Suppr超能文献

在氟烷麻醉的马匹自主通气和控制通气期间,对不同动脉血氧分压的血流动力学和呼吸反应。

Hemodynamic and respiratory responses to variable arterial partial pressure of oxygen in halothane-anesthetized horses during spontaneous and controlled ventilation.

作者信息

Steffey E P, Willits N, Woliner M

机构信息

Department of Surgery, School of Veterinary Medicine University of California, Davis 95616.

出版信息

Am J Vet Res. 1992 Oct;53(10):1850-8.

PMID:1456532
Abstract

Cardiovascular and respiratory responses to variable PaO2 were measured in 6 horses anesthetized only with halothane during spontaneous (SV) and controlled (CV) ventilation. The minimal alveolar concentration (MAC) for halothane in oxygen was determined in each spontaneously breathing horse prior to establishing PaO2 study conditions--mean +/- SEM, 0.95 +/- 0.03 vol%. The PaO2 conditions of > 250, 120, 80, and 50 mm of Hg were studied in each horse anesthetized at 1.2 MAC of halothane and positioned in left lateral recumbency. In response to a decrease in PaO2, total peripheral resistance and systolic and diastolic arterial blood pressure decreased (P < 0.05) during SV. Cardiac output tended to increase because heart rate increased (P < 0.05) during these same conditions. During CV, cardiovascular function was usually less than it was at comparable PaO2 during SV (P < 0.05). Heart rate, cardiac output, and left ventricular work increased (P < 0.05) in response to a decrease in PaO2, whereas total peripheral resistance decreased (P < 0.05). During SV, cardiac output and stroke volume increased and arterial blood pressure and total peripheral resistance decreased with duration of anesthesia at PaO2 > 250 mm of Hg. During SV, minute expired volume increased (P < 0.05) because respiratory frequency tended to increase as PaO2 decreased. Decrease in PaCO2 (P < 0.05) also accompanied these respiratory changes. Although oxygen utilization was nearly constant over all treatment periods, oxygen delivery decreased (P < 0.05) with decrease in PaO2, and was less (P < 0.05) during CV, compared with SV, for comparable PaO2 values.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在6匹仅用氟烷麻醉的马身上,于自主通气(SV)和控制通气(CV)期间测量了对不同动脉血氧分压(PaO2)的心血管和呼吸反应。在建立PaO2研究条件之前,测定了每匹自主呼吸马的氟烷在氧气中的最低肺泡浓度(MAC)——均值±标准误,为0.95±0.03体积%。在每匹用1.2MAC氟烷麻醉并处于左侧卧位的马身上,研究了PaO2>250、120、80和50mmHg的情况。在自主通气期间,随着PaO2降低,总外周阻力以及收缩压和舒张压均下降(P<0.05)。由于在相同情况下心率增加(P<0.05),心输出量趋于增加。在控制通气期间,心血管功能通常低于自主通气时相同PaO2时的功能(P<0.05)。随着PaO2降低,心率、心输出量和左心室作功增加(P<0.05),而总外周阻力下降(P<0.05)。在自主通气时,当PaO2>250mmHg时,心输出量和每搏输出量增加,动脉血压和总外周阻力随着麻醉时间延长而下降。在自主通气期间,随着PaO2降低呼吸频率趋于增加,每分钟呼出量增加(P<0.05)。这些呼吸变化还伴有动脉血二氧化碳分压降低(P<0.05)。尽管在所有治疗期间氧利用率几乎恒定,但随着PaO2降低氧输送量下降(P<0.05),并且在相同PaO2值时,与自主通气相比,控制通气时的氧输送量更低(P<0.05)。(摘要截短于250字)

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验