High-frequency, small-volume ventilation during thoracic surgery.

Abstract:

:Surgical conditions during conventional mechanical ventilation (CMV) and pulmonary gas exchange were compared with those during high-frequency ventilation (HFV) in 24 patients undergoing anesthesia for intrathoracic surgery. HFV at an oscillatory frequency of 3 Hz and a delivered gas volume of 1.3-1.9 ml/kg provided excellent surgical conditions for peripheral lung procedures. However, surgical conditions for procedures on the major airways or mediastinal structures were unsatisfactory during HFV. Adequate pulmonary gas exchange was achieved with HFV when the chest was open. Further evidence is presented for expiratory flow limitation during HFV. Expiratory flow limitation seems to occur particularly in patients with chronic obstructive airway disease, leading to increased lung volume. Currently, the authors do not recommend HFV for routine use during anesthesia for thoracic surgery.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Glenski JA,Crawford M,Rehder K

doi

10.1097/00000542-198602000-00014

subject

Has Abstract

pub_date

1986-02-01 00:00:00

pages

211-4

issue

2

eissn

0003-3022

issn

1528-1175

journal_volume

64

pub_type

杂志文章
  • Postoperative pain facilitates nonthermoregulatory tremor.

    abstract:BACKGROUND:Spontaneous tremor is relatively common in normothermic patients after operation and has been attributed to many causes. The hypothesis that nonthermoregulatory shivering-like tremor is facilitated by postoperative pain was tested. In addition, the effects of intravenous lidocaine on nonthermoregulatory trem...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199910000-00017

    authors: Horn EP,Schroeder F,Wilhelm S,Sessler DI,Standl T,von dem Busche K,Schulte am Esch J

    更新日期:1999-10-01 00:00:00

  • Effects of volatile anesthetics on acetylcholine-induced relaxation in the rabbit mesenteric resistance artery.

    abstract:BACKGROUND:Vascular endothelium plays an important role in the regulation of vascular tone. Volatile anesthetics have been shown to attenuate endothelium-mediated relaxation in conductance arteries, such as aorta. However, significant differences in volatile anesthetic pharmacology between these large vessels and the s...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199501000-00024

    authors: Akata T,Nakashima M,Kodama K,Boyle WA 3rd,Takahashi S

    更新日期:1995-01-01 00:00:00

  • Induction of malignant hyperthermia in susceptible swine by 3,4-methylenedioxymethamphetamine ("ecstasy").

    abstract:BACKGROUND:3,4-Methylenedioxymethamphetamine (MDMA, "ecstasy") can mediate acute toxic effects such as muscle rigidity, metabolic acidosis, and hyperthermia. Because of close clinical similarities, an association between MDMA intoxication and malignant hyperthermia (MH) was suggested. The aim of this study was to inves...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200311000-00020

    authors: Fiege M,Wappler F,Weisshorn R,Gerbershagen MU,Menge M,Schulte Am Esch J

    更新日期:2003-11-01 00:00:00

  • Body position changes redistribute lung computed-tomographic density in patients with acute respiratory failure.

    abstract::Ten patients with parenchymal acute respiratory failure (ARF) underwent computed tomography (CT) scans while in the supine and prone positions. At equal levels of positive end-expiratory pressure, the authors measured the changes of CT density in dorsal and ventral basilar lung regions induced by the change of positio...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199101000-00004

    authors: Gattinoni L,Pelosi P,Vitale G,Pesenti A,D'Andrea L,Mascheroni D

    更新日期:1991-01-01 00:00:00

  • Efficacy of continuous insufflation of oxygen combined with active cardiac compression-decompression during out-of-hospital cardiorespiratory arrest.

    abstract:BACKGROUND:During experimental cardiac arrest, continuous insufflation of air or oxygen (CIO) through microcannulas inserted into the inner wall of a modified intubation tube and generating a permanent positive intrathoracic pressure, combined with external cardiac massage, has previously been shown to be as effective ...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200006000-00007

    authors: Saïssy JM,Boussignac G,Cheptel E,Rouvin B,Fontaine D,Bargues L,Levecque JP,Michel A,Brochard L

    更新日期:2000-06-01 00:00:00

  • Enhancement by pain and stress of analgesia produced by epidural sufentanil in the rat.

    abstract::This study examined whether pain or stress can enhance the analgesic effects of spinally administered opiates. The experiments determined the effects of mechanically produced pain and of the stress of being restrained on the analgesic effects of 0.63 microgram of epidural sufentanil in rats using a tail-withdrawal pro...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198807000-00004

    authors: Van den Hoogen RH,Bervoets K,Colpaert FC

    更新日期:1988-07-01 00:00:00

  • Detecting awareness in children by using an auditory intervention.

