Embolized air collection in the superior vena cava of "upright" sheep.
In 34 studies on six "upright" anesthetized sheep central venous pressure from sites in the upper and lower superior vena cava (SVC) was recorded before, during, and after the injection into a neck vein of 1-ml increments of air every minute for 15 min. After the injection of air, the pressure recorded from the upper site increased significantly. This increase was the result of air collecting in the SVC with a consequent loss or partial loss of the SVC hydrostatic pressure difference. The time of onset and the duration of collection were not influenced by hyper- or hypovolemia nor by 1 kPa positive end-expiratory pressure. The readily identifiable change in the venous pressure in the upper SVC provided an earlier and more reliable warning of these small-volume air emboli than did a Doppler probe directed at the right side of the heart.
Pfitzner
J
J
Department of Anesthesia, Queen Elizabeth Hospital, Woodville, South Australia.
McLean
A G
AG
Crawshaw
K M
KM
D000818:Animals; D002496:Central Venous Pressure; D004618:Embolism, Air / Q000503:physiopathology*; D006874:Hydrostatic Pressure; D009493:Neurosurgery; D010366:Peak Expiratory Flow Rate; D011187:Posture; D012756:Sheep; D013997:Time Factors; D014682:Vena Cava, Inferior / Q000503:physiopathology; D014683:Vena Cava, Superior / Q000503:physiopathology*