Alef M, Oechtering G
Chirurgischen Veterinärklinik, Justus-Liebig-Universität, Giessen.
Tierarztl Prax. 1994 Dec;22(6):596-606.
Two non-invasive continuous techniques for monitoring the respiratory function during anaesthesia have been established during the last year: pulse oximetry for monitoring the adequate oxygen supply and capnography for measuring the carbon dioxide elimination. In human medicine both are accepted as essential monitors with great reliability. Whether clinical use and interpretation can be transferred to animals without any restrictions will be discussed by looking on the physical and engineering background as well as the physiologic interpretation of the measured variable and their capability to detect critical events during administration of anaesthesia. Part I: Pulse oximetry measures the arterial oxygen saturation continuously and non-invasively. Its application in veterinary medicine must be discussed critically concerning the method as well as the interpretation. The information obtained is very different during injectable and inhalant anaesthesia. Respiratory depression is easy to detect while the animal breathes room air spontaneously. Is the inspired air enriched with oxygen, like during inhalant anaesthesia, normal values of oxygen saturation can mask the respiratory insufficiency and may give a false sense of security.
在过去一年里,已经建立了两种用于麻醉期间监测呼吸功能的非侵入性连续技术:用于监测充足氧气供应的脉搏血氧饱和度测定法和用于测量二氧化碳排出量的二氧化碳描记法。在人类医学中,这两种方法都被认为是可靠性很高的基本监测手段。通过研究其物理和工程背景、测量变量的生理学解释以及它们在麻醉给药过程中检测危急事件的能力,来讨论临床应用和解释是否可以毫无限制地应用于动物。第一部分:脉搏血氧饱和度测定法可连续、非侵入性地测量动脉血氧饱和度。必须从方法以及解释方面审慎地讨论其在兽医学中的应用。在注射麻醉和吸入麻醉期间获得的信息有很大差异。当动物自主呼吸空气时,呼吸抑制很容易被检测到。如果吸入的空气富含氧气,如在吸入麻醉期间,正常的血氧饱和度值可能掩盖呼吸功能不全,并可能给人一种错误的安全感。