Intermittent capnography during high-frequency jet ventilation for prolonged rigid bronchoscopy.

Abstract:

BACKGROUND:Gas exchange during high-frequency jet ventilation (HFJV) for prolonged rigid bronchoscopy (RBS) is usually monitored by arterial blood gas analysis. Capnography of expired gases during brief HFJV discontinuation may be a reliable and noninvasive supplemental method. Capnography can be performed either for single breaths or with respiratory rate (RR) reduced to 10 x min(-1). The aim of this study was to demonstrate that capnography during short periods of HFJV discontinuation represents a reliable measure of PaCO2 during prolonged RBS. METHODS:We prospectively investigated 100 consecutive patients (75 male and 25 female) undergoing HFJV for RBS. HFJV was delivered through the rigid bronchoscope at the following settings: working pressure 1.2 bar, rate 100 x min(-1), FIO2 0.99, t(i)/t(tot)0.6. The light guiding channel ending at the distal tip of the rigid bronchoscope was used for gas sampling. Capnograms were assessed at 5 min intervals and compared to PaCO2 from arterial blood samples drawn simultaneously. The accuracy of single breath CO2 sampling was compared with sampling at RR=10 x min(-1). RESULTS:Mean duration of RBS was 30+/-21 min. A significant correlation between capnography (PetCO2) and arterial blood gas analysis (PaCO2) was observed, being r=0.90 for the RR= 10 x min(-1) method and r=0.91 for the single breath method. Mean difference between PaCO2 and PetCO2 was 0.37+/-0.2 kPa throughout the entire study period. No significant differences between single breath sampling or sampling at RR=10 x min(-1) were observed. CONCLUSION:Capnography performed during short periods of HFJV discontinuation reliably and noninvasively reflects PaCO2 during prolonged endoscopic procedures. Capnography during HFJV for RBS may reduce the frequency of arterial blood gas sampling, the duration of unmonitored intervals and costs.

authors

Frietsch T,Krafft P,Becker HD,Buelzebruck H,Wiedemann K

doi

10.1034/j.1399-6576.2000.440406.x

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

391-7

issue

4

eissn

0001-5172

issn

1399-6576

journal_volume

44

pub_type

杂志文章
  • A comparison of sugammadex and neostigmine for reversal of rocuronium-induced neuromuscular blockade in children.

    abstract:BACKGROUND:Sugammadex is designed to be a reversal agent for steroidal muscle relaxants. The current trial was aimed to compare between sugammadex and neostigmine concerning the recovery time from neuromuscular blockade. We hypothesised that sugammadex might have shorter recovery time than neostigmine. METHODS:Sixty p...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aas.12868

    authors: Ammar AS,Mahmoud KM,Kasemy ZA

    更新日期:2017-04-01 00:00:00

  • Contractures in skeletal muscle of malignant hyperthermia susceptible patients after in vitro exposure to sevoflurane.

    abstract:BACKGROUND:Sevoflurane, a potent inhalational anaesthetic agent that is structurally similar to halothane, has some favourable characteristics, but may also be able to trigger malignant hyperthermia (MH) in susceptible patients. The diagnosis of malignant hyperthermia susceptibility relies on the in vitro contracture t...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2000.440320.x

    authors: Snoeck MM,Gielen MJ,Tangerman A,van Egmond J,Dirksen R

    更新日期:2000-03-01 00:00:00

  • Neurologic sequelae after caesarean section.

    abstract:BACKGROUND:Because pregnancy increases the sensitivity of nervous tissue to local anaesthetics, pregnant patients may be at higher risk of developing neurologic deficits after spinal block than non-pregnant patients. Therefore, we evaluated prospectively the incidence and type of neurologic symptoms after spinal anaest...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1399-6576.2001.450106.x

    authors: Rorarius M,Suominen P,Haanpaa M,Puura A,Baer G,Pajunen P,Tuimala R

    更新日期:2001-01-01 00:00:00

  • A study of ECG abnormalities and myocardial specific enzymes in patients with subarachnoid haemorrhage.

    abstract::Twenty-two patients with subarachnoid haemorrhage were investigated for changes in myoglobin, total CK, CK-MB and CK-BB in serum and for the incidence of ECG abnormalities. Serial ECG's showed abnormalities in 20 patients; 15 of these had T wave changes, 15 Q-Tc prolongation, ten had S-T depression and nine U waves an...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1982.tb01779.x

    authors: Rudehill A,Gordon E,Sundqvist K,Sylvén C,Wahlgren NG

    更新日期:1982-08-01 00:00:00

  • The effect of perineural dexamethasone on duration of sciatic nerve blockade: a randomized, double-blind study.

