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Altitude tolerance correlates with the level of oxygenation achieved. The aim of the present study is to investigate whether increased expiratory pressure within the thorax is able to improve oxygenation during hypoxic hypoxia.
Two types of procedures will be tested in a random order, interspaced by resting periods : threshold PEEP set at 5,10 and 15 cm of water and pursed leap breathing.
Subjects will be tested at rest, and during light exercise (30% of sea level predicted VO2max).
FiO2 will be set at 12.5% (4000 m). fc, VE, PETCO2, TA, ECG, cardiac output, and tissular oxygenation will be monitored.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| healthy active subjects | with and without high altitude intolerance |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| threshold PEEP | Device | Various set of pressures : 0, 5, 10 cm H20; pursed lips breathing |
|
| Measure | Description | Time Frame |
|---|---|---|
| SpO2 | after three minutes of PEEP vs spontaneous breathing | mean over 1 minute |
| Measure | Description | Time Frame |
|---|---|---|
| peripheral HbO2/DeoxyHb | after three minutes of PEEP / PLB vs. spontaneous breathing | 1 min |
| cardiac output | after three min of PEEP vs. spontaneous breathing |
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Inclusion Criteria :
Exclusion Criteria :
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community sample with mounteneering experience
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bernard Wuyam, MD, PhD | Contact | 33 (0)4 76 76 93 03 | BWuyam@chu-grenoble.fr |
| Name | Affiliation | Role |
|---|---|---|
| Bernard Wuyam, MD, PhD | University Hospital, Grenoble | Principal Investigator |
| Samuel Vergès, PhD | Institut National de la Santé Et de la Recherche Médicale, France | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Grenoble | Recruiting | La Tronche | Isere | 38000 | France |
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| ID | Term |
|---|---|
| D000860 | Hypoxia |
| ID | Term |
|---|---|
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| mean over 1 min |
| pattern of breathing (fR, VT, PETCO2) | after three min of PEEP vs. spontaneous breathing | 1 min |
| Hugo NESPOULET, MsC |
| Université Joseph Fourier |
| Study Chair |