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PubMed1991

Helium-oxygen mixture in the treatment of postextubation stridor in pediatric trauma patients.

OBJECTIVE: To assess the effectiveness of a helium-oxygen mixture in reducing post-extubation stridor in children hospitalized for burns or trauma. DESIGN: Randomized, controlled crossover trial. SETTING: Harborview Medical Center's Burn and Trauma ICUs from March to September 1989. PATIENTS: Children less than 15 yr old who were electively extubated and had symptoms of postextubation stridor, but required less than or equal to 35% oxygen. INTERVENTION: Each treatment (helium-oxygen and oxygen-supplemented room air) was given in random order for 15 min after extubation. MEASUREMENTS: Respiratory distress was assessed by a physician blinded to treatment order using a standard stridor score and clinical judgment. RESULTS: There were 13 children with 15 extubations; seven (47%) of 15 patients required subsequent treatment with racemic epinephrine or reintubation. Stridor scores were lower with helium-oxygen than with oxygen-supplemented room air (2.8 vs. 3.7, p less than .005), and helium-oxygen was preferred in eight of nine trials in which one treatment was clearly favored by the physician. CONCLUSION: Because helium-oxygen therapy can reduce stridor scores and is clinically preferred by physicians caring for stridorous children, it may be a useful adjunctive therapy in pediatric trauma patients with postextubation stridor.

Adolescent↗

PubMed2003

Usefulness of helium-oxygen mixtures in the treatment of mechanically ventilated patients.

The density of helium is markedly lower than that of air or any of its components, leading to a substantial decrease in airway resistance to flow when it is inhaled. In mechanically ventilated patients with obstructive airway disease, replacing the usual air-oxygen mixture with helium-oxygen has been shown to reduce dynamic hyperinflation and intrinsic positive end-expiratory pressure; to decrease lung inflation pressures, respiratory acidosis, and work of breathing; and to improve arterial blood gases. Aerosol delivery to distal airways is enhanced with helium-oxygen. Preliminary data also suggest that the use of helium-oxygen could be a valuable approach to decrease postextubation respiratory distress. However, interference with ventilator function and added costs are two major disadvantages of helium-oxygen. Hence, before its widespread use in mechanically ventilated patients can be recommended, studies are needed to determine whether these favorable short-term effects can influence patient outcome.

Helium↗

PubMed1976

Hypobaric helium atmospheres for light and electron microscopy of mammalian cells.

The development of electron microscope environmental/hydration chambers (EMC's) for the examination of living biological specimens has necessitated a search for a suitable gaseous environment that is compatible with both electron imaging and cell survival. Helium has a lower electron scattering cross section than air. The effects of hydrated helium and hydrated air atmospheres in an EMC at pressures 50-200 Torr were examined with a JEM 200 transmission electron microscope operated at 200 kV and 22 degrees C. Results showed that whereas 200 Torr of air reduced beam transmission by more than 90% under these conditions, 200 Torr of moist helium only reduced beam transmission by 30%. The effects of sub-atmospheric or hypobaric helium atmospheres on human white blood cells attached to glass coverslips were investigated by phase-contrast light microscopy in a simulated EMC or light microscope environmental chamber (LMC) at ...37 degrees C. gross morphological changes were observed in cells held at pressures of 300 Torr of moist helium for exposure times of 15 min. At pressures below 300 Torr, morphological changes occurred more rapidly as the pressure was reduced. At the lowest pressures tested (60 and 80 Torr) 50% of the cell populations died within 6-7 min. The development of morphological changes produced by hypobaric stress followed a characteristic pattern. The filopodia, or microvilli attaching the cells to the substrate, became withdrawn, with only occasional retraction fibers remaining. Blends appeared around the cell surface and increased in size as hypobaric exposures progressed. Vacuoles, or cler spherical regions, appeared within the cytoplasm and the overall shape of the cells became circular. The cells became flatter during circularization, showing an apparent 2-2-5 X increase in size as they respread on the substrate...

