[Behavior of respiratory tract, esophagus and pulmonary artery pressure in bronchoscopies in normofrequent jet ventilation in comparison with Friedel's ventilation technics].
The dynamics of selected physiological respiratory parameters were studied in a total of 29 patients. During slight hyperventilation and good oxygenation by both Friedel's and jet ventilation (driving pressure 0.3 and 0.4 MPa, respectively), comparably low respiratory tract pressures were observed. Transmission to intrathoracic (44-46%) and mean pulmonary artery pressure (11-13%) indicates only a low-grade ventilation-induced hemodynamic influence. By contrast, clear increases in pulmonary artery pressure due to intubation were recorded. Thus, the employed normofrequent jet ventilation with its continuous open-tube ventilation which is independent of the undisturbed bronchological examination possesses beneficial properties from a cardiorespiratory view.
Klein
U
U
Klinik für Anästhesiologie und Intensivtherapie, Friedrich-Schiller-Universität Jena/DDR.
Seifert
A
A
Koch
J
J
Gottschall
R
R
Schirrmeister
W
W
D000328:Adult; D000368:Aged; D001980:Bronchi / Q000503:physiopathology; D001999:Bronchoscopy; D004947:Esophagus / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009130:Muscle, Smooth / Q000503:physiopathology*; D011659:Pulmonary Gas Exchange; D011669:Pulmonary Wedge Pressure; D012121:Respiration, Artificial
Zum Verhalten von Atemwegs-, Osophagus- und Pulmonalisdruck während Bronchoskopien unter normofrequenter Jetventilation im Vergleich zur Friedelschen Beatmungstechnik.