Search PubMedSearch

Biomedical subjects

L A Geddes

Publications and source records attributed to L A Geddes.

At least 19 recordsLinked to original sources

Instrumentation for the breath-by-breath determination of oxygen and carbon dioxide based on nondispersive absorption measurements.

This paper describes the development and evaluation of instrumentation for the breath-by-breath determination of oxygen and carbon dioxide in respiratory gases. The method is based on nondispersive absorption and uses the 145-nm absorption band for detection of oxygen and the 4.3-micron band for detection of carbon dioxide. A xenon discharge lamp with a sharp band at 147 nm was chosen as the source for the determination of oxygen, and a carbon dioxide discharge lamp with a sharp band at 4.3 micron was chosen for determination of carbon dioxide. A vacuum photodiode was used as the detector for oxygen, and a photoconductive cell with a built-in interference filter was used for detection of carbon dioxide. Plots of absorbance (A) vs concentration (C, %) were linear for oxygen and were nonlinear for carbon dioxide. Typical least-squares calibration equations were A = 0.020C + 0.02 for oxygen (0-100%) and A = 0.0012C2 + 0.050C + 0.008 for carbon dioxide (0-8%). Comparisons of computed (y) vs prepared (x) values for the concentrations given above were linear for both gases, yielding y = (1.00 +/- 0.01)x - 0.13 +/- 0.73 for oxygen and y = (1.07 +/- 0.02)x - 0.04 +/- 0.06 for carbon dioxide. The standard deviations were 1.2% at 50% oxygen and 1.5% at 4% carbon dioxide. Records are presented to illustrate breath-by-breath monitoring of these gases in a healthy subject.

Absorption

Comparison of rectangular and exponential current pulses for evoking sensation.

There exists a paucity of quantitative information comparing the stimulating currents for different waveforms. Thus, the objectives of this study was to compare the threshold peak current (I) for sensation using rectangular and exponential; that is, capacitor-discharge, cathodal pulses of equivalent pulse duration (d). In 10 human subjects, stimuli were applied to the skin of the forearm, and I was determined alternately for each current waveform at each of several pulse durations (d). Strength-duration curves for sensation were obtained using d of 0.01-50 ms. The threshold peak current (Ir) for a rectangular pulse of duration d was compared to the threshold peak current (Icd) for a capacitor-discharge pulse of duration d, where d was the time constant; that is, the time required for the current to decrease to 1/e, or 37% of its peak value. Chronaxie, the pulse duration at which I is twice the infinite-duration current asymptote (i.e., the rheobase), was calculated for each waveform and subject using the Weiss-Lapicque expression for excitability. Icd was found to be always higher than Ir of equivalent duration. Chronaxie for the capacitor-discharge pulse was, on the average, twice that for the rectangular pulse (p less than 0.01). Moreover, the ratio Icd/Ir increased with decreasing d. These results indicate that these two waveforms are not equivalent on the basis of an equal-charge requirement for excitation, particularly at the short pulse durations. Furthermore, they suggest the need of a better expression to describe the excitability characteristics of tissues.

Adult

Electrode recovery potential.

In some instances the same electrodes are used for stimulation and then for recording a bioelectric event immediately after the stimulus. However, after the current pulse there remains an electrode potential that decays quasiexponentially. We have designated this falling potential the electrode-recovery potential. This study investigated the recovery potentials of single electrodes of rhodium, stainless steel, platinum and platinum-iridium in contact with 0.9% saline at room temperature (25 degrees C) over a current density ranging from 0.1 to 100 mA/cm2 using a constant-current pulse. In all cases, with increasing current density, there was a decrease in the time for the electrode potential to fall to one half of the immediate post-stimulus value. Above about 20 mA/cm2 the decrease in recovery time was smooth with increasing current density. Below 20 mA/cm2, the recovery time was slightly irregular. The shortest recovery times were for platinum and platinum-iridium. The largest decrease in recovery time with increasing current density was for stainless steel, which decreased 10 fold from 0.1 to 100 mA/cm2. The recovery time for rhodium decreased about three-and-one half fold over the same current density range. It was found that the waveform of the recovery potential is not a simple exponential because the Warburg and Faradic components of the electrode-electrolyte interface are current-density dependent. In general, for all current densities studied (0.1-100 mA/cm2), there was a sudden initial fall in electrode potential with cessation of current flow, followed by a very gradual nonexponential decrease in potential.

