EFFECT ON PULMONARY GAS EXCHANGE OF VARIATIONS IN INSPIRATORY FLOW RATE DURING INTERMITTENT POSITIVE PRESSURE VENTILATION

Autor: FAIRLEY, H. B., BLENKARN, G. D.
Zdroj: BJA: British Journal of Anaesthesia; May 1966, Vol. 38 Issue: 5 p320-320, 1p
Abstrakt: Eleven patients anaesthetized with sodium thiopentone, tubocurarine and halothane and ventilated with constant volume intermittent positive pressure were the subjects of a study of the effects of changes in inspiratory flow rate on alveolar-arterial oxygen difference, physiological shunt and physiological deadspace. The physiological deadspace increased significantly when inspiratory flow rate was raised above 25 l./min, but no change was demonstrable in venous admixture effect. The magnitude of the values derived and the possible mechanisms involved are discussed. The existence of a series of negative feed-back loops, with respect to the reduction of alveolar-arterial oxygen gradient, by intermittent positive pressure, is suggested.
Databáze: Supplemental Index