    abstract:BACKGROUND:The incidence of awareness has been reported to be higher in children than in adults. Accurately assessing awareness in children is difficult, and the lack of a specific measure of awareness makes it difficult to determine exactly how many and why children are aware. The aim of this study was to determine th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181862a20

    authors: Davidson AJ,Sheppard SJ,Engwerda AL,Wong A,Phelan L,Ironfield CM,Stargatt R

    更新日期:2008-10-01 00:00:00

  • Evaluation of acupuncture anesthesia: a psychophysical study.

    abstract::Four volunteers judged eight levels of thermal stimuli induced by a Hardy dolorimeter, varying in intensity from extremely painful to a low level seldom even perceived. Half of the 406 stimuli were applied during acupuncture and half either before insertion or after removal of the needles. The experimental design mini...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197511000-00005

    authors: Day RL,Kitahata LM,Kao FF,Motoyama EK,Hardy JD

    更新日期:1975-11-01 00:00:00

  • Beneficial effects from beta-adrenergic blockade in elderly patients undergoing noncardiac surgery.

    abstract:BACKGROUND:Perioperative beta-blockade has been shown to improve long-term cardiac outcome in noncardiac surgical patients. A possible mechanism for the reduced risk of perioperative myocardial infarction is the attenuation of the excitotoxic effects of catecholamine surges by beta-blockade. It was hypothesized that be...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199912000-00020

    authors: Zaugg M,Tagliente T,Lucchinetti E,Jacobs E,Krol M,Bodian C,Reich DL,Silverstein JH

    更新日期:1999-12-01 00:00:00

  • Intraoperative systolic blood pressure variability predicts 30-day mortality in aortocoronary bypass surgery patients.

    abstract:BACKGROUND:Few data support an association between blood pressure variability and clinical outcomes during cardiac surgery. We tested the hypothesis that intraoperative systolic blood pressure variability outside a targeted blood pressure range predicts 30-day mortality in patients undergoing cardiac surgery. METHODS:...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0b013e3181e07ee9

    authors: Aronson S,Stafford-Smith M,Phillips-Bute B,Shaw A,Gaca J,Newman M,Cardiothoracic Anesthesiology Research Endeavors.

    更新日期:2010-08-01 00:00:00

  • Intravenous anesthetic propofol inhibits multiple human cardiac potassium channels.

    abstract:BACKGROUND:Propofol is widely used clinically for the induction and maintenance of anesthesia. Clinical case reports have shown that propofol has an antiatrial tachycardia/fibrillation effect; however, the related ionic mechanisms are not fully understood. The current study investigates the effects of propofol on human...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000495

    authors: Yang L,Liu H,Sun HY,Li GR

    更新日期:2015-03-01 00:00:00

  • Glutamate release from the ovine fetal brain during maternal hemorrhage. A study using chronic in utero cerebral microdialysis.

    abstract:BACKGROUND:Glutamate has been implicated in the pathophysiology of neuronal injury associated with cerebral hypoxia-ischemia. A model using chronic in utero microdialysis was developed to sample the extracellular space of the fetal brain. Using this model, we tested the hypothesis that glutamate efflux from the parasag...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199502000-00022

    authors: Penning DH,Chestnut DH,Dexter F,Hrdy J,Poduska D,Atkins B

    更新日期:1995-02-01 00:00:00

  • Development of the functional recovery index for ambulatory surgery and anesthesia.

    abstract:BACKGROUND:It is increasingly important to evaluate patients' recovery after ambulatory surgery. The authors developed the Functional Recovery Index (FRI) to assess postdischarge functional recovery for ambulatory surgical patients. METHODS:The scale development involved four phases: item generation, item selection, r...

    journal_title:Anesthesiology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/ALN.0b013e318197a16d

    authors: Wong J,Tong D,De Silva Y,Abrishami A,Chung F

    更新日期:2009-03-01 00:00:00

  • Propofol: the challenges of formulation.

    abstract::Propofol is a potent lipophilic anesthetic that was initially formulated in Cremophor El for human use. Because of the occurrence of Cremophor EL anaphylaxis and improvements in the quality of lipid emulsions, it was ultimately brought to market as 1% propofol formulated in 10% soybean oil emulsion. Emulsions represen...