Cytoplasm↗

PubMed1988

Muscular venous blood metabolites during rhythmic forearm exercise while breathing air or normoxic helium and argon gas mixtures.

The effects of breathing normoxic helium or argon gas mixture on the local muscular metabolism during exercise were compared to those of room air in four healthy subjects. For this purpose, PO2, PCO2, pH, the concentrations of lactate (LA), glucose (Gl) haemoglobin (Hb) and K+ and osmolarity were repeatedly measured in efferent muscular venous blood during 12 min of rhythmic forearm exercise and 16 min of recovery. The time courses and magnitude of the changes in PCO2, pH, [Gl], [Hb], [K+] and osmolarity during exercise and recovery were similar for breathing both the helium and argon gas mixtures. The main finding was that during exercise, the [LA] curve reached a peak value significantly higher by 25% under normoxic helium than under room air or normoxic argon breathing. This rise in [LA] was accompanied by a slight reduction in muscular venous PO2, too small to signify muscular hypoxia. The possibility that this decline in PO2 might be due to a shift in muscular metabolism towards lipid oxidation was confirmed by the lower muscular respiratory quotient observed during helium breathing. However, such a shift did not explain why [LA] rose during this breathing. The probable explanation is that helium facilitates LA diffusion out of the myocytes.

Adult↗

PubMed2003

Effects of helium and 40% O2 on graded exercise with self-contained breathing apparatus.

Maximal exercise performance is decreased when breathing from a self-contained breathing apparatus (SCBA), owing to a ventilatory limitation imposed by the increased expiratory resistance. To test the hypothesis that decreasing the density of the breathing gas would improve maximal exercise performance, we studied 15 men during four graded exercise tests with the SCBA. Participants breathed a different gas mixture during each test: normoxia (NOX; 21% O2, 79% N2), hyperoxia (HOX; 40% O2, 60% N2), normoxic helium (HE-OX; 21% O2, 79% He), and hyperoxic helium (HE-HOX; 40% O2, 60% He). Compared to NOX, power output at the ventilatory threshold and at maximal exercise significantly increased with both hyperoxic mixtures. Minute ventilation was increased at peak exercise with both helium mixtures, and maximal aerobic power (VO2max) was significantly increased by 12.9 +/- 5.6%, 10.2 +/- 6.3%, and 21.8 +/- 5.6% with HOX, HE-OX, and HE-HOX, respectively. At peak exercise, the expired breathing resistance imposed by the SCBA was significantly decreased with both helium mixtures, and perceived respiratory distress was lower with HE-HOX. The results show that HE-OX improved maximal exercise performance by minimizing the ventilation limitation. The performance-enhancing effect of HOX may be explained by increased arterial oxygen content. Moreover, HE-HOX appeared to combine the effects of helium and hyperoxia on VO2max.

Adult↗

PubMed1998

The impact of laparoscopy with carbon dioxide versus helium on immunologic function and tumor growth in a rat model.

BACKGROUND: The pathogenesis of port site recurrences after laparoscopic surgery for malignant disease is still unknown. Whether different gases used to establish pneumoperitoneum have an influence on immunologic function and therefore on promotion of tumor growth has not yet been investigated. METHODS: Tumor growth of colon adenocarcinoma DHD/K12/TRb was evaluated in a rat model after insufflation either with CO2 (n = 25) or helium (n = 25) and in a control group (n = 25). Tumor growth was measured subcutaneously and intraperitoneally 5 weeks after insufflation. Beside tumor growth, immunologic changes (peripheral leukocyte subpopulations, plasma levels of TNFalpha and IL-10) were evaluated during the perioperative course in all animals. RESULTS: Subcutaneous tumor growth was promoted by the CO2 (99 +/- 55 mg; p < 0.01) compared to the helium (40 +/- 41 mg) and control groups (36 +/- 33 mg). Total intraperitoneal tumor weight was 718 +/- 690 mg in the CO2 group compared to the helium (549 +/- 233 mg) and control groups (521 +/- 221 mg). While peripheral leukocyte subpopulations only differed between the laparoscopic groups and the control group during the perioperative course, TNFalpha plasma levels were significantly decreased and IL-10 plasma levels significantly increased in the CO2 group compared to the helium and control groups in the postoperative course. CONCLUSION: The insufflation of CO2 promotes tumor growth compared to the helium and control groups in a rat model. In addition, increased tumor growth was associated with a significant increase in IL-10 and a decrease in TNFalpha plasma levels.

