Effect of high-frequency jet ventilation on oxygenation during one-lung ventilation in patients undergoing thoracic aneurysm surgery
To evaluate the effect of high-frequency jet ventilation (HFJV) and continuous positive airway pressure (CPAP) on oxygenation and the shunt fraction (Qs/Qt) during one-lung ventilation (OLV). Twenty-five patients who were undergoing resection of a descending aortic aneurysm were studied. Arterial ox...
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| Veröffentlicht in: | Journal of anesthesia 2006-02, Vol.20 (1), p.1-5 |
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| creator | Abe, Kazuo Oka, Junko Takahashi, Hibiki Funatsu, Toshihiro Fukuda, Hirotsugu Miyamoto, Yuji |
| description | To evaluate the effect of high-frequency jet ventilation (HFJV) and continuous positive airway pressure (CPAP) on oxygenation and the shunt fraction (Qs/Qt) during one-lung ventilation (OLV).
Twenty-five patients who were undergoing resection of a descending aortic aneurysm were studied. Arterial oxygenation, Qs/Qt, and hemodynamics were evaluated just before the initiation of OLV (T1), 15 min after OLV (T2), and 15 min (T3) and 30 min (T4) after the application of HFJV or CPAP to the nondependent lung.
There were no significant changes in the mean arterial blood pressure (MAP), heart rate (HR), central venous pressure (CVP), or mixed venous partial pressure of oxygen throughout this study. The arterial partial pressure of oxygen (Pa(O2)) values after the application of HFJV or CPAP increased significantly, from 173.8 +/- 39.6 mmHg (T2) to 344.1 +/- 87.9 mmHg (T3) and 359.9 +/- 82.4 mmHg (T4) in the HFJV group (P < 0.05), and from 153 +/- 38.5 mmHg (T2) to 243 +/- 48.5 mmHg (T3) and 249.7 +/- 55.0 mmHg (T4) in the CPAP group (P < 0.05). The shunt fraction decreased significantly after the initiation of HFJV or CPAP, from 38.7% +/- 8.9% (T2) to 27.0% +/- 8.0% (T3) and 25.9% +/- 8.7% (T4) in the HFJV group (P < 0.05), and from 44.6% +/- 8.6% (T2) to 34.3% +/- 10.2% (T3) and 32.6% +/- 8.5% (T4) in the CPAP group (P < 0.05). The arterial saturation of oxygen (Sa(O) (2)) increased significantly after the application of either HFJV or CPAP (P < 0.05).
Both HFJV and CPAP can improve oxygenation during OLV. |
| doi_str_mv | 10.1007/s00540-005-0352-y |
| format | Article |
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Twenty-five patients who were undergoing resection of a descending aortic aneurysm were studied. Arterial oxygenation, Qs/Qt, and hemodynamics were evaluated just before the initiation of OLV (T1), 15 min after OLV (T2), and 15 min (T3) and 30 min (T4) after the application of HFJV or CPAP to the nondependent lung.
There were no significant changes in the mean arterial blood pressure (MAP), heart rate (HR), central venous pressure (CVP), or mixed venous partial pressure of oxygen throughout this study. The arterial partial pressure of oxygen (Pa(O2)) values after the application of HFJV or CPAP increased significantly, from 173.8 +/- 39.6 mmHg (T2) to 344.1 +/- 87.9 mmHg (T3) and 359.9 +/- 82.4 mmHg (T4) in the HFJV group (P < 0.05), and from 153 +/- 38.5 mmHg (T2) to 243 +/- 48.5 mmHg (T3) and 249.7 +/- 55.0 mmHg (T4) in the CPAP group (P < 0.05). The shunt fraction decreased significantly after the initiation of HFJV or CPAP, from 38.7% +/- 8.9% (T2) to 27.0% +/- 8.0% (T3) and 25.9% +/- 8.7% (T4) in the HFJV group (P < 0.05), and from 44.6% +/- 8.6% (T2) to 34.3% +/- 10.2% (T3) and 32.6% +/- 8.5% (T4) in the CPAP group (P < 0.05). The arterial saturation of oxygen (Sa(O) (2)) increased significantly after the application of either HFJV or CPAP (P < 0.05).
