$\require{mediawiki-texvc}$
  • 검색어에 아래의 연산자를 사용하시면 더 정확한 검색결과를 얻을 수 있습니다.
  • 검색연산자
검색연산자 기능 검색시 예
() 우선순위가 가장 높은 연산자 예1) (나노 (기계 | machine))
공백 두 개의 검색어(식)을 모두 포함하고 있는 문서 검색 예1) (나노 기계)
예2) 나노 장영실
| 두 개의 검색어(식) 중 하나 이상 포함하고 있는 문서 검색 예1) (줄기세포 | 면역)
예2) 줄기세포 | 장영실
! NOT 이후에 있는 검색어가 포함된 문서는 제외 예1) (황금 !백금)
예2) !image
* 검색어의 *란에 0개 이상의 임의의 문자가 포함된 문서 검색 예) semi*
"" 따옴표 내의 구문과 완전히 일치하는 문서만 검색 예) "Transform and Quantization"
쳇봇 이모티콘
안녕하세요!
ScienceON 챗봇입니다.
궁금한 것은 저에게 물어봐주세요.

논문 상세정보

Abstract

One-lung ventilation (OLV) is the isolation and selective ventilation of one lung field. OLV allows the collapse of lung lobes on the side of the thoracic surgical approach to facilitate observation of intrathoracic structures and to achieve lung immobility. OLV be achieved by endotracheal intubation with double lumen tubes or bronchial blockers. In this study, cardiopulmonary consequences of two-lung ventilation (TLV), OLV and Re-TLV (TLV after OLV) were evaluated in 5 dogs. The dogs were anesthetized with mask induction and maintained with isoflurane in oxygen. Tidal volume and respiratory rates were set to maintain end-tidal $CO_2$ at $40{\pm}2mmHg$ during instrumentation. Following instrumentation, the dogs were placed in right lateral recumbency and induced spontaneously respiration state. Effect of TLV on hemodynamic and pulmonary variables were recorded. Then, the left bronchus was obstructed by endotracheal intubation with double lumen endotracheal tube to achieve OLV state and recording was continued. After OLV, double lumen endotracheal tube was extubated, and standard endotracheal tubes was intubated again. In this study, spontaneous OLV caused significant decrease in $PaO_2$, arterial oxygen saturation, mixed-venous oxygen saturation, and increase in $PaCO_2$. Especially, a significant elevation in $PaCO_2$ and respiratory acidosis were remarkable findings. So spontaneous ventilation in OLV affected gas exchange and hemodynamic function.

참고문헌 (33)