Adenocarcinoma↗

PubMed1976

Effect of helium on maximal expiratory flow in patients with asthma before and during induced bronchoconstriction.

The effect of breathing helium on maximal expiratory flow at 50 per cent of vital capacity (V50) was studied in 27 patients with asthma during remission and during induced bronchoconstriction. Nine patients gave a history of asthma induced by exercise; two had asthma due to timothy pollen allergy, and the remaining 16 had asthma due to exposure to western red cedar. Bronchoconstriction was induced by exercise in 10 patients, timothy pollen in 4 patients, methacholine in 4 patients, and red cedar in 16 patients. During remission, the increase in V50 with helium (deltaV50He) was greater than 20 per cent in 22 patients who were classified as responders; deltaV50He was less than 20 per cent in the remaining 5 patients, who were classified as nonresponders. There was a significant correlation between the severity of airway obstruction as measured by V50 and the response to helium, both during remission and during induced bronchoconstriction; however, there was no correlation between helium response and specific airway conductance. In general, patients who were responders during remission remained responders during induced bronchoconstriction, and nonresponders remained nonresponders, regardless of the method of challenge or the type of reaction (immediate verus late). There were a few exceptions in which a responder became a nonresponder during severe bronchoconstriction. The results of this study suggest that in most patients with asthma, the site of airway obstruction is likely to be in the large airways and, in most cases, remains constant in an individual asthmatic; however, an asthmatic who is a helium responder may become a nonresponder during severe bronchoconstriction.

Adult↗

PubMed1997

Comparison of helium dilution and plethysmographic lung volumes in pregnant women.

The multibreath helium equilibration method is the technique recommended for routine measurement of static lung volumes in normal subjects. However, pregnancy could be an exception to this general rule, due to airway closure during the second half of gestation. The aim of this study was to compare the measurements of lung volumes by plethysmography and helium dilution during pregnancy. Twenty three healthy women were studied at 12, 24 and 36 weeks of pregnancy, and 4 months postpartum. Total lung capacity (TLC), functional residual capacity (FRC) and residual volume (RV) were measured by multibreath helium equilibration (TLCHe, FRCHe and RVHe) and by plethysmography (TLCbox, FRCbox and RVbox). Only at 36 weeks were there differences between the two methods. RVbox was significantly larger than RVHe (1.01+/-0.18 vs 0.77+/-0.21 L; p<0.001). FRCbox was larger than FRCHe (1.95+/-0.32 vs 1.60+/-0.32 L; p<0.001) and TLCbox was larger than TLCHe (4.83+/-0.52 vs 4.45+/-0.51 L; p<0.05). The 95% limits of agreement for differences between lung volumes measured by the two techniques (helium dilution - plethysmography) at 36 weeks were: -0.42 to -0.06 L for RV; -0.54 to -0.17 L for FRC; and -0.66 to -0.11 L for TLC. We conclude that using the multibreath helium equilibration method to measure lung volumes in at-term pregnant women results in underestimation of functional residual capacity and total lung capacity.

Adult↗

PubMed1975

Effects of helium and other inert gases on Echinosphaerium nucleofilium (protozoa, heliozoa).

