Effect of increasing inspired oxygen concentration on hemodynamics and regional blood flows

Previous reports suggest that in response to increasing Fio2, peripheral resistance increases, cardiac output falls, and regional blood flow decreases. This study examined the influence of varying Fio2 on pulmonary and systemic vascular resistances (PVR, SVR), cardiac output, ventricular work, and regional blood flows in ten anesthetized Yorkshire white pigs. Each animal served as its own control, and was exposed to varying Fio2 in random order. Pco2 was maintained at 40 ± 5 torr and body temperature at 38.5°C. Heart rate, systemic arterial pressure, pulmonary artery pressure (PAP), pulmonary capillary wedge pressure, thermodilution cardiac output, and blood flows in the femoral, carotid, renal and superior mesenteric arteries were measured at each Fio2. SVR, PVR, left and right ventricular stroke work (LVSW, RVSW) were calculated.One-way analysis of variance-randomized block design (F-test) showed significant decreases in PAP, PVR, and RVSW with increased Fio2. No change was noted in regional flows, cardiac output, SVR, or LVSW. We conclude that in this animal model administration of oxygen up to an Fio2 of 1.0 had no adverse effect on hemodynamic performance.