Both HFJV and CPAP can improve oxygenation during OLV.</description><identifier>ISSN: 0913-8668</identifier><identifier>EISSN: 1438-8359</identifier><identifier>DOI: 10.1007/s00540-005-0352-y</identifier><identifier>PMID: 16421668</identifier><language>eng</language><publisher>Japan: Springer</publisher><subject>Adult ; Aged ; Anesthesia ; Aneurysms ; Aortic Aneurysm, Thoracic - surgery ; Artificial respiration ; Care and treatment ; Chest ; Continuous Positive Airway Pressure ; Dosage and administration ; Female ; High-Frequency Jet Ventilation ; Humans ; Lung - physiology ; Male ; Methods ; Middle Aged ; Oxygen - metabolism ; Surgery</subject><ispartof>Journal of anesthesia, 2006-02, Vol.20 (1), p.1-5</ispartof><rights>COPYRIGHT 2006 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c295t-9a49236973f7c944db2d10fb13c06f43d4be0a29a3687529a550c27d40ef83a43</citedby><cites>FETCH-LOGICAL-c295t-9a49236973f7c944db2d10fb13c06f43d4be0a29a3687529a550c27d40ef83a43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16421668$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Abe, Kazuo</creatorcontrib><creatorcontrib>Oka, Junko</creatorcontrib><creatorcontrib>Takahashi, Hibiki</creatorcontrib><creatorcontrib>Funatsu, Toshihiro</creatorcontrib><creatorcontrib>Fukuda, Hirotsugu</creatorcontrib><creatorcontrib>Miyamoto, Yuji</creatorcontrib><title>Effect of high-frequency jet ventilation on oxygenation during one-lung ventilation in patients undergoing thoracic aneurysm surgery</title><title>Journal of anesthesia</title><addtitle>J Anesth</addtitle><description>To evaluate the effect of high-frequency jet ventilation (HFJV) and continuous positive airway pressure (CPAP) on oxygenation and the shunt fraction (Qs/Qt) during one-lung ventilation (OLV).
Twenty-five patients who were undergoing resection of a descending aortic aneurysm were studied. Arterial oxygenation, Qs/Qt, and hemodynamics were evaluated just before the initiation of OLV (T1), 15 min after OLV (T2), and 15 min (T3) and 30 min (T4) after the application of HFJV or CPAP to the nondependent lung.
There were no significant changes in the mean arterial blood pressure (MAP), heart rate (HR), central venous pressure (CVP), or mixed venous partial pressure of oxygen throughout this study. The arterial partial pressure of oxygen (Pa(O2)) values after the application of HFJV or CPAP increased significantly, from 173.8 +/- 39.6 mmHg (T2) to 344.1 +/- 87.9 mmHg (T3) and 359.9 +/- 82.4 mmHg (T4) in the HFJV group (P < 0.05), and from 153 +/- 38.5 mmHg (T2) to 243 +/- 48.5 mmHg (T3) and 249.7 +/- 55.0 mmHg (T4) in the CPAP group (P < 0.05). The shunt fraction decreased significantly after the initiation of HFJV or CPAP, from 38.7% +/- 8.9% (T2) to 27.0% +/- 8.0% (T3) and 25.9% +/- 8.7% (T4) in the HFJV group (P < 0.05), and from 44.6% +/- 8.6% (T2) to 34.3% +/- 10.2% (T3) and 32.6% +/- 8.5% (T4) in the CPAP group (P < 0.05). The arterial saturation of oxygen (Sa(O) (2)) increased significantly after the application of either HFJV or CPAP (P < 0.05).
Both HFJV and CPAP can improve oxygenation during OLV.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia</subject><subject>Aneurysms</subject><subject>Aortic Aneurysm, Thoracic - surgery</subject><subject>Artificial respiration</subject><subject>Care and treatment</subject><subject>Chest</subject><subject>Continuous Positive Airway Pressure</subject><subject>Dosage and administration</subject><subject>Female</subject><subject>High-Frequency Jet Ventilation</subject><subject>Humans</subject><subject>Lung - physiology</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Oxygen - metabolism</subject><subject>Surgery</subject><issn>0913-8668</issn><issn>1438-8359</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkUtr3DAUhUVpaSaPH9BNERSyU3v1sGQtQ0iaQqCbdi00suRR8MhTyS71Pj-8Mh5oQdx7dfiuOOIg9IHCZwqgvhSARgCplQBvGFneoB0VvCUtb_RbtANNOWmlbC_QZSkvACAp5e_RBZWC0arv0OtDCN5NeAz4EPsDCdn_mn1yC37xE_7t0xQHO8Ux4fX8WXqftms355j6qnoyzHX4H40Jn-pUlYLn1Pncjys7HcZsXXTYJj_npRxxmXPv83KN3gU7FH9z7lfo5-PDj_sn8vz967f7u2fimG4moq3QjEuteFBOC9HtWUch7Cl3IIPgndh7sExbLlvV1N404JjqBPjQciv4Fbrd3j3lsf6yTOYYi_PDUA2NczEKpNRaqQp-2sDeDt7EFMapOl9hc0cb1ipGW1kpulEuj6VkH8wpx6PNi6Fg1oDMFpCp1awBmaXufDxbmPdH3_3bOCfC_wLRII4l</recordid><startdate>20060220</startdate><enddate>20060220</enddate><creator>Abe, Kazuo</creator><creator>Oka, Junko</creator><creator>Takahashi, Hibiki</creator><creator>Funatsu, Toshihiro</creator><creator>Fukuda, Hirotsugu</creator><creator>Miyamoto, Yuji</creator><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20060220</creationdate><title>Effect