix

    2010-10-01

    Full Text Available OBJETIVO: Comparar a influência de duas estratégias ventilatórias - ventilação controlada a volume (VCV e ventilação controlada a pressão (VCP - no desempenho funcional de enxertos pulmonares em um modelo canino de transplante pulmonar unilateral esquerdo, utilizando-se doadores cujos pulmões foram captados após três horas de parada cardiocirculatória em temperatura ambiente e sob ventilação mecânica. MÉTODOS: O estudo incluiu 40 cães mestiços randomizados nos grupos VCV e VCP. Dos 20 receptores, 5 não sobreviveram ao transplante, e 5 não sobreviveram ao período de avaliação pós-transplante. Os 10 receptores sobreviventes (5 em cada grupo foram avaliados durante 360 min após o término do transplante pulmonar. O desempenho funcional dos enxertos foi estudado através da avaliação da mecânica respiratória, trocas gasosas e histologia do enxerto. RESULTADOS: Não houve diferenças significativas entre os grupos quanto às variáveis de mecânica respiratória (pressão de pico inspiratória, pressão de platô, pressão média de vias aéreas, complacência dinâmica e complacência estática e de trocas gasosas (PaO2, pressão venosa mista de oxigênio, PaCO2, pressão venosa mista de CO2 e diferença arteriovenosa de oxigênio. As alterações histopatológicas foram compatíveis com o padrão de lesão pulmonar aguda não específica e não diferiram entre os grupos. CONCLUSÕES: Este modelo de transplante pulmonar mostrou que o desempenho funcional do enxerto não foi influenciado pela estratégia ventilatória utilizada até seis horas após a reperfusão.OBJECTIVE: To compare the influence of two different ventilation strategies-volume-controlled ventilation (VCV and pressure-controlled ventilation (PCV-on the functional performance of lung grafts in a canine model of unilateral left lung transplantation using donor lungs harvested after three hours of normothermic cardiocirculatory arrest under mechanical

  4. Effects of continuous tracheal gas insufflation during pressure limited ventilation on pulmonary surfactant in rabbits with acute lung injury

    Institute of Scientific and Technical Information of China (English)

    ZHU Guang-fa; ZHANG Wei; ZONG Hua; LIANG Ying

    2006-01-01

    Background Pulmonary surfactant dysfunction may contribute to the development of ventilator induced lung injury (VILI). Tracheal gas insufflation (TGI) is a technique in which fresh gas is introduced into the trachea and augment ventilation by reducing the dead space of ventilatory system, reducing ventilatory pressures and tidal volume (VT) while maintaining constant partial arterial CO2 pressure (PaCO2). We hypothesised that TGI limited peak inspiratory pressure (PIP) and VT and would minimize conventional mechanical ventilation (CMV) induced pulmonary surfactant dysfunction and thereby attenuate VILI in rabbits with acute lung injury (ALI).Methods ALI was induced by intratracheal administration of lipopolysaccharide in anaesthetized, ventilated healthy adult rabbits randomly assigned to continuous TGI at 0.5 L/min (TGI group) or CMV group (n=8 for each group), and subsequently ventilated with limited PIP and VT to maintain PaCO2 within 35 to 45 mmHg for 4 hours. Physiological dead space to VT ratio (VD/VT), dynamic respiratory compliance (Cdyn) and partial arterial O2 pressure (PaO2) were monitored. After ventilation, lungs were analysed for total phospholipids (TPL), total proteins (TP), pulmonary surfactant small to large aggregates ratio (SA/LA) in bronchoalveolar lavage fluid (BALF) and for determination of alveolar volume density (Vv), myeloperoxidase and interleukin (IL)-8.Results TGI resulted in significant (P<0.05 or P<0.01) decrease in PIP [(22.4±1.8) cmH2O vs (29.5±1.1) cmH2O], VT [(6.9±1.3) ml/kg vs (9.8±1.11) ml/kg], VD/VT [(32±5)% vs (46±2)%], TP [(109±22) mg/kg vs (187±25) mg/kg], SA/LA (2.5±0.4 vs 5.4±0.7), myeloperoxidase [(6.2±0.5) U/g tissue vs (12.3±0.8) U/g tissue] and IL-8 [(987±106) ng/g tissue vs (24±3) mN/m] of BALF, and significant (P<0.05) increase in Cdyn [(0.47±0.02) ml ·cmH2O-1 ·kg-1 vs (0.31±0.02) ml ·cmH2O-1 ·kg-1], PaO2 [(175±24) mmHg vs (135±26) mmHg],TPL/TP (52±8 vs 33±11) and Vv (0.65±0.05 vs 0

  5. 丙泊酚用于精神病患者人工通气镇静治疗的临床效果评价%The clinical efficacy of Propofol on severe hypercapnic respiratory failure in psychopathy during mechanical ventilation

    Institute of Scientific and Technical Information of China (English)