    journal_title:Anesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/00000542-200510000-00026

    authors: Baker MT,Naguib M

    更新日期:2005-10-01 00:00:00

  • Electroacupuncture improves survival in rats with lethal endotoxemia via the autonomic nervous system.

    abstract:BACKGROUND:Recent advances have indicated a complex interplay between the autonomic nervous system and the innate immune system. Targeting neural networks for the treatment of sepsis is being developed as a therapeutic strategy. Because electroacupuncture at select acupoints can modulate activities of the autonomic ner...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3182426ebd

    authors: Song JG,Li HH,Cao YF,Lv X,Zhang P,Li YS,Zheng YJ,Li Q,Yin PH,Song SL,Wang HY,Wang XR

    更新日期:2012-02-01 00:00:00

  • Amitriptyline for prolonged cutaneous analgesia in the rat.

    abstract:BACKGROUND:Amitriptyline has been reported to be a more potent local anesthetic than bupivacaine. In keeping with the objective of identifying drugs for prolonged cutaneous analgesia, the authors compared the cutaneous analgesic effectiveness of amitriptyline and bupivacaine in rats. METHODS:Rats were subcutaneously i...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200201000-00023

    authors: Khan MA,Gerner P,Kuo Wang G

    更新日期:2002-01-01 00:00:00

  • Interaction of halogenated anesthetics with alpha- and beta-adrenoceptor stimulations in diabetic rat myocardium.

    abstract:BACKGROUND:Halogenated anesthetics potentiate the positive inotropic effects of alpha- and beta-adrenoceptor stimulations. Although diabetes mellitus induces significant myocardial abnormalities, the interaction of halogenated anesthetics and adrenoceptor stimulation in diabetic myocardium remains unknown. METHODS:Lef...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200411000-00014

    authors: Amour J,David JS,Vivien B,Coriat P,Riou B

    更新日期:2004-11-01 00:00:00

  • Cumulative duration of "triple low" state of low blood pressure, low bispectral index, and low minimum alveolar concentration of volatile anesthesia is not associated with increased mortality.

    abstract:BACKGROUND:Mortality after noncardiac surgery has been associated with the "triple low state," a combination of low mean arterial blood pressure (<75 mmHg), low bispectral index (<45), and low minimum alveolar concentration of volatile anesthesia (<0.70). The authors set out to determine whether duration of a triple lo...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000281

    authors: Kertai MD,White WD,Gan TJ

    更新日期:2014-07-01 00:00:00

  • Selective anesthesia-induced neuroinflammation in developing mouse brain and cognitive impairment.

    abstract:BACKGROUND:: Recent population studies have suggested that children with multiple exposures to anesthesia and surgery at an early age are at an increased risk of cognitive impairment. The authors therefore have established an animal model with single versus multiple exposures of anesthetic(s) in young versus adult mice...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3182834d77

    authors: Shen X,Dong Y,Xu Z,Wang H,Miao C,Soriano SG,Sun D,Baxter MG,Zhang Y,Xie Z

    更新日期:2013-03-01 00:00:00

  • Opioid-volatile anesthetic synergy: a response surface model with remifentanil and sevoflurane as prototypes.

    abstract:BACKGROUND:Combining a hypnotic and an analgesic to produce sedation, analgesia, and surgical immobility required for clinical anesthesia is more common than administration of a volatile anesthetic alone. The aim of this study was to apply response surface methods to characterize the interactions between remifentanil a...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/00000542-200608000-00009

    authors: Manyam SC,Gupta DK,Johnson KB,White JL,Pace NL,Westenskow DR,Egan TD

    更新日期:2006-08-01 00:00:00

  • Kinetic modulation of HERG potassium channels by the volatile anesthetic halothane.

    abstract:BACKGROUND:(human ether-a-gogo related gene) encodes the cardiac rapidly activating delayed rectifier potassium currents (I(kr)), which play an important role in cardiac action potential repolarization. General anesthetics, like halothane, can prolong Q-T interval, suggesting that they act on myocellular repolarization...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200210000-00026

    authors: Li J,Correa AM

    更新日期:2002-10-01 00:00:00

  • Acute opioid tolerance: intraoperative remifentanil increases postoperative pain and morphine requirement.

    abstract:BACKGROUND:Rapid development of acute opioid tolerance is well established in animals and is more likely to occur with large doses of short-acting drugs. The authors therefore tested the hypothesis that intraoperative remifentanil administration results in acute opioid tolerance that is manifested by increased postoper...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-200008000-00019

    authors: Guignard B,Bossard AE,Coste C,Sessler DI,Lebrault C,Alfonsi P,Fletcher D,Chauvin M

