Abstract
Eight sheep fetuses (125-140 days old) were chronically catheterized and infused with 20-25 mEq/Kg of NH4 C1 in order to study the effects of acute metabolic acidemia on the fetal circulation. The fetal arterial pH decreased from 7.4-7.35 to 6.8-6.9. Regional blood flows before and during acidemia were measured by means of a microsphere method. During NH4 C1 acidemia, 8/9 animals showed increased blood flow to the diaphragm and to the intercostal muscles. In subsequent preparations, tracheal and amniotic catheters were placed and these showed that NH4 C1 induced regular respirations (60-90/min) generating negative tracheal pressures of 20-30 torr. Regular breathing began 1-2 hours after stopping the infusion of NH4C1 and continued for 12-24 hours -after blood ammonia concentrations had returned to normal. Repeated infusions of NH4C1 elicited the same response. Pulmonary blood flows were higher at similar right ventricular PO2's during NH4C1-induced acidemia. All fetuses had normal blood pressure and heart rate, and all recovered completely.
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Molteni, R., Imelmed, M. & Sheldon, R. 1212 INDUCTION OF BREATHING IN THE FETAL SHEEP WITH AMMONUM CHLORIDE INFUSION. Pediatr Res 12 (Suppl 4), 566 (1978). https://doi.org/10.1203/00006450-197804001-01218
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DOI: https://doi.org/10.1203/00006450-197804001-01218