MATERIAlS AND METHODSprolonged disease process, which ma y include lon g-standing hypo xia (2, 3). During tissue hypox ia, elevated hypo xanthine levels have been found in plasma (4)(5)(6), CSF (7,8), and urine (9). We have also measured the hypoxanthine levels in vitreous humor post-mo rtem, and documented high levels when death was preceded by resp iratory failure and hypo xem ia ( 10, II ). Re cently, we reported high levels of hypoxanthine in the vitreous humor of victims of SIDS (\2), and therefore concluded that hypoxemia precedes death in SIDS .In our present study, we report how three degrees of hypoxemia in young pigs influence the level of hyp oxanthine, xanthine, and uri c acid in the vitreous humor. Furthermore, we in vestigated the time factor in volved in hypoxanthine accumulation in the vitreo us humor during hypo xemia. We also report how hypoxanthine concentrat ion s in the vitreo us humor change during th e first 24 h post-mortem . We found this important, in asmuch as the tim e from death to sam ple collection could ha ve influenced the concentrations of hypoxanthine in the vitreous humor that we have rep ort ed from our SIDS cases.Approval. The local hospital's ethical committee for animal studies approved thes e experiments.Animal m odel. The animal model was similar to that previou sly described (13). T wenty-two young pigs of either sex (the males had been castrated short ly after birth) weighing 17-22 kg (mea n 18.1 kg) were used . They were anesthetized with an intraperitoneal injection of sod ium pentobarbital (30 mg/kg), An i.v.I ine was establi shed through an ear vein , and a continuous infusion of Ringer acetate (\ 0 mL/kg/h) was given during the experim ent. A furth er 100 mg of sodium pentobarbital was given i.v. if necessary every 30 min. A cuffed tube was placed in the trachea via a tracheostomy. Artificial ventilation was given by a ventilator (Servo-ventilator 900B , Elema-Schenander, Stockholm, Sweden). Ventilation rate and tid al volume were adjusted until arterial CO 2 ten sion ranged betwe en 4 and 5.3 kPa (30-40 mm Hg). No further adjustments of the ventilator were done during the hypo xemic period.Polyeth ylene catheters were inserted into a fem oral artery and a femoral vein. The arterial catheter was used for measuring blo od gases. The veno us catheter was used for giving Ringer acetate plus additional sodium pentobarbital.After surge ry, the pigs were left for a stabilizing period of at least I h before basal concentrations were measured, and then divided into three hypoxemic and one control group. Seven animals were made hypoxemic by artificial ventilation with 8% oxygen in nitrogen (Fi0 2 = 0.08) (group I). Seven animals were ventilated with II % oxygen (Fi0 2 = 0.11 ) (group 2). Five animals were ventilated with 14% ox ygen (Fi0 2 = 0. 14) (group 3), and