The slope of the
in vivo CO
2 titration curve of blood (pH-[HCO
3-] p relationship,
in vivo slope, unit: slyke) expresses the buffering capacity of blood for CO
2 in vivo or the buffering capacity of extracellular fluid for CO
2. It depends on the extent of contributions by chemical and physiological buffering processes for CO
2 occurring during CO
2 titration. Theoretically, the
in vivo slope obtained for mixed venous blood is independent of cardiac output during CO
2 titration. The present study was attempted to confirm this theoretical concept experimentally. Anesthetized dogs were allowed to breathe air and then 10% CO
2-25% O
2 in N
2 for 60min for the titration
in vivo. During the CO
2 breathing period the legs were exercised through direct electrical stimulation of the muscles; this also induced an increase in cardiac output 130% above the air breathing period. The
in vivo slope (Δ[HCO
3-] P/ΔpH) of the mixed venous blood at an apparent steady state in the CO
2 breathing period was 16 slyke, which was 5 slyke higher than in other dogs breathing CO
2 at rest with a 60% increase in cardiac output observed in our previous study. This finding was discussed in relation to a greater contribution of tissue fluid for buffering of CO
2. The present study suggests that cardiac output is a significant determinant of the buffering capacity of extracellular fluid.
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