    abstract:BACKGROUND:Major hindfoot and ankle surgery is associated with severe postoperative pain, which is effectively alleviated by combined sciatic and saphenous nerve blockade. Local anaesthetics with added dexamethasone consistently prolongs the duration of pain relief compared to local anaesthetics alone. However, whether...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/aas.13054

    authors: Hauritz RW,Hannig KE,Henriksen CW,Børglum J,Bjørn S,Bendtsen TF

    更新日期:2018-04-01 00:00:00

  • Comparison of induction with and first hour of recovery from brief propofol and methohexital anesthesia.

    abstract::Anesthesia and recovery during the first hour after propofol and methohexital anesthesia for termination of pregnancy, lasting about 12 min, were compared, the latter in a double-blind manner by means of psychomotor tests (coin counting and continuous auditory reaction time). Muscle movements and hiccups were seen sig...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1990.tb03072.x

    authors: Boysen K,Sanchez R,Ravn J,Pedersen E,Krintel JJ,Dyrberg V

    更新日期:1990-04-01 00:00:00

  • Effect of pain on human psychomotor performance.

    abstract::The effect of pain on human psychomotor performance was measured in seven healthy volunteers after an intramuscular injection of vitamin B or saline using a controlled cross-over method. Vitamin B, causing moderate to severe pain, or painless saline was injected into the buttock at a time when the subjects' performanc...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1978.tb01308.x

    authors: Korttila K,Seppälä T

    更新日期:1978-01-01 00:00:00

  • Effects of prolonged anesthesia with enflurane or halothane on renal function in dogs.

    abstract::Elevated serum inorganic fluoride levels (60-300 mumol/l), maintained over 6 h, influenced renal function in beagle dogs. Changes in water reabsorption were seen with an increased urine flow and free water clearance and decreased urinary concentration capacity. Possible nephrotoxicity as an effect of inorganic fluorid...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1981.tb01642.x

    authors: Wickström I,Stefansson T

    更新日期:1981-06-01 00:00:00

  • Comparison of fentanyl and halothane as supplement to nitrous-oxide-oxygen anaesthesia for coronary artery surgery.

    abstract::Twenty unselected patients suffering from incapacitating angina, in spite of medication with nitrates, beta-blockers and calcium antagonists, were studied before and during coronary artery bypass surgery. Fentanyl or halothane was randomly used in combination with nitrous oxide for maintenance of anaesthesia in order ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1985.tb02152.x

    authors: Fischerström A,Ohqvist G,Settergren G

    更新日期:1985-01-01 00:00:00

  • Post-operative cognitive dysfunction at 3 months in adults after non-cardiac surgery: a qualitative systematic review.

    abstract:BACKGROUND:Post-operative cognitive dysfunction is defined as a decline in cognitive functions that occurs after surgery, but different diagnostic criteria and incidences have been reported in medical literature. Our aim was to determine incidence of post-operative cognitive dysfunction 3 months after non-cardiac surge...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/aas.12724

    authors: Paredes S,Cortínez L,Contreras V,Silbert B

    更新日期:2016-09-01 00:00:00

  • Right ventricular end-systolic pressure-volume relation during propofol infusion.

    abstract::The effects of propofol on right ventricular function were studied in 11 ICU patients who needed sedation for acute respiratory failure or neurological diseases. Right ventricular function was studied using a thermodilution method at patients' bedside. Right ventricular ejection fraction (RVEF), cardiac output (CO), r...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1994.tb03878.x

    authors: Martin C,Perrin G,Saux P,Papazian L,Albanese J,Gouin F

    更新日期:1994-04-01 00:00:00

  • Bystander first aid in trauma - prevalence and quality: a prospective observational study.

    abstract:BACKGROUND:Bystander first aid and basic life support can likely improve victim survival in trauma. In contrast to bystander first aid and out-of-hospital cardiac arrest, little is known about the role of bystanders in trauma response. Our aim was to determine how frequently first aid is given to trauma victims by byst...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.12561

    authors: Bakke HK,Steinvik T,Eidissen SI,Gilbert M,Wisborg T

    更新日期:2015-10-01 00:00:00

  • Light-guided intubation via the intubating laryngeal mask using a prototype illuminated flexible catheter. Clinical experience in 400 patients.

    abstract:BACKGROUND:The transillumination of the soft tissues of the neck using lighted stylets has been used as an aid for tracheal intubation. We evaluated the efficacy and safety of a prototype illuminated flexible catheter to facilitate light-guided intubation through the intubating laryngeal mask. METHODS:The illuminated ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1399-6576.2000.440818.x

    authors: Dimitriou V,Voyagis GS

    更新日期:2000-09-01 00:00:00

  • Colloid osmotic pressure of plasma replacement fluids.

