Work of Breathing into Snow in the Presence versus Absence of an Artificial Air Pocket Affects Hypoxia and Hypercapnia of a Victim Covered with Avalanche Snow: A Randomized Double Blind Crossover Study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11510%2F15%3A10320776" target="_blank" >RIV/00216208:11510/15:10320776 - isvavai.cz</a>

Alternative codes found

RIV/68407700:21230/15:00235181 RIV/68407700:21460/15:00235181

Result on the web

<a href="http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0144332" target="_blank" >http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0144332</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1371/journal.pone.0144332" target="_blank" >10.1371/journal.pone.0144332</a>

Result language

angličtina

Original language name

Work of Breathing into Snow in the Presence versus Absence of an Artificial Air Pocket Affects Hypoxia and Hypercapnia of a Victim Covered with Avalanche Snow: A Randomized Double Blind Crossover Study

Original language description

Presence of an air pocket and its size play an important role in survival of victims buried in the avalanche snow. Even small air pockets facilitate breathing, yet they do not provide a significant amount of fresh air for breathing. We hypothesize that the size of the air pocket significantly affects the airflow resistance and work of breathing. The aim of the study is to investigate the effect of the air pocket volume on gas exchange and work of breathing in subjects breathing into the simulated avalanche snow and to test, whether it is possible to breathe with zero air pocket. The prospective interventional double-blinded study involved 12 male volunteers, from which 10 completed the whole protocol. Each volunteer underwent two phases of the experiment in a random order: phase ""AP""-breathing into the snow with a one-liter air pocket, and phase ""ZP""-breathing into the snow with a zero pocket. Physiological parameters, fractions of oxygen and carbon dioxide in the airways and work of breathing expressed as pressure-time product were recorded continuously. The main finding of the study is that it is possible to breath in the avalanche snow even with zero air pocket (0 L volume), but breathing under this condition is associated with extremely increased work of breathing. The significant differences were initially observed for end-tidal values of the respiratory gases (EtO2 and EtCO2) and peripheral oxygen saturation (SpO2) between AP and ZP phases, whereas significant differences in inspiratory fractions occurred much later (for FIO2) or never (for FICO2). The study documented that breathing in snow is possible even without any air pocket. The limiting factor in this case is excessive increase in work of breathing that induces increase in metabolism accompanied by higher oxygen consumption and carbon dioxide production. The effect of small air pockets consists in significant reduction of work of breathing rather than providing fresh air for breathing.

Czech name

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Czech description

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Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FI - Traumatology and orthopaedics

OECD FORD branch

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Project

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Continuities

S - Specificky vyzkum na vysokych skolach<br>I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2015

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

PLoS ONE

ISSN

1932-6203

e-ISSN

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Volume of the periodical

10

Issue of the periodical within the volume

12

Country of publishing house

US - UNITED STATES

Number of pages

16

Pages from-to

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UT code for WoS article

000366715900039

EID of the result in the Scopus database

2-s2.0-84955602390