    王阳顺; 梁庆; 杨航; 郑艳辉; 吴向红

    2009-01-01

    Objective To study patients with chronic obstructive pulmonary diseases(COPD) with severe hypercapnic respiratory failure for Sedation in psychopathy during mechanical ventilation. Methods Forty-four cases of COPD with severe hypercapnic respiratory failure were divided into two groups, patients (n = 22) inControl The comparison was made on the changes of pH, PaO2, PaCO2in the arterial blood gas before and after the treatment 0. 5 h, 1 h, between the two groups. And also the changes of Pmax, Ppalt, PEF, FEV1/ FVC in pulmonary function between the two groups. Results Significant differences were found in the Propofol group of the improvement of pH, PaO2, PaO2/FiO2, PEF, FEV1/ FVC in pulmonary function and the decreased value of PaCO2, Pmax, Ppahbefore and after the treatment, compared with the control group (P < 0. 05~0. 01). Conclusion Propofol infusion have an excellent effect for sedation in ventilation patients with COPD with severe hypercapnic respiratory failure, can decrease airway resistance, improve the oxygenation in lung, Also can maintain the coordination between spontaneous breath and mechanic ventilation in psychopathy.%目的 研究丙泊酚对精神病患者人工通气在治疗慢性阻塞性肺疾病(COPD)伴重度高碳酸性呼吸衰竭的镇静效果.方法 将44例COPD伴重度高碳酸性呼吸衰竭的精神病患者按入院顺序完全随机分为2组各22例,对照组:咪唑安定静脉注射10~20 mg;丙泊酚组:丙泊酚静脉注射泵持续输注0.5~2.0mg/(kg·h),比较治疗0.5、1h后,2组动脉血气分析中的pH值、氧分压(PaO2)、二氧化碳分压(PaCO2)变化,峰值气道压力(Pmax)、平台压(Ppalt)以及肺功能中第1秒用力呼气量与用力肺活量的比值(FEV1/FVC)和呼气峰流速(PEF)的变化.结果 丙泊酚组的镇静效果显著优于对照组;与对照组比较,丙泊酚组在治疗后PaCO2显著降低,pH值在治疗后0.5 h回到正常范围内,恢复较迅速(P<0.05或P<0.01);治疗后0.5 h

  6. Hipotensão controlada induzida por halotano em coelhos Halothane induced controlled hypotension in rabbits

    Directory of Open Access Journals (Sweden)

    Nubia Verçosa Figueiredo

    2003-10-01

    Full Text Available OBJETIVO: Descrever e analisar um estudo experimental com o objetivo de pesquisar o uso do halotano em diferentes concentrações, visando à obtenção de hipotensão induzida ou controlada e à análise das repercussões hemodinâmicas decorrentes do método. MÉTODO: Foram utilizados vinte e nove coelhos (Oryctolagus cuniculus, do tipo Nova Zelândia subdivididos em quatro grupos, dentre os quais havia um controle composto por cinco animais, e outros três contendo oito coelhos cada um. Os grupos I,II e III (n=8 cada foram submetidos a um período de hipotensão induzida, utilizando-se o halotano em concentrações de 1,0%, 1,5% e 2,0%, respectivamente. Foram avaliadas as freqüências cardíaca (FC e respiratória (FR, a pressão arterial média (PAM e a temperatura corporal. No sangue arterial analisaram-se os valores do potencial hidrogeniônico (pH, da pressão parcial do oxigênio (PaO2, da pressão parcial do gás carbônico (PaCO2, do bicarbonato (-HCO3, do excesso de bases (BE, da saturação do oxigênio da hemoglobina (Sat.O2. Estes parâmetros foram obtidos em três momentos: antes (MAnH, durante (MDuH e após (MApH a hipotensão induzida. Acompanhou-se, periodicamente, os reflexos corneano e pupilar e, de forma contínua, o eletrocardiograma. RESULTADOS: A análise estatística dos resultados evidenciou hipotensão e redução de frequência cardíaca com o uso do halotano. O pH dos coelhos é mais alcalino que o do homem. Não obstante haver uma tendência à acidose metabólica, esta decorreu de uma condição transitória, sem comprometer a homeostase. CONCLUSÃO: O halotano é um anestésico seguro e eficaz para promover a hipotensão induzida ou controlada, em coelhos.BACKGROUND: The authors describe haemodynamic changes secondary to controlled and induced hypotension during anesthesia with different halothane concentrations. METHODS: Twenty-nine New Zealand white rabbits (Oryctolagus cuniculus were divided into four groups

  7. A Feasibility Study of Combinating Two Sets of Formulae for Metabolic Acid-base Imbalance%合并两组酸碱失衡预计代偿公式的可行性研究

    Institute of Scientific and Technical Information of China (English)