    abstract::Colloid osmotic pressure (COP) of some of the most frequently used plasma replacement fluids was measured with a colloid osmometer. COP of 4% human albumin solutions was only half that of normal human serum (13.6 +/- 0.6 vs. 27.5 +/- 2.7 mmHg (1.8 +/- 0.1 vs. 3.7 +/- 0.4 kPa)) (mean +/- s.d.), whereas COP of 20% human...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1993.tb03741.x

    authors: Tønnessen T,Tølløfsrud S,Kongsgaard UE,Noddeland H

    更新日期:1993-05-01 00:00:00

  • Immediate peri-operative memory.

    abstract:BACKGROUND:Information about anterograde and retrograde amnesias in the immediate peri-operative period is scarce. During this period, assessment of memory for real-life events is also rare. We hypothesized that there would be both anterograde and retrograde amnesias and memory for peri-operative events would be better...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.2007.01378.x

    authors: Ghoneim MM,Block RI

    更新日期:2007-09-01 00:00:00

  • Neuroleptic malignant syndrome with severe liver failure.

    abstract::A schizophrenic patient on long-time neuroleptic medication was admitted with ileus. Secondarily, a high fever, rigidity, mental confusion, tachycardia and hypotension developed. After bromocriptine was given, the temperature dropped by 2 degrees C and the patient improved markedly. A diagnosis of neuroleptic malignan...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2003.00193.x

    authors: Urving SH,Nielsen EW

    更新日期:2003-09-01 00:00:00

  • Segmental epidural analgesia and urinary excretion of catecholamines during labour.

    abstract::Urinary excretion of catecholamines was determined separately during the first stage of labour and during the period from the beginning of the second stage until 1/2 h after delivery in 16 healthy mothers, whose labours were induced at term. Seven mothers were given segmental epidural analgesia, at the height of TH10-...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1977.tb01193.x

    authors: Jouppila R,Hollmén A,Jouppila P,Kärki N

    更新日期:1977-01-01 00:00:00

  • A catheter technique in ophthalmic regional anaesthesia. Cadaver experiments.

    abstract:BACKGROUND:Regional anaesthesia for ophthalmic surgery is generally accomplished by peri- or retrobulbar techniques. Depending on the duration of ophthalmic surgery, reblock might become necessary. Our goal was to invent a catheter technique for ophthalmic regional anaesthesia that enables the user to administer local ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2000.440416.x

    authors: László CJ,Gombos K,Vimláti L,Salacz G,Hatvani I

    更新日期:2000-04-01 00:00:00

  • Mathematical model of renal elimination of fluid and small ions during hyper- and hypovolemic conditions.

    abstract::This study is concerned with the formulation of a 'kidney module' linked to the plasma compartment of a larger mathematical model previously developed. Combined, these models can be used to predict, amongst other things, fluid and small ion excretion rates by the kidney; information that should prove useful in evaluat...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2003.00037.x

    authors: Gyenge CC,Bowen BD,Reed RK,Bert JL

    更新日期:2003-02-01 00:00:00

  • Hypertensive response to thiopental in man during cardiopulmonary bypass.

    abstract::We report the effect of 250 mg of sodium thiopental on vascular tone at constant blood flow in 26 patients undergoing cardiopulmonary bypass while the ascending aorta was cross-clamped. Light anaesthesia was effected with fentanyl and enflurane, muscle relaxation with pancuronium. After a latent period of 10.5 +/- 0.7...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1986.tb02475.x

    authors: Pauca AL,Roy RC

    更新日期:1986-10-01 00:00:00

  • The effect of continuous intravenous indomethacin infusion on bleeding time and postoperative pain in patients undergoing emergency surgery of the lower extremities.

    abstract::Fifty-four orthopaedic patients were given either indomethacin (25-50 mg bolus plus infusion, 5-7.5 mg h-1) or only lactated Ringer solution intravenously over 20 h in a randomized and double-blind fashion. The study was started at the casualty department as soon as possible after the decision to operate was made. The...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1399-6576.1989.tb02860.x

    authors: Taivainen T,Hiller A,Rosenberg PH,Neuvonen P

    更新日期:1989-01-01 00:00:00

  • Induction and mechanism of apoptotic cell death by propofol in HL-60 cells.

    abstract:BACKGROUND:Apoptosis (programmed cell death) occurs in various physiological and pathological conditions, exhibits a characteristic mechanism of intracellular sequential reaction and may be involved in determining clinical outcome. The antioxidant activity of propofol (2,6-diisopropylphenol) together with the stimulati...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2002.460903.x

    authors: Tsuchiya M,Asada A,Arita K,Utsumi T,Yoshida T,Sato EF,Utsumi K,Inoue M

    更新日期:2002-10-01 00:00:00

  • Experience with a "Feed and Swaddle" program in infants up to six months of age.