Electric Conductivity

The impedance of a spherical monopolar electrode.

The impedance of a monopolar electrode immersed in an environmental volume conductor consists of two parts; the impedance of the active electrode-electrolyte interface, and the resistance of the environmental conductor. Two studies were carried out to quantitate these components. First, impedance-frequency data were collected for five spherical stainless-steel electrodes (ranging from 0.473 to 1.11 cm in diameter) immersed in 0.9% saline (p = 70 omega-cm). Impedance measurements were made from 100 Hz to 100 kHz and two sets of data were obtained; one before and one after each electrode was polished with fine emery paper. At low frequency, the measured impedances were high and varied with electrode surface preparation. However, above a transition frequency, the impedances were resistive, independent of the electrode surface preparation, and equal to rho/2 pi d as predicted from the theory. This study indicates that the low frequency impedance of a monopolar electrode is dominated by the impedance of the electrode-electrolyte interface. Above a transition frequency, the resistance of the environmental conductor dominates, the value of this resistance depending on the electrode geometry and the resistivity (rho) of the environmental conductor. A second study was conducted, to examine the effect of the distance to the indifferent electrode. A frequency (100 kHz) above the transition frequency was used and impedance data were collected for various distances between the monopolar and indifferent electrodes. The measured resistance increased asymptotically as the distance between the electrodes was increased. When the indifferent electrode diameter was at least 10 times the diameter of the spherical monopolar electrode, the measured resistance was within 5% of the value predicted for an indifferent electrode at infinity.

Electric Impedance

Closed-chest cardiac stimulation with a pulsed magnetic field.

Magnetic stimulators, used medically, generate intense rapidly changing magnetic fields, capable of stimulating nerves. Advanced magnetic resonance imaging systems employ stronger and more rapidly changing gradient fields than those used previously. The risk of provoking cardiac arrhythmias by these new devices is of concern. In the paper, the threshold for cardiac stimulation by an externally-applied magnetic field is determined for 11 anaesthetised dogs. Two coplanar coils provide the pulsed magnetic field. An average energy of approximately 12 kJ is required to achieve closed-chest magnetically induced ectopic beats in the 17-26 kg dogs. The mean peak induced electric field for threshold stimulation is 213 V m-1 for a 571 microseconds damped sine wave pulse. Accounting for waveform efficacy and extrapolating to long-duration pulses, a threshold induced electric field strength of approximately 30 V m-1 for the rectangular pulse is predicted. It is now possible to establish the margin of safety for devices that use pulsed magnetic fields and to design therapeutic devices employing magnetic fields to stimulate the heart.

Animals

Faradic resistance of the electrode/electrolyte interface.

A new method is used to measure the direct-current (Faradic) resistance of a single electrode/electrolyte interface. The method employs a constant-current pulse and a potential-sensing electrode. By choosing a sufficiently long pulse duration, the voltage between the test and potential-sensing electrode exhibits a three-phase response. In the steady-state phase, the voltage measured is equal to the current flowing through the electrode Faradic resistance and the resistance of the electrolyte between the test and potential-sensing electrode. By measuring this latter resistance with a high-frequency sinusoidal alternating current, the voltage drop in the electrolyte is calculated and subtracted from the voltage measured between the test and potential-sensing electrode, thereby allowing calculation of the Faradic resistance. By plotting the reciprocal of the Faradic resistance against current density and fitting the data points to a third-order polynomial, it is possible to determine the zero-current density (Faradic) resistance. This technique was used to determine the Faradic resistance of electrodes (0.1 cm2) of stainless-steel, platinum, platinum-iridium and rhodium in 0.9 per cent NaCl at 25 degrees. The zero current Faradic resistance is lowest for platinum (30.3 k omega), slightly higher for platinum-iridium (47.6k omega), much higher for rhodium (111k omega) and highest for type 316 stainless-steel (345k omega). In all cases, the Faradic resistance decreases dramatically with increasing current density.

