Volumetric analysis of aeration in the lungs during general anaesthesia

British Journal of Anaesthesia

Volumn 76, Issue 6, 1996, Pages 760-766

  Reber, A ^a,b,c   Engberg, G ^b   Sporre, B ^b   Kviele, L ^b   Rothen, H U ^b   Wegenius, G ^b   Nylund, U ^b   Hedenstierna, G ^b  

^a Department of Anaesthesiology ^*  (Sweden)

^b UPPSALA UNIVERSITY HOSPITAL   (Sweden)

^c UNIVERSITY HOSPITAL BASEL   (Switzerland)

Author keywords

Anaesthesia, general; Lung, atelectasis; Measurement techniques, tomography; Ventilation, mechanical

Indexed keywords

ADULT; ARTICLE; ARTIFICIAL VENTILATION; ATELECTASIS; CLINICAL ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; DIAPHRAGM MUSCLE; ELECTIVE SURGERY; FEMALE; FORCE; GENERAL ANESTHESIA; GRAVITY; HUMAN; LUNG VENTILATION DISTRIBUTION; MALE; PRIORITY JOURNAL; RESPIRATORY AIRFLOW; TOTAL LUNG CAPACITY;

EID: 0029884278     PISSN: 00070912     EISSN: None     Source Type: Journal    
DOI: 10.1093/bja/76.6.760     Document Type: Article

References (32)

