Gas movement in the nonventilated lung at the onset of single-lung ventilation for video-assisted thoracoscopy.

Abstract:

:To assess the potential for atmospheric nitrogen to enter the nonventilated lung following the initiation of single-lung ventilation, the nonventilated lung of 10 patients undergoing video-assisted thoracoscopy was connected to the air in a water-filled spirometer, and gas movement out of and back into the lung was measured. Airway pressure from both lungs and pleural pressure from the nonventilated side were also measured. With each breath of positive-pressure ventilation to the ventilated lung prior to the thoracic cavity being opened to the atmosphere, the pressure transmitted to the opposite hemithorax generated a mean (range) tidal movement of gas in the nonventilated lung of 134 (65-265) ml. In addition, ongoing gas exchange resulted in a progressive influx of gas from the spirometer over the 110-120 s measurement period of a mean (range) volume of 155 (70-320) ml. This easily preventable influx of atmospheric nitrogen could, in theory, predispose to arterial desaturation and to delayed lung collapse after the parietal pleura is opened.

journal_name

Anaesthesia

journal_title

Anaesthesia

authors

Pfitzner J,Peacock MJ,McAleer PT

doi

10.1046/j.1365-2044.1999.00845.x

subject

Has Abstract

pub_date

1999-05-01 00:00:00

pages

437-43

issue

5

eissn

0003-2409

issn

1365-2044

journal_volume

54

pub_type

杂志文章
  • Choice of anaesthesia for category-1 caesarean section in women with anticipated difficult tracheal intubation: the use of decision analysis.

    abstract::A predicted difficult airway is sometimes considered a contra-indication to rapid sequence induction of general anaesthesia, even in an urgent case such as a category-1 caesarean section for fetal distress. However, formally assessing the risk is difficult because of the rarity and urgency of such cases. We have used ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.13729

    authors: Krom AJ,Cohen Y,Miller JP,Ezri T,Halpern SH,Ginosar Y

    更新日期:2017-02-01 00:00:00

  • The optimum bolus dose of remifentanil to facilitate laryngeal mask airway insertion with a single standard dose of propofol at induction in children.

    abstract::The purpose of this study was to determine the optimal bolus dose of remifentanil required for the successful insertion of the laryngeal mask airway during propofol induction in children without a neuromuscular blocking agent. Twenty-six paediatric patients, aged 3-10 years, requiring anaesthesia for short ambulatory ...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.2008.05544.x

    authors: Kwak HJ,Kim JY,Kim YB,Chae YJ,Kim JY

    更新日期:2008-09-01 00:00:00

  • Aluminium release by coated and uncoated fluid-warming devices.

    abstract::The use of fluid-warming systems is recommended for infusion rates > 500 ml.h-1 to avoid peri-operative hypothermia. Some fluid-warming devices use disposable aluminium-heated plates for heat transfer, but there is no protective coating to separate the fluid from the heated aluminium surface. It is unknown if this cou...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.14601

    authors: Perl T,Kunze-Szikszay N,Bräuer A,Quintel M,Röhrig AL,Kerpen K,Telgheder U

    更新日期:2019-06-01 00:00:00

  • Litigation related to airway and respiratory complications of anaesthesia: an analysis of claims against the NHS in England 1995-2007.

    abstract::Claims notified to the NHS Litigation Authority in England between 1995 and 2007 and filed under anaesthesia were analysed to explore patterns of injury and cost related to airway or respiratory events. Of 841 interpretable claims the final dataset contained 96 claims of dental damage, 67 airway-related claims and 24 ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2010.06331.x

    authors: Cook TM,Scott S,Mihai R

    更新日期:2010-06-01 00:00:00

  • Propofol-fentanyl anaesthesia for coronary artery surgery and cardiopulmonary bypass.

    abstract::A two-stage propofol infusion combined with fentanyl was used to maintain anaesthesia during coronary artery surgery in patients with good ventricular function. Whole blood propofol concentrations were measured at frequent intervals; plasma protein binding was measured before, during and after cardiopulmonary bypass. ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1989.tb11223.x

    authors: Russell GN,Wright EL,Fox MA,Douglas EJ,Cockshott ID

    更新日期:1989-03-01 00:00:00

  • From smartphone to bed-side: exploring the use of social media to disseminate recommendations from the National Tracheostomy Safety Project to front-line clinical staff.

