M. Oneill et al., DEPENDENCE OF PULMONARY VENOUS ADMIXTURE ON INSPIRED OXYGEN FRACTION AND TIME DURING REGIONAL HYPOXIA IN THE RABBIT, British Journal of Anaesthesia, 75(5), 1995, pp. 603-609
In order to examine the value of assuming constant pulmonary venous ad
mixture with respect to changes in inspired oxygen fraction (Fl(o2)) a
nd time during sustained unilateral hypoxia, we studied venous admixtu
re for 6 h in 27 anaesthetized rabbits in which the left lung was fill
ed with liquid, isosmotic with plasma. In one group of 10 rabbits the
right lung was ventilated for 6 h with Fl(o2) = 1: in a second group o
f 10 the right lung was ventilated with Fl(o2) = 1 for 2.5 h and then
with Fl(o2) = 0.3 for 3.5 h. A third group was similarly studied by ch
anging from Fl(o2) = 1 to Fl(o2) = 0.5. We found that hypoxic pulmonar
y vasoconstriction continued to intensify over 3 h. At 3-6 h, with Fl(
o2) = 0.3, venous admixture (0.32 (SEM 0.03)) was higher than baseline
(0.13 (0.01), t = 0 min during bilateral oxygenation) by twice the el
evation above baseline of the venous admixture (0.22 (0.01)) in the gr
oup with Fl(o2) = 1. The finding of a marked increase in venous admixt
ure with decreasing Fl(o2) discussed in relation to current models of
hypoxic pulmonary vasoconstriction.