Journal Information
Vol. 22. Issue 4.
Pages 166-172 (July - August 1986)
Share
Share
Download PDF
More article options
Vol. 22. Issue 4.
Pages 166-172 (July - August 1986)
Full text access
Estudio de la respuesta del centro respiratorio en personas normales mediante la inhalacion de concentraciones progresivamente crecientes de co2 en el aire inspirado
Respiratory center response to inhalation of progressively increasing concentrations of CO2 in normal individuals
Visits
3277
J. Naranjo orellana, M. Caraballo avila, E. Rodriguez becerra, J. Castillo gomez
Sección de Fisiopatología. Servicio de Neumología. Hospital General. Sevilla
This item has received
Article information

En este trabajo se analiza la respuesta de 15 sujetos normales en términos de ventilación, cambios del patrón respiratorio y P0,1 ante la estimulación con concentraciones progresivamente crecientes de CO2 en estado estable entre el 1 y 4%, encontrando dos fases en la respuesta: una primera hasta el 3% en la que sólo se observa un aumento progresivo del volumen minuto a expensas del volumen circulante, y una segunda fase, del 3 al 4%, en la que encontramos un aumento muy superior de VE y VT junto a un alargamiento del tiempo inspiratorio sin que se observe ningún cambio en la duración del ciclo (Ttot) ni, por tanto, en la frecuencia. De esta forma podemos afirmar que se puede detectar respuesta al CO2 ya con concentraciones inspiratorias muy bajas y que dicha respuesta parece seguir una secuencia de hechos perfectamente establecida en la que el aumento de la frecuencia respiratoria ocuparía el último lugar, al menos en personas normales.

The results are reported for a study in which the response of 15 individuals with normal ventilation were analyzed for changes in the respiratory pattern and P0,1 after stimulation with progressively increasing concentrations of CO2 stabilized between 1 and 4%. Two phases were found in the responses: a first one with up to 3% in which there was only a Progressive increase in minue volume over the circulating volume and a second phase at from 3 to 4% in which there was an considerable increase in VE and VT together with lengthening of the inspiratory time without any change seen in the length of the cycle (Ttot) and thus in the frequency. These results indicate that a response to CO2, may be detected even at very low inspiratory concentrations and that this response appears to follow a perfectly defined sequence in which the increase in respiratory frequency occurs in last place, at least in the case of normal individuals.

Full text is only aviable in PDF
Bibliografia
[1.]
R.A. Mitchcl, A.J. Berger.
Neural regulation of respiration (State of the art).
Am Rev Respir Dis, 111 (1975), pp. 206-224
[2.]
C. Euler, Von, I. Tippenbach.
Cyclic excitability changes of thc inspiratory off-switch «mechanism».
Acta Physiol Scand, 93 (1975), pp. 560-562
[3.]
F.J. Clarck, C. Eler.
Von: On the regulation of depth and rate of breathing.
J Physiol, 222 (1972), pp. 267-295
[4.]
D.J.C. Read.
A clinical method for assessing the ventilatory response to carbon dioxide.
Aust Med, 16 (1967), pp. 20-32
[5.]
J.S. Haldane, A. Priestley.
The regulation of the lung ventilation.
J Physiol Lond, 32 (1905), pp. 225-266
[6.]
R.M. Cheriack, D.P. Snidal.
The effect of obstruction to breathing on the ventilatory response to CO2.
J Clin Invest, 35 (1950), pp. 1286-1290
[7.]
F. Eldridge, J.M. Davis.
Effect of mechanical factors on respiratory work and ventilatory responses to CO2.
J Appl Physiol, 14 (1959), pp. 721-726
[8.]
J. Mead.
Some implications of respiratory muscle function to tests of ventilatory regulation.
Chest, 70 (1976), pp. 149
[9.]
J. Milic-Emili, et al.
Relation between work output of res. piratory muscles and end tidal CO2: tension.
J Appl Physiol, 18 (1963), pp. 497-504
[10.]
R.V. Lourenco, J.M. Miranda.
Drive and performance of the ventilatory apparatus in COLD.
N Engl J Med, 279 (1968), pp. 53-59
[11.]
P. Lynne-Davies, J. Couture, L.D. Pengelly, J. Milic-Emili.
Immediate ventilatory response to added inspiratory elastic loads in cats.
J Appl Physiol, 30 (1971), pp. 512-516
[12.]
W.A. Whitelaw, et al.
Occlusion pressure as a measure of respiratory center output in conscious man.
Resp Physiol, 23 (1975), pp. 181-199
[13.]
A.W. Mattews.
The rate of isometric inspiratory pressure. development as a measure of responsiveness to CO2 in man.
Clin Sci Mol Med, 49 (1975), pp. 57-68
[14.]
D. Brodovsky, Cherniack. MacDonell.
The respiratory response to CCT in health and in emphysema.
J Clin Invest, 39 (1960), pp. 724-729
[15.]
P.L. Kamburoff, H.J. Woitowitz.
Prediction of spiromctria indices.
Br J Dis Chest, (1972),
[16.]
H.I. Golman, M.R. Becklade.
Respiratory function test Normal values at median altitudes and the prediction of normal results.
Am Rev Tuberc, 79 (1959), pp. 457
[17.]
N.S. Cherniack.
Occlusion pressure as a technique in evaluating respiratory control.
Chest, 70 (1976), pp. 137-141
[18.]
J. Milic-Emili.
Recents advances in clinical assesment of control of breathing.
Lung, 160 (1982), pp. 1-17
[19.]
J.A. Dempsey.
CO2 response: stimulus and limitations.
Chest, 70 (1976), pp. 114-118
[20.]
P. Dejours, R. Puccinelli, J. Armand.
Concept and measurement of ventilatory sensivity to CO2.
J Appl Physiol, 20 (1965), pp. 890
[21.]
M.M. Grunstein, J.Ph. Derenne, J. Milic-Emili.
Control of depht and frequeney of breathing during baroreceptor stimulation in cats.
J Appl Physiol, 39 (1975), pp. 395-404
[22.]
J. Milic-Emili, M.M. Grunstein.
Drive and timing components of ventilation.
Chest, 70 (1976), pp. 131-133
[23.]
M.R. Fedde, D.F. Petterson.
Intrapulmonary receptor response to changes in airway gas composition in gallus domesticus.
J Physiol, 209 (1970), pp. 609
[24.]
J.E. Remmers.
Analysis of ventilatory response.
[25.]
B. Burrows.
CO2: tension and ventilatory mechanics in COLD.
Ann Int Med vol, 65 (1966), pp. 4
[26.]
E.N. Hey, B.B. Lloyd, D.J.C. Cunningham, M. Jukes, D.P.G. Bolton.
Effects of various respiratory stimuli on the depth and frecuency of breathing in man.
Respir Physiol, 1 (1966), pp. 193
Copyright © 1986. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
Article options
Tools

Are you a health professional able to prescribe or dispense drugs?