Hemodynamic, ventilatory and gasometric evaluation of an experimental bronchopleural fistula

Acta Cirurgica Brasileira

Douglas Guimaraes De Oliveira¹  Maria Gabriela Cavicchia Toneloto¹  Marcos Mello Moreira¹  Joaquim Murray Bustorff-silva¹  Gabriel Franco De Souza¹  Luiz Claudio Martins¹  Carolina Kosour¹  Desanka Dragosavac¹  Antonio Luis Eiras Falcão¹ 

关键词: Respiratory Tract Fistula;    Respiration;    Artificial;    Models;    Animal;    Swine;   

DOI  :  10.1590/S0102-86502015001000001

来源: SciELO

【 摘 要 】

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.

【 授权许可】

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