Conditions governing the pulmonary vascular response to ventilation hypoxia and hypoxaemia in the dog

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Abstract
Isolated lung lobes of the dog perfused through the pulmonary circulation only with atropinized autologous blood obtained by bleeding out the animal under general anesthesia or following premedication with morphine hydrochloride were subjected to repetitive tests of ventilation hypoxia, the control and test gas mixtures containing similar concentrations of CO2. The pulmonary vasomotor response to ventilation hypoxia depended upon the temperature of the perfusate and the time which had elapsed from the death of the animal to the start of perfusion, termed the ischemic period. The higher blood temperatures and shorter ischemic periods favored a pulmonary vasopressor response to hypoxia, and the lower temperatures and longer ischemic periods a vasodepressor response or an absence of response. The vasopressor responses to hypoxia were associated with a rise in the pH (average, 0.09 in 5 experiments) and a fall in the PCO2 [CO2 pressure] of the blood. There were no consistent changes in the pH and PCO2 of the blood accompanying vasodepressor responses. The vasopressor responses could be obtained over periods of perfusion lasting 4 hr or longer. Changes in the composition of blood equilibrated in the isolated perfused lung perhaps cannot be predicted from in vitro dissociation curves.