[HN Gopher] Rectal Breathing with Perfluorocarbons
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       Rectal Breathing with Perfluorocarbons
        
       Author : Metacelsus
       Score  : 52 points
       Date   : 2021-05-14 19:54 UTC (3 hours ago)
        
 (HTM) web link (www.cell.com)
 (TXT) w3m dump (www.cell.com)
        
       | harveywi wrote:
       | Bach's "Air on the G String" will never sound the same.
        
       | mdani wrote:
       | A very interesting video on PFCs and liquid breathing.
       | 
       | https://youtu.be/TIGCdA2YLyY
        
       | leephillips wrote:
       | This is a strong example of a title that simultaneously make me
       | want to click on it but made me afraid to do so. In the end I
       | chickened out.
        
         | hisnameisjimmy wrote:
         | Worth the click, pretty wild technology.
        
         | greatgoat420 wrote:
         | It isn't that scary.
         | 
         | >Intra-rectal delivery of a liquid form of O2 known as
         | conjugated perfluorocarbon, a compound historically used in
         | clinics for liquid ventilation through airway administration,
         | is highly tolerable and efficacious in ameliorating severe
         | respiratory failure. Thus, by repurposing the distal gut as an
         | accessary breathing organ, enteral ventilation therapy offers
         | an alternative paradigm as an adjunctive means to patients who
         | are in critical need of respiratory support.
        
           | semi-extrinsic wrote:
           | Nitpick (on TFA): perfluorocarbons are not "a liquid form of
           | O2". The thing about these liquids is that they can dissolve
           | a huge amount of both O2 and CO2, compared to normal liquids.
           | It's kinda crucial that they can carry lots of CO2 out of the
           | body as well.
           | 
           | Calling PFCs "a liquid form of O2" is like saying carbonated
           | water is "a liquid form of CO2".
        
             | amelius wrote:
             | But how do you replenish this once the O2 is absorbed? Do
             | you pump out the delivery agent, then pump the O2-rich form
             | back in?
        
               | kazinator wrote:
               | Obviously; and--I would hope!--out the same end where it
               | came in.
        
             | [deleted]
        
           | kazinator wrote:
           | Could this also be regarded as a dietary supplement with
           | negative calories?
        
       | ChuckMcM wrote:
       | The joke here is "Man next year's scuba gear is going to be
       | really interesting."
       | 
       | That said, the paper using the liquid EVA (L-EVA) technique can
       | keep rodents survivably oxygenated. (~ 95% oxygen levels if I am
       | reading the graph in figure 2C correctly) so it is an interesting
       | result to watch.
        
       | kleiba wrote:
       | Here's a video that demonstrates the underlying scientific
       | principle, focusing on expiration:
       | http://www.youtube.com/watch?v=SFLw8aH-M2w&t=0m4s
        
         | thunkshift1 wrote:
         | Well, I fell for that
        
       | Metacelsus wrote:
       | It's a crazy idea, but this might actually be pretty useful for
       | people whose lungs are damaged.
        
         | ceejayoz wrote:
         | Or trauma patients you can't get quickly intubated; could have
         | utility in ambulances.
        
           | harveywi wrote:
           | Deaths from assphyxiation will plummet.
        
       | mikeappell wrote:
       | I wonder what it would take to get us to the point where we can
       | oxygenate sufficiently without needing to use our lungs at all.
       | Tons of applications there.
        
         | intricatedetail wrote:
         | What would you replace the lungs with? The space could probably
         | fit a battery and M1 Mac.
        
           | wbc wrote:
           | arc reactor
        
           | harveywi wrote:
           | You would need to replace them with something that could
           | effectively replace the rectum.
        
         | nradov wrote:
         | That already exists. Surgeons have been using cardiopulmonary
         | bypass machines for years.
        
       | jmpman wrote:
       | Butt chugging oxygen? What will the millennials think of next.
        
       | dang wrote:
       | _Mammals can absorb oxygen through their intestines_ -
       | https://news.ycombinator.com/item?id=27156334 - May 2021 (106
       | comments)
        
         | Metacelsus wrote:
         | Sorry I didn't see that, it appears to be a (quite good)
         | commentary article on the paper I linked.
        
       | WesolyKubeczek wrote:
       | Reminded me of a childhood joke:
       | 
       | Once there was a hedgehog who had learned to breathe with his
       | butt. One day he sat down onto a tree stump and died of
       | suffocation.
       | 
       | But seriously, if my lungs had to go and I had an option, I would
       | totally grab at any tech to breathe with my whatever else.
        
       | aqme28 wrote:
       | It looks like this works for oxygenation, but does it work to
       | remove carbon dioxide? I didn't see anything about that in the
       | paper, but it's just as important unless it's super short-term.
        
       | rozab wrote:
       | David Blaine claimed that when he was preparing for his
       | underwater breath holding record attempt, he bought some of this
       | stuff online thinking he might be able to just cheese it.
       | 
       | So he filled his sink with it, stuck his face in and tried to
       | breathe.
       | 
       | He found it so difficult and unpleasant he decided to just break
       | the record for real instead (he got 17 minutes and 4 seconds).
       | 
       | https://youtu.be/XFnGhrC_3Gs?t=297
        
         | harveywi wrote:
         | If he would have sat in his sink instead, he would have smashed
         | the record.
        
       | jfengel wrote:
       | This is a fascinating discovery, but I do want to spare a
       | moment's thought for the lab animals in the study. Asphyxiation
       | is a deeply unpleasant way to die, which is what happened to all
       | of the control group, all of the group without intestinal
       | abrasion, and 25% of the mice who were given the full treatment.
       | 
       | That latter is just one animal; the groups were very small. But
       | that sounds especially horrible, getting almost enough oxygen to
       | live. Every single animal underwent "agonal respiration", which
       | is merely medical Latin for "gasping for breath", but nonetheless
       | suggests that these mice were suffering substantially.
       | 
       | I'm glad that the groups were small. I'm well aware that animal
       | models are necessary for medicine, and that these deaths may well
       | one day save many human lives; presumably the Institutional
       | Review Board decided it was worth it on balance. I hope that
       | future experiments can continue to be done with an eye to
       | minimizing the suffering that goes into them.
        
         | prideout wrote:
         | It's good that you brought this up in a tactful way. I share
         | your concerns about animal suffering, and your hope for the
         | future.
         | 
         | It sounds like you are willing to concede that the suffering in
         | this particular case is potentially worthwhile, and I too am
         | willing to make this concession. Millions of people have died,
         | and we have to do what we have to do. I hope we can be smarter
         | in the future.
        
         | 4gotunameagain wrote:
         | Haha there was a control group? What did they expect?
        
       | 35fbe7d3d5b9 wrote:
       | As seen in The Abyss (1989), where a real rat was submerged in a
       | similar liquid. Of course, its respiration was not rectal, but
       | normal - or as normal as "breathing via liquid" can be.
       | 
       | https://www.youtube.com/watch?v=oFFpMqs9kbI
        
         | PaulDavisThe1st wrote:
         | Only the rat though, not Ed Harris ....
        
         | zabzonk wrote:
         | Hippy: "He ain't digging it, man!"
        
         | harveywi wrote:
         | How do you know that the respiration in the movie wasn't
         | rectal?
        
       | aasasd wrote:
       | Editorialized title.
        
       | ggambetta wrote:
       | Reverse-farting. What a time to be alive.
        
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       (page generated 2021-05-14 23:02 UTC)