The effects of helium, nitrogen, argon and krypton on Echinosphaerium nucleofilum (Heliozoa) have been studied at partial pressures of 10-130 atm. Additional experiments have been carried out with hydrostatic pressure alone. Helium causes shortening of the axopods over the whole range of pressures, and damage to the cell body at pressures of 60-90 atm, both with a maximum at 80 atm. These effects cannot be explained in terms of hydrostatic pressure alone; a 'pressure reversal' effect may be operating, causing the peak at 80 atm. Nitrogen also causes both cell damage and axopod shortening, the severity increasing with increasing pressure. Argon and krypton cause cell damage but no shortening. The order of potency for cell damage is krypton greater than argon greater than nitrogen greater than helium. It is suggested that there may be tuo sites of action, possibly the microtubules (for axopod shortening) and the cell membrane (for cell damage). In appropriate mixtures of helium and argon, both the cell damage usually caused by argon, and the axopod shortening usually caused by helium, are prevented. Possible mechanisms include the effects of hydrostatic pressure on gas solubility coefficients, reversal of the effects of the gases by the increase in total pressure, and competition for sites of action.

Argon↗

PubMed1990

Helium-oxygen mixtures in intubated patients with status asthmaticus and respiratory acidosis.

Seven patients with status asthmaticus intubated for respiratory failure who had elevated airway pressures and persistent respiratory acidosis were successfully ventilated using a mixture of 60 percent helium and 40 percent oxygen. All patients experienced a rapid reduction in airway pressures, CO2 retention, and resolution of acidosis while breathing a helium-oxygen mixture. There were no untoward effects. Helium-oxygen mixtures improve ventilation by reducing the Reynolds number and reducing density dependent resistance. Helium's beneficial effects are due to its high kinematic viscosity, high binary diffusion coefficient for CO2, and high diffusivity. Helium-oxygen mixtures should be considered for use in mechanically ventilated asthmatics with respiratory acidosis who fail conventional therapy.

Acidosis, Respiratory↗

PubMed1996

Excitation of singly-ionized argon species in helium-matrix Grimm glow discharge plasmas II - Comparison between argon and neon.

A considerable intensity enhancement of several Ar II lines assigned to the 3p(4)4p-3p(4)4s transition in a helium-argon Grimm glow discharge plasma has been previously reported and attributed to argon ions excited by metastable helium atoms. In this paper the behavior of Ne II lines assigned to the 2p(4)3p-2p(4)3s transition in a helium-neon plasma was investigated to obtain detailed information on the excitation of plasma gases in the helium-matrix plasmas. No Ne II lines with enhanced emission intensities have been found; on the contrary, the intensities of the doublet Ne II lines decreased in the helium-matrix plasma.

Journal Article↗

PubMed2005

Probing charge-transfer processes in helium nanodroplets by optically selected mass spectrometry (OSMS): charge steering by long-range interactions.

Electron impact ionization of a helium atom in a helium nanodroplet is followed by rapid charge migration, which can ultimately result in the localization of the charge on an atomic or molecular solute. This process is studied here for the cases of hydrogen cyanide, acetylene, and cyanoacetylene in helium, using a new experimental method we call optically selected mass spectrometry (OSMS). The method combines infrared laser spectroscopy with mass spectrometry to separate the contributions to the overall droplet beam mass spectrum from the various species present under a given set of conditions. This is done by vibrationally exciting a specific species that exists in a subset of the droplets (for example, the droplets containing a single HCN molecule). The resulting helium evaporation leads to a concomitant reduction in the ionization cross sections for these droplets. This method is used to study the charge migration in helium and reveals that the probability of charge transfer to a solvated molecule does not approach unity for small droplets and depends on the identity of the solvated molecule. The experimental results are explained quantitatively by considering the effect of the electrostatic potential (between the charge and the embedded molecule) on the trajectory of the migrating charge.

Journal Article↗

PubMed2004

Quantum solvation of phthalocyanine in superfluid helium droplets.