    更新日期:2000-08-01 00:00:00

  • Malignant hyperthermia phenotype: hypotension induced by succinylcholine in susceptible swine.

    abstract:BACKGROUND:Succinylcholine causes immediate and severe arterial hypotension in swine with the malignant hyperthermia phenotype. The underlying mechanisms are unknown. METHODS:Malignant hyperthermia-susceptible (MHS; n = 10) and normal swine (n = 5) were anesthetized with thiopental. The following were monitored: elect...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200006000-00038

    authors: Sigg DC,Iaizzo PA

    更新日期:2000-06-01 00:00:00

  • Pulmonary shunt and cardiovascular responses to CPAP during nitroprusside-induced hypotension.

    abstract::The effects of continuous positive airway pressure (CPAP) on cardiovascular dynamics and pulmonary shunt (QS/QT) were investigated in 12 dogs before and during sodium nitroprusside infusion that decreased mean arterial blood pressure 40-50 per cent. Before nitroprusside infusion, 5 cm H2O CPAP significantly, P less th...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197705000-00008

    authors: Hodges MR,Stanley TH,Johansen RK

    更新日期:1977-05-01 00:00:00

  • Differential behavioral effects of peripheral and systemic morphine and naloxone in a rat model of repeated acute inflammation.

    abstract:BACKGROUND:It has been reported that opioid antinociceptive effects are enhanced in animal models of inflammation, but it remains unclear whether this sensitization to morphine is related to predominant central or peripheral increased effects. METHODS:The authors compared the behavioral effects of intraplantar and int...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200105000-00027

    authors: Perrot S,Guilbaud G,Kayser V

    更新日期:2001-05-01 00:00:00

  • Current concepts of hemostasis: implications for therapy.

    abstract::The revised model of coagulation has implications for therapy of both hemorrhagic and thrombotic disorders. Of particular interest to anesthesiologists is the management of clotting abnormalities before, during, and after surgery. Most hereditary and acquired coagulation factor deficiencies can be managed by specific ...

    journal_title:Anesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/00000542-200403000-00036

    authors: Roberts HR,Monroe DM,Escobar MA

    更新日期:2004-03-01 00:00:00

  • Cognitive Functioning after Surgery in Middle-aged and Elderly Danish Twins.

    abstract:BACKGROUND:Postoperative cognitive dysfunction is common, but it remains unclear whether there are long-term adverse cognitive effects of surgery combined with anesthesia. The authors examined the association between exposure to surgery and level of cognitive functioning in a sample of 8,503 middle-aged and elderly twi...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000957

    authors: Dokkedal U,Hansen TG,Rasmussen LS,Mengel-From J,Christensen K

    更新日期:2016-02-01 00:00:00

  • Psychedelic effects of ketamine in healthy volunteers: relationship to steady-state plasma concentrations.

    abstract:BACKGROUND:Ketamine has been associated with a unique spectrum of subjective "psychedelic" effects in patients emerging from anesthesia. This study quantified these effects of ketamine and related them to steady-state plasma concentrations. METHODS:Ketamine or saline was administered in a single-blinded crossover prot...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199801000-00015

    authors: Bowdle TA,Radant AD,Cowley DS,Kharasch ED,Strassman RJ,Roy-Byrne PP

    更新日期:1998-01-01 00:00:00

  • Alpha 4 beta 2 neuronal nicotinic acetylcholine receptors in the central nervous system are inhibited by isoflurane and propofol, but alpha 7-type nicotinic acetylcholine receptors are unaffected.

    abstract:BACKGROUND:The mechanisms of action of general anesthetics are not completely understood. Many general anesthetics are reported to potentiate gamma-aminobutyric acid (GABAA) and glycine receptors in the central nervous system (CNS) and to inhibit the muscle-type nicotinic acetylcholine receptor (nAChR). The effects of ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199704000-00016

    authors: Flood P,Ramirez-Latorre J,Role L

    更新日期:1997-04-01 00:00:00

  • Local anesthetic properties of prenylamine.

    abstract:BACKGROUND:Local anesthetics that produce analgesia of long duration with minimal impairment of autonomic functions are highly desirable for pain management in the clinic. Prenylamine is a known calcium channel blocker, but its local anesthetic blocking effects on voltage-gated sodium channels have not been studied thu...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200111000-00025

    authors: Mujtaba MG,Gerner P,Wang GK

    更新日期:2001-11-01 00:00:00