Hemodynamic, ventilatory and gasometric evaluation of an experimental bronchopleural fistula
Acta cir. bras
; 30(1): 1-5, 01/2015. tab, graf
Article
in En
| LILACS
| ID: lil-735712
Responsible library:
BR1.1
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. .Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Pleural Diseases
/
Bronchial Fistula
/
Pulmonary Ventilation
/
Disease Models, Animal
/
Hemodynamics
Type of study:
Prognostic_studies
Limits:
Animals
Language:
En
Journal:
Acta cir. bras
Journal subject:
CIRURGIA GERAL
/
Procedimentos Cir£rgicos Operat¢rios
Year:
2015
Document type:
Article
/
Project document
Affiliation country:
Brazil
Country of publication:
Brazil