    韦国强; 陈娟; 罗小春; 王印国; 姚新丰

    2010-01-01

    目的 合并Hamm和Carroll单纯性酸碱平衡紊乱预计代偿公式,形成新的预计代偿公式,提高判断准确性.方法 ①计算Hamm及Carroll公式6种酸碱失衡预计代偿范围;②合并两组公式预计代偿范围:慢性呼吸性碱中毒(呼碱)时,合并预计最大代偿值=Hamm预计最大代偿值-0.200×(Hamm-Carroll)预计最大代偿值,慢性呼吸性酸中毒(呼酸)时,合并预计最大代偿值=Hamm预计最大代偿值+0.125×(Carroll-Hamm)预计最大代偿值,慢性呼碱(酸)时,预计最小代偿值=(Hamm+Carroll)预计最小代偿值/2,其他酸碱失衡预计最大(最小)代偿值的合并预计代偿值=(Hamm+Carroll)预计代偿值/2;③用直线回归方程还原合并预计代偿公式;④软件模拟酸碱失衡数据.对3组公式判断的酸碱失衡类型进行Kappa一致性检验.结果 新合并公式:代谢性酸中毒(代酸)PaCO2=(39.0-1.30×△[HCO3-]↓)~(41.0-1.10×△[HCO3-]↓),代谢性碱中毒(代碱)PaCO2=(37.5+0.65×△[HCO3-]↑)-(42.5+0.90×△[HCO3-]↑),急性呼酸[HCO3-]=(23.26+0.046×△PaCO2↑)~(24.80+0.120×△PaCO2↑),慢性呼酸[HCO 3-]=(22.50+0.325×△PaCO2 ↑)~(25.50+0.475×△PaCO2↑),急性呼碱[HCO3-]=(22.75-0.225×△PaCO2 ↓)~(25.25-0.200×△ PaCO2 ↓),慢性呼碱[HCO,-]=(22.75-0.500×APaCO2↓)~(25.25-0.450×△PaCO2↓).结论 合并公式与Hamm及Carroll公式配对的Kappa值及判断一致率,均明显高于Hamm与Carroll公式配对(P<0.01).合并公式可应用于临床.

  8. Enteral nutrition support with Iow carbohydrate for COPD patients during acute period%COPD急性期患者低碳水化合物肠内营养支持的临床观察

    Institute of Scientific and Technical Information of China (English)

    苏惠崧; 贾青; 张丽娅

    2011-01-01

    Objective: To observe and compare protein nutritional status and respiratory function of patients suffered from chronic obstructive pulmonary disease (COPD) in acute period before and after treatment. Methods: A total of 64 COPD patients in acute period with respiratory failure were randomly divided into trial group and control group, with 32 cases in each group. Both groups were fed by nasal tube for 2 weeks, with low carbohydrate nutrients for trial group and normal homogenate preparations for control group. Nutritional, immunological and respiratory indexes including body weight (BW), serum albumin, total protein (TP), hemoglobin (HB), lymphocyte count, PaO2 and PaCO2 were observed and compared. Results: The protein nutritional parameters of trial group were significantly improved after treatment (P<0.05). PaO2 and PaCO2 in arterial blood of trial group significantly changed after nutrition support (P<0.05). Conclusions: Reasonable enteral nutrition support can improve nutritional status of COPD patients in acute period with respiratory failure, strengthen protein metabolism and immunological function. And low carbohydrate enteral nutrition support in short time can promote recovery of lung function.%目的:观察慢性阻塞性肺病(COPD)急性期患者营养支持前后的蛋白质营养状况及呼吸功能.方法:选择COPD急性加重期合并呼吸衰竭患者64例,随机分为两组,试验组和对照组各32例.两组均经鼻喂管肠内营养支持2周,其中试验组采用低碳水化合物营养制剂,对照组采用正常匀浆制品.比较两组营养支持前后营养及免疫指标体重(BW)、血清白蛋白(ALB)、总蛋白(TP)、血红蛋白(HB)、淋巴细胞计数(LYM)和呼吸功能指标动脉血氧分压(PaO2)、二氧化碳分压(PaCO2)的变化.结果:两组各项营养指标均优于治疗前,差异有统计学意义(P<0.05);试验组的PaO2、PaCO2与治疗前比较及与对照组同期比较均有统计学意义(P<0.05).结

  9. 胸部物理治疗联合间歇无创机械通气在慢性阻塞性肺疾病呼吸衰竭患者中的应用%Combination of chest physiotherapy and intermittent non-invasive mechanical ventilation for chronic obstructive pulmonary disease patients with respiratory failure

    Institute of Scientific and Technical Information of China (English)

    瞿云中; 彭红; 陈平; 向旭东

    2009-01-01

    目的:探讨胸部物理治疗(chest physiotherapy,CPT)联合间歇无创机械通气在慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)合并呼吸衰竭患者中应用的效果.方法:将2006年1月至2007年12月在中南大学湘雅二医院呼吸科行无创机械通气的COPD合并呼吸衰竭患者90例按随机数字表法分为两组.对照组45例(男性35例,女性10例),35~83(61.2±3.0)岁,常规治疗后给予间歇双水平正压无创通气(bi-level positive airway pressure,BiPAP)每次2 h,每6 h 1次或者每次2 h,每8 h 1次的治疗;胸部物理治疗(CPT)组45例(男性36例,女性9例),38~82(61.5±5.0)岁,在Bi-PAP治疗基础上予CPT.两组分别观察主要症状、肺部体征、胸部X线片、无创通气应用时间和治疗后PaO2和PaCO2等指标.结果:与对照组相比,CPT组患者血气改善明显,达到症状缓解、肺部体征改善、胸部x线片吸收所需天数、无创通气应用时间均明显缩短(P<0.05).结论:在需使用无创正压间歇机械通气的COPD合并呼吸衰竭患者中给予CPT,能有效地提高治疗效果,两者联合在COPD合并呼吸衰竭患者的治疗中有协同作用.%Objective To determine the effect of combination of chest physiotherapy (CPT) and intermittent non-invasive ventilation for chronic obstructive pulmonary disease (COPD) patients with respiratory failure. Methods Ninety COPD patients with intermittent bi-level positive airway pressure (BiPAP) ventilation were randomly divided into 2 groups : control group (n=45) received BiPAP treatment after conventional anti-infection, phlegm treatment and support treatment; CPT group (n=45) received CPT before BiPAP treatment. Clinical symptoms, chest signs, chest X-ray, time of BiPAP therapy, PaO2, and PaCO2 after the treatment were evaluated. Results Compared with with the control group, patients in the CPT group significantly improved in clinical symptoms, chest signs, chest X-ray absorption as well as shorter