  1. Bee D, Wach RA. Hypoxic pulmonary vasoconstriction in chronically hypoxic rats. Respir Physiol 1984, 56, 91-103 
  2. Benumof JL, Wahrenbrock EA. Dependency of hypoxic pulmonary vasoconstriction on temperature. J Appl Physiol 1977, 42, 56-58 
  3. Cohen E. Physiology of the lateral position and onelung ventilation. Chest Surg Clin N Am 1997, 7, 753-771 
  4. Cullen DJ, Eger EI. Cardiovascular effects of carbon dioxide in man. Anesthesiology 1974, 41, 345-349 
  5. Heneghan CP, Scallan MJ, Branthwaite MA. Endtidal carbon dioxide during thoracotomy. Its relation to blood level in adults and children. Anesthesiology 1981, 36, 1017-1021 
  6. Sykes MK, Gibbs JM, Loh L, Marin JB, Obdrzalek J, Arnot RN. Preservation of the pulmonary vasoconstrictor response to alveolar hypoxia during the administration of halothane to dogs. Br J Anaesth 1978, 12, 1185-1196 
  7. Tachibana M, Abe S, Tabara H, Yoshimura H, Matsuura H, Nagasue N, Nakamura T. One-lung or two-lung ventilation during transthoracic oesophagectomy?. Can J Anaesth 1994, 41, 710-715 
  8. Dries DJ. Permissive hypercapnia. J Trauma 1995, 39, 984-989 
  9. Powell LL. Causes of respiratory failure. Vet Clin North Am Small Anim Pract 2002, 32, 1049-1058 
  10. Lumb AB. Change in the carbon dioxide tension. In: Lumb AB, Nunn JF (eds.). Nunn's Applied Respiratory Physiology. pp. 460-471, 5th ed. Butterworth, London, 1987 
  11. Salman MD. Effect of one-lung ventilation on oxygen delivery in anesthetized dogs with an open thoracic cavity. Am J Vet Res 2003, 64, 443-448 
  12. Groh J, Kuhnle GE, Ney L, Sckell A, Goetz AE. Effect of isoflurane on regional pulmonary blood flow during or lung ventilation. Br. J Anaesth 1995, 74, 209-216 
  13. Lejeune P, Brimioulle S, Leeman M, Hallemans R, Melot C, Naeije R. Enhancement of hypoxic pulmonary vasoconstriction by metabolic acidosis in dogs. Anesthesiology 1990, 73, 256-264 
  14. Marshall C, Marshall B. Site and sensitivity for stimulation of hypoxic pulmonary vasoconstriction. J Appl Physiol 1983, 55, 711-716 
  15. Baraka A, Aouad M, Taha S, El-Khatib M, Kawkabani N, Soueidi A. Apnea-induced hemoglobin desaturation during one-lung vs two-lung ventilation. Can J Anaesth 2000, 47, 58-61 
  16. Marshall C, Lindgren L, Marshall BE. Metabolic and respiratory hydrogen ion effects on hypoxic pulmonary vasoconstriction. J Appl Physiol 1984, 57, 545-550 
  17. Morgan GE, Mikhail MS, Murray MJ. Anesthesia for thoracic surgery In: Morgan GE, Mikhail MS, Murray MJ, Larson CP (eds.). Clinical Anesthesiology. pp. 525-534, 3rd ed. Lange Medical Blooks, New York, 1996 
  18. Day TK. Blood gas analysis. Vet Clin North Am Small Anim Pract 2002, 32, 1031-1048 
  19. James BE, Edmond C, Steven MN. Anesthesia for thoracic surgery In: Barash PG, Cullen BF, Stoelting RK (eds.). Clinical Anesthesia. pp. 817-833. 4th ed. Lippincott Williams & Wilkins, Philadelphia, 2001 
  20. Barer GR, Howard P, McCurrie JR, Shaw JW. Change in the pulmonary circulation after bronchial occlusion in anesthetized dogs and cats. Cir Res 1969, 25, 747-764 
  21. Barton L. Respiratory muscle fatigue, Vet Clin North Am Small Anim Pract 2002, 32, 1059-1079 
  22. Hyman AL, Kadowitz PJ. Effects of alveolar and perfusion hypoxia and hypercapnia on pulmonary vascular resistance in the lamb. Am J Physiol 1975, 228, 397-403 
  23. Gentilello LM, anardi D, Mock C, Arreola-Risa C, Maier RV. Permissive hypercapnia in trauma patients. J Trauma 1995, 39, 846-853 
  24. Johnson DH, Chang PC, Hurst TS, Reynolds FB, Lang SA, Mayers I. Changes in PETCO2 and pulmonary blood flow after bronchial occlusion in dogs. Can J Anaesth 1992, 39, 184-191 
  25. Cutaia M, Rounds S. Hypoxic pulmonary vasoconstriction. Physiologic significance, mechanism, and clinical relevance. Chest 1990, 97, 706-718 
  26. Marshall C, Lindgren L, Marshall BE. Effects of halothane, enflurane, and isoflurane on hypoxic pulmonary vasoconstriction in rat lungs in vitro. Anesthesiology 1984, 60, 304-308 
  27. Kiely DG, Cargill RI, Lipworth BJ. Effects of hypercapnia on hemodynamic, inotropic, lusitropic, and electrophysiological indices in human. Chest 1996, 109, 1215-1221 
  28. Lejeune P, Vachiery JL, De Smet JM, Leeman M, Brimioulle S, Delcroix M, Melot C, Naeije R. PEEP inhibts hypoxic pulmonary vasoconstriction in dogs. J Appl Physiol 1991, 70, 1867-1873 
  29. Malmkvist G. Maintenance of oxygenation during onelung ventilation. Effect of intermittent reinflation of the collapsed lung with oxygen. Anesth Analg 1989, 68, 763-766 
  30. Marshall B, Hanson CW, Frasch F, Marshall C. Role of hypoxic pulmonary vasoconstriction in pulmonary gas exchange and blood flow distribution. 2. Pathophysiology. Intensive Care Med 1994, 20, 379-389 
  31. Campos JH, Reasoner DK, Moyers JR. Comparison of a modified double-lumen endotracheal tube with a single-lumen tube with enclosed bronchial blocker. Anesth Analg 1996, 83, 1268-1272 
  32. Cantwell SL, Duke T, Walsh PJ, Pemedios AM, Walker D, Ferguson JG. One-lung versus two-lung ventilation in the closed-chest anesthetized dog: A comparison of cardiopulmonary parameters. Vet Surgery 2000, 29, 365-373 
  33. Garcia F, Prandi D, Pena T, Franch J, Trasserra O. Examination of the thoracic cavity and lung lobectomy by means of throcoscopy in dogs. Can Vet J 1998, 39, 285-291 

이 논문을 인용한 문헌 (0)

  1. 이 논문을 인용한 문헌 없음

원문보기

원문 PDF 다운로드

  • ScienceON :

원문 URL 링크

원문 PDF 파일 및 링크정보가 존재하지 않을 경우 KISTI DDS 시스템에서 제공하는 원문복사서비스를 사용할 수 있습니다. (원문복사서비스 안내 바로 가기)

상세조회 0건 원문조회 0건

DOI 인용 스타일