Enhanced oxygen delivery induced by perfluorocarbon emulsions in capillary tube oxygenators

S. N. Vaslef*, T. K. Goldstick

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Previous studies showed that a new generation of perfluorocarbon (PFC) emulsions increased tissue PO2 in the cat retina to a degree that could not be explained by the small increase in arterial O2 content seen after the infusion of low doses of 1 g PFC/kg body weight. It seems that increased O2 delivery at the tissue level after PFC infusion is caused by a local effect in the microcirculation. The authors studied this effect in vitro at steady state in a closed loop circuit, consisting of one of two types of capillary tube oxygenators, deoxygenator(s), a reservoir bag filled with anticoagulated bovine blood or saline (control), and a roller pump, to see if the addition of PFC would have an effect on the PO2 difference (Δ PO2) across the capillary tube membrane oxygenator at a blood flow rate of 3 l/min. Perfluorocarbon was added in three incremental doses, each giving about 0.7 vol% of PFC. The Δ PO2 across the oxygenator was measured before and after each dose. The mean percent increases in Δ PO2 in blood for two types of oxygenators were 19.2 ± 8% (mean ± SD, n = 6, P = 0.002) and 9.9 ± 4% (n = 3, P = 0.05), respectively, whereas the mean percent change in Δ PO2 in saline was -4.9 ± 2% (n = 2, P = 0.2). Inlet PO2s to the oxygenator were only minimally increased. The authors conclude that O2 delivery was significantly enhanced after injection of PFC in blood in this capillary tube model. A near wall excess of PFC particles may account for the augmentation of O2 diffusion in this model.

Original languageEnglish
Pages (from-to)M643-M648
JournalASAIO Journal
Volume40
Issue number3
DOIs
StatePublished - 1994
Externally publishedYes

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