We have measured quantum states of the solvent-solute system of phthalocyanine in superfluid helium droplets in a high resolution pump-probe experiment. This provides evidence for the attribution of a splitting effect in the emission spectra of phthalocyanine in helium droplets to the relaxation of the first helium layer upon electronic excitation, measured recently by us. Our experimental results are a strong indication for the first helium layer playing a key roll for the solvation of molecules in helium droplets and, thus, for their spectroscopic features.

Journal Article↗

PubMed2005

Multiple solvation configurations around phthalocyanine in helium droplets.

Recent measurements of the emission spectrum of phthalocyanine solvated in superfluid helium nanodroplets exhibit a constant 10.3 cm(-1) splitting of each emission line relative to the absorption spectrum. This splitting has been attributed to two distinct helium environments near the surface of the phthalocyanine molecule. Rigid-body path-integral Monte Carlo provides a means of investigating the origin of the splitting on a detailed microscopic level. Path-integral Monte Carlo simulations of 4He(N)-phthalocyanine at 0.625 K with N ranging from 24 to 150 show two distinct helium configurations. One configuration is commensurate with the molecular substrate and the other is a triangular lattice. We investigate the energetics of these two configurations and use a method for calculating electronic spectral shifts for aromatic molecule-rare-gas clusters due to dispersive interactions to estimate the spectral splitting that would arise from the two helium configurations seen for N=150. The results are in reasonable agreement with the experimentally measured splitting, supporting the existence of two distinct local helium environments near the surface of the molecule in the nanodroplets.

Journal Article↗

PubMed2006

Vibrational shifts of OCS in mixed clusters of parahydrogen and helium.

We present a detailed theoretical study of the solvation structure and solvent induced vibrational shifts for an OCS molecule embedded in pure parahydrogen clusters and in mixed parahydrogen/helium clusters. The use of two recent OCS-(parahydrogen) and OCS-helium ab initio potential energy surfaces having explicit dependence on the asymmetric stretch of the OCS molecule allows calculation of the frequency shift of the OCS nu(3) vibration as a function of the cluster size and composition. We present results for clusters containing up to a full first solvation shell of parahydrogen (N=17 molecules), and up to M=128-N helium atoms. Due to the greater interaction strength of parahydrogen than helium with OCS, in the mixed clusters the parahydrogen molecules always displace He atoms in the first solvation shell around OCS and form multiple axial rings as in the pure parahydrogen clusters. In the pure clusters, the chemical potential of parahydrogen shows several magic numbers (N=8,11,14) that reflect an enhanced stability of axial rings containing one less molecule than required for complete filling at N=17. Only the N=14 magic number survives in the mixed clusters, as a result of different filling orders of the rings and greater delocalization of both components. The OCS vibration shows a redshift in both pure and mixed clusters, with N-dependent values that are in good agreement with the available experimental data. The dependence of the frequency shift on the cluster size and its composition is analyzed in terms of the parahydrogen and helium density distributions around the OCS molecule as a function of N and M. The frequency shift is found to be strongly dependent on the detailed distribution of the parahydrogen molecules in the pure parahydrogen clusters, and to be larger but show a smoother dependence on N in the presence of additional helium, consistent with the more delocalized nature of the mixed clusters.

Journal Article↗

PubMed2005

Helium gas pneumoperitoneum can improve the recovery of gastrointestinal motility after a laparoscopic operation.

