An alveolar recruitment maneuver followed by positive end-expiratory pressure improves lung function in healthy dogs undergoing laparoscopy.
Autor: | Di Bella C; Department of Emergency and Organ Transplantation, 'Aldo Moro' University of Bari, Bari, Italy., Lacitignola L; Department of Emergency and Organ Transplantation, Section of Veterinary Clinics and Animal Production, 'Aldo Moro' University of Bari, Bari, Italy., Grasso S; Department of Emergency and Organ Transplantation, Section of Anesthesia and Intensive Care, 'Aldo Moro' University of Bari, Bari, Italy., Centonze P; Department of Emergency and Organ Transplantation, Section of Veterinary Clinics and Animal Production, 'Aldo Moro' University of Bari, Bari, Italy., Greco A; Department of Emergency and Organ Transplantation, Section of Veterinary Clinics and Animal Production, 'Aldo Moro' University of Bari, Bari, Italy., Ostuni R; Department of Emergency and Organ Transplantation, Section of Veterinary Clinics and Animal Production, 'Aldo Moro' University of Bari, Bari, Italy., Crovace A; Department of Emergency and Organ Transplantation, Section of Veterinary Clinics and Animal Production, 'Aldo Moro' University of Bari, Bari, Italy., Staffieri F; Department of Emergency and Organ Transplantation, Section of Veterinary Clinics and Animal Production, 'Aldo Moro' University of Bari, Bari, Italy. Electronic address: francesco.staffieri@uniba.it. |
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Jazyk: | angličtina |
Zdroj: | Veterinary anaesthesia and analgesia [Vet Anaesth Analg] 2018 Sep; Vol. 45 (5), pp. 618-629. Date of Electronic Publication: 2018 Apr 16. |
DOI: | 10.1016/j.vaa.2018.03.007 |
Abstrakt: | Objective: To evaluate the effects of an alveolar recruitment maneuver (ARM) followed by 5 cmH Study Design: Prospective, randomized clinical study. Animals: A group of 20 dogs undergoing laparoscopic ovariectomy. Methods: Dogs were sedated with acepromazine and methadone intramuscularly; anesthesia was induced with propofol intravenously and maintained with inhaled isoflurane. The following baseline ventilatory setting (BVS) was administered: tidal volume of 12 mL kg -1 , inspiratory to expiratory ratio of 1:2, inspiratory pause 25% of inspiratory time, no PEEP and a respiratory rate to maintain end-tidal carbon dioxide tension between 5.3 and 7.3 kPa. Then, 10 minutes after the pneumoperitoneum, 10 dogs (RM) underwent a sustained inflation ARM followed by BVS plus 5 cmH Results: The Fshunt at PP30 and PPpost20 was lower (p < 0.001) in the RM (2.3 ± 2.2 and 4.7 ± 3.7%) than in the NO-RM (5.2 ± 2.1 and 11.1 ± 5.2%), and PaO Conclusions and Clinical Relevance: In dogs undergoing laparoscopy, ARM followed by 5 cmH (Copyright © 2018 Association of Veterinary Anaesthetists and American College of Veterinary Anesthesia and Analgesia. Published by Elsevier Ltd. All rights reserved.) |
Databáze: | MEDLINE |
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