    abstract::Traditional methods used to disseminate educational resources to front-line healthcare staff have several limitations. Social media may increase the visibility of these resources among targeted groups and communities. Our project aimed to disseminate key clinical messages from the National Tracheostomy Safety Project ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/anae.14747

    authors: Ng FK,Wallace S,Coe B,Owen A,Lynch J,Bonvento B,Firn M,McGrath BA

    更新日期:2020-02-01 00:00:00

  • Paediatric anaesthesia in developing countries.

    abstract::Each year millions of children undergo surgery in the developing world with inadequate facilities, equipment and drugs. In many hospitals, anaesthesia is largely dependent on the availability of ketamine. Application of well-established clinical techniques, particularly for postoperative pain control, would relieve un...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.2007.05294.x

    authors: Hodges SC,Walker IA,Bösenberg AT

    更新日期:2007-12-01 00:00:00

  • Automatic ventilation with the Ayre's T-piece. A modification of the Nuffield Series 200 ventilator for neonatal and paediatric use.

    abstract::A simple modification to an existing adult ventilator has been designed to permit mechanical ventilation of neonates and small children with the Ayre's T-piece circuit. The Nuffield Anaesthesia Ventilator Series 200 has been modified by replacing the piston in the patient valve with a fixed leak. This arrangement avoi...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1981.tb08595.x

    authors: Newton NI,Hillman KM,Varley JG

    更新日期:1981-01-01 00:00:00

  • Evaluation of the Datex 'Normac' anaesthetic agent monitor.

    abstract::The Datex 'Normac' infrared anaesthetic agent monitor has been evaluated for accuracy of calibration, stability and speed of response. Accuracy was assessed by comparing with a gas chromatograph calibrated using volumetric standards and was found to be very good for isoflurane and enflurane but was slightly less accur...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb10895.x

    authors: Luff NP,White DC

    更新日期:1985-06-01 00:00:00

  • AIDS and anaesthesia.

    abstract::The Acquired Immune Deficiency Syndrome (AIDS) is a group of conditions which is reaching epidemic proportions. It is caused by a virus new to man, with an as yet poorly understood natural history, ominous prognosis and no known cure. Anaesthetists should be aware of the implications of dealing with increasing numbers...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb12743.x

    authors: Lee KG,Soni N

    更新日期:1986-10-01 00:00:00

  • A comparison of low vs conventional-dose heparin for minimal cardiopulmonary bypass in coronary artery bypass grafting surgery.

    abstract::The biocompatibility of minimal extracorporeal circuits has improved; however, anticoagulation is still required. We compared standard high-dose anticoagulation with a low-dose heparin regimen in a retrospective study of patients who underwent coronary bypass surgery using minimal cardiopulmonary bypass. One hundred p...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2011.06709.x

    authors: Fromes Y,Daghildjian K,Caumartin L,Fischer M,Rouquette I,Deleuze P,Bical OM

    更新日期:2011-06-01 00:00:00

  • C-reactive protein in patients undergoing cardiac surgery.

    abstract::Among 25 patients undergoing cardiac surgery with the aid of cardiopulmonary bypass, 13 who recovered uneventfully all had normal (less than 2 mg/litre) levels of serum C-reactive protein pre-operatively. In contrast, 10 of the 12 patients who suffered from various postoperative complications, including two who died, ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1986.tb12696.x

    authors: Boralessa H,de Beer FC,Manchie A,Whitwam JG,Pepys MB

    更新日期:1986-01-01 00:00:00

  • Forum. The use of atracurium besylate for laparoscopy.

    abstract::An anaesthetic technique is described for laparoscopy using an intravenous induction, atracurium 0.2 mg/kg for muscle relaxation and intermittent positive pressure ventilation of the lungs with nitrous oxide and oxygen. It was found to be a suitable and simple technique. Recovery of spontaneous ventilation was achieve...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1365-2044.1984.tb07243.x

    authors: Sleigh JW,Matheson KH,Boys JE

    更新日期:1984-03-01 00:00:00

  • Acid aspiration prophylaxis for emergency Caesarean section.

