Update 1989 pp 167-175 | Cite as

Continuous Measurement of Pulmonary Gas Exchange During Mechanical Ventilation

  • G. Annat
Conference paper
Part of the Update in Intensive Care and Emergency Medicine book series (UICM, volume 8)


A system for the continuous measurement of pulmonary gas exchange in artificially ventilated patients must satisfy three major requirements:
  • to give accurate values of oxygen uptake (̇VO2) and carbon dioxide output (̇VCO2) over a long time (at least 24 h);

  • to be easy to use by the physicians in intensive care units, without interfering with routine nursing care or ventilatory management;

  • to be able to reject the artifacted respiratory cycles which are frequently observed in ventilated patients, due to cough efforts or tracheal aspirations by the nursing staff.


Chronic Obstructive Pulmonary Disease Oxygen Delivery Severe Acute Pancreatitis Adult Respiratory Distress Syndrome Artificial Ventilation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Scheid P, Slama H, Piiper J (1971) Electronic compensation of the effects of water vapor in respiratory mass spectrometry. J Appl Physiol 30:258–260PubMedGoogle Scholar
  2. 2.
    Bertrand O, Viale JP, Annat G, et al (1986) Mass spectrometer system for long-term continuous measurements of ̇VO2 and ̇VCO2 during artificial ventilation. Med Biol Eng Comput 24:174–181PubMedCrossRefGoogle Scholar
  3. 3.
    Farhi LE, Rahn H (1955) Gas stores of the body and the unsteady state. J Appl Physiol 7:472–484PubMedGoogle Scholar
  4. 4.
    Kinney JM, Duke JH, Long CL, Gump FE (1970) Tissue fuel and weight loss after injury. J Clin Pathol 23:64–72Google Scholar
  5. 5.
    Delafosse B, Bouffard Y, Viale JP, Annat G, Bertrand O, Motin J (1987) Respiratory changes induced by parenteral nutrition in postoperative patients undergoing inspiratory pressure support ventilation. Anesthesiology 66:393–396PubMedCrossRefGoogle Scholar
  6. 6.
    Viale JP, Annat G, Bertrand O, Thouverez B, Hoen JP, Motin J (1988) Continuous measurement of pulmonary gas exchange during general anesthesia in man. Acta Anaesthesiol Scand (in press)Google Scholar
  7. 7.
    Bouffard Y, Viale JP, Annat G, Delafosse B, Guillaume C, Motin J (1987) Energy expenditure in the acute renal failure patient mechanically ventilated. Intensive Care Med 1:1–4Google Scholar
  8. 8.
    Bouffard Y, Delafosse B, Annat G, Viale JP, Bertrand O, Motin J (1988) Energy expenditure during severe acute pancreatitis. JPEN (in press)Google Scholar
  9. 9.
    Askanazi J, Rosenbaum SH, Hyman AI, Silverberg PA, Milic-Emili J, Kinney JM (1980) Respiratory changes induced by the large glucose loads of total parenteral nutrition. JAMA 243:1444–1447PubMedCrossRefGoogle Scholar
  10. 10.
    Askanazi J, Nordenstrom J, Rosenbaum SH, et al (1981) Nutrition for the patient with respiratory failure: glucose versus fat. Anesthesiology 54:373–377PubMedCrossRefGoogle Scholar
  11. 11.
    Shibutani K, Komatsu T, Kubal T, Kumar V, Bizzari D (1983) Critical level of oxygen delivery in anesthetized man. Crit Care Med 11:640–643PubMedCrossRefGoogle Scholar
  12. 12.
    Schumaker PT, Cain SM (1987) The concept of a critical oxygen delivery. Intensive Care Med 13:223–229CrossRefGoogle Scholar
  13. 13.
    Danek SJ, Lynch JP, Weg JG, Dantzker DR (1980) The dependence of oxygen uptake on oxygen delivery in the adult respiratory distress syndrome. Am Rev Respir Dis 122:387–395PubMedGoogle Scholar
  14. 14.
    Kaufman BS, Rackow EC, Falk JL (1984) The relationship between oxygen delivery and consumption during fluid resuscitation of hypovolemic and septic shock. Chest 85:336–340PubMedCrossRefGoogle Scholar
  15. 15.
    Albert RK, Schrisen F, Poincelot F (1986) Oxygen consumption and transport in stable patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 134:678–682PubMedGoogle Scholar
  16. 16.
    Mohsenifar Z, Amin D, Jasper AC, Shah PK, Koerner SK (1987) Dependence of oxygen consumption on oxygen delivery in patients with chronic congestive heart failure. Chest 92:447–450PubMedCrossRefGoogle Scholar
  17. 17.
    Annat G, Viale JP, Percival C, Froment M, Motin J (1986) Oxygen delivery and uptake in the adult respiratory distress syndrome. Am Rev Respir Dis 133:296–303Google Scholar
  18. 18.
    Pepe PE, Culver BH (1985) Independently measured oxygen consumption during reduction of oxygen delivery by positive end-expiratory pressure. Am Rev Respir Dis 132:788–792PubMedGoogle Scholar
  19. 19.
    Katsardis CV, Desmond KJ, Coates AL (1986) Measuring the oxygen cost of breathing in normal adults and patients with cystic fibrosis. Resp Physiol 65:257–266CrossRefGoogle Scholar
  20. 20.
    Field S, Kelly SM, Macklem PT (1982) The oxygen cost of breathing in patients with cardiorespiratory disease. Am Rev Respir Dis 126:9–13PubMedGoogle Scholar
  21. 21.
    Viale JP, Annat G, Bouffard Y, Delafosse B, Bertrand O, Motin J (1988) Oxygen cost of breathing in postoperative patients. Pressure support ventilation vs continuous positive airway pressure. Chest 93:506–509PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • G. Annat

There are no affiliations available

Personalised recommendations