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At least 955 records · Page 53Linked to original sources
PubMed2002

Circulatory, respiratory and metabolic changes after thigh tourniquet release in combined epidural-propofol anaesthesia with preservation of spontaneous respiration.

Twelve elderly patients undergoing total knee arthroplasty received lumbar epidural anaesthesia and propofol infusion at 5 mg.kg(-1).h(-1) following a 1.5-2.0 mg.kg(-1) bolus dose with preservation of spontaneous respiration via a laryngeal mask airway. Circulatory, respiratory and metabolic variables were measured before and 1, 3, 5, 15 and 30 min after release of a pneumatic thigh tourniquet. The blood pressure was decreased at all time-points and the respiratory rate increased at 1 min. The P(a)CO(2) was increased only at 1 min. Arterial blood pH and base excess were decreased at 1 and 3 min and 1, 3 and 5 min, respectively. Arterial blood lactate levels were increased at all times. These characteristics were considered to be identical to those under regional anaesthesia with conscious spontaneous respiration, showing that spontaneous respiration under this anaesthetic regimen has a similar respiratory capacity to that of conscious spontaneous respiration.

Aged↗
PubMed2006

Contribution of ATP synthase to stimulation of respiration by Ca2+ in heart mitochondria.

A variety of experimental conditions were applied with the aim to estimate the correlation between the contribution of ATP synthase to the respiratory flux control and the calcium-induced activation of succinate oxidation in heart mitochondria isolated from rat, rabbit and guinea pig. The sensitivity of respiration in heart mitochondria to the decrease in temperature from 37 degrees C to 28 degrees C decreases in the order rabbit > guinea pig > rat. Ca2+ effect on succinate oxidation rate in state 3 respiration was species- and temperature-dependent and ranged from 0 (rat, 37 degrees C) to +44% (rabbit, 28 degrees C). For mitochondria from all experimental animals, the increase of Ca2+ in physiological range of concentration did not change state 2 respiration rate, and the stimulatory effect of Ca2+ on state 3 respiration was more pronounced at 28 degrees C than at 37 degrees C. The respiratory subsystem was sensitive to Ca2+ ions only in rabbit heart mitochondria. A high positive correlation between Ca2+ ability to stimulate succinate oxidation in state 3 and the control exerted by ATP synthase over the respiratory flux provides argument confirming stimulation of ATP synthase by Ca2+ ions.

Animals↗
PubMed2001

[Heart failure and central respiratory dysregulation. Cheyne-Stokes respiration during sleep in advanced left heart failure].

Central sleep apnoea, especially Cheyne-Stokes respiration, is found in 45 to 66% of patients with congestive heart failure (CHF) in functional classes NYHA II to IV. Cheyne-Stokes breathing cycles are characterised by central apnoeas, followed by a crescendo--like increase of tidal volume into hyperventilation and a subsequent decline of tidal volume, ending in another central apnoea. Cheyne-Stokes respiration has been shown to be a poor prognostic factor for patients with CHF. Apnoeas and hypopnoeas cause marked oxygen desaturation and rises of carbon dioxide concentrations in the blood. The resumption of breathing is frequently associated with arousals, which might cause daytime symptoms like fatigue and sleepiness as well as persistent activation of the sympathetic nervous system. Elevated concentrations of catecholamines increase cardiac work, adversely affecting cardiac function. Serum catecholamines are known to augment the chemoreceptor susceptibility for carbon dioxide. This might be one reason for the permanent mild hyperventilation found in these patients during wakefulness. Increased chemoreceptor responsiveness destabilises the feedback control of breathing, and hyperventilation below the apnoeic threshold grows more likely. Other contributing factors for the development of Cheyne-Stokes respiration include alterations in the control of breathing during sleep and the increased circulation time between the lung and chemoreceptors in CHF patients. The feedback regulation of breathing might be less dampened since carbon dioxide levels are reduced in these patients. Treatment includes nCPAP, but in many cases this is poorly tolerated in patients with central sleep apnoea. Future approaches to Cheyne-Stokes respiration might focus on improving ventilatory pattern and pharmacological manipulation of carbon dioxide receptor susceptibility.

Arousal↗
PubMed2003

Does high-sucrose diet alter skeletal muscle and liver mitochondrial respiration?

