Hemodynamic, ventilatory and gasometric evaluation of an experimental bronchopleural fistula
Acta cir. bras
;
30(1): 1-5, 01/2015. tab, graf
Article
Dans Anglais
| LILACS
| ID: lil-735712
ABSTRACT
PURPOSE:
To investigate the hemodynamic and ventilatory changes associated with the creation of an experimental bronchopleural fistula (BPF) treated by mechanical ventilation and thoracic drainage with or without a water seal.METHODS:
Six large white pigs weighing 25 kg each which, after general anesthesia, underwent endotracheal intubation (6mm), and mechanically ventilation. Through a left thoracotomy, a resection of the lingula was performed in order to create a BPF with an output exceeding 50% of the inspired volume. The chest cavity was closed and drained into the water sealed system for initial observation of the high output BPF.RESULTS:
Significant reduction in BPF output and PaCO2 was related after insertion of a water-sealed thoracic drain, p< 0.05.CONCLUSION:
Insertion of a water-sealed thoracic drain resulted in reduction in bronchopleural fistula output and better CO2 clearance without any drop in cardiac output or significant changes in mean arterial pressure. .
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Maladies de la plèvre
/
Fistule bronchique
/
Ventilation pulmonaire
/
Modèles animaux de maladie humaine
/
Hémodynamique
Type d'étude:
Étude pronostique
Limites du sujet:
Animaux
langue:
Anglais
Texte intégral:
Acta cir. bras
Thème du journal:
Chirurgie générale
/
Procedimentos Cir£rgicos Operat¢rios
Année:
2015
Type:
Article
/
descriptif de projet
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
State University of Campinas/BR
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