Document Detail


Comparison of two different methods for physiologic dead space measurements in ventilated dogs in a clinical setting.
MedLine Citation:
PMID:  20712605     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare physiologic dead space (V(D)) and physiologic dead space to tidal volume (V(T)) ratio (V(D)/V(T)) obtained by an automated single breath test for carbon dioxide (CO(2)) (method SBT) and a manual calculation (method MC) in ventilated healthy dogs.
STUDY DESIGN: Prospective clinical study.
ANIMALS: Twenty client-owned dogs, ASA I and II undergoing anaesthesia for clinical purposes.
METHODS: Following pre-medication, induction of anaesthesia, and intubation of the trachea, intermittent positive pressure ventilation was commenced. Mixed expired CO(2) partial pressure (PēCO(2)) was measured by two methods: method MC by analysis, using an infrared capnograph, of the expired gas collected in a mixing box and method SBT which calculated it automatically by a device consisting of a mainstream capnograph and a pneumotachograph. At four time points arterial partial pressure of CO(2) (PaCO(2)) was measured. Physiologic dead space variables (V(D) and V(D)/V(T)) were calculated manually (method MC) or automatically (method SBT) using the Bohr-Enghoff equation. Method MC and SBT were compared using Bland-Altman plots and linear regression. Intra-class correlation coefficient (ICC) was used to measure consistency of each method.
RESULTS: Four measurement pairs were obtained in all 20 dogs for method SBT and MC. The bias was -1.15 mmHg, 7.97 mL and 0.02 for PēCO(2), V(D) and V(D)/V(T), respectively. Linear regression analysis revealed a correlation coefficient (r(2)) of 0.79, 0.94, and 0.83 for PēCO(2), V(D) and V(D)/V(T), respectively. The ICC revealed an excellent consistency for both methods.
CONCLUSIONS: The single breath test (SBT) can be used for clinical evaluation of V(D) and V(D)/V(T) in anaesthetized ventilated dogs.
CLINICAL RELEVANCE: Through measuring V(D) and V(D)/V(T) important information about lung ventilation can be obtained and the SBT is an easy method to use for this purpose.
Authors:
Martina Mosing; Lukas Staub; Yves Moens
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Veterinary anaesthesia and analgesia     Volume:  37     ISSN:  1467-2995     ISO Abbreviation:  Vet Anaesth Analg     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-17     Completed Date:  2010-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100956422     Medline TA:  Vet Anaesth Analg     Country:  England    
Other Details:
Languages:  eng     Pagination:  393-400     Citation Subset:  IM    
Affiliation:
Faculty of Veterinary Science, The University of Liverpool, Leahurst, Chester High Road, Neston, UK. martina.mosing@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Animals
Carbon Dioxide / blood
Dogs / physiology*
Female
Intermittent Positive-Pressure Breathing / veterinary
Male
Partial Pressure
Respiration, Artificial / veterinary*
Respiratory Dead Space / physiology*
Respiratory Rate / physiology
Tidal Volume / physiology
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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