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Type: Artigo de periódico
Title: Hemodynamic, Ventilatory And Gasometric Evaluation Of An Experimental Bronchopleural Fistula1
Author: De Oliveira D.G.
Toneloto M.G.C.
Moreira M.M.
Bustorff-Silva J.M.
De Souza G.F.
Martins L.C.
Kosour C.
Dragosavac D.
FalcaO A.L.E.
Abstract: PURPOSE: To investigate the hemodynamic and ventilatory changes associated with the creation of an experimental bronchopleural fistula (BPF) treated by mechanical ventilation and thoracic drainage with or without a water seal.METHODS: Six large white pigs weighing 25 kg each which, after general anesthesia, underwent endotracheal intubation (6mm), and mechanically ventilation. Through a left thoracotomy, a resection of the lingula was performed in order to create a BPF with an output exceeding 50% of the inspired volume. The chest cavity was closed and drained into the water sealed system for initial observation of the high output BPF.RESULTS: Significant reduction in BPF output and PaCO2 was related after insertion of a water-sealed thoracic drain, p< 0.05.CONCLUSION: Insertion of a water-sealed thoracic drain resulted in reduction in bronchopleural fistula output and better CO2 clearance without any drop in cardiac output or significant changes in mean arterial pressure.
Editor: Sociedade Brasileira para o Desenvolvimento de Pesquisa em Cirurgia
Rights: aberto
Identifier DOI: 10.1590/S0102-86502015001000001
Date Issue: 2015
Appears in Collections:Unicamp - Artigos e Outros Documentos

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