    abstract::Over a 3.5 year period, 384 patients requiring emergency Caesarean section under general anaesthesia received at random one of six acid aspiration prophylaxis regimens as soon as the decision was made for surgery. In the first phase of the study, sodium citrate administered orally 0.3 M, 30 ml (group C, n = 120) was c...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1996.tb07782.x

    authors: Stuart JC,Kan AF,Rowbottom SJ,Yau G,Gin T

    更新日期:1996-05-01 00:00:00

  • Patient-controlled epidural analgesia with sufentanil following caesarean section: the effect of adrenaline and clonidine admixture.

    abstract::Sixty patients, scheduled for Caesarean section were randomly allocated to receive by the epidural route in a double-blind fashion one of the following patient-controlled analgesia mixtures for the relief of postoperative pain: sufentanil 2 micrograms.ml-1 in 0.9% sodium chloride, sufentanil 2 micrograms.ml-1 + adrena...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1994.tb04447.x

    authors: Vercauteren MP,Vandeput DM,Meert TF,Adriaensen HA

    更新日期:1994-09-01 00:00:00

  • Modified patient-controlled remifentanil bolus delivery regimen for labour pain*.

    abstract::To improve the analgesic efficiency and to simplify the administration of remifentanil for systemic analgesia in labour, we contrived a modified delivery regimen with a specific infusion profile and variable dosing and conducted a single-blind randomised crossover study to compare it with the previous 'classical' regi...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/anae.12038

    authors: Jost A,Ban B,Kamenik M

    更新日期:2013-03-01 00:00:00

  • Decision analysis in anaesthesia: a tool for developing and analysing clinical management plans.

    abstract::Traditional medical decision making is unstructured and incorporates evidence haphazardly. I present a more structured approach based on decision analysis, a model that considers all relevant options and outcomes informed by evidence where appropriate. This method is useful both for planning clinical management and fo...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2044.2006.04649.x

    authors: Yentis SM

    更新日期:2006-07-01 00:00:00

  • Pulmonary arterio-venous fistula. A shunt equation exercise during thoracotomy.

    abstract::A report is given of a patient with multiple bilateral pulmonary arterio-venous fistulae who underwent right thoracotomy for this condition. Blood-gas studies before and during surgery showed that the arterio-venous oxygen content differences of 1-16-1-34 mmol/l were less than normal, and the calculated venous admixtu...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1977.tb10081.x

    authors: Purcell GR,Manners JM,Cockburn JS

    更新日期:1977-09-01 00:00:00

  • Sedation for oocyte retrieval using target controlled infusion of propofol and incremental alfentanil delivered by non-anaesthetists.

    abstract::Oocyte retrieval is a procedure where sedation is recommended. This paper presents the process of setting up a new, non-anaesthetist delivered service in our institution, the development of safety systems and the audit data we have used to assure quality, effectiveness and safety. Logbook data were collected for 4342 ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2010.06264.x

    authors: Edwards JA,Kinsella J,Shaw A,Evans S,Anderson KJ

    更新日期:2010-05-01 00:00:00

  • Pain on injection of propofol: the effect of injectate temperature.

    abstract::A double-blind, randomised clinical study was undertaken to compare the effect of temperature on the incidence and severity of the pain experienced on injection of propofol. The number of patients who experienced pain and the severity of the pain were reduced significantly when propofol was administered at a temperatu...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.1990.tb14329.x

    authors: McCrirrick A,Hunter S

    更新日期:1990-06-01 00:00:00

  • Sevoflurane--nitrous oxide anaesthesia supplemented with remifentanil: effect on recovery and cognitive function.

    abstract::The aim of this study was to compare recovery and psychomotor performance after maintenance of anaesthesia with sevoflurane or sevoflurane supplemented with remifentanil. Sixty-six per cent nitrous oxide was used in all patients. Twenty patients each were randomly allocated to maintenance of anaesthesia with sevoflura...

    journal_title:Anaesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1365-2044.2001.01795.x

    authors: Breslin DS,Reid JE,Mirakhur RK,Hayes AH,McBrien ME

    更新日期:2001-02-01 00:00:00

  • Where is T5? A survey of anaesthetists.

    abstract::The extent of a regional block for Caesarean section must be tested and documented before surgery commences. In recent years a block to 'touch' that includes T5 has increasingly been considered the best predictive test for a pain-free Caesarean section. Our survey examines the consistency with which different anaesthe...

    journal_title:Anaesthesia

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1365-2044.2006.04609.x

    authors: Congreve K,Gardner I,Laxton C,Scrutton M

    更新日期:2006-05-01 00:00:00

  • Patient-controlled oral analgesia versus nurse-controlled parenteral analgesia after caesarean section: a randomised controlled trial.

    abstract::We assessed the effectiveness of early patient-controlled oral analgesia compared with parenteral analgesia in a randomised controlled non-inferiority trial of women undergoing elective caesarean section under regional anaesthesia. Seventy-seven women received multimodal paracetamol, ketoprofen and morphine analgesia....