A diet high in sucrose or fructose progressively impairs glucose and lipid metabolism, which leads to insulin resistance. As mitochondria are the sites of the oxidation and utilization of these substrates, we hypothesized that a high sucrose diet would alter mitochondrial respiration. Male Wistar rats were fed high-sucrose (SU) or control (CTL) diet for one week; mitochondrial respiration was investigated in mitochondria isolated from liver and both glycolytic and oxidative muscles, with pyruvate and palmitate as substrates. To test for metabolic disturbances, we measured not only glycogen content in muscles and liver, but also lactate, glucose and triglyceride blood concentrations. After one week of high-sucrose intake, we found no change in blood concentration of these variables, but glycogen content was significantly increased in liver (17.28 +/- 2.98 mg/g tissue SU vs 6.47 +/- 1.67 mg/g tissue CTL), oxidative muscle (1.59 +/- 0.21 mg/g tissue SU vs 0.70 +/- 0.24 mg/g tissue CTL) though not in glycolytic muscle (1.72 +/- 0.44 mg/g tissue SU vs 1.52 +/- 0.20 mg/g tissue CTL). State 3 mitochondrial respiration was significantly decreased in SU rats compared with CTL (p < 0.05) with pyruvate, while no change was observed with palmitate. This study shows that 1-week of high-sucrose diet altered mitochondrial pyruvate oxidation in rats and suggests that, in the context of a high-sucrose diet, impaired mitochondrial respiration could contributed to the development of insulin resistance.

Animals↗
PubMed2005

Contribution of current photosynthates to root respiration of non-nodulated Medicago sativa: effects of light and nitrogen supply.

The effects of light (PFD) and nitrogen (N) supply on root respiration of new C (currently assimilated carbon, R(new)) and old C ( R(old)) were analysed in non-nodulated Medicago sativa. Plants were pre-treated with high/low PFD and high/low N supply with a regular 16/8 h light/dark cycle. Five to eight weeks after planting current photosynthates were labelled with (13)C and their contribution to root respiration was continuously measured during a 24 h day/night cycle. PFD conditions during labelling were either those of the pre-treatments (control, 25 or 6 mol m(-2) d(-1)) or, for high PFD plants, 6 mol m(-2) d(-1) by shortening the photoperiod or reducing irradiance. The fraction of new C in the respiratory CO2 increased during the light period, but remained constant in the dark period. In control plants, R(new) contributed 40 % to the daily root respiration in high PFD/high N conditions. Continuously low PFD increased (50 %) and low N decreased (26 %) the contribution of R(new). Exposing plants from high PFD pre-treatments to a short photoperiod or to low PFD stimulated R(old), indicating mobilisation of reserve C. This stimulation was more pronounced in plants with high N supply than in those with low N supply. Comparison with other legumes suggested that R(new) in root respiration was mainly defined by the ratio between the assimilatory capacity of the shoots and the maintenance costs of roots with a short-term capacity of buffering respiratory demand by mobilisation of reserves in situations of fluctuating PFD.

Biomass↗
PubMed1969

Relationship of sleep, respiration, and anesthesia in the porpoise: a preliminary report.

The porpoise, an air-breathing mammal whose habits are entirely aquatic, presents special problems of respiration, sleep, and anesthesia. These problems have been studied in three species, Tursiops truncatus, Lagenorhynchus obliquidens, and Phocoenoides dalli. The respiratory rhythm is unusual in that there is an extended pause-an apneustic plateau-between periods of expiration and inspiration. This rhythm has been observed under waking conditions, during sleep, and also when the animal is anesthetized. Two kinds of sleep behavior have been identified in Tursiops and Lagenorhynchus. In one of these, which is a light phase, the animal rests on the tank bottom for short periods, up to perhaps four minutes, and then comes to the surface to breathe. In a deeper phase the animal maintains itself at the surface for extended periods, breathing in an automatic fashion. In Phocoenoides no sleep behavior has been observed at any time.I have examined the special theory of Dr. John C. Lilly regarding respiration and sleep in the porpoise, which is based upon the assumption that respiration in this animal is altogether voluntary, and from my observations have concluded that respiration in the porpoise can be automatic or can be brought under voluntary control, just as in other mammals. Also the anesthetization of this animal can be carried out safely by methods that correspond closely to those employed in other animals.

Anesthesia↗
PubMed1999

Declines in mitochondrial respiration during cardiac reperfusion: age-dependent inactivation of alpha-ketoglutarate dehydrogenase.

