Oct 1, 1977

Contributions of changing rib cage--diaphragm interactions to the ventilatory depression of halothane anesthesia

K TusiewiczA B Froese


The ventilatory response to CO2 was subdivided into that portion due to increasing rib cage expansion, and that due to increased diaphragmatic descent. Five children were studied, awake, and anesthetized with halothane, 0.8-0.9%. During anesthesia there was a 67+/-8% reduction (mean+/-SE) in the slope of the response of overall ventilation to an increase in CO2. This was primarily due to an 89+/-8% reduction in the recruitment of rib cage ventilation (P less than .001). There was no significant change in the slope of the diaphragmatic response (anesthetized value 19+/-21% less than control), although the response curve was shifted to the right so that a higher CO2 concentration was needed to stimulate a given level of diaphragmatic excursion. Additional measurements of the inspiratory intercostal electromyogram in three adult subjects documented a rapid, profound depression of intercostal activity with halothane anesthesia that was associated with a marked decrease in rib cage ventilation. The authors conclude that a major component of the ventilatory depression associated with halothane anesthesia results from the preferential suppression of intercostal muscle function with relative sparing of diaphragmatic activity.

  • References
  • Citations10


  • We're still populating references for this paper, please check back later.

Mentioned in this Paper

Surface Electromyography
Structure of Intercostal Muscle
Tidal Volume
Bone Structure of Rib
Insufflation Anesthesia
Respiratory Failure
Carbon Dioxide
Respiratory Diaphragm

About this Paper

Trending Feeds


Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Bone Marrow Neoplasms

Bone Marrow Neoplasms are cancers that occur in the bone marrow. Discover the latest research on Bone Marrow Neoplasms here.

IGA Glomerulonephritis

IgA glomerulonephritis is a chronic form of glomerulonephritis characterized by deposits of predominantly Iimmunoglobin A in the mesangial area. Discover the latest research on IgA glomerulonephritis here.

Cryogenic Electron Microscopy

Cryogenic electron microscopy (Cryo-EM) allows the determination of biological macromolecules and their assemblies at a near-atomic resolution. Here is the latest research.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

LRRK2 & Immunity During Infection

Mutations in the LRRK2 gene are a risk-factor for developing Parkinson’s disease. However, LRRK2 has been shown to function as a central regulator of vesicular trafficking, infection, immunity, and inflammation. Here is the latest research on the role of this kinase on immunity during infection.

Antiphospholipid Syndrome

Antiphospholipid syndrome or antiphospholipid antibody syndrome (APS or APLS), is an autoimmune, hypercoagulable state caused by the presence of antibodies directed against phospholipids.

Meningococcal Myelitis

Meningococcal myelitis is characterized by inflammation and myelin damage to the meninges and spinal cord. Discover the latest research on meningococcal myelitis here.

Alzheimer's Disease: MS4A

Variants within membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease by recent genome-wide association studies. Here is the latest research.

Related Papers

Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology
E TabachnikH Levison
Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology
W J LammY L Lai
Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology
N MullerN Zamel
© 2020 Meta ULC. All rights reserved