1. Brismar B, Hedenstierna G, Lundquist H, Strandberg Å, Svensson L, Tokics L. Pulmonary densities during anesthesia with muscular relaxation - a proposal of atelectasis. Anesthesiology 1985; 62: 422-428.
2. Hedenstierna G, Tokics L, Strandberg Å, Lundquist H, Brismar B. Correlation of gas exchange impairment to development of atelectasis during anaesthesia and muscle paralysis. Acta Anaesthesiologica Scandinavica 1986; 30: 183-191.
3. Tokics L, Strandberg Å, Brismar B, Lundquist H, Hedenstierna G. Computerized tomography of the chest and gas exchange measurements during ketamine anaesthesia. Acta Anaesthesiologica Scandinavica 1987; 31: 684-692.
4. Hedenstierna G. Gas exchange during anaesthesia. British Journal of Anaesthesia 1987; 64: 507-514.
5. Gunnarson L, Tokics L, Gustavsson H, Hedenstierna G. Influence of age on atelectasis formation and gas exchange impairment during general anaesthesia. British Journal of Anaesthesia 1991; 66: 423-432.
6. Hachenberg T, Lundquist H, Tokics L, Brismar B, Hedenstierna G. Analysis of lung density by computed tomography before and during general anaesthesia. Acta Anaesthesiologica Scandinavica 1993; 37: 549-555.
7. Kalender WA, Seissler W, Klotz E, Vock P. Spiral volumetric CT with single-breath-hold technique, continuous transport and continuous scanner rotation. Radiology 1990; 176: 181-183.
8. Lumb AB, Nunn JF. Respiratory function and rib cage contribution to ventilation and body positions commonly used during anesthesia. Anesthesia and Analgesia 1991; 73: 422-426.
9. Kalender WA, Fichte H, Bautz W, Skalej M. Semiautomatic evaluation procedures for quantitative CT of the lungs. Journal of Computer Assisted Tomography 1991; 15: 248-255.
10. Gattinoni L, Pelosi P, Vitale G, Pesenti A, D'Andrea L, Mascheroni D. Body position changes redistribute lung computed tomographic density in patients with acute respiratory failure. Anesthesiology 1991; 74: 15-23.
11. Gould GA, Macnee W, McLean A, Warren PM, Redpath A, Best JJK, Lamb D, Flenley DC. CT measurements of lung density in life can quantitate distal airspace enlargement: an essential defining feature of human emphysema. American Review of Respiratory Disease 1988; 137: 380-392.
12. Gattinoni L, Pesenti A, Bombino M, Baglioni S, Rivolta M, Rossi F, Rossi G, Fumagalli R, Marcolin R, Mascheroni D, Torresin A. Relationships between lung computed tomographic density, gas exchange, and PEEP in acute respiratory failure. Anesthesiology 1988; 69: 824-832.
13. Lundquist H, Hedenstierna G, Strandberg Å, Tokics L, Brismar B. CT-assessment of dependent lung densities in man during general anaesthesia. Acta Radiologica 1995; 36: 626-632.
14. Milledge JS, Scott FD. Inductive plethysmography - a new respiratory transducer. Journal of Physiology (London) 1979; 267: 4-5P.
15. Valta P, Takala J, Foster R, Weissman C, Kinney JM. Evaluation of respiratory inductive plethysmography in the measurement of breathing pattern and PEEP-induced changes in lung volume. Chest 1992; 102: 234-238.
16. Larsson A, Linnarsson D, Jonmarker C, Jonsson B, Larsson H, Werner O. Measurement of lung volume by sulfur hexafluoride washout during spontaneous and controlled ventilation: further development of a method. Anesthesiology 1987; 67: 543-550.
17. Berenson ML, Levine DM, Goldstein M. Intermediate Statistical Methods and Applications. London: Prentice-Hall, 1983; 69-70.
18. Wegener OH. Whole Body Computerized Tomography. New York: Karger, 1983; 1-30/50-1-50.
19. Gunnarsson L, Strandberg Å, Brismar B, Tokics L, Lundquist H, Hedenstierna G. Atelectasis and gas exchange impairment during enflurane/nitrous oxide anaesthesia. Acta Anaesthesiologica Scandinavica 1989; 33: 629-637.
20. Tokics L, Hedenstierna G, Strandberg Å, Brismar B, Lundquist H. Lung collapse and gas exchange during general anesthesia - effects of spontaneous breathing, muscle paralysis and positive end-expiratory pressure. Anesthesiology 1987; 66: 39-47.
21. Marshall C, Lindgren L, Marshall BE. Effects of halothane, enflurane, and isoflurane on hypoxic pulmonary vasoconstriction in rat lungs in vitro. Anesthesiology 1984; 60: 304-308.
22. Hedenstierna G, Tokics L, Lundquist H, Andersson T, Stransberg Å, Brismar B. Phrenic nerve stimulation during halothane anesthesia. Anesthesiology 1994; 80: 751-760.
23. Rothen HU, Sporre B, Engberg G, Wegenius G, Högman M, Hedenstierna G. Influence of gas composition on recurrence of atelectasis after a reexpansion maneuver during general anesthesia. Anesthesiology 1995; 82: 832-842.
24. West JB, Dollery CT, Naimark A. Distribution of blood flow in isolated lung: relation to vascular and alveolar pressures. Journal of Applied Physiology 1964; 19: 713-724.
25. Hughes JMB, Glazier JB, Maloney JE, West JB. Effect of extra-alveolar vessels on distribution of blood flow in the dog lung. Journal of Applied Physiology 1968; 25: 701-712.
26. Milic-Emili J, Henderson JAM, Dolovich MB, Trop D, Kaneko K. Regional distribution of inspired gas in the lungs. Journal of Applied Physiology 1966; 21: 749-759.
27. Rehder K, Sessler AD, Rodarte JR. Regional intrapulmonary gas distribution in awake and anesthetized-paralyzed man. Journal of Applied Physiology 1977; 42: 391-402.
28. Hedenstierna G, Strandberg Å, Brismar B, Lundquist H, Svensson L, Tokics L. Functional residual capacity, thoraco-abdominal dimensions and central blood volume during general anesthesia with muscle paralysis and mechanical ventilation. Anesthesiology 1985; 62: 247-254.
29. Krayer S, Rehder K, Vettermann J, Didier EP, Ritman EL. Position and motion of the human diaphragm during anesthesia-paralysis. Anesthesiology 1989; 70: 891-898.
30. Hedenstierna G, Santesson G. Airway closure during anesthesia: a comparison between resident-gas and argonbolus techniques. Journal of Applied Physiology 1979; 47: 874-881.
31. Landmark SJ, Knopp TJ, Rehder K, Sessler AD. Regional pulmonary perfusion and V/Q in awake and anesthetized-paralyzed man. Journal of Applied Physiology 1977; 43: 993-1000.
32. 2 breathing. Journal of Applied Physiology 1975; 38: 886-895.