Sa. Loer et al., BRONCHIAL TEMPERATURE AS A KEY TO THE INTERIOR PULMONARY CAPILLARY BED OF ANESTHETIZED DOGS, Intensive care medicine, 23(9), 1997, pp. 951-954
The terminal airways are separated from the surrounding pulmonary capi
llaries by a tissue layer of a few micrometers in thickness only. Ther
efore, it should be possible to gain information about in vivo transca
pillary heat transport of the interior pulmonary vascular bed by recor
ding the terminal bronchial temperature. For this purpose, we studied
temperature-time curves in the pulmonary artery, bronchial system and
the aorta of six anaesthetized dogs permanently instrumented for measu
ring pulmonary blood flow. Thermistors recorded temperature changes at
the three locations after injection of 5 mi cold solution into the ri
ght atrium. From the observed temperature-time curves mean transit tim
es between the three recording sites were calculated for various pulmo
nary blood flows (integral Delta Ttdt/integral Delta Tdt) (range 1.1-3
.5 l/min). We found that the temperature-time curves of the bronchial
system resemble typical ''dilution'' curves and are interspaced betwee
n those in the pulmonary artery and those in the aorta. Regardless of
pulmonary blood flow, mean transit times from the pulmonary artery to
the distal bronchial system and from there to the aorta were about equ
al. We conclude that transcapillary heat transfer generates bronchial
temperature-time curves which permit an estimation of the relation of
precapillary to postcapillary mean transit times in the interior of th
e lung.