Moens Yves
Anaesthesiology and Perioperative Intensive Care, University of Veterinary Medicine, Veterinaerplatz 1, Vienna A-1210, Austria.
Vet Clin North Am Equine Pract. 2013 Apr;29(1):51-67. doi: 10.1016/j.cveq.2012.12.002. Epub 2013 Feb 5.
The mechanical ventilation of horses during anesthesia remains a crucial option for optimal anesthetic management, if the possible negative cardiovascular side effects are managed, because this species is prone to hypercapnia and hypoxemia. The combined use of capnography and pitot-based spirometry provide complementary information on ventilation and respiratory mechanics, respectively. This facilitates management of mechanical ventilation in conditions of changing respiratory system compliance (ie, laparoscopy) and when investigating new ventilatory strategies including alveolar recruitment maneuvers and optimization of positive expiratory pressure.
在麻醉期间对马进行机械通气仍是优化麻醉管理的关键选择，前提是要处理好可能出现的负面心血管副作用，因为该物种容易出现高碳酸血症和低氧血症。二氧化碳监测仪和基于皮托管的肺量计联合使用，分别提供有关通气和呼吸力学的补充信息。这有助于在呼吸系统顺应性变化的情况下（如腹腔镜检查）以及研究包括肺泡复张手法和呼气末正压优化等新通气策略时进行机械通气管理。