We previously reported that cardiac reperfusion results in declines in mitochondrial NADH-linked respiration. The degree of inactivation increased with age and was paralleled by modification of protein by the lipid peroxidation product 4-hydroxy-2-nonenal. To gain insight into potential sites of oxidative damage, the present study was undertaken to identify specific mitochondrial protein(s) inactivated during ischemia and reperfusion and to determine which of these losses in activity are responsible for observed declines in mitochondrial respiration. Using a Langendorff rat heart perfusion protocol, we observed age-dependent inactivation of complex I during ischemia and complex IV and alpha-ketoglutarate dehydrogenase during reperfusion. Although losses in complex I and IV activities were found not to be of sufficient magnitude to cause declines in mitochondrial respiration, an age-related decrease in complex I activity during ischemia may predispose old animals to more severe oxidative damage during reperfusion. It was determined that inactivation of alpha-ketoglutarate dehydrogenase is responsible, in large part, for observed reperfusion-induced declines in NADH-linked respiration. alpha-Ketoglutarate dehydrogenase is highly susceptible to 4-hydroxy-2-nonenal inactivation in vitro. Thus, our results suggest a plausible mechanism for age-dependent, reperfusion-induced declines in mitochondrial function and identify alpha-ketoglutarate dehydrogenase as a likely site of free radical-mediated damage.

Aging↗
PubMed1977

Comparison of recommended respirable mass dust sampling devices.

The draft, "Revised Guide for Respirable Mass Sampling," prepared by the AIHA-ACGIH Aerosol Hazards Committee, recommends five respirable mass sampling devices that sample in accordance with the "Los Alamos" respirable dust criterion. The spectrum of recommended sampling rates for these devices ranges from 1.8 to 430. liters per minute. A study was conducted to determine if simultaneous measurements with these devices yielded comparable respirable mass concentrations. The penetration characteristics of the first stage separators were also evaluated and compared.

Air Pollutants↗
PubMed1997

Effects of environmental temperature and heat production due to food intake on abdominal temperature, shank skin temperature and respiration rate of broilers.

1. Eight broilers were used to determine the effects of environmental temperature and the increased heat production attributable to food intake on thermoregulatory physiological responses. Heat production, abdominal temperature, shank skin temperature and respiration rate were measured. 2. Heat production rose with increase in food intake and environmental temperature. Abdominal temperature, shank skin temperature and respiration rate also increased but, at 36 degrees C, there was no difference in respiration rate between the different rates of food intake after exposure for 1 h. Also, heat production decreased with exposure time when the birds were exposed to 28 degrees C and 32 degrees C, but increased at 36 degrees C ambient temperature. 3. Although the effect of the increased heat production on thermoregulatory physiological responses was not greater than that of environmental temperature, the increase in heat production enhanced the effect of ambient temperature on thermoregulatory physiological responses. However, with increasing heat production, the greatest response in shank skin temperature was at 28 degrees C, in respiration rate at 32 degrees C and in abdominal temperature at 36 degrees C. 4. These results suggest that, at high environmental temperatures, arranging feeding management to restrict the increase in heat production may alleviate the effect of environmental temperature.

Abdomen↗
PubMed1985

Respirator-dependent quadriplegics: problems during the weaning period.

During a two-year period we admitted 13 respirator-dependent quadriplegic patients to the spinal cord injury service at Wood VAMC for weaning from a mechanical ventilator, and rehabilitation. The patients were sent to the Spinal Cord Injury Center because initial weaning attempts from the respirator at other medical centers were unsuccessful. We successfully weaned them from the respirator, and at the time of discharge, only two patients required an indwelling tracheostomy tube for suction. The time required for weaning off the respirator varied from two days to 14 months. Most of the patients were discharged and many of them could independently perform the activities of daily living. We conclude that are four main factors which influence the successful weaning of dependent quadriplegics from the mechanical ventilator: alleviation of patient's anxiety and depression; family support; close working relationship between staff; prevention of complications such as pneumonia and urinary tract infections.

Action Potentials↗
PubMed2005

Isolated respiring heart mitochondria release reactive oxygen species in states 4 and 3.