of high-frequency jet ventilation on oxygenation during one-lung ventilation in patients undergoing thoracic aneurysm surgery</title><author>Abe, Kazuo ; Oka, Junko ; Takahashi, Hibiki ; Funatsu, Toshihiro ; Fukuda, Hirotsugu ; Miyamoto, Yuji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c295t-9a49236973f7c944db2d10fb13c06f43d4be0a29a3687529a550c27d40ef83a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia</topic><topic>Aneurysms</topic><topic>Aortic Aneurysm, Thoracic - surgery</topic><topic>Artificial respiration</topic><topic>Care and treatment</topic><topic>Chest</topic><topic>Continuous Positive Airway Pressure</topic><topic>Dosage and administration</topic><topic>Female</topic><topic>High-Frequency Jet Ventilation</topic><topic>Humans</topic><topic>Lung - physiology</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Oxygen - metabolism</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abe, Kazuo</creatorcontrib><creatorcontrib>Oka, Junko</creatorcontrib><creatorcontrib>Takahashi, Hibiki</creatorcontrib><creatorcontrib>Funatsu, Toshihiro</creatorcontrib><creatorcontrib>Fukuda, Hirotsugu</creatorcontrib><creatorcontrib>Miyamoto, Yuji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abe, Kazuo</au><au>Oka, Junko</au><au>Takahashi, Hibiki</au><au>Funatsu, Toshihiro</au><au>Fukuda, Hirotsugu</au><au>Miyamoto, Yuji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of high-frequency jet ventilation on oxygenation during one-lung ventilation in patients undergoing thoracic aneurysm surgery</atitle><jtitle>Journal of anesthesia</jtitle><addtitle>J Anesth</addtitle><date>2006-02-20</date><risdate>2006</risdate><volume>20</volume><issue>1</issue><spage>1</spage><epage>5</epage><pages>1-5</pages><issn>0913-8668</issn><eissn>1438-8359</eissn><abstract>To evaluate the effect of high-frequency jet ventilation (HFJV) and continuous positive airway pressure (CPAP) on oxygenation and the shunt fraction (Qs/Qt) during one-lung ventilation (OLV).
Twenty-five patients who were undergoing resection of a descending aortic aneurysm were studied. Arterial oxygenation, Qs/Qt, and hemodynamics were evaluated just before the initiation of OLV (T1), 15 min after OLV (T2), and 15 min (T3) and 30 min (T4) after the application of HFJV or CPAP to the nondependent lung.
There were no significant changes in the mean arterial blood pressure (MAP), heart rate (HR), central venous pressure (CVP), or mixed venous partial pressure of oxygen throughout this study. The arterial partial pressure of oxygen (Pa(O2)) values after the application of HFJV or CPAP increased significantly, from 173.8 +/- 39.6 mmHg (T2) to 344.1 +/- 87.9 mmHg (T3) and 359.9 +/- 82.4 mmHg (T4) in the HFJV group (P < 0.05), and from 153 +/- 38.5 mmHg (T2) to 243 +/- 48.5 mmHg (T3) and 249.7 +/- 55.0 mmHg (T4) in the CPAP group (P < 0.05). The shunt fraction decreased significantly after the initiation of HFJV or CPAP, from 38.7% +/- 8.9% (T2) to 27.0% +/- 8.0% (T3) and 25.9% +/- 8.7% (T4) in the HFJV group (P < 0.05), and from 44.6% +/- 8.6% (T2) to 34.3% +/- 10.2% (T3) and 32.6% +/- 8.5% (T4) in the CPAP group (P < 0.05). The arterial saturation of oxygen (Sa(O) (2)) increased significantly after the application of either HFJV or CPAP (P < 0.05).
Both HFJV and CPAP can improve oxygenation during OLV.</abstract><cop>Japan</cop><pub>Springer</pub><pmid>16421668</pmid><doi>10.1007/s00540-005-0352-y</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Anesthesia Aneurysms Aortic Aneurysm, Thoracic - surgery Artificial respiration Care and treatment Chest Continuous Positive Airway Pressure Dosage and administration Female High-Frequency Jet Ventilation Humans Lung - physiology Male Methods Middle Aged Oxygen - metabolism Surgery |
| title | Effect of high-frequency jet ventilation on oxygenation during one-lung ventilation in patients undergoing thoracic aneurysm surgery |
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