  10. Clinical efficacy of pulmonary surfactant in the treatment of premature infants with respiratory distress syndrome%肺表面活性物质治疗早产儿呼吸窘迫综合征临床疗效分析

    Institute of Scientific and Technical Information of China (English)

    刘红霞; 李小玲; 刘仁红; 肖毅

    2012-01-01

    目的 探讨肺表面活性物质治疗早产儿呼吸窘迫综合征的临床应用价值.方法 选择早产儿呼吸窘迫综合征患儿83例,根据随机的方法分为观察组和对照组.对照组患儿应用常规治疗,观察组患儿在此基础上应用猪肺磷脂注射液.检测并比较两组患儿治疗前、治疗12h、24 h的PaO2、PaCO2及PaO2/FiO2水平;比较两组间平均机械通气时间、氧疗时间、住院时间及并发症发生情况.结果 ①治疗后12h及24 h,观察组患儿PaO2、PaCO2及PaO2/FiO2水平改善情况均优于对照组,差异均有统计学意义(P<0.05).②观察组患儿机械通气时间、氧疗时间及住院时间均显著短于对照组患儿,差异均有统计学意义(P<0.05).③观察组患儿感染、颅内出血、呼吸暂停、肺气漏及死亡的发生率均显著低于对照组,差异均有统计学意义(P<0.05).结论 肺表面活性物质治疗早产儿呼吸窘迫综合征疗效显著.%Objective To investigate the clinical effect of pulmonary surfactant in the treatment of premature infants with respiratory distress syndrome. Methods Eighty-three premature infants with respiratory distress syndrome were randomly divided into two groups. The control group was treated with conventional treatment, and the observation group was treated with lung phospholipids on the basis of conventional treatment. The levels of PaO2, Pa-CO2 and PaO2/FiO2 before treatment, 12 h and 24 h after treatment were detected and compared between the two groups. The average duration of mechanical ventilation and oxygen therapy, the length of hospital stay as well as the incidence of complications were compared between the two groups. Results 12 h and 24 h after treatment, the improvements in the levels of PaO2, PaCO2 and PaO2/FiO2 were significantly better in the observation group than the control group (P<0.05). The duration of mechanical ventilation and oxygen therapy, as well as the length of hospital stay in the

  11. 无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭的应用及护理体会%Application and nursing experience of Non-invasive inspirator in the treatment of COPD complicated with respiratory failure

    Institute of Scientific and Technical Information of China (English)

    陈莉; 王凤英

    2015-01-01

    目的:观察无创呼吸机治疗慢性阻塞性肺疾病合并呼吸衰竭的临床应用效果,总结护理体会。方法对86例确诊慢性阻塞性肺疾病合并呼吸衰竭患者应用无创呼吸机治疗,观察治疗前后动脉血气指标PaO2、PaCO2、SaO2及HR、RR的变化,总结护理经验与体会。结果治疗后动脉血氧分压(PaO2)升高、二氧化碳分压(PaCO2)降低,血氧饱和度(SaO2)上升,心率(HR)及呼吸频率(RR)均下降,较治疗前差异均有统计学意义(P<0.05)。结论无创呼吸机对慢性阻塞性肺疾病合并呼吸衰竭患者动脉血气指标改善效果明显,操作简便,易于护理,治疗过程中应注意有效护理干预措施的实施,尤其是心理护理及并发症的防范。%Objective To observe the effect of non-invasive inspirator in the treatment of COPD complicated with respiratory failure,summarize nursing experience. Methods 86 cases of patients diagnosed with COPD complicated with respiratory failure were treated with non-invasive inspirator therapy.PaO2,PaCO2,SaO2,HR,RR Indexes were observed before and after treatment,summarize nursing experience. Results After treatment,arterial oxygen tension(PaO2) increased,carbon dioxide partial pressure (PaCO2)was decreased,oxygen saturation (SaO2)was increased,both heart rate (HR)and respiratory rate (RR)was decreased,compared with Differences between pre-treatment and after treatment was statistically significant (P<0.05).Conclusion The effect of the non-invasive inspirator for chronic obstructive pulmonary disease complicated with respiratory failure in patient's arterial blood gas improvement is obvious,easy to operate,easy to nurse,in treatment of this desease,we should pay more attention to the implementation of effective nursing interventions,and patient's psychological care and complications prevention.

