Effects of changing inspiratory to expiratory time ratio on carbon dioxide elimination during high-frequency jet ventilation

W. H. Paloski, P. S. Barie, R. J. Mullins, J. C. Newell

    Research output: Contribution to journalArticle

    14 Scopus citations

    Abstract

    Clinical observations indicate that gas exchange during high-frequency ventilation can be improved by decreasing the inspiratory to expiratory time ratio (I/E). Decreasing I/E at a fixed frequency may therefore allow a reduction of tidal volume (VT) without affecting gas exchange. This decreased VT may result in lower airway pressures, and thereby reduce the incidence of barotrauma. In order to quantify the effects of I/E on gas exchange, the relationship between carbon dioxide elimination and VT was studied in 6 mongrel dogs at I/E of 1/2, 1/1, and 2/1. Ventilation was provided by a jet-type high-frequency ventilator using a frequency of 5 Hz and VT of 17 to 100% of the anatomic dead space. Carbon dioxide elimination was found to vary inversely with (I/E)0.9, corroborating the clinical observations. These data add further evidence that I/E may be a useful parameter in optimizing high-frequency ventilation and provide a quantitative relationship that can be used to predict the effect that altering I/E will have on gas exchange.

    Original languageEnglish (US)
    Pages (from-to)109-114
    Number of pages6
    JournalAmerican Review of Respiratory Disease
    Volume131
    Issue number1
    StatePublished - Jan 1 1985

    ASJC Scopus subject areas

    • Pulmonary and Respiratory Medicine

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