Electric Impedance

Small intestinal submucosa as a superior vena cava graft in the dog.

Autogenous spiral vein grafts and ePTFE have been used for reconstruction of the superior vena cava with moderate success. We tested autogenous small intestine submucosa as a superior vena cava interpositional graft in nine dogs. All dogs received aspirin and warfarin sodium for the first 8 weeks after surgery. Graft patency was evaluated by serial venography. One dog died from excessive anticoagulation. Eight dogs were sacrificed at periodic intervals until 72 weeks after surgery. Patent grafts had no evidence of thrombosis, aneurysm, or stenosis. The grafts consisted of dense, organized collagenous connective tissue with a complete endothelial cell layer on the luminal surface. Two dogs are alive at 28 and 34 months after surgery. Graft patency was 89% (eight of nine grafts). We conclude that autogenous small intestine submucosa can be used as a superior vena cava graft in the dog and is worthy of further investigations.

Animals

Use of impedance ratio for the continuous measurement of stroke volume of a valveless pouch used as a cardiac-assist device.

A technique is described for measuring the volume of a valveless compressible plastic pouch and its volume change when used as a cardiac-assist device. The method employs measuring the pouch impedance at high frequency with sleeve electrodes at both ends of the pouch. The use of an adequately high frequency eliminates the electrode impedance and the impedance measured is that of the resistance of the electrolyte in the pouch. By equating the compressible pouch to two truncated cones with their bases adjacent, an equation is derived that relates pouch impedance to volume. It is shown that by plotting the stroke volume ejected (delta V) versus the ratio of systolic (RS) to diastolic (Rd) impedance, the resulting relationship is independent of the resistivity of the fluid in the pouch. Validation tests were made with a 100 mL pouch filled with solutions having resistivities of 60, 102, 145, and 192 omega-cm. The method described herein permits calibration of the volume change of a valveless pouch used as a circulatory-assist device and in use the calibration will not be affected by a change in packed-cell volume which changes resistivity.

Calibration

The chronaxie for myocardium and motor nerve in the dog with chest-surface electrodes.

The chronaxie (i.e., the duration for a stimulating current having twice the rheobasic, or minimum, value) was determined for ventricular myocardium in 12 pentobarbital-anesthetized dogs. Current was applied transthoracically via chest-surface electrodes located at the optimal axillary site for producing inspiration by stimulation of the phrenic nerve (electroventilation). In four dogs the chronaxie for motor-nerve was determined using electrodes at the same location. After using hand-held electrodes to identify the optimal stimulation site for electroventilation, 4.1 cm diameter electrodes were applied bilaterally to the optimal site on the thorax. In 12 dogs, the threshold current for producing ventricular ectopic beats was determined for single rectangular current pulses ranging from 0.1-10 ms in duration. From these data, strength-duration curves were determined and the average chronaxie for ventricular myocardium was found to be 1.82 ms. In four dogs the relationship between inspired volume and maximum stimulus intensity was determined using a 0.8 s burst of stimuli (60/s) with pulse durations ranging from 20-500 microseconds. From these data, strength-duration curves for current were constructed and the average chronaxie for motor-nerve was found to be 0.17 ms. The results of this study show that, because of the differing chronaxies, the current required to produce inspiration with short-duration stimuli is much less than that required to evoke an ectopic heart beat.

Animals

Ventricular fibrillation produced by stimulation of external transthoracic electrodes--an experimental study.