  12. Effect of ulinastatin on acute respiratory distress syndrome:A meta-analysis%乌司他丁治疗急性呼吸窘迫综合征效果的荟萃分析

    Institute of Scientific and Technical Information of China (English)

    2013-01-01

    Objective To assess the effect of ulinastatin on acute respiratory distress syndrome (ARDS). Methods A meta-analysis was performed for the clinical trials on ulinastatin in treatment of ARDS covered in PubMed, Embase, CBMdisk, CNKI and Wanfang Database before May 2012 with the software of ReviewManager4.2 on Cochrane Cooperation Network. The curative effect indexes of ulinastatin included respiratory frequency, PaO2/FiO2, PaCO2 and mortality. Results Meta analysis showed that the mean respiratory frequency and mortality were lower whereas the mean PaCO2 and PaO2/FiO2 were higher in ulinastatin treatment group than in control group 7 days after ulinastatin treatment (WMD=-5.74, P=0.003;RR=0.62, P=0.04;WMD=4.78, P<0.000 01;WMD=59.94, P<0.000 01). Conclusion Ulinastatin can significantly improve the pulmonary ventilation and reduce the mortality of ARDS patients.%  目的系统评价乌司他丁治疗急性呼吸窘迫综合征的效果。方法检索2012年5月以前在PubMed、Embase、CBMdisk、CNKI和万方数据库公开发表的有关乌司他丁治疗急性呼吸窘迫综合征的临床研究并采用Cochrane协作网提供的ReviewManager4.2软件对纳入的研究做Meta分析。疗效判定指标包括呼吸频率、氧合指数、PaCO2以及病死率。结果 Meta分析显示,经过7 d的治疗,乌司他丁治疗组的呼吸频率均数小于对照组(WMD=-5.74,P=0.003),而且前者的PaCO2均数(WMD=4.78,P<0.00001)、氧合指数均数(WMD=59.94,P<0.00001)都高于对照组;此外,乌司他丁治疗组的病死率低于对照组(RR=0.62,P=0.04)。结论乌司他丁在改善肺通气和降低急性呼吸窘迫综合征的病死率方面优势明显。

  13. 高原地区严重创伤患者动脉血气指标监测分析%Analysis the blood gas of serious trauma patients in plateau

    Institute of Scientific and Technical Information of China (English)

    史连胜; 陶媛; 李瑛; 陈永红; 孙胜; 靳琦琛; 潘春光; 李晔; 黄海涛; 席文雁; 张晓荣; 杜媛媛

    2014-01-01

    Objective:To monitor the index characters of acid-base and oxidation of serious trauma patients in plateau. Meth-ods:90 trauma patients (ISS≥16) were treated in emergence department since Jan 2011 to July 2013,and pH,PaO2,PaCO2,AB,SaO2, P(A-a)O2 were immediately monitored just as they were hospitalized. Results:pH 7.44 ± 0.01,PaO2(mmHg)61.92 ± 1.57,PaCO2 (mmHg) 28.00±0.82 , AB(mmol/L) 19.06±0.31, SaO2(%) 89.27±1.22, P(A-a)O2 (mmHg) 48.10±1.52. Except the PH, the total aver-ages of acid-base and oxidation of the serious trauma patients had statistic differences from those of the plain (P<0.05). Conclusion:In plateau, the serious trauma patients were encountered different hypoxemia and dysfunction of gas exchange, the style of acid-base were characterized of respiratory alkalosis with normal PH and compensatory metabolic acidosis with decreased AB.%目的:监测高原地区严重创伤患者酸碱及氧合指标特点。方法:入选2011年1月—2013年7月来我院急诊科就诊的创伤患者90例(ISS≥16分)。监测动脉血气指标:pH值、动脉血氧分压(PaO2)、动脉血CO2分压(PaCO2)、实际碳酸氢盐(AB)、动脉血氧饱和度(SaO2)、肺泡-动脉氧分压差[P(A-a)O2)]变化特点。结果:pH值7.44±0.01;PaO2(61.92±1.57)mmHg;PaCO2(28.00±0.82)mmHg;AB(19.06±0.31)mmol/L;SaO2(%)89.27±1.22;P(A-a)O2(48.10±1.52)mmHg。高原地区严重创伤后酸碱及氧合各指标与平原地区对比所有酸碱及氧合指标总体均数估计值(除pH值外),差异显著(P<0.05)。结论:高原地区严重创伤发生后,所有患者均存在不同程度的低氧血症及换气功能障碍,酸碱类型特点是以pH值正常范围的呼吸性碱中毒及以AB降低为主的代偿性代谢性酸中毒。

  14. Analgesia epidural com clonidina ou romifidina em cães submetidos à cirurgia coxofemoral Epidural analgesia with clonidine or romifidine in dogs submitted to coxofemoral surgery

