Mild hypothermia alters the oxygen consumption/delivery relationship by decreasing the slope of the supply-dependent line

Crit Care Med. 2002 Jul;30(7):1535-40. doi: 10.1097/00003246-200207000-00023.

Abstract

Objective: To evaluate the effect of mild hypothermia on the relationship between systemic oxygen consumption and oxygen delivery.

Design: Prospective animal study.

Setting: University research laboratory.

Subjects: Anesthetized and ventilated rabbits.

Interventions: Rabbits were subjected to stepwise cardiac tamponade to reduce oxygen delivery while body temperature was maintained at 34 degrees C (group H, n = 8) or 39 degrees C (group N, n = 8).

Measurements and main results: The oxygen consumption/oxygen delivery relationship was analyzed by the dual-line method. The slope of the supply-dependent line was significantly decreased in group H (y = 0.57x + 1.3) compared with that in group N (y = 0.72x + 1.7), indicating that the ability of tissues to extract oxygen was impaired during hypothermia. Consequently, the proportion of the supply-independent area over the entire range of oxygen delivery was decreased in response to hypothermia.

Conclusion: The potential for tissue hypoxia is likely to be increased during hypothermia when the circulation becomes unstable and oxygen delivery decreases.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Cardiac Tamponade / metabolism
  • Cardiac Tamponade / physiopathology
  • Female
  • Hemodynamics
  • Oxygen / metabolism*
  • Oxygen Consumption*
  • Rabbits
  • Statistics as Topic
  • Temperature

Substances

  • Oxygen