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The ventilatory response to modified rebreathing is unchanged by hyperoxic severity: implications for the hyperoxic hyperventilation paradox

2023· article· en· W4388534659 on OpenAlexafffund
Joshua D. Huggard, Nasimi A. Guluzade, James Duffin, Daniel A. Keir

Bibliographic record

VenueJournal of Applied Physiology · 2023
Typearticle
Languageen
FieldNeuroscience
TopicNeuroscience of respiration and sleep
Canadian institutionsToronto General HospitalThornhill Medical (Canada)Lawson Health Research InstituteUniversity of TorontoWestern University
FundersNatural Sciences and Engineering Research Council of CanadaGovernment of Canada
KeywordsHyperventilationHyperoxiapCO2AnesthesiaVentilation (architecture)RespirationOxygenCarbon dioxideChemoreceptorChemistryMedicineInternal medicinePhysicsAnatomy

Abstract

fetched live from OpenAlex

Normobaric hyperoxia stimulates ventilation (V̇E) in a time- and dose-dependent manner. Whether this occurs via an oxygen (O2)-specific mechanism or secondary to carbon dioxide (CO2) retention at the central chemoreceptors remains unclear. We measured the ventilatory response to hyperoxic CO2 rebreathing with O2 clamped at increasingly higher pressures. We hypothesized that the V̇E versus PCO2 relationship is fixed and independent of PO2. On four occasions, twenty participants (10F; mean±SD age: 24±4 years) performed three repetitions of modified rebreathing in 4, randomized, isoxic-hyperoxic conditions: mild: PO2=150 mmHg; moderate: PO2=200 mmHg; high: PO2=300 mmHg; and extreme: PO2≈700 mmHg. Breath-by-breath V̇E, end-tidal CO2 (PETCO2) and O2 (PETO2) were measured by pneumotach and gas analyzer. For each rebreathing trial, the PETCO2 at which V̇E rose was identified as the ventilatory recruitment threshold (VRT, mmHg), data before VRT provided baseline V̇E (V̇EBSL, L∙min-1) and the slope of the response above VRT gave central chemoreflex sensitivity (V̇ES, L∙min-1∙mmHg-1). For each condition, VRT, V̇EBSL, and V̇ES from like-trials were averaged and repeated measures ANOVA assessed between-condition differences. There were no effects of PETO2 on V̇EBSL (mild: 7.4±4.2 L∙min-1; moderate: 6.9±4.2 L∙min-1; high: 6.5±3.7 L∙min-1; extreme: 7.5±2.7 L∙min-1; p=0.24), VRT (mild: 42.8±3.2 mmHg; moderate: 42.5±2.7 mmHg; high: 42.3±2.7 mmHg; extreme: 41.8±2.7 mmHg; p=0.07), or V̇ES (mild: 4.88±2.6 L∙min-1∙mmHg-1; moderate: 4.76±2.2 L∙min-1∙mmHg-1; high: 4.81±2.3 L∙min-1∙mmHg-1; extreme: 4.39±1.9 L∙min-1∙mmHg-1; p=0.41). The V̇E-PCO2 relationship is unaltered across a range of mild to extreme PO2. Brief exposure to normobaric hyperoxia may not independently stimulate breathing nor does it alter central chemoreflex sensitivity.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Bench or experimental · Consensus signal: Bench or experimental
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.002
Threshold uncertainty score0.006

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.000
Insufficient payload (model declined to judge)0.0020.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.058
GPT teacher head0.313
Teacher spread0.256 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designBench or experimental
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2023
Admission routes2
Has abstractyes

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