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마취된 개의 자발호흡상태에서 일측폐환기 및 양측폐환기가 심순환기 및 호흡기계에 미치는 영향
Cadiorespiratory effects of isoflurane-anesthetized dogs with closed chest during spontaneous two-lung and one-lung ventilation

송영성    (건국대학교 수의과대학 수의외과학교실 및 수의과학연구소   ); 장화석    (건국대학교 수의과대학 수의외과학교실 및 수의과학연구소   ); 김혜진    (건국대학교 수의과대학 수의외과학교실 및 수의과학연구소   ); 김순신    (건국대학교 수의과대학 수의외과학교실 및 수의과학연구소   ); 최준철    (건국대학교 수의과대학 수의외과학교실 및 수의과학연구소   ); 양희택    (건국대학교 수의과대학 수의외과학교실 및 수의과학연구소   ); 정다정    (건국대학교 수의과대학 수의외과학교실 및 수의과학연구소   ); 김휘율    (건국대학교 수의과대학 수의외과학교실 및 수의과학연구소  );
  • 초록

    One-lung ventilation (OLV) is the isolation and selective ventilation of one lung field. OLV allows the collapse of lung lobes on the side of the thoracic surgical approach to facilitate observation of intrathoracic structures and to achieve lung immobility. OLV be achieved by endotracheal intubation with double lumen tubes or bronchial blockers. In this study, cardiopulmonary consequences of two-lung ventilation (TLV), OLV and Re-TLV (TLV after OLV) were evaluated in 5 dogs. The dogs were anesthetized with mask induction and maintained with isoflurane in oxygen. Tidal volume and respiratory rates were set to maintain end-tidal $CO_2$ at $40{\pm}2mmHg$ during instrumentation. Following instrumentation, the dogs were placed in right lateral recumbency and induced spontaneously respiration state. Effect of TLV on hemodynamic and pulmonary variables were recorded. Then, the left bronchus was obstructed by endotracheal intubation with double lumen endotracheal tube to achieve OLV state and recording was continued. After OLV, double lumen endotracheal tube was extubated, and standard endotracheal tubes was intubated again. In this study, spontaneous OLV caused significant decrease in $PaO_2$ , arterial oxygen saturation, mixed-venous oxygen saturation, and increase in $PaCO_2$ . Especially, a significant elevation in $PaCO_2$ and respiratory acidosis were remarkable findings. So spontaneous ventilation in OLV affected gas exchange and hemodynamic function.


  • 주제어

    spontaneous one-lung ventilation .   double lumen endotracheal tube .   cardiorespiratory effect .   dog.  

  • 참고문헌 (33)

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