High‐frequency, Small‐volume Ventilation during Thoracic Surgery
作者:
James,
Glenski Matthew,
Crawford Kai,
期刊:
Anesthesiology
(OVID Available online 1986)
卷期:
Volume 64,
issue 2
页码: 211-214
ISSN:0003-3022
年代: 1986
出版商: OVID
关键词: Surgery: thoracic;Ventilation: gas exchange;high-frequency;mechanical
数据来源: OVID
摘要:
Surgical conditions during conventional mechanical ventilation (CMV) and pulmonary gas exchange were compared with those during high-frequency ventilation (HFV) in 24 patients udergoing anesthesia for intrathoracic surgery. HFV at an oscillatory frequency of 3 Hz and a delivered gas volume of 1.3–1.9 ml/kg provided excellent surgical conditions for peripheral lung procedures. However, surgical conditions for procedures on the major airways or mediastinal structures were unsatisfactory during HFV. Adequate pulmonary gas exchange was achieved with HFV when the chest was open. Further evidence is presented for expiratory flow limitation during HFV. Expiratory flow limitation seems to occur particularly in patients with chronic obstructive airway disease, leading to increased lung volume. Currently, the authors do not recommend HFV for routine use during anesthesia for thoracic surgery.
点击下载:
PDF
(318KB)
返 回