Hemodynamic, ventilatory and gasometric evaluation of an experimental bronchopleural fistula

AUTOR(ES)

Oliveira, Douglas Guimaraes de, Toneloto, Maria Gabriela Cavicchia, Moreira, Marcos Mello, Bustorff-Silva, Joaquim Murray, Souza, Gabriel Franco de, Martins, Luiz Claudio, Kosour, Carolina, Dragosavac, Desanka, Falcão, Antonio Luis Eiras

FONTE

Acta Cir. Bras.

DATA DE PUBLICAÇÃO

2015-01

RESUMO

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.

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