Hemodynamic, ventilatory and gasometric evaluation of an experimental bronchopleural fistula
Acta cir. bras
; 30(1): 1-5, 01/2015. tab, graf
Article
em En
| LILACS
| ID: lil-735712
Biblioteca responsável:
BR1.1
ABSTRACT
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. .Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Doenças Pleurais
/
Fístula Brônquica
/
Ventilação Pulmonar
/
Modelos Animais de Doenças
/
Hemodinâmica
Tipo de estudo:
Prognostic_studies
Limite:
Animals
Idioma:
En
Revista:
Acta cir. bras
Assunto da revista:
CIRURGIA GERAL
/
Procedimentos Cir£rgicos Operat¢rios
Ano de publicação:
2015
Tipo de documento:
Article
/
Project document