Summary
Blood gas and pH measurements were made in ten patients during thoracotomy using a Carlens endobronchial catheter. Arterial oxygénation is usually adequate if (1) high concentrations of oxygen are used, (2) the pulmonary artery is ligated as soon as possible during pneumonectomy, and (3) atelectasis in the dependent lung is prevented by vigorous ventilation, Acidosis is unlikely to occur.
Résumé
Nous avons fait, chez dix malades subissant une thoracotomie sous intubation bronchique avec le tube Carlens, des études du pH et des gaz du sang artériel. Le taux d’oxygène dans le sang artériel est adéquat à la condition (1) d’employer de hautes concentrations d’oxygène, (2) de ligaturer l’artère pulmonaire aussitôt que possible au cours de la pneumonectomie, (3) de prévenir l’atélectasie dans le poumon en déclivité en assurant une ventilation vigoureuse. Selon toute vraisemblance, il ne se produit pas d’acidose.
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Read at the Annual Meeting of the Canadian Anaesthetists’ Society, Montebello, Quebec, May 12 to 16, 1968.
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Tarhan, S., Lundborg, R.O. Blood gas and pH studies during use of the carlens catheter. Can. Anaes. Soc. J. 15, 458–467 (1968). https://doi.org/10.1007/BF03003730
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DOI: https://doi.org/10.1007/BF03003730