Document Detail


The changes of pulmonary blood flow in non-ventilated lung during one lung ventilation.
MedLine Citation:
PMID:  21076859     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: A pulmonary artery catheter placement is necessary for intrapulmonary shunt fraction evaluation. The purpose of this study was to investigate the feasibility for detecting the changes of regional pulmonary blood flow in non-ventilated lung by transesophageal echocardiography (TEE) during one-lung ventilation (OLV).
METHODS: 22 adult patients for selective thoracic surgery were enrolled in the study. Doppler flow patterns in left upper pulmonary vein (LUPV) were obtained by TEE before switching to right OLV and every 5 min in 30 min OLV period. Systolic peak velocity (Vs), diastolic peak velocity (Vd) and velocity time integral (VTI) were measured respectively.
RESULTS: The VTI of LUPV blood flow pattern decreased significantly 5 min after right OLV. The percent of changes in LUPV blood flow decreased rapidly by 78.4 and 67.7% at OLV 5 min and 10 min, respectively. Then it slowly decreased by 60% at OLV 30 min.
CONCLUSIONS: Provides an alternative method to measure the changes of pulmonary blood flow during OLV. The percent changes of regional pulmonary blood flow decreased immediately after OLV, and decreased by 60% at 30 min OLV.
Authors:
Quan Gong; Zhanyun Yang; Wei Wei
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-11-13
Journal Detail:
Title:  Journal of clinical monitoring and computing     Volume:  24     ISSN:  1573-2614     ISO Abbreviation:  J Clin Monit Comput     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2011-01-17     Completed Date:  2011-05-02     Revised Date:  2011-09-09    
Medline Journal Info:
Nlm Unique ID:  9806357     Medline TA:  J Clin Monit Comput     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  407-12     Citation Subset:  IM    
Affiliation:
Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Algorithms
Blood Flow Velocity
Echocardiography, Transesophageal / methods
Feasibility Studies
Female
Humans
Image Interpretation, Computer-Assisted / methods*
Lung / blood supply,  physiopathology*,  ultrasonography*
Male
Pulmonary Circulation*
Pulmonary Veins / physiopathology*,  ultrasonography*
Pulmonary Ventilation*
Respiration, Artificial
Comments/Corrections
Comment In:
J Clin Monit Comput. 2011 Apr;25(2):143-4   [PMID:  21327494 ]

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


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