title: Pulmonary vagal innervation is required to establish adequate alveolar ventilation in the newborn lamb.
abstract: To investigate the effects of bilateral intrathoracic vagotomy on the establishment of continuous breathing and effective gas exchange at birth, we studied 8 chronically instrumented, unanesthetized, sham-operated and 14 vagotomized newborn lambs after a spontaneous, unassisted vaginal delivery. Fetal lambs were instrumented in utero to record sleep states, diaphragmatic electromyogram, blood pressure, arterial pH, and blood-gas tensions. Six of eight sham-operated lambs established effective gas exchange within 10 min of birth, whereas 12 of 14 vagotomized animals developed respiratory acidosis and hypoxemia (P = 0.008). Breathing frequency in vagotomized newborns was significantly lower during the entire postnatal period compared with sham-operated newborns. Vagotomized subjects also remained hypothermic during the entire postnatal period (P < 0.05). Bronchoalveolar lavage indicated an increased minimum surface tension, whereas lung histology showed perivascular edema and partial atelectasis in the vagotomized group. We conclude that stimulation of breathing and effective gas exchange are critically dependent on intact vagal nerves during the transition from fetal to neonatal life.
authors.affiliation: Department of Pediatrics, The University of Calgary, Calgary, Alberta, Canada T2N 4N1.
authors.forename: K A
authors.initials: KA
authors.lastname: Wong
authors.forename: A
authors.initials: A
authors.lastname: Bano
authors.forename: A
authors.initials: A
authors.lastname: Rigaux
authors.forename: B
authors.initials: B
authors.lastname: Wang
authors.forename: B
authors.initials: B
authors.lastname: Bharadwaj
authors.forename: S
authors.initials: S
authors.lastname: Schürch
authors.forename: F
authors.initials: F
authors.lastname: Green
authors.forename: J E
authors.initials: JE
authors.lastname: Remmers
authors.forename: S U
authors.initials: SU
authors.lastname: Hasan
mesh_terms: D000818:Animals; D000831:Animals, Newborn / Q000502:physiology*; D001784:Blood Gas Analysis; D001831:Body Temperature / Q000502:physiology; D005260:Female; D006439:Hemodynamics / Q000502:physiology; D008168:Lung / Q000294:innervation*; D009929:Organ Size / Q000502:physiology; D011247:Pregnancy; D011650:Pulmonary Alveoli / Q000502:physiology*; D011652:Pulmonary Circulation / Q000502:physiology; D012131:Respiratory Insufficiency / Q000503:physiopathology; D012143:Respiratory Physiological Phenomena; D012756:Sheep; D014628:Vagotomy; D014630:Vagus Nerve / Q000502:physiology*