Abstract
1. Five lambs (19-27 days old) were studied to determine the effects of feeding on cardiorespiratory function. 2. Each lamb was instrumented to record cardiac output, aortic and pulmonary artery pressure and arterial and mixed venous oxyhaemoglobin saturations (Sa,O2 and Sv,O2). 3. During feeding, arterial haemoglobin desaturated and resaturated sequentially during the periods of sucking and non-sucking. The nadir of these Sa,O2 desaturations (83 +/- 2%, mean +/- S.E.M.) was significantly lower than the baseline value (92 +/- 2%, P < or = 0.05, ANOVA). Sa,O2 returned to the baseline level between periods of sucking. Sv,O2 also decreased (55 +/- 3% baseline, 46 +/- 3% sucking, P < or = 0.05) but, in contrast to Sa,O2, it remained significantly lower than baseline levels in the pauses between periods of sucking. 4. Arterial pressure increased during feeding (94 +/- 4 mmHg baseline, 113 +/- 6 mmHg feeding, P < or = 0.05), while heart rate and cardiac index did not change. 5. Total body oxygen consumption rose during the pauses between sucking periods (10.9 +/- 1.1 ml O2 min-1 kg-1 baseline, 13.9 +/- 1.2 ml O2 min-1 kg-1 non-sucking, P < or = 0.05) and was provided for by a significant increase in total body oxygen extraction as systemic oxygen transport was unchanged. 6. Our results reveal that during feeding in young lambs oxygen consumption increases and body stores of oxygen (e.g. Sv,O2) become depleted; this combination may promote rapid arterial desaturation and cyanosis during feeding.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bradley T. D., Martinez D., Rutherford R., Lue F., Grossman R. F., Moldofsky H., Zamel N., Phillipson E. A. Physiological determinants of nocturnal arterial oxygenation in patients with obstructive sleep apnea. J Appl Physiol (1985) 1985 Nov;59(5):1364–1368. doi: 10.1152/jappl.1985.59.5.1364. [DOI] [PubMed] [Google Scholar]
- Durand M., Leahy F. N., MacCallum M., Cates D. B., Rigatto H., Chernick V. Effect of feeding on the chemical control of breathing in the newborn infant. Pediatr Res. 1981 Dec;15(12):1509–1512. doi: 10.1203/00006450-198112000-00011. [DOI] [PubMed] [Google Scholar]
- Fewell J. E., Williams B. J., Hill D. E. Sleep does not affect the cardiovascular response to alveolar hypoxia in lambs. J Dev Physiol. 1984 Oct;6(5):401–405. [PubMed] [Google Scholar]
- Findley L. J., Ries A. L., Tisi G. M., Wagner P. D. Hypoxemia during apnea in normal subjects: mechanisms and impact of lung volume. J Appl Physiol Respir Environ Exerc Physiol. 1983 Dec;55(6):1777–1783. doi: 10.1152/jappl.1983.55.6.1777. [DOI] [PubMed] [Google Scholar]
- Fletcher E. C., Kass R., Thornby J. I., Rosborough J., Miller T. Central venous O2 saturation and rate of arterial desaturation during obstructive apnea. J Appl Physiol (1985) 1989 Mar;66(3):1477–1485. doi: 10.1152/jappl.1989.66.3.1477. [DOI] [PubMed] [Google Scholar]
- Grant D. A., Davidson T. L., Fewell J. E. Automated scoring of sleep in the neonatal lamb. Sleep. 1995 Jul;18(6):439–445. doi: 10.1093/sleep/18.6.439. [DOI] [PubMed] [Google Scholar]
- Guilleminault C., Coons S. Apnea and bradycardia during feeding in infants weighing greater than 2000 gm. J Pediatr. 1984 Jun;104(6):932–935. doi: 10.1016/s0022-3476(84)80502-8. [DOI] [PubMed] [Google Scholar]
