Bronchoscopy with normoventilation. Automatic ventilation with Sanders technique. A clinical investigation. 1978

B Juhl, and T Madsen, and P Alstrup

Forty six patients, who had to be subjected to diagnostic bronchoscopy under general anaesthesia (thiopental, pethidine, O2-N2O, suxamethonium) were ventilated using Wolf's injectomat (automated Sanders principle) in an attempt to find a setting for the apparatus that would provide normoventilation of the patient, independently of the diagnostic procedure. The first 24 patients were ventilated with the apparatus having a fixed setting: the latter being presumed to provide normo- or hyperventilation. This was confirmed and a steady state of PaCO2 was reached after ventilation for 10 min. This PaCO2 was well correlated with the vital capacity of the patients expressed factorially, in relation to the expected normal value. The investigation renders probable the observation that patients with a greatly reduced vital capacity (less than 50% of the normal value) can rarely be ventilated with the apparatus. On the other hand, a reduced FEV1 has little influence on the efficiency of the apparatus. The apparatus was adjusted in agreement with the above mentioned relation to vital capacity for the following 21 patients, in as much as the change in ventilation was carried out by a change in frequency, while the driving pressure of the apparatus and the inspiration time were maintained unchanged. Normoventilation was obtained in these patients independently of the fact that the bronchoscope was constantly open for the insertion of instruments.

UI MeSH Term Description Entries
D008175 Lung Neoplasms Tumors or cancer of the LUNG. Cancer of Lung,Lung Cancer,Pulmonary Cancer,Pulmonary Neoplasms,Cancer of the Lung,Neoplasms, Lung,Neoplasms, Pulmonary,Cancer, Lung,Cancer, Pulmonary,Cancers, Lung,Cancers, Pulmonary,Lung Cancers,Lung Neoplasm,Neoplasm, Lung,Neoplasm, Pulmonary,Pulmonary Cancers,Pulmonary Neoplasm
D012121 Respiration, Artificial Any method of artificial breathing that employs mechanical or non-mechanical means to force the air into and out of the lungs. Artificial respiration or ventilation is used in individuals who have stopped breathing or have RESPIRATORY INSUFFICIENCY to increase their intake of oxygen (O2) and excretion of carbon dioxide (CO2). Ventilation, Mechanical,Mechanical Ventilation,Artificial Respiration,Artificial Respirations,Mechanical Ventilations,Respirations, Artificial,Ventilations, Mechanical
D001999 Bronchoscopy Endoscopic examination, therapy or surgery of the bronchi. Bronchoscopic Surgical Procedures,Surgical Procedures, Bronchoscopic,Bronchoscopic Surgery,Surgery, Bronchoscopic,Bronchoscopic Surgeries,Bronchoscopic Surgical Procedure,Bronchoscopies,Surgeries, Bronchoscopic,Surgical Procedure, Bronchoscopic
D002245 Carbon Dioxide A colorless, odorless gas that can be formed by the body and is necessary for the respiration cycle of plants and animals. Carbonic Anhydride,Anhydride, Carbonic,Dioxide, Carbon
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014797 Vital Capacity The volume of air that is exhaled by a maximal expiration following a maximal inspiration. Forced Vital Capacity,Capacities, Forced Vital,Capacities, Vital,Capacity, Forced Vital,Capacity, Vital,Forced Vital Capacities,Vital Capacities,Vital Capacities, Forced,Vital Capacity, Forced

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