Key result
A new equation accurately predicts temperature-corrected arterial PCO2 from end-tidal PCO2 during exercise in normoxia and severe acute hypoxia (R2 = 0.91, P<0.001).
Observational (n=11)
Effect estimate: R2 0.91
p-value: p=<0.001
A new equation accurately predicts temperature-corrected PaCO2 from PETCO2 during exercise in both normoxia and severe acute hypoxia.
May enable noninvasive PaCO2 monitoring during exercise; leaves open prospective validation before clinical adoption.
End-tidal PCO2 (PET CO2 ) has been used to estimate arterial pressure CO2 (Pa CO2 ). However, the influence of blood temperature on the Pa CO2 has not been taken into account. Moreover, there is no equation validated to predict Pa CO2 during exercise in severe acute hypoxia. To develop a new equation to predict temperature-corrected Pa CO2 values during exercise in normoxia and severe acute hypoxia, 11 volunteers (21.2 ± 2.1 years) performed incremental exercise to exhaustion in normoxia (Nox, PI O2 : 143 mmHg) and hypoxia (Hyp, PI O2 : 73 mmHg), while arterial blood gases and temperature (ABT) were simultaneously measured together with end-tidal PCO2 (PET CO2 ). The Jones et al. equation tended to underestimate the temperature corrected (tc) Pa CO2 during exercise in hypoxia, with greater deviation the lower the Pa CO2 tc (r = 0.39, P < 0.05). The new equation has been developed using a random-effects regression analysis model, which allows predicting Pa CO2 tc both in normoxia and hypoxia: Pa CO2 tc = 8.607 + 0.716 × PET CO2 [R(2) = 0.91; intercept SE = 1.022 (P < 0.001) and slope SE = 0.027 (P < 0.001)]. This equation may prove useful in noninvasive studies of brain hemodynamics, where an accurate estimation of Pa CO2 is needed to calculate the end-tidal-to-arterial PCO2 difference, which can be used as an index of pulmonary gas exchange efficiency.
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González et al. (2015) conducted an observational in Healthy volunteers (n=11). Incremental exercise in normoxia and hypoxia was evaluated on Prediction of temperature-corrected PaCO2 from PETCO2 (R2 0.91, p=<0.001). A new equation accurately predicts temperature-corrected arterial PCO2 from end-tidal PCO2 during exercise in normoxia and severe acute hypoxia (R2 = 0.91, P<0.001).
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