The threshold for ventricular fibrillation was determined in 12 pentobarbital anesthetized dogs using transthoracic electrodes located at the optimal axillary electroventilation sites. Electroventilation is the name used to designate inspiration produced by stimuli applied to body surface electrodes. The optimal stimulation site for electroventilation was first determined using hand-held electrodes. Then electrodes, 4.1 cm in diameter, were sutured bilaterally to the optimal anterior axillary stimulation site. The threshold current for producing ventricular fibrillation was determined using single pulses ranging from 0.1-10 msec in duration delivered during the vulnerable period of the cardiac cycle. Fibrillation was produced in all dogs with the 10- and 5-msec pulse durations, in 11 dogs with 0.3-msec, in 6 dogs with 0.2-msec, and in 1 dog with 0.1-msec pulse duration. In all dogs, the current required to produce ventricular fibrillation increased greatly as the pulse duration was decreased. The current required for fibrillation was much in excess of that required to produce one tidal volume. With the longer duration pulses, the ratio was about 80. With the 8 microseconds duration pulses used for electroventilation the estimated ratio is about 800.

Animals

Output power and metabolic input power of skeletal muscle contracting linearly to compress a pouch in a mock circulatory system.

Output power and metabolic input power values were determined for unconditioned canine latissimus dorsi (two), gastrocnemius (seven), and triceps (three) muscles contracting linearly to cause compression of a doubly valved pouch in a hydraulic model of the circulation. The motor nerves to the muscles were stimulated tetanically with 450 msec trains of 0.1 msec pulses having a frequency of 50/sec. The muscles were contracted 10, 20, 30, and 40 times per minute and pouch output in milliliters per minute was measured directly for each muscle at each contraction (train) rate. The output power in milliwatts was determined by two methods: (1) by using the pouch output and the pressure rise imparted to the stroke volume (average power) and (2) by using the pressure-volume loop. Metabolic input power in milliwatts was determined from the oxygen consumption in milliliters per minute of the working muscle. It was found that as the pouch output was increased, the pouch output power and the metabolic input power both increased. The average power output was slightly less than that computed from the pressure-volume loop. The mean output power values, when pumping at L liters per minute, were 0.62 L (average) and 0.75 L mW/gm (pressure-volume loop) for the latissimus dorsi muscles; 0.83 L (average) and 1.16 L mW/gm (pressure-volume loop) for the gastrocnemius muscles; and 0.55 L (average) and 0.66 L mW/gm (pressure-volume loop) for the triceps muscles. The percent efficiency of energy conversion ranged from 9.2% to 17.8% for the latissimus dorsi muscles, from 5.1% to 19.5% for the gastrocnemius muscles, and from 10.5% to 27.3% for the triceps muscles. However, it should not be concluded that one muscle type is better than another on the basis of percent efficiency because efficiency does not take endurance into account. An important observation in this study relates to the large output obtained with the three linearly contracting muscle types. All were capable of pumping in excess of 1.5 L/min. A second observation relates to the absence of fatigue, although determination of endurance was not an objective in these studies.

Animals

A new method for measuring the Faradic resistance of a single electrode-electrolyte interface.

A new method is described for measuring the Faradic resistance of a single electrode-electrolyte interface. The method employs a test (monopolar) electrode, a potential-sensing electrode and a large reference (indifferent) electrode, along with a constant-current source capable of providing a step function of current. The method was used to measure the Faradic resistance of a 0.1 cm2 platinum electrode in contact with saline (p = 150 ohm-cm) at room temperature. It was found that for both a positive and negative current pulse, the Faradic resistance decreased almost hyperbolically with increasing current density. When the reciprocal of the Faradic resistance (Gf) was plotted versus current density and the data were fit to a polynomial curve, the results showed that for the positive pulse Gf = 0.009 + 0.05J - 0.0001J2; (SEE = 0.117); for the negative pulse, Gf = 0.007 + 0.067J - 0.0001J2; (SEE = 0.028); where Gf is in millisiemens and J is in mA/cm2 for this 0.1 cm2 electrode. These relationships permit estimating the Faradic resistance (Rf) for zero current density. For the positive pulse, Rf = 111 kilohms and for the negative pulse Rf = 143 kilohms. The method is applicable to the measurement of the Faradic resistance of a wide variety of metal electrodes.

Electric Conductivity

The polarization impedance of common electrode metals operated at low current density.

