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氟烷麻醉马匹中吸入氧分数对心血管和呼吸系统的影响。

Cardiovascular and respiratory effects of inspired oxygen fraction in halothane-anesthetized horses.

作者信息

Cuvelliez S G, Eicker S W, McLauchlan C, Brunson D B

机构信息

Department of Surgical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison 53706.

出版信息

Am J Vet Res. 1990 Aug;51(8):1226-31.

PMID:2201230
Abstract

Anesthesia of equids is associated with pulmonary dysfunction. Cardiovascular and respiratory effects of inhalation anesthetic agents and duration of anesthesia have been studied, using oxygen as the carrier gas. To our knowledge, the effects of inspired oxygen have not been determined. We studied the cardiovascular and respiratory effects of 2 inspired oxygen fractions (0.30 and greater than 0.85) in 5 laterally recumbent, halothane-anesthetized horses. Mean systemic arterial blood pressure, cardiac output, central venous pressure, pulmonary arterial pressure, arterial pH, and arterial base excess were similar in horses of the 2 groups during 4 hours of anesthesia at constant end-tidal halothane concentration. End-tidal partial pressure of CO2, arterial partial pressure of CO2 and O2, and alveolar-to-arterial O2 tension difference were greater in horses exposed to the higher oxygen concentration. On the basis of the data obtained, we suggest that greater hypoventilation and ventilation/perfusion mismatch occur when horses are breathing high-oxygen fraction. Arterial partial pressure of O2 was not different between the 2 groups of horses after they were disconnected from the anesthesia circuit and allowed to breathe room air. Horses recovered from anesthesia without complications.

摘要

马的麻醉与肺功能障碍有关。使用氧气作为载气,对吸入麻醉剂的心血管和呼吸作用以及麻醉持续时间进行了研究。据我们所知,吸入氧气的作用尚未确定。我们研究了5匹侧卧、氟烷麻醉的马在两种吸入氧分数(0.30和大于0.85)下的心血管和呼吸作用。在恒定呼气末氟烷浓度下麻醉4小时期间,两组马的平均体循环动脉血压、心输出量、中心静脉压、肺动脉压、动脉pH值和动脉碱剩余相似。暴露于较高氧浓度的马的呼气末二氧化碳分压、动脉二氧化碳和氧分压以及肺泡-动脉氧分压差更高。根据获得的数据,我们认为当马呼吸高氧分数时会出现更大程度的通气不足和通气/血流不匹配。两组马从麻醉回路断开并呼吸室内空气后,动脉氧分压没有差异。马从麻醉中恢复,无并发症。

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