Gas Exchange and Respiratory Mechanics During Hip Arthroplasty
作者:
C. Mebius,
G. Hedenstierna,
期刊:
Acta Anaesthesiologica Scandinavica
(WILEY Available online 1982)
卷期:
Volume 26,
issue 1
页码: 15-21
ISSN:0001-5172
年代: 1982
DOI:10.1111/j.1399-6576.1982.tb01718.x
出版商: Blackwell Publishing Ltd
数据来源: WILEY
摘要:
Gas exchange and respiratory mechanics were studied during hip arthroplasty, according to Charnley(1961). Dead space measurements were made by capnography and thoracic compliance and resistance, calculated liom tracheal pressure variations and respiratory gas flow. PaO2fell by 2.5 kPa with the insertion of each prosthesis. Small increases in PaO2were also seen. Distal (approximately corresponding to alveolar) dead space increased by 25% when each prosthesis was anchored. Dynamic thoracic compliance fell by 30–40 ml/kPa at the insertion of either prosthesis, while inspiratory and expiratory resistances were unaffected. The findings may indicate interference with the functions of both the bronchial and the pulmonary vascular tre
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