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用固定潮气量通气的小体重猫和狗的死腔容积。

Dead space volumes in cats and dogs with small body mass ventilated with a fixed tidal volume.

作者信息

Girotto Carolina H, Ospina-Argüelles Diego A, Teixeira-Neto Francisco J, Assis-Vieira Paulo V, Martins Alessandro R C, Kerr Carolyn

机构信息

Department of Veterinary Surgery and Animal Reproduction, Faculdade de Medicina Veterinária e Zootecnia, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil.

Department of Anesthesiology, Faculdade de Medicina, Universidade Estadual Paulista (UNESP), Botucatu, SP, Brazil.

出版信息

Vet Anaesth Analg. 2024 Nov-Dec;51(6):585-593. doi: 10.1016/j.vaa.2024.06.009. Epub 2024 Jun 28.

Abstract

OBJECTIVE

To compare the portion of tidal volume (V) ventilating dead space volumes in nonbrachycephalic cats and dogs with small body mass receiving volume-controlled ventilation (VCV) with a fixed V.

STUDY DESIGN

Prospective, experimental study.

ANIMALS

A group of eight healthy adult cats and dogs [ideal body weight (IBW): 3.0 ± 0.5 and 3.8 ± 1.1 kg, respectively].

METHODS

Anesthetized cats and dogs received VCV with a 12 mL kg V (inspiratory pause ≥ 0.5 seconds). Respiratory rate (f) was adjusted to maintain normocapnia. Airway dead space (V) and alveolar tidal volume (V) were measured by volumetric capnography. Physiological dead space (V) and V/V ratio were calculated using the Bohr-Enghoff method. Data recorded before surgery were compared by an unpaired t-test or Mann-Whitney U test (p < 0.05 considered significant).

RESULTS

The IBW (p = 0.07), PaCO (p = 0.40) and expired V [V] (p = 0.77) did not differ significantly between species. The V (mL kg) was lower in cats (3.7 ± 0.4) than in dogs (7.7 ± 0.9) (p < 0.0001). The V (mL kg) was larger in cats (8.3 ± 0.7) than in dogs (4.3 ± 0.7) (p < 0.0001). Cats presented a smaller V/V ratio (0.33 ± 0.03) and V (4.0 ± 0.3 mL kg) than dogs (V/V: 0.60 ± 0.09; V: 7.2 ± 1.4 mL kg) (p < 0.0001). The f and minute ventilation (V × f) were lower in cats than in dogs (p = 0.048 and p = 0.038, respectively).

CONCLUSIONS AND CLINICAL RELEVANCE

A fixed V results in more effective ventilation in cats than in dogs with small body mass because of species-specific differences in and V and V. Because of the smaller V and V in cats than in dogs, a lower f is required to maintain normocapnia in cats.

摘要

目的

比较接受固定潮气量的容量控制通气(VCV)的非短头型小体重猫和犬中参与通气的无效腔潮气量比例。

研究设计

前瞻性实验研究。

动物

一组8只健康成年猫和犬[理想体重(IBW):分别为3.0±0.5和3.8±1.1千克]。

方法

麻醉后的猫和犬接受12 mL/kg潮气量的VCV(吸气暂停≥0.5秒)。调整呼吸频率(f)以维持正常碳酸血症。通过容量式二氧化碳描记法测量气道无效腔(Vd)和肺泡潮气量(VA)。使用Bohr-Enghoff方法计算生理无效腔(Vphys)和Vd/VA比值。术前记录的数据通过非配对t检验或Mann-Whitney U检验进行比较(p<0.05认为有统计学意义)。

结果

物种间的IBW(p = 0.07)、PaCO₂(p = 0.40)和呼出潮气量[V̅E](p = 0.77)差异无统计学意义。猫的Vd(mL/kg)(3.7±0.4)低于犬(7.7±0.9)(p<0.0001)。猫的VA(mL/kg)(8.3±0.7)高于犬(4.3±0.7)(p<0.

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