    abstract:BACKGROUND:Feed and swaddle is a technique in which an infant is fed and allowed to fall asleep to facilitate diagnostic imaging. This study reviews our experience and diagnostic success in premature and term infants up to 6 months old undergoing brain magnetic resonance imaging (MRI) using a feed and swaddle technique...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aas.13471

    authors: Templeton LB,Norton MJ,Goenaga-Díaz EJ,McLaughlin DH,Zapadka ME,Templeton TW

    更新日期:2020-01-01 00:00:00

  • Forgoing life sustaining treatments: differences and similarities between North America and Europe.

    abstract:BACKGROUND:As evidence exist that severe neurological damage or prolonged death after inappropriate CPR could occur, restraints and indications for CPR were perceived as necessary. The objective of this review is to examine policies and attitudes towards end-of-life decisions in Europe and North America and to outline ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/j.1399-6576.2006.01150.x

    authors: Moselli NM,Debernardi F,Piovano F

    更新日期:2006-11-01 00:00:00

  • The effect of positive end-expiratory pressure on central haemodynamics in the pig.

    abstract::The effect on central haemodynamics of a stepwise increase in airways pressure from spontaneous breathing (SB) to intermittent positive pressure ventilation with a positive end-expiratory pressure (PEEP) of 0, 8, 16 and 24 cmH2O was studied in eight pigs under ketamine anaesthesia. Compared with SB, cardiac output (CO...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1981.tb01701.x

    authors: Haldén E,Jakobson S,Janerås L

    更新日期:1981-12-01 00:00:00

  • The cytokine response in a patient undergoing surgery for an ACTH-producing tumor.

    abstract::The administration of glucocorticoids has been used to inhibit the cytokine production in patients undergoing cardiac surgery during cardiopulmonary bypass. In this case report the cytokine response in a 43-year-old man undergoing operation for an ACTH-producing lung tumor is presented. There had been clinical symptom...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1997.tb04686.x

    authors: Höhndorf K,Toft P,Tønnesen E

    更新日期:1997-02-01 00:00:00

  • Haemodynamic responses to antagonism of pancuronium and alcuronium block.

    abstract::Using non-invasive methods, haemodynamic responses to antagonism of pancuronium (Pc) and alcuronium (Ac) block were compared in patients anaesthetized with thiopental-N2O-fentanyl and undergoing minor surgery. Neuromuscular block (90%) was maintained with Pc in 10 patients and Ac in 10 patients. After surgery, atropin...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1981.tb01594.x

    authors: Heinonen J,Salmenperä M,Takkunen O

    更新日期:1981-02-01 00:00:00

  • Left ventricular ejection and the Heather Index measured by non-invasive methods during postural changes in man.

    abstract::Differences have been found, which are usually 1% or less, between the left ventricular ejection time measured from the external carotid pulse tracing, and from the rate of change of thoracic impedance (dZ/dt) waveform, using either the second heart sound or the X-point of the dZ/dt tracing as the end-point. The Heath...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1399-6576.1976.tb05044.x

    authors: Hill DW,Merrifield AJ

    更新日期:1976-01-01 00:00:00

  • Atracurium and vecuronium block nicotine-induced carotid body chemoreceptor responses.

    abstract:BACKGROUND:Vecuronium depresses carotid body chemosensitivity during hypoxia. We hypothesized that this is caused by inhibition of cholinergic transmission of the carotid body. METHODS:The carotid body with its sinus nerve was removed en bloc from thiopentone-anaesthetized adult male New Zealand rabbits and perfused i...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1399-6576.2002.460503.x

    authors: Jonsson M,Kim C,Yamamoto Y,Runold M,Lindahl SG,Eriksson LI

    更新日期:2002-05-01 00:00:00

  • Lumbar versus thoracic epidural buprenorphine for postoperative analgesia following coronary artery bypass graft surgery.

    abstract:BACKGROUND:Thoracic epidural analgesia (TEA) is reported to provide effective analgesia following cardiac surgery. We compared the effect of buprenorphine (BN) through the lumbar and thoracic epidural routes for postoperative analgesia following coronary artery bypass graft surgery (CABG). METHODS:Forty patients with ...

    journal_title:Acta anaesthesiologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1034/j.1399-6576.1999.430404.x

    authors: Mehta Y,Juneja R,Madhok H,Trehan N

    更新日期:1999-04-01 00:00:00