One-lung flooding for video-assisted thoracoscopic surgery in animal experiments on pigs - oxygenation and intrapulmonary shunt

被引:12
作者
Klinzing, S
Lesser, T
Schubert, H
Bartel, M
Klein, U
机构
[1] Univ Jena, Klin Anasthesiol & Intens Therapie, D-07740 Jena, Germany
[2] Univ Jena, Dept Thorac & Vasc Surg, D-07740 Jena, Germany
[3] Univ Jena, Inst Anim Experimentat, D-07740 Jena, Germany
关键词
bronchoalveolar flooding; thoracoscopy; lung sonography; hemodynamics; oxygenation;
D O I
10.1007/s004339900043
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Unilateral flooding of the lung after intubation with a double-lumen tube makes intraoperative sonography of the lung during video-assisted thoracoscopic surgery possible. After flooding with 15 ml/kg, the arterial partial oxygen pressure (with FiO(2)=1.0) is higher than that in total atelectasis by about 100 mmHg, while it is only slightly less than that during bilateral lung ventilation. Compared to total atelectasis, lung flooding reduces the pulmonary right-to-left shunt volume. The pulmonary function normalizes within 8 h after the operation.
引用
收藏
页码:333 / 340
页数:8
相关论文
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