Isolated mitochondria respiring on physiological substrates, both in state 4 and 3, are reported to be or not to be a source of reactive oxygen species (ROS). The cause of these discrepancies has been investigated. As protein concentration was raised in in vitro assays at 37 degrees C, the rate of H2O2 release by rat heart mitochondria supplemented with pyruvate/malate or with succinate (plus rotenone) was shown to increase (0.03-0.15 mg protein/ml), to decrease (0.2-0.5 mg protein/ml) and to be negligible (over 0.5 mg protein/ml). The inhibition of mitochondrial respiration (with rotenone or antimycin A) or the increase in the oxygen concentration dissolved in the assay medium allowed an enhancement of ROS production rate throughout the studied range of protein concentrations. In mitochondria respiring in state 3 on pyruvate/malate or on succinate (plus rotenone), ROS release vanished for protein concentrations over 0.5 or 0.2 mg/ml, respectively. However, ROS production rates measured with low protein concentrations (below 0.1 mg/ml) or in oxygen-enriched media were similar or even slightly higher in the active respiratory state 3 than in the resting state 4 for both substrates. Consequently, these findings indicate that isolated mitochondria, respiring in vitro under conditions of forward electron transport, release ROS with Complex I- and II-linked substrates in the resting condition (state 4) and when energy demand is maximal (state 3), provided that there is sufficient oxygen dissolved in the medium.

Animals↗
PubMed1995

Protection Against Dust by Respirators.

This article is a brief review of the mechanism of action of fibrous filters and of the performance of respirators; it neglects many of the complications discussed in longer and more detailed articles. An expression is given for the pressure drop across a filter in terms of fibre diameter and filtration velocity. The particle capture mechanisms of interception and diffusional deposition are introduced and the way in which filtration efficiency varies with particle size is discussed. Filters with fibres of small diameter are shown to be the most efficient, but their use can cause problems. Electrically charged materials are widely used in respirators because of their high efficiency and low pressure drop. Types of material, their means of charging, and their method of action are described. An account is given of respirator leakage, the protection factor, and of the way that these may vary in a period of use. The leakage of air and particles through face seal leaks and leaky valves is discussed. The frequent discrepancy in the protection given by respirators in the workplace, on the one hand, and that suggested by laboratory measurements, on the other, is reviewed, and the article ends with an account of the combined effect of aerosol penetration through a filter and through a leak.

electrostatics↗
PubMed1986

Parameters that bias the measurement of airborne concentration within a respirator.

This paper describes the theoretical basis upon which a test system has been set up to evaluate the sampling error associated with in-facepiece sampling on half-mask respirators. The in-facepiece sampling technique evaluated in this study is the one currently used in the U.S. to conduct quantitative facepiece fit testing. An experimental design was developed to study the sampling bias associated with in-facepiece sampling when selected parameters of the man/respirator system were varied. The results indicated that significant errors can be made in estimating concentration within a respirator when the current in-facepiece sampling technique is employed. Sampling bias was determined when in-facepiece samples were collected only during the inhalation phase of the respiratory cycles. They were found to range from greater than -99% to greater than +98%. The mean sampling bias was -17 +/- 38%. When measured in-facepiece concentrations were used to calculate a fit factor the resulting range was 44 to 4728 even though the actual fit factor was only 87. Based upon the data presented, it was hypothesized that faceseal leakage was streamlining within the respirator cavity. As a result, quantitative facepiece fit data on half-mask respirators may be biased by the large measurement error.

Acetone↗
PubMed1954

The respiration of the isolated rod outer limb of the frog retina.

The respiration of the isolated frog rod outer limb has been measured in the Cartesian diver. The outer limbs respire in Ringer solution without the addition of substrates, but the rate of respiration is increased by the addition of fructose diphosphate or succinate. The respiration is cyanide-sensitive, and therefore presumably mediated by the cytochromes. The Q(OO2) in 0.01 M fructose diphosphate is -1.0 microl. oxygen per mg. dry weight per hour at 20 degrees C. This is lower than the Q(OO2) of whole frog retina, but comparable with it and many other tissues. The respiratory rate is independent of the state of dark adaptation (rhodopsin content) of the outer limbs. The metabolism of the outer limb is probably adequate to provide the DPN required for the maintenance of the rhodopsin concentration necessary for vision.

Animals↗
PubMed1956

The effects of some inhibitors on the rates of photosynthesis and respiration by Chlorella.

The effects of several inhibitors on the rates of photosynthesis and of respiration by Chlorella pyrenoidosa have been studied. The inhibitors used in this study include potassium cyanide, hydroxylamine hydrogen chloride, dinitrophenol,and sodium azide. Each inhibitor seems to have its own characteristic action in photosynthesis and in respiration. With the exception of hydroxylamine, all the inhibitors show a stimulation of respiration at low concentrations of the inhibitors. Only dinitrophenol inhibits respiration to a marked extent. Potassium cyanide, hydroxylamine, and dinitrophenol are about equally effective in inhibiting photosynthesis, but sodium azide is nearly ten times as effective.

