High frequency jet ventilation in horses: an experimental study.

High frequency jet ventilation (HFJV) is a recently developed mode of ventilation that delivers small tidal volumes at frequencies greater than 60 cycles per min via an injection catheter to the animal's airway. The construction of a high frequency jet ventilator suitable for use in adult horses is described. The effectiveness of this ventilator in maintaining normal arterial blood-gas tension was evaluated in five healthy adult horses. The horses were anaesthetised with intravenous acetylpromazine, guaifenesin, and thiamylal, positioned in lateral recumbency and baseline measurements were made during spontaneous ventilation. The horses were then paralysed with succinylcholine and ventilated for at least 20 mins with HFJV. Air was delivered from the ventilator to the animal by a polyethylene tube. The tip of this tube remained within and approximately 30 cm from the cuffed end of a standard 30 mm internal diameter large animal orotracheal tube. Frequency of flow interruption was 3 Hz with a constant source pressure of 275 kPa and an inspiratory to expiratory ratio of approximately 1:2.6. Gas delivery to the horse, as estimated with a resonator system was approximately 2 litres/breath. During HFJV, arterial carbon dioxide tension was significantly reduced and arterial oxygen tension significantly increased above measurements made when the horses were spontaneously breathing air.

Tidal breathing flow-volume loop analysis for clinical assessment of airway obstruction in conscious dogs.

Using a mask, pneumotachograph, and X-Y recorder, tidal breathing flow-volume loops (TBFVL) were evaluated in 33 healthy dogs and in 18 dogs with acquired obstructive respiratory tract disease. The loops were evaluated for qualitative shape, tidal volume (VT), respiratory rate, peak and midtidal inspiratory flow (PIF and IF50, respectively), peak and midtidal expiratory flow (PEF and EF50, respectively), inspiratory and expiratory flow at end expiratory volume plus 25% VT (IF25 and EF25, respectively), inspiratory time, and expiratory time. Indices of loop shape were developed by division of flow measurements (eg, PEF/PIF and IF50/IF25). Twenty healthy dogs had the same TBFVL (type 1). Typically, PEF occurred at the beginning of expiration, and PIF occurred toward the end of inspiration. Three other TBFVL types were identified in the remaining dogs. Mean coefficients of variation for TBFVL indices ranged from 7% to 18%. Dogs with a fixed-type upper airway obstruction (pharyngeal or laryngeal mass, n = 7) had TBFVL abnormalities, indicating inspiratory and expiratory phase flattening. Concavity or late expiratory phase flattening was detected in TBFVL from dogs with chronic bronchitis/tracheal collapse (n = 11). The TBFVL were easily evaluated in conscious dogs and were useful in the functional assessment of airway obstruction.

Topographic distribution of pulmonary ventilation and perfusion in the horse.

The regional distribution of ventilation to perfusion ratios (VA/Q) in the lungs of 8 healthy standing Thoroughbred geldings (4.4 +/- 1.5 years, 465.7 +/- 46.6 kg) was studied, using steady-state inhalation and IV infusion of the radioactive gas krypton-81m. The VA/Q was uniformly distributed within a vertical lung strip centered over the 9th rib on the right side. Ventilation per unit of alveolar volume (V/VA) assessed from the clearance of inhaled radioactive gas in 5 horses increased from 0.49 +/- 0.13 (arbitrary units) in nondependent lung zones to 1.45 +/- 0.16 in dependent lung zones. Seemingly, a vertical gradient of pulmonary ventilation exists in the horse that is matched by a similar gradient of perfusion.

Upper airway obstruction in canine laryngeal paralysis.

The type and the severity of airway obstruction in 30 dogs with bilateral laryngeal paralysis was assessed, using tidal breathing flow-volume loop (TBFVL) analysis. The dogs had clinical evidence of mild-to-severe upper airway obstruction (ie, respiratory distress, exercise intolerance, stridor). Seventeen dogs had TBFVL consistent with a nonfixed (inspiratory) obstruction, 10 had TBFVL indicative of a fixed (inspiratory/expiratory) obstruction, and 3 had normal TBFVL. Analysis of TBFVL confirmed that dogs with laryngeal paralysis have upper airway obstruction that differs in type and severity. Use of TBFVL provided a quantitative evaluation of airway obstruction and demonstrated the effects of bilateral laryngeal paralysis on the breathing patterns of dogs.

Pulmonary function testing in calves: technical data.

Measurements of airflow (V), tidal volume (Vt), and intrapleural pressure (Ppl) were tested for accuracy in 5 healthy Dutch Friesian calves with an average body weight of 153 kg. A face mask was constructed, using fiberglass and polyester, taking into account the typical facial morphology of the calf. It was tested for airtightness, dead space, laminarity of the expiratory V, and absence of saliva into the pneumotachograph. Three different systems for measuring Ppl (pleura puncturing, esophageal balloon catheter, and esophageal saline solution-filled catheter) were tested in vitro, in a Woulfe's flask, and in vivo, in the 5 calves previously described. Moreover, Ppl measured at 3 different puncture sites of the thorax and at 3 different thoracic positions of the esophagus were compared. The frequency-response was flat to 5 Hz for the intrapleural needle and the balloon catheter, but not for the saline solution-filled catheter. The pulmonary function values obtained by puncture of the pleura at the right 9th intercostal space on a line running from the tuber coxae to the shoulder joint and by the esophageal balloon catheter, the balloon being positioned between the crossing point with the aorta and the 2 largest caudal mediastinal lymph nodes, did not differ significantly. The Ppl changes during normal breathing were greatest in the ventral site of the thorax and in the caudal thoracic portion of the esophagus, less in the dorsal site of the thorax and the middle thoracic portion of the esophagus, and least in the cranial site of the thorax and the cranial thoracic portion of the esophagus.(ABSTRACT TRUNCATED AT 250 WORDS)

Influence of inertance on measurements of the mechanical properties of the bovine respiratory system.

