In vivo gas trapping induced by nitrous oxide.

Abstract

Repeated vital capacity (VC) breaths in 17 anesthetized and curarized dogs induced a small but significant increase in residual volume (RV). This trapping was greatly enhanced when a mixture of 80% N2O and 20% O2 (N2O-O2) was used instead of air. VC breaths with N2O-O2 also increased closing volume, closing capacity and closing pressure determined with 133Xe. Successive quasi-static pressure volume (PV) curves of the lung showed a shift to the right at high lung volume and to the left at low lung volume. Again these changes were more impressive with N2O-O2). The PV curve of the chest wall was unchanged. Insufflations from RV were necessary to produce the gas trapping. Increase in RV was positively related to the size of the inspired volume, to N2O concentration, and inversely related to the inspiratory flow rate. Vagotomy, intravenous isoproterenol, and intravenous propanolol did not alter the phenomena. We propose that these observations can be explained by the presence of foam in the airways and that N2O leads to an increase of foam by osmotic liquid shift into the bronchioli, and/or to an increase in bubble's size by gas diffusion.