Cell Respiration↗
PubMed1996

Respiration gated radiotherapy treatment: a technical study.

In order to optimize external-beam conformal radiotherapy, patient movement during treatment must be minimized. For treatment on the upper torso, the target organs are known to move substantially due to patient respiration. This paper deals with the technical aspects of gating the radiotherapy beam synchronously with respiration: the optimal respiration monitoring system, measurements of organ displacement and linear accelerator gating. Several respiration sensors including a thermistor, a thermocouple, a strain gauge and a pneumotachograph were examined to find the optimal sensor. The magnitude of breast, chest wall and lung motion were determined using playback of fluoroscopic x-ray images recorded on a VCR during routine radiotherapy simulation. Total dose, beam symmetry and beam uniformity were examined to determine any effects on the Varian 2100C linear accelerator due to gating.

Brachytherapy↗
PubMed2006

Real-time respiration monitoring using the radiotherapy treatment beam and four-dimensional computed tomography (4DCT)--a conceptual study.

Real-time knowledge of intra-fraction motion, such as respiration, is essential for four-dimensional (4D) radiotherapy. Surrogate-based and internal-fiducial-based methods may suffer from one or many drawbacks such as false correlation, being invasive, delivering extra patient radiation, and requiring complicated hardware and software development and implementation. In this paper we develop a simple non-surrogate, non-invasive method to monitor respiratory motion during radiotherapy treatments in real time. This method directly utilizes the treatment beam and thus imposes no additional radiation to the patient. The method requires a pre-treatment 4DCT and a real-time detector system. The method combines off-line processes with on-line processes. The off-line processes include 4DCT imaging and pre-calculating detector signals at each phase of the 4DCT based on the planned fluence map and the detector response function. The on-line processes include measuring detector signal from the treatment beam, and correlating the measured detector signal with the pre-calculated signals. The respiration phase is determined as the position of peak correlation. We tested our method with extensive simulations based on a TomoTherapy machine and a 4DCT of a lung cancer patient. Three types of simulations were implemented to mimic the clinical situations. Each type of simulation used three different TomoTherapy delivery sinograms, each with 800 to 1000 projections, as input fluences. Three arbitrary breathing patterns were simulated and two dose levels, 2 Gy/fraction and 2 cGy/fraction, were used for simulations to study the robustness of this method against detector quantum noise. The algorithm was used to determine the breathing phases and this result was compared with the simulated breathing patterns. For the 2 Gy/fraction simulations, the respiration phases were accurately determined within one phase error in real time for most projections of the treatment, except for a few projections at the start and end of the treatment in which beam intensities were extremely low. At 2 cGy/fraction dose level, the method can still determine the respiration phase very well with less than 10% of projections having more than two phases (approximately 1 s) error. This technique can also be applied in other delivery systems such as orthogonal x-ray systems, although in those cases it would entail the delivery of additional non-treatment radiation.

Algorithms↗
PubMed2002

The variability of delivered dose of aerosols with the same respirable concentration but different size distributions.

The influences of aerosol size distribution and breath tidal volume on respirable dose estimates were examined for mouth breathing using the ACGIH/ISO/CEN criterion for respirable-equivalent aerosols. Actual tissue doses predicted from a set of pulmonary empirical deposition equations, the Heyder-Rudolf equations, were compared with deposition assumed to occur under the penetration-based respirable dust sampling criterion. Deposition estimate errors ranged from approximately 1/10- to 10-fold, with aerosol mass median aerodynamic equivalent diameter and geometric standard deviation as well as tidal volume each showing a substantial influence under appropriate conditions. These findings demonstrate that reliance on respirable aerosol sampling data obtained with devices performing on a penetration-based sampling criterion may lead to erroneous dose-response relationships in exposure standard development as well as exposure misclassification errors during epidemiological studies. A more reliable dose estimate would be obtained using devices with collection efficiency performance closely matching the alveolar deposition prediction curves of Heyder and Rudolf. We believe that if it is not currently required, the development of a deposition-based aerosol sampling methodology will soon be required for the determination and quantification of inhaled aerosol-induced adverse health effects.

Aerosols↗