Wong David M, Hepworth-Warren Kate L, Sponseller Beatrice T, Howard Joan M, Wang Chong
Am J Vet Res. 2017 Feb;78(2):230-238. doi: 10.2460/ajvr.78.2.230.
OBJECTIVE To assess multiple central venous and arterial blood variables that alone or in conjunction with one another reflect global oxygenation status in healthy neonatal foals. ANIMALS 11 healthy neonatal foals. PROCEDURES Central venous and arterial blood samples were collected from healthy neonatal foals at 12, 24, 36, 48, 72, and 96 hours after birth. Variables measured from central venous and arterial blood samples included oxygen saturation of hemoglobin, partial pressure of oxygen, lactate concentration, partial pressure of carbon dioxide, and pH. Calculated variables included venous-to-arterial carbon dioxide gap, estimated oxygen extraction ratio, ratio of partial pressure of oxygen in arterial blood to the fraction of inspired oxygen, bicarbonate concentration, base excess, and blood oxygen content. RESULTS Significant differences between arterial and central venous blood obtained from neonatal foals were detected for several variables, particularly partial pressure of oxygen, oxygen saturation of hemoglobin, and oxygen content. In addition, the partial pressure of carbon dioxide in central venous blood samples was significantly higher than the value for corresponding arterial blood samples. Several temporal differences were detected for other variables. CONCLUSIONS AND CLINICAL RELEVANCE Results of this study provided information about several variables that reflect global oxygenation in healthy neonatal foals. Values for these variables in healthy foals can allow for comparison with values for critically ill foals in future studies. Comparison of these variables between healthy and ill foals may aid in treatment decisions and prognosis of clinical outcome for critically ill foals.
目的 评估单独或相互结合能反映健康新生马驹全身氧合状态的多个中心静脉和动脉血变量。动物 11 匹健康新生马驹。方法 于出生后12、24、36、48、72和96小时从健康新生马驹采集中心静脉和动脉血样本。从中心静脉和动脉血样本中测量的变量包括血红蛋白氧饱和度、氧分压、乳酸浓度、二氧化碳分压和pH值。计算变量包括静脉 - 动脉二氧化碳差值、估计的氧摄取率、动脉血氧分压与吸入氧分数之比、碳酸氢盐浓度、碱剩余和血氧含量。结果 检测到新生马驹的动脉血和中心静脉血在几个变量上存在显著差异,尤其是氧分压、血红蛋白氧饱和度和氧含量。此外,中心静脉血样本中的二氧化碳分压显著高于相应动脉血样本的值。在其他变量上检测到了一些时间差异。结论及临床意义 本研究结果提供了有关反映健康新生马驹全身氧合的几个变量的信息。健康马驹这些变量的值可用于未来研究中与危重病马驹的值进行比较。比较健康马驹和患病马驹的这些变量可能有助于危重病马驹的治疗决策和临床结局预后。