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/anae.13406

    authors: Bonnal A,Dehon A,Nagot N,Macioce V,Nogue E,Morau E

    更新日期:2016-05-01 00:00:00

  • Pneumothorax in the neonatal period.

    abstract::The incidence of pneumothorax in the neonatal period is reviewed. Most infants who developed a pneumothorax were undergoing intermittent positive pressure ventilation. The most common underlying pathology associated with pneumothorax was idiopathic respiratory distress syndrome. This was the only condition in which a ...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1983.tb12024.x

    authors: Jones RM,Rutter N,Cooper AC,Pullan CR

    更新日期:1983-10-01 00:00:00

  • Nikolay Ivanovich Pirogov: a surgeon's contribution to military and civilian anaesthesia.

    abstract::A key figure in the development of anaesthesia in Russia was the surgeon Nikolay Ivanovich Pirogov (1810-1881). He experimented with ether and chloroform and organised the general introduction of anaesthesia in Russia for patients undergoing surgery. He was the first to perform systematic research into anaesthesia-rel...

    journal_title:Anaesthesia

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/anae.12916

    authors: Hendriks IF,Bovill JG,Boer F,Houwaart ES,Hogendoorn PC

    更新日期:2015-02-01 00:00:00

  • Effect of propofol on seizure-like phenomena and electroencephalographic activity in children with epilepsy vs children with learning difficulties.

    abstract::There is an ongoing debate as to whether propofol exhibits pro- or anticonvulsant effects, and whether it should be used in patients with epilepsy. We prospectively assessed the occurrence of seizure-like phenomena and the effects of intravenous propofol on the electroencephalogram (EEG) in 25 children with epilepsy (...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.2006.04782.x

    authors: Meyer S,Shamdeen MG,Kegel B,Mencke T,Gottschling S,Gortner L,Grundmann U

    更新日期:2006-11-01 00:00:00

  • Pre-operative analgesia with rectal diclofenac and/or paracetamol in children undergoing inguinal hernia repair.

    abstract::Both rectal diclofenac and paracetamol are commonly used to treat acute postoperative pain in children but combining them to improve the quality of analgesia is controversial. This study aimed to detect whether the pre-operative combined administration of rectal diclofenac and paracetamol is superior to either drug al...

    journal_title:Anaesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2044.2007.05248.x

    authors: Riad W,Moussa A

    更新日期:2007-12-01 00:00:00

  • Evoked potential monitoring in anaesthesia and analgesia.

    abstract::Electrophysiological monitoring of selected neural pathways of the brain, brainstem, spinal cord and peripheral nervous system has become mandatory in some surgery of the nervous system where preventable neural injury can occur. Evoked potentials are relatively simple methods of testing the integrity of various aspect...

    journal_title:Anaesthesia

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2044.2000.01120.x

    authors: Kumar A,Bhattacharya A,Makhija N

    更新日期:2000-03-01 00:00:00

  • Osmolar output in the peri-operative period.

    abstract::The hourly urine volume and urine concentration of seven patients undergoing major abdominal surgery were measured during the operative and postoperative periods. From these, the hourly osmolar output was calculated. The results show that the osmolar output, 700 mOsm/day, in the peri-operative period is less than that...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1978.tb08495.x

    authors: Zideman DA,Dudley HA,Bevan DR

    更新日期:1978-10-01 00:00:00

  • Temazepam in fast dispensing dosage form as a premedication for children.

    abstract::Forty-seven children aged between four and 11 years received temazepam 0.5 mg/kg in a novel fast dispensing dosage form. The preparation was well accepted and associated with few side-effects. Satisfactory sedation and anxiolysis was obtained in over 93% of patients. The relative merits of a variety of routes of admin...

    journal_title:Anaesthesia

    pub_type: 杂志文章

    doi:10.1111/j.1365-2044.1985.tb10792.x

    authors: Smith GB,Hughes DG,Kumar V

    更新日期:1985-04-01 00:00:00