Sap R, van Wandelen R M, Hellebrekers L J
Afdeling Anesthesiologie, Universiteitskliniek voor Gezelschapsdieren, Faculteit der Diergeneeskunde, Utrecht.
Tijdschr Diergeneeskd. 1993 Jun 15;118(12):402-4.
Veterinary textbook on anaesthesia in birds that volatile anaesthetics can accumulate in the air sac system during spontaneous respiration of birds anaesthetized with inhalational anaesthetics. In order to quantify the extent of accumulation, air samples were collected from the endotracheal tube and from the left abdominal air sac of ten pigeons anaesthetized with O2, NO2, and isoflurane. In this way, O2, CO2, and isoflurane concentrations were measured continuously at two places, during both spontaneous respiration and positive pressure ventilation. During spontaneous respiration, CO2-concentrations were higher in the air sac than in the endotracheal tube in 60% of the animals. The average difference for the whole group was 0.8 volume per cent; individual differences were as high as 2.9 volume per cent. The concentration of isoflurane was on average 1.1 volume per cent lower in the abdominal air sac than in the endotracheal tube. During mechanical ventilation, the percentage of CO2 was lower in the abdominal air sac than in the endotracheal tube in all pigeons. At the same time, the differences between isoflurane concentrations in the endotracheal tube and air sac decreased. Thus the results of our study with isoflurane-anaesthetized pigeons do not support the suggestion that volatile anaesthetics accumulate in the air sacs of spontaneously breathing birds anaesthetized with inhalation anaesthetics. The results also show that, under these conditions, CO2 concentrations in the endotracheal tube can only be measured reliably during positive pressure ventilation.