The observation that dynamic compliance (Cdyn) tended to rise with respiratory frequency (f) in adult cattle led us to reassess the importance of inertial pressures in measuring Cdyn in large animals. Five healthy Friesian cows were selected for their ability to show an increase of f without significant change in tidal volume (VT). Dynamic compliance was measured three times, both at the resting f (21 +/- 1 cpm), and at higher f (49 +/- 3 cpm), obtained by an artificial increase in the dead space of the breathing mask. Frequency-response characteristics of the measuring instruments were matched up to 12 Hz. The inertia of the lungs and gas stream (In) was calculated as the ratio of the accelerative pressure change to the simultaneous change in volume acceleration. Inertance was also estimated from the dimensions of the bovine airways and from the relative linear flow velocities reported by Rohrer (1915). Dynamic compliance measured during rapid breathing was significantly higher (p less than or equal to 0.01) than base-line values. Dynamic compliance was strongly correlated with f (r = +0.96). Measured and estimated In were 0.002 and 0.003 kPa.sec2.L-1 respectively. Dynamic compliance did not differ significantly from base-line values when it was corrected for the estimated inertance effect.

The effect of common bovine respiratory diseases on tidal breathing flow-volume loops.

In order to better understand the bovine breathing pattern, tidal breathing flow-volume loops (TBFVL) were analyzed in 24 healthy cattle of different body weights (range: 37-660 kg) (Group A) and in 28 cattle suffering from the common respiratory diseases: verminous bronchitis (Group B); shipping fever (Group C); acute respiratory distress syndrome (Group D); respiratory syncytial virus pneumonia (Group E); organophosphate poisoning (Group F); and necrotic laryngitis (Group G). Respiratory airflow and tidal volume were measured with a breathing mask-Fleisch pneumotachograph assembly. TBFVL were traced from these values using a computerized method. All the loop indices proposed by Amis and Kurpershoek (1986a) were calculated from 5 representative breathing cycles for each of the 52 animals. The TBFVL shapes and indices were relatively constant in most healthy cattle and were not correlated with the body size. When compared to normal values, animals with moderate respiratory syndromes (Groups B and C) had a more flattened shape to their TBFVL. On the other hand, in most cattle with severe respiratory pathologies (Groups D, F and G expiration tended to be biphasic with the peak expiratory flow (PEF) occurring significantly later than in healthy animals. Both PEF and peak inspiratory flow were increased in all the pathological conditions. The TBFVL indices were more frequently and more severely changed during expiration than during inspiration.

Respiratory and pulmonary haemodynamic changes during experimental organophosphate poisoning in goats.

Five French Alpine goats received 2 mg kg-1 of dichlorvos (DDVP) by intravenous injection and 0.15 mg kg-1 of atropine sulphate 5-10 min later. Ventilatory mechanics, gas exchanges, pulmonary haemodynamics and pulmonary vascular resistance (PVR) were measured before treatment, 5 min after DDVP injection and 5 min after atropine injection. Within 2 min of DDVP administration, all the goats showed acute respiratory distress, excitation and slight muscle fasciculations. A post-inspiratory pause was recorded in 3 goats. Hypersecretion of saliva or nasal discharge was not observed. Dynamic compliance and heart rate decreased significantly and total pulmonary resistance, pulmonary artery and wedge pressures increased significantly. On the other hand, minute ventilation, arterial oxygen and carbon dioxide tensions were not significantly altered by DDVP. Atropine treatment reversed all the clinical and functional parameters, with the exception of the central nervous and muscular signs, which disappeared within 12 h. It was concluded that experimental DDVP toxicosis induced changes in the mechanics of breathing and pulmonary haemodynamics associated with diffuse bronchoconstriction and cardiac insufficiency respectively.

An evaluation of ventilation in dystrophic Syrian hamsters.

Ventilatory responses of 10 control and 10 dystrophic male hamsters to air, hypercapnia, and hypoxia were evaluated at four ages (40, 70, 100, and 140 days). Tidal volume (VT), frequency (f), minute ventilation (VE) as well as inspiratory and expiratory time of awake animals were measured with a plethysmograph. There was a small increase of VT in both groups with age. Although there was no change of f in the control group with age, there was a progressive decrease in f (means +/- SE: 92 +/- 8, 97 +/- 9, 74.5 +/- 10, and 68 +/- 8 breaths/min) in the dystrophic group. Consequently VE on air decreased in the dystrophic group. Both groups showed similar responses to hypoxia (13 and 10% O2) and hypercapnia (3, 5, and 8% CO2) at 40 days. By 70 days the hypercapnic, but not hypoxic, response of the dystrophic animals was significantly decreased compared with that of the control group (at 8% CO2, VE = 47.4 +/- 4.1 vs. 75.7 +/- 7.6 ml/min, P less than 0.01). At both 100 and 140 days the response of the dystrophic group to CO2 was flat; i.e., the slope VE vs. fractional concentration of inspired CO2 was close to zero, and the hypoxic responses were greatly diminished. Because hamsters increase VE in response to CO2 primarily by increasing VT, the data suggest that dystrophic hamsters are unable to increase VT at a very early age, presumably due to muscle weakness. The normal response of hamsters to hypoxia, which is primarily to increase f, appears to be maintained for a longer time.