Effect of distal endotracheal bias flow on PaCO2 during high frequency oscillatory ventilation

Aldo Bancalari, Eduardo Bancalari, Dorothy Hehre, Cleide Suguihara, Tilo Gerhardt, Ronald N. Goldberg

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


In order to evaluate the effect of distal endotracheal bias flow during HFOV on PaCO2 we studied adult rabbits with normal lungs and those who had meconium-induced lung dysfunction. Animals were studied while 1.0, 1.4 and 1.8 ml/kg tidal volumes (V(T)) were delivered by a high frequency oscillator. In animals with normal lungs and a 1.0 liter/min distal bias flow, the PaCO2 decreased significantly (p<0.01) with all V(T) used. In animals with meconium installation the decrease in PaCO2 was also significant (p<0.05) at all combinations of V(T) and distal bias flow. The higher the distal bias flow the more pronounced was the lowering effect on PaCO2. We conclude that during HFOV it is possible to improve CO2 elimination using small additional bias flow delivered near the tip of the endotracheal tube in animals with normal and abnormal lung function. This may allow adequate alveolar ventilation with even smaller V(T), thus reducing the risk of barotrauma.

Original languageEnglish (US)
Pages (from-to)61-67
Number of pages7
Issue number2
StatePublished - 1988


  • CO elimination
  • Distal bias flow
  • High frequency oscillatory ventilation
  • Meconium instillation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental Biology


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