본문 바로가기
KERD
논문KCI 등재

Impact of body condition score on tidal volume requirements in mechanically ventilated dogs

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류수의학

초록

This study aims to compare and describe the tidal volume (Vt) utilized in mechanically ventilated dogs across different body condition scores (BCSs). Ninety dogs requiring mechanical ventilation (MV) were categorized into three groups based on their BCSs ranged from 1 to 9: Group I (underweight, BCS 1∼3, n=26), Group II (ideal weight, BCS 4∼6, n=48), and Group III (overweight, BCS 7∼9, n=16). The median Vt for each group was recorded, and the differences were analyzed under the same median driving pressure. The median Vt was found to vary significantly among the groups. In particular, the K value for Group I (underweight) was 23.6 (9.1∼44.7) mL/kg, that for Group II (ideal weight) was 17.7 (10∼36.6) mL/kg, and that for Group III (overweight) was 10.9 (6.2∼13.1) mL/kg. The Vt used in Group III was significantly lower than that in Group I. The findings indicate that underweight dogs are ventilated with a higher Vt than ideal weight and overweight dogs, while overweight dogs require a lower Vt than ideal weight dogs to achieve adequate alveolar ventilation.

Abstract

This study aims to compare and describe the tidal volume (Vt) utilized in mechanically ventilated dogs across different body condition scores (BCSs). Ninety dogs requiring mechanical ventilation (MV) were categorized into three groups based on their BCSs ranged from 1 to 9: Group I (underweight, BCS 1∼3, n=26), Group II (ideal weight, BCS 4∼6, n=48), and Group III (overweight, BCS 7∼9, n=16). The median Vt for each group was recorded, and the differences were analyzed under the same median driving pressure. The median Vt was found to vary significantly among the groups. In particular, the K value for Group I (underweight) was 23.6 (9.1∼44.7) mL/kg, that for Group II (ideal weight) was 17.7 (10∼36.6) mL/kg, and that for Group III (overweight) was 10.9 (6.2∼13.1) mL/kg. The Vt used in Group III was significantly lower than that in Group I. The findings indicate that underweight dogs are ventilated with a higher Vt than ideal weight and overweight dogs, while overweight dogs require a lower Vt than ideal weight dogs to achieve adequate alveolar ventilation.

참고문헌 (19)

  1. Aroas J, "Definition and clinical evaluation of a recruiting airway pressure based on the specific lung elastance in anesthetized dogs", Vet Anaesth Analg, 48(4), pp.484~492 (2021)
  2. Ary S, "Association between driving pressure and development of postoperative pulmonary complications in patients undergoing mechanical ventilation for general anesthesia : a meta-analysis of individual patient data", Lancet Respir Med, 4(4), pp.272~280 (2016)
  3. Balakrishnan A, "Updates on pulmonary function testing in small animals", Vet Clin North Am Small Anim Pract, 44(1), pp.1~18 (2014)
  4. Blumenthal S, "Relationship between inspiratory pressure and tidal volume", Lab Anim Sci, 48(1), pp.69~73 (1998)
  5. Bumbacher S, "Evaluation of three tidal volume(10, 12 and 15mLkg-1)in dogs for controlled mechanical ventilation assessed by volumetric capnography : a randomized clinical trial", Vet Anaesth Analg, 44(4), pp.775~784 (2017)
  6. Doris H, "Positive Pressure ventilation during anesthesia in Dogs : Assessment of surface area derived tidal volume", Can Vet J, 53(1), pp.63~66 (2012)
  7. Emirgil C, "The effects of weight reduction on pulmonary function and the sensitivity of the respiratory center in obesity", Am Rev Respir Dis, 108(4), pp.831~842 (1973)
  8. Fraoise Z, "Effects of obesity on respiratory resistance", Chest, 103(5), pp.1470~1476 (1993)
  9. Hartsfield S, "Lumb and Jones’Veterinary Anesthesia and Analgesia", pp.495~512 (2007), Blackwell Publ
  10. Hartsfield S, "Ventilation and ventilators in small animal anesthesia", 82nd Western Veterinary Conference (2010)
  11. Kimberly B, "AAHA Nutritional assessment guidelines for dogs and cats", JAAHA, 46, pp.285~296 (2010)
  12. Lazarus R, "Effects of obesity and fat distribution on ventilatory function : the normative aging study", Chest, 111(4), pp.891~898 (1997)
  13. Luce J, "Respiratory complications of obesity", Chest, 78(4), pp.626~631 (1980)
  14. Manens J, "Effects of obesity on lung function and airway reactivity in healthy dogs", Vet J, 193(1), pp.217~221 (2012)
  15. McKiernan B, "Clinical pulmonary function testing in dogs and cats", Vet Clin North Am Small Anim Pract, 22(5), pp.1087~1099 (1992)
  16. Monte V, "Respiratory effects of low versus high tidal volume with or without positive end-expiratory pressure in anesthetized dogs with healthy lungs", Am J Vet Res, 79(5), pp.496~504 (2018)
  17. Nagels J, "Mechanical properties of lungs and chest wall during spontaneous breathing", J Appl Physiol Respir Environ Exerc Physiol, 49(3), pp.408~416 (1980)
  18. Naimark A, "Compliance of the respiratory system and its components in health and obesity", J Appl Physiol, 15, pp.377~382 (1960)
  19. Suratt P, "Compliance of chest wall in obese subjects", J Appl Physiol Respir Environ Exerc Physiol, 57(2), pp.403~407 (1984)

관련 논문AI추천

Effects of small tidal volume and positive end-expiratory pressure on oxygenation in pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation변성혜, 이소영, 정진용영남대학교 의과대학 · Journal of Yeungnam Medical Science2018 · 제35권 제2호Predicting Delayed Ventilator Weaning after Lung Transplantation: The Role of Body Mass Index고신옥, 김정민, 나성원, 박무석, 박진하, 백효채, 소사라, 이민정대한중환자의학회 · Acute and Critical Care2014 · 제29권 제4호고빈도 진동 환기가 동맥혈의 호흡성 가스에 미치는 영향김영조, 도준영, 이관호, 이석강, 이재익, 이현우, 정재천영남대학교 의과대학 · Journal of Yeungnam Medical Science1989 · 제6권 제2호Association between mechanical power and intensive care unit mortality in Korean patients under pressure-controlled ventilation강형구, 김경찬, 김영삼, 김윤성, 리원연, 박성훈, 박소영, 박주희, 서지영, 송원준, 심재겸, 이광하, 이상민, 이연주, 이진화, 이흥범, 임채만, 최원일, 홍지영, Sim Yun Su대한중환자의학회 · Acute and Critical Care2024 · 제39권 제1호Evaluation of Respiratory Dynamics in an Asymmetric Lung Compliance Model박종국, 윤소희, 이용헌, 이호진대한중환자의학회 · Acute and Critical Care2017 · 제32권 제2호급성 폐 손상 및 급성 호흡곤란증후군 환자에서 Conventional Volume-Controlled Ventilation과 Adaptive Support Ventilation (ASV) 적용에 대한 비교고윤석, 임채만, 최익수, 최정은, 홍상범대한중환자의학회 · Acute and Critical Care2009 · 제24권 제2호

이 간행물의 다른 논문 (14건)