- Harding R., Titchen D. A. Oesophageal and diaphragmatic activity during sucking in lambs. J Physiol. 1981 Dec;321:317–329. doi: 10.1113/jphysiol.1981.sp013986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Henderson-Smart D. J., Read D. J. Ventilatory responses to hypoxaemia during sleep in the newborn. J Dev Physiol. 1979 Jun;1(3):195–208. [PubMed] [Google Scholar]
- Henderson-Smart D. J. Vulnerability to hypoxemia in the newborn. Sleep. 1980;3(3-4):331–342. doi: 10.1093/sleep/3.3-4.331. [DOI] [PubMed] [Google Scholar]
- Koenig J. S., Davies A. M., Thach B. T. Coordination of breathing, sucking, and swallowing during bottle feedings in human infants. J Appl Physiol (1985) 1990 Nov;69(5):1623–1629. doi: 10.1152/jappl.1990.69.5.1623. [DOI] [PubMed] [Google Scholar]
- Mathew O. P. Breathing patterns of preterm infants during bottle feeding: role of milk flow. J Pediatr. 1991 Dec;119(6):960–965. doi: 10.1016/s0022-3476(05)83056-2. [DOI] [PubMed] [Google Scholar]
- Mathew O. P., Clark M. L., Pronske M. L., Luna-Solarzano H. G., Peterson M. D. Breathing pattern and ventilation during oral feeding in term newborn infants. J Pediatr. 1985 May;106(5):810–813. doi: 10.1016/s0022-3476(85)80363-2. [DOI] [PubMed] [Google Scholar]
- Mok J. Y., McLaughlin F. J., Pintar M., Hak H., Amaro-Galvez R., Levison H. Transcutaneous monitoring of oxygenation: what is normal? J Pediatr. 1986 Mar;108(3):365–371. doi: 10.1016/s0022-3476(86)80874-5. [DOI] [PubMed] [Google Scholar]
- Poets C. F., Southall D. P. Patterns of oxygenation during periodic breathing in preterm infants. Early Hum Dev. 1991 Jul;26(1):1–12. doi: 10.1016/0378-3782(91)90038-5. [DOI] [PubMed] [Google Scholar]
- Poets C. F., Stebbens V. A., Samuels M. P., Southall D. P. The relationship between bradycardia, apnea, and hypoxemia in preterm infants. Pediatr Res. 1993 Aug;34(2):144–147. doi: 10.1203/00006450-199308000-00007. [DOI] [PubMed] [Google Scholar]
- Rosen C. L., Glaze D. G., Frost J. D., Jr Hypoxemia associated with feeding in the preterm infant and full-term neonate. Am J Dis Child. 1984 Jul;138(7):623–628. doi: 10.1001/archpedi.1984.02140450005002. [DOI] [PubMed] [Google Scholar]
- Samuels M. P., Poets C. F., Stebbens V. A., Alexander J. A., Southall D. P. Oxygen saturation and breathing patterns in preterm infants with cyanotic episodes. Acta Paediatr. 1992 Nov;81(11):875–880. doi: 10.1111/j.1651-2227.1992.tb12127.x. [DOI] [PubMed] [Google Scholar]
- Shivpuri C. R., Martin R. J., Carlo W. A., Fanaroff A. A. Decreased ventilation in preterm infants during oral feeding. J Pediatr. 1983 Aug;103(2):285–289. doi: 10.1016/s0022-3476(83)80368-0. [DOI] [PubMed] [Google Scholar]
- Steinschneider A., Weinstein S. L., Diamond E. The sudden infant death syndrome and apnea/obstruction during neonatal sleep and feeding. Pediatrics. 1982 Dec;70(6):858–863. [PubMed] [Google Scholar]
- Timms B. J., DiFiore J. M., Martin R. J., Miller M. J. Increased respiratory drive as an inhibitor of oral feeding of preterm infants. J Pediatr. 1993 Jul;123(1):127–131. doi: 10.1016/s0022-3476(05)81555-0. [DOI] [PubMed] [Google Scholar]
- Wilkinson M. H., Berger P. J., Blanch N., Brodecky V. Effect of venous oxygenation on arterial desaturation rate during repetitive apneas in lambs. Respir Physiol. 1995 Sep;101(3):321–331. doi: 10.1016/0034-5687(95)00034-b. [DOI] [PubMed] [Google Scholar]