Abstract
Background Methods of evaluating the ventilatory response to CO2 (VRCO2)
of the respiratory center include the steady-state and the rebreathing
method. Although the rebreathing method can evaluate the respiratory
center more in detail, the steady-state method has been mainly performed
in infants. The aim of this study was to investigate whether we could
perform the VRCO2 with the rebreathing method in normal infants. Methods
The subjects were 80 normal infants. The gestational age was
39.9(39.3-40.3)weeks, and the birth body weight was 3,142
(2,851-3,451) grams. We performed the VRCO2 with Read’s rebreathing
method, measuring the increase in minute volume (MV) in response to the
increase in EtCO2 by rebreathing a closed circuit. The value of VRCO2
was calculated as follow: VRCO2 (mL/min/mmHg/kg) = ΔMV / ΔEtCO2 / Body
weight. Results We performed the examination without adverse events. The
age in days at examination was 3 (2-4), and the examination time was
150±38 seconds. The maximum EtCO2 was 51.1 (50.5-51.9) mmHg. The value
of VRCO2 was 34.6 (29.3-42.8). Tidal volume had a greater effect on the
increase in MV than respiratory rate (5.4 to 14.3 mL/kg, 44.1 to 55.9
/min, respectively). Conclusion This study suggests that the rebreathing
method can evaluate the ventilatory response to high blood CO2 in a
short examination time. We conclude that the rebreathing method is
useful even in infants. In the future, we plan to measure the VRCO2 of
preterm infants, and evaluate the respiratory center of infants in more
detail.