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    J.T. Brondani

    2004-04-01

    Full Text Available Avaliaram-se as alterações cardiorrespiratórias e a analgesia da administração epidural de clonidina ou romifidina em cães submetidos à cirurgia coxofemural. Foram utilizados 14 cães distribuídos em dois grupos: o grupo Cloni recebeu 150µg de clonidina e o grupo Romi, 20µg/kg de romifidina. A indução anestésica foi realizada com propofol e a anestesia cirúrgica mantida com halotano e O2 em respiração espontânea. A punção do espaço epidural foi feita logo após a indução. Antes da indução e a cada 10 minutos foram avaliadas as freqüências cardíaca e respiratória, a pressão arterial sistólica, a saturação de oxigênio da hemoglobina e a concentração de halotano. Após indução e ao término do procedimento cirúrgico coletou-se sangue arterial para avaliação gasométrica de pH, PaCO2, PaO2, SaO2, BE e HCO3-. Foi realizada avaliação pós-operatória do grau de analgesia (intensa, pouco intensa e inadequada nas primeiras duas horas após término da cirurgia. Os animais do grupo Romi apresentaram bradicardia, bradiarritmias e hipertensão. A freqüência cardíaca e a pressão arterial sistólica no grupo Cloni mantiveram-se dentro da faixa de variação fisiológica para a espécie. A analgesia trans-operatória foi considerada intensa nos dois grupos. A administração epidural de clonidina ou romifidina produziu intensa analgesia transcirúrgica sem depressão respiratória e pouco intensa analgesia pós-operatória por duas horasCardiovascular alterations and analgesia in 14 dogs submitted to epidural administration of clonidine or romifidine to enable coxofemoral surgery were evaluated. Dogs were separated in two groups: Cloni group received 150µg of clonidine and Romi group, 20µg/kg of romifidine. Anesthetic induction was performed using propofol (8mg/kg and maintenance using halothane and O2 in spontaneous breathing. The puncture of epidural space was performed just after anesthetic induction. Heart

  15. The efficacy observation on the effect of fasudil to hear failure induced by cor pulmonale%法舒地尔治疗肺源性心脏病致心力衰竭的疗效观察

    Institute of Scientific and Technical Information of China (English)

    徐飞; 周勇; 安平; 万元春

    2012-01-01

    Objective To investigate the efficacy of adding fasudil on top of standard therapy in heat failure induced by cor pulmo-nale. Methods A total of patients hospitalized in our hospital from Jan 2008 to Sep 2009 were randomly divided into fasudil group and control group and followed 20 days. The changes on left ventricle end - systolic dimension ( LVESD) , left ventricle end - diastolic dimension(LVEDD) , left ventricle ejection fraction ( LVEF) , pulmonary arterial systolic pressure ( PASP) and six - minute walk test(6MwT) were observed; in addition, the level of PaO2, SaO2 and PaCO2 were measured. Results Compared with control group, in fasudil group, dimension of LVESV and LVEDV were markedly decreased; PASP were significantly decreased; LVEF and 6MwT were significantly improved; PaO2, SaO2 increased and PaCO2 decreased; systolic blood pressure( SBP) , diastolic blood pressure( DBP) and heart rate(HR) were no significantly changed (P >0. 05). Conclusion Fasudil was effective and safe in treating heat failure patients and could significantly improve the cardiac function.%目的 观察法舒地尔对肺源性心脏病致心力衰竭患者心脏功能的影响.方法 连续入选2009年1月至2010年8月住院的肺源性心脏病心力衰竭患者55例,随机分为法舒地尔组与对照组,连续治疗20 d,观察治疗前后患者血压、心率、左室收缩末期内径(LVESV)、左室舒张末期内径(LVEDV)、左室射血分数(LVEF)、肺动脉收缩压(PASP),6 min步行试验(MwT)、动脉氧分压( PaO2)、二氧化碳分压(PaCO2)及动脉血压含量(SaO2).结果 与对照组相比,治疗组患者PASP明显降低(P<0.01),LVESD和LVEDD改善显著(P<0.05或P<0.01);LVEF和6MwT显著增加(P<O.01,);PaO2、SaO2明显增加,PaCO2显著下降(P<0.01);收缩压、舒张压及心率无明显变化(P>0.05).结论 法舒地尔在治疗肺源性心脏病致心力衰竭有一定疗效,并可以改善左室结构及心功能状态,提高心肌储备.

  16. 运动洲练及呼吸肌锻炼对COPD患者稳定期的影响%Effects of Physical Training and Respiratary Muscle Training on the Patients With COPD in Recovery Period

    Institute of Scientific and Technical Information of China (English)