The objective of this study was to characterize the polarization impedance (resistance and capacitance) of several common metal/0.9% saline interfaces operated at low-current density and to thereby provide a useful reference for those wishing to calculate the impedance of such electrodes. The series-equivalent resistance (R) and capacitive reactance (Xc) of stainless steel, platinum, silver, MP35N, palladium, aluminum, rhodium and copper electrodes, all having a surface areas S = 0.005 cm2 and all in contact with 0.9% saline, were measured as a function of frequency (100 Hz to 20 kHz) at low-current density (0.025 mA/cm2). For all the metals tested, both R and Xc decreased with increasing frequency and the relationships were linear on a log-log plot. That is, R and Xc exhibited power-law behavior (R = A/f alpha and Xc = B/f beta). However, it was not generally true that A = B and alpha = beta = 0.5 as stated in the Warburg low-current density model. Furthermore, the Fricke constant phase model in which alpha = beta and phi = 0.5 pi beta was found not to be applicable in general. In particular, the constraint that alpha = beta was a good approximation for most of the metals tested in this study, but the constraint that phi = 0.5 pi beta did not hold in general. Although the Warburg low-current density model provides a useful conceptual tool, it is not the most accurate representation of the electrode-electrolyte interface. The Fricke constant phase model is a better representation of electrode behavior, but it also may not be valid in general. We have found that a better representation is provided by the general power-law model R = A/f alpha and Xc = B/f beta, where A, B, alpha, and beta depend on the species of both the metal and electrolyte and A and B depend, in addition, on electrode area. Using this model and the data presented in this study, the impedance of an electrode-electrolyte interface operated at low-current density may be calculated as formula see text where S is the surface area of the electrode in cm2.

Aluminum

Use of electrical impedance for continuous measurement of stroke volume of a skeletal muscle-powered cardiac assist device.

This study describes the use of electrical impedance Z to continuously measure the stroke volume SV of a skeletal muscle-powered ventricle (SMV). An SMV was constructed surgically in four anaesthetised dogs. The rectus abdominis (two dogs) or latissimus dorsi (two dogs) muscle was wrapped around a compressible pouch, the ends of which were connected to a saline-filled (0.9 per cent) mock circulation. The motor nerves to the muscle were stimulated to produce tetanic contractions at a rate of 10 min-1. Z was measured between brass sleeve electrodes within the end conduits of the pouch. To derive a simple expression relating pouch volume V to Z, the pouch was represented as two truncated cones with their bases joined. For V ranging from 53 to 103 ml, the relationship between Z and 1/square root of V was nearly linear; i.e. Z = m(1/square root of V) + b. Impedance-derived stroke volume SV (delta Z) was calculated using this linear approximation and the impedance measured just before and after muscle contraction. The stroke volume SV (EM) ejected by the pouch during muscle contraction was measured with an electromagnetic flowmeter. The linear regression coefficients ranged from 0.99 to 2.55; the correlation coefficients ranged from 0.90 to 0.98. In general, SV(delta Z) tracked SV(EM) very well, although SV(delta Z) tended to overestimate SV(EM).

Animals

Artificial respiration in the dog by percutaneous, bilateral, phrenic nerve stimulation.

Artificial respiration was produced in 11 anesthetized dogs using trains of short duration stimuli (1 msec with a frequency of 35/sec), applied to needle electrodes placed bilaterally at the base of the neck. The tips of the needles were in close proximity to the phrenic nerves. In all cases, the inspired volume increased with an increase in stimulus intensity. Typically, it required 5 to 10 volts (peak) to produce an inspired volume equal to spontaneous tidal volume. The maximum inspired volumes ranged from 1.27 to 4.31 times the tidal volume.

Animals

History of magnetic stimulation of the nervous system.

The use of a time-varying magnetic field to induce a sufficiently strong current to stimulate living tissue was first reported by d'Arsonval in 1896. Since then, there have been many studies in what is now called magnetic stimulation. This paper traces the history of this field from d'Arsonval to its present use in neurophysiology.

Animals