The use of laparoscopic surgery contributes to faster recovery of postoperative gastrointestinal motility. Several authors have demonstrated the benefits of laparoscopic surgery using carbon dioxide (CO2) pneumoperitoneum. However, there have been few investigations of the effects of other insufflation gases on gastrointestinal motility. The aim of this study was to investigate the effect of CO2 and helium pneumoperitoneum on the recovery of postoperative gastrointestinal motility. For this study, male Sprague-Dawley rats were divided into four groups: control, CO2 insufflation (10 mmHg), helium insufflation (10 mmHg) and open laparotomy for one hour. Arterial pH values and PaCO2 were measured after surgery. Gastrointestinal motility was evaluated by quantifying the distribution of markers placed into the stomach at the end of procedures until 24 hours after surgery. In the CO2 insufflation group, the arterial pH value was significantly lower than that of the helium insufflation group, and significant hypercapnia persisted until six hours after surgery. The gastric emptying and transit time was significantly prolonged in the CO2 group compared with the helium insufflation group. This study demonstrates that helium pneumoperitoneum can improve the recovery of postoperative gastrointestinal motility because of the reduction of hypercapnia and a tendency to suffer acidosis compared with CO2 pneumoperitoneum.

Journal Article↗

PubMed1997

Effects of pneumoperitoneum with carbon dioxide, argon, or helium on hemodynamic and respiratory function.

OBJECTIVE: To evaluate the effects of pneumoperitoneum with carbon dioxide, argon, and helium; different abdominal pressures (ie, 8, 12, and 16 mm Hg); and different positions (ie, head up, head down, supine) on hemodynamic and respiratory function in a porcine model. DESIGN: Prospective randomized trial. SETTING: Animal research laboratory. ANIMALS: Eighteen pigs weighing 25.5 +/- 6.9 kg (mean +/- SD). INTERVENTIONS: General anesthesia with endotracheal intubation. Implantation of pulmonal artery catheter and central venous line in jugular vein and catheters in femoral artery and vein. Carbon dioxide, argon, or helium was insufflated through a cannula in the left upper quadrant. The type of gas was randomly assigned to each animal. After recording baseline values at the beginning and at the end without pneumoperitoneum, each animal was placed in 1 of the 3 positions and under 1 of the 3 pressures kept by the insufflator. After 15 minutes of adaptation to the new circumstances, all factors were recorded. This procedure was repeated until all 9 combinations of pressures and positions were evaluated. MAIN OUTCOME MEASURES: Cardiac output; heart rate; stroke volume; right ventricular stroke work; pressures in the pulmonal artery, vena cava, and femoral artery and vein; systemic vascular resistance; respiratory pressure; tidal volume; pH; base excess; oxygen partial pressure; and carbon dioxide partial pressure. RESULTS: The type of gas did not affect cardiac output. Only carbon dioxide demonstrated negative effects on respiratory function. Argon markedly increased afterload. Carbon dioxide increased central venous and mean arterial pressure, which was only moderate using helium. A head-up position decreased cardiac output and central venous pressure and increased mean arterial and peripheral venous pressures, which were partly compensated in a head-down position. An intraperitoneal pressure of 16 mm Hg increased peripheral and central venous pressures, heart rate, and respiratory pressure, and decreased cardiac output, tidal volume, and pH. CONCLUSIONS: Helium may be an alternative gas to establish pneumoperitoneum because it does not have any effect on respiratory function and has only a moderate effect on hemodynamic function. Argon insufflation has some hemodynamic disadvantages. An intraperitoneal pressure greater than 12 mm Hg and a head-up position should be avoided because both have a markedly negative effect on respiratory and hemodynamic factors.

Animals↗

PubMed1999

NMR imaging of thermally polarized helium-3 gas.

It is shown that thermally polarized 3He gas can be used to measure important physical parameters and to design, test, and tune imaging sequences. The bulk values of T1, T2, and the diffusion coefficient were measured in a glass cell containing a mixture of helium-3 (0.8 bar) and oxygen (0.2 bar). They were found to be T1 = 7 s, T2 = 2.4 s, and D = 1.6 cm2 s(-1). The relaxation times T2* and T1 and the apparent diffusion coefficient of thermally polarized helium-3 gas were measured in the rat lung, and these parameters were used to design a helium-3 optimized multi-spin-echo sequence which was shown to increase the signal-to-noise ratio sufficiently to obtain the first NMR-images of thermally polarized helium-3 in the rat lung.

Animals↗