    黄友明

    2009-01-01

    Objiect ive To explore the effects of pulmonary rehabilitation in stable patients with chronic obstructive pulmonary diseases(COPD) ,after physical training and respiratary muscle training, Methods 73 COPD patients in recovery period were divided into the group of pulmonary rehaibilitation(n=35) and control group(n=38) in random, the former was given the treatment of exercise training and respiratary training, the other was given only medicament, the data of PaO2、 PaCO2、 FEV 1.0, FEV1.0 / FVC, 6MWD, SGRQ were evaluated before and 8 weeks after treatment. Resu Its the data of PaO2、 PaCO2、 FEV1.0, FEV1.0 / FVC were imoroved aider trained , the data of6MWD, SGRQ were significantly improved(P0.05). Conclusion The physical training and respiratary muscle traini ng can improve the endurance and the quality of life to the patients with chronic obstructive pulmonary diseases(COPD) in recovery period.%目的 评估运动训练及呼吸肌锻炼对稳定期慢性阻塞性肺疾病患者运动耐力和生活质量的影响,为患者的健康管理和生命质量的提高提供帮助.方法 73例COPD缓解期患者随机分为肺康复组(35例)与对照组(38例),肺康复组给予运动训练、呼吸肌锻炼及常规药物治疗措施,对照组仅在常规取药治疗,测定治疗前和治疗后8周PaO2、PaCO2、FEV10.0、FEV1.0/FVC、6分钟步行距离(6MWD)、SGRQ生活质量积分(QOL).评估两组患者运动耐力和生活质量.结果 肺康复组患者治疗后的PaO2、PaCO2、FEV1.0、FEV1.0/FVC有改善,SGRQ生活质量积分、6分钟步行距离较治疗前有明显改善(P0.05).结论 运动训练及呼吸肌锻炼对慢性阻塞性肺疾病稳定期患者运动耐力的提升和生活质量的提高有一定疗效.

  17. Influência da ascite na avaliação da função pulmonar em portadores de hipertensão portal Influence of ascites in the pulmonary function of patients with portal hypertension

    Directory of Open Access Journals (Sweden)

    Angela Maria Stiefano Nitrini

    2004-02-01

    Full Text Available INTRODUÇÃO: A oxigenação inadequada nos pacientes com hipertensão portal pode ser secundária a alterações na mecânica respiratória, determinadas pela presença da ascite. OBJETIVO: Avaliar a função pulmonar de doentes com hipertensão portal antes e após redução do volumeda ascite. Método: Quinze doentes com hipertensão portal e ascite foram submetidos a provas de função pulmonar, constituindo-se de espirometria e gasometria arterial, antes e após redução do volume da ascite. Os parâmetros analisados foram: capacidade vital forçada (CVF; volume expiratório no primeiro segundo (VEF1; fluxo expiratório entre 25 e 75% da CVF (FEF 25-75% ; volume de reserva expiratória (VRE; relação VEF1 / CVF; pressão arterial de oxigênio (PaO2, pressão arterial de dióxido de carbono (PaCO2 e saturação arterial de oxigênio (SaO2. RESULTADOS: Houve melhora significativa dos volumes pulmonares analisados após a diminuição da ascite com o tratamento diurético associado ou não à paracentese. CONCLUSÃO: Concluímos que nos doentes com hipertensão portal e ascite, há diminuição dos volumes pulmonares emrelação aos valores preditos, com melhora significativa após diminuição da ascite. Do mesmo modo, observamos aumento na PaO2 e na SaO2.BACKGROUND: Oxygen deficiency in patients with portal hypertension may be secondary to changes in respiratory mechanics due to ascites. OBJECTIVES: Evaluate pulmonary function in patients with portal hypertension before and after reduction of the ascites. METHOD: Fifteen patients with portal hypertension and ascites were submitted to pulmonary function tests, comprising spirometry and arterial blood gas determination, before and after reduction of ascites. The analysed parameters were: forced vital capacity (FVC; forced expiratory volume in one second (FEV1; forced expiratory flow between 25-75% of the forced vital capacity (FEF 25-75%; expiratory reserve volume (ERV; FEV1/CVF; arterial

  18. 无创正压通气对慢性阻塞性肺疾病肺动脉高压及脑钠肽的影响%Effect of Noninvasive Positive Pressure Ventilation on Chronic Obstructive Pulmonary Disease Pulmonary Hypertension and Brain Natriuretic Peptide

    Institute of Scientific and Technical Information of China (English)

    彭慧群; 林伟革; 刘龙英

    2014-01-01

    Objective To study the noninvasive positive pressure ventilation (NIPPV) in patients with chronic obstructive pulmonary disease (COPD) in pulmonary arterial hypertension (AP) and brain natriuretic peptide (BNP) effect. Methods 30 cases of COPD complicated with AP in our hospital from 2008 January to 2013 January were treated patients as the research object, using non-invasive positive pressure ventilator mask to patients on ventilation for 7 days, al of the patients receiving noninvasive positive pressure ventilation ventilation before and after PaCO2 (mmHg), PaO2 (mmHg), AP (mmHg), BNP (pg/ml) were observed, compared. Results All patients in this study, 17 patients in after 7 days of treatment, in which PaCO2, PaO2, AP, BNP levels before and after treatment has obvious dif erence, with statistical significance, <0.05. 5 patients in the course of treatment for invasive ventilation in the treatment of transit. Conclusion NIPPV on noninvasive positive pressure ventilation in both on chronic obstructive pulmonary disease pulmonary hypertension and brain natriuretic peptide significantly improved.%目的:本文探讨无创正压通气(NIPPV)慢性阻塞性肺疾病(COPD)肺动脉高压(AP)及脑钠肽(BNP)的影响。方法选择我院2008年1月~2013年1月所收治的30例COPD合并AP的患者作为研究对象,采用无创正压呼吸机面罩来对患者进行辅助通气治疗7d,对所有患者在接受无创正压通气前以及通气后PaCO2(mmHg)、PaO2(mmHg)、 AP(mmHg)、BNP(pg/ml)变化进行观察、比较。结果本研究所有患者中,有17例患者在经过7d的治疗后,其体内的PaCO2、PaO2、AP、BNP水平与治疗前存在明显差异,具有统计学意义,P<0.05。5例患者在治疗的过程中转为有创通气治疗。结论 NIPPV对无创正压通气对慢性阻塞性肺疾病肺动脉高压及脑钠肽都有明显改善。

