Kevin, The problem is that the human body is designed to work with a arterial CO2 of approx. 40torr. Yes, we can drive the arterial CO2 levels down to the point that a patient will not spontaneously breathe, but we are changing some very delicate ion balances when we do this (lets not get into the Henderson-Hasselbach equation, buffers, bicard, the kidneys, etc.). Bottom line is, if we maintain arterial pCO2 at a normal level (ie, 40torr), we will get breathing efforts in the vast majority of normal patients. John
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