Effects of acute hypoventilation and hyperventilation on exhaled carbon monoxide measurement in healthy volunteers

被引：17
作者：
Cavaliere F. [1 ]
Volpe C. [1 ]
Gargaruti R. [1 ]
Poscia A. [2 ]
Di Donato M. [2 ]
Grieco G. [2 ]
Moscato U. [2 ]
机构：
[1] Institute of Anaesthesia and Intensive Care, Catholic University of the Sacred Heart, Rome
[2] Institute of Hygiene, Catholic University of the Sacred Heart, Rome
来源：
BMC Pulmonary Medicine | / 9卷 / 1期
关键词：
Alveolar Ventilation; Deep Inspiration; Exhale Carbon Monoxide; Prolonged Expiration; Photoacoustic Spectrometer;
D O I：
10.1186/1471-2466-9-51
中图分类号：
学科分类号：
摘要：
Background: High levels of exhaled carbon monoxide (eCO) are a marker of airway or lung inflammation. We investigated whether hypo- or hyperventilation can affect measured values.Methods: Ten healthy volunteers were trained to achieve sustained end-tidal CO2 (etCO2) concentrations of 30 (hyperventilation), 40 (normoventilation), and 50 mmHg (hypoventilation). As soon as target etCO2 values were achieved for 120 sec, exhaled breath was analyzed for eCO with a photoacoustic spectrometer. At etCO2 values of 30 and 40 mmHg exhaled breath was sampled both after a deep inspiration and after a normal one. All measurements were performed in two different environmental conditions: A) ambient CO concentration = 0.8 ppm and B) ambient CO concentration = 1.7 ppm.Results: During normoventilation, eCO mean (standard deviation) was 11.5 (0.8) ppm; it decreased to 10.3 (0.8) ppm during hyperventilation (p < 0.01) and increased to 11.9 (0.8) ppm during hypoventilation (p < 0.01). eCO changes were less pronounced than the correspondent etCO2 changes (hyperventilation: 10% Vs 25% decrease; hypoventilation 3% Vs 25% increase). Taking a deep inspiration before breath sampling was associated with lower eCO values (p < 0.01), while environmental CO levels did not affect eCO measurement.Conclusions: eCO measurements should not be performed during marked acute hyperventilation, like that induced in this study, but the influence of less pronounced hyperventilation or of hypoventilation is probably negligible in clinical practice. © 2009 Cavaliere et al; licensee BioMed Central Ltd.
引用
收藏
相关论文
共 36 条
[1]  
Wu L., Wang R., Carbon monoxide: endogenous production, physiological functions, and pharmacological applications, Pharmacol Rev, 57, 4, pp. 585-630, (2005)
[2]  
Ryter S.W., Alam J., Choi A.M., Heme oxygenase-1/carbon monoxide: from basic science to therapeutic applications, Physiol Rev, 86, 2, pp. 583-650, (2006)
[3]  
Chatkin J., Fritscher L., de Abreu C., Cavalet-Blanco D., Chatkin G., Exhaled carbon monoxide as a marker for evaluating smoking abstinence in a Brazilian population sample, Prim Care Respir J, 16, 1, pp. 36-40, (2007)
[4]  
Jones A.Y., Lam P.K., End-expiratory carbon monoxide levels in healthy subjects living in a densely populated urban environment, Sci Total Environ, 354, 2-3, pp. 150-156, (2006)
[5]  
Hayashi M., Takahashi T., Morimatsu H., Fujii H., Taga N., Increased carbon monoxide concentration in exhaled air after surgery and anesthesia, Anesth Analg, 99, 2, pp. 444-448, (2004)
[6]  
Zegdi R., Perrin D., Burdin M., Boiteau R., Tenaillon A., Increased endogenous carbon monoxide production in severe sepsis, Intensive Care Med, 28, 6, pp. 793-796, (2002)
[7]  
Ohara Y., Ohrui T., Morikawa T., He M., Yasuda, Exhaled carbon monoxide levels in school-age children with episodic asthma, Pediatr Pulmonol, 41, 5, pp. 470-474, (2006)
[8]  
Montuschi P., Corradi M., Ciabattoni G., Nightingale J., Kharitonov S.A., Barnes P.J., Increased 8-isoprostane, a marker of oxidative stress, in exhaled condensate of asthma patients, Am J Respir Crit Care Med, 160, 1, pp. 216-220, (1999)
[9]  
Montuschi P., Kharitonov S.A., Barnes P.J., Exhaled carbon monoxide and nitric oxide in COPD, Chest, 120, 2, pp. 496-501, (2001)
[10]  
Sylvester K.P., Patey R.A., Rafferty G.F., Rees D., Thein S.L., Exhaled carbon monoxide levels in children with sickle cell disease, Eur J Pediatr, 164, 3, pp. 162-165, (2005)
1234