  19. High pressure versus high intensity noninvasive ventilation in stable hypercapnic chronic obstructive pulmonary disease: a randomized crossover trial

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    Murphy PB

    2012-12-01

    Full Text Available Patrick B Murphy,1,* Kate Brignall,1,* John Moxham,2 Michael I Polkey,3 A Craig Davidson,1,# Nicholas Hart1,4,#1Lane Fox Clinical Respiratory Physiology Group, Guy’s and St Thomas’ NHS Foundation Trust, 2Department of Thoracic Medicine, King’s College Hospital, 3Sleep and Ventilation Unit, Royal Brompton and Harefield NHS Foundation Trust, 4Guy’s and St Thomas’ NHS Foundation Trust and Kings College London NIHR Comprehensive Biomedical Research Centre, London, UK*These authors contributed equally to the work #These senior authors contributed equally to the workBackground: High-intensity (high-pressure and high backup rate noninvasive ventilation has recently been advocated for the management of stable hypercapnic chronic obstructive pulmonary disease (COPD. However, the relative contributions of high inspiratory pressure and high backup rate to ventilator adherence and physiological outcome have not been investigated.Methods: Patients with stable hypercapnic COPD (daytime PaCO2 > 6 kPa and nocturnal hypoventilation were enrolled. Patients were randomly allocated to high-pressure and high backup rate (high-intensity and high-pressure and low backup rate (high-pressure for a 6-week period. At the end of the first treatment period, patients were switched to the alternative treatment. The primary outcome measure was mean nightly ventilator usage.Results: Twelve patients were recruited, with seven completing the 12-week trial protocol. The mean patient age was 71 ± 8 years, with a forced expiratory volume in one second (FEV1/forced vital capacity (FVC of 50% ± 13% and FEV1 of 32% ± 12%. The baseline PaCO2 and PaO2 were 8.6 ± 1.7 kPa and 7.3 ± 1.4 kPa, respectively. There was no significant difference demonstrated in mean nightly ventilator usage between the high-intensity and high-pressure groups (difference of 4 minutes; 95% confidence interval −45 to 53; P = 0.9. Furthermore, there were no differences in any of the secondary

  20. Abordagem ventilatória protetora no tratamento da hérnia diafragmática congênita Gentle ventilatory approach for the treatment of congenital diaphragmatic hernia

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    Felipe de Souza Rossi

    2008-12-01

    Full Text Available OBJETIVO: Descrever a evolução de recém-nascidos com diagnóstico de hérnia diafragmática congênita admitidos na Unidade de Terapia Intensiva Neonatal de um hospital privado de nível terciário, no qual aplicou-se uma estratégia ventilatória protetora. MÉTODOS: Coorte histórica com análise de prontuários de pacientes portadores de hérnia diafragmática congênita, admitidos de junho de 2001 a julho de 2006. Avaliaram-se dados referentes ao recém-nascido (índices prognósticos antenatais, peso ao nascimento, idade gestacional, sexo, dados da reanimação e estabililização pré-operatória, cuidados pós-operatórios e taxa de sobrevida. RESULTADOS: Oito neonatos tiveram diagnóstico de hérnia diafragmática congênita. O peso variou entre 2,38 e 3,45kg e a idade gestacional, entre 36 e 39 semanas; cinco deles eram do sexo masculino. Todos foram intubados em sala de parto até o final do primeiro minuto de vida. A correção cirúrgica ocorreu entre o segundo e o sexto dias de vida e, em quatro pacientes, houve necessidade do uso de patch. Uma estratégia ventilatória protetora foi utilizada em seis neonatos, com dados gasométricos visando PaO2 pré-ductal normal e tolerando-se hipercapnia (PaCO2 50 a 60mmHg. A extubação ocorreu entre o primeiro e o 12ºdias do pós-operatório, com exceção de um paciente. Seis recém-nascidos receberam alta, em média, com 30 dias de vida (19 a 55 dias. A sobrevida foi de 75%. CONCLUSÕES: A sistematização do cuidado de pacientes com hérnia diafragmática congênita pode garantir, em nosso meio, uma sobrevida comparável aos principais centros mundiais que lidam com a doença.OBJECTIVE: To describe the clinical evolution of newborns with congenital diaphragmatic hernia admitted to neoretal Intensive Care Unit of a tertiary private hospital and treated with a gentle ventilatory approach. METHODS: Analysis of charts of patients born between June 2001 and July 2006. The following data