Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
|
pubmed:dateCreated |
1990-4-20
|
pubmed:abstractText |
High frequency ventilation has been claimed to improve the efficiency of extracorporeal shock wave lithotripsy (ESWL) by minimizing the movement of urinary stones during the procedure. A ventilatory mode, QRS-activated ventilation, was developed in which the stones remain motionless during the delivery of shock waves. As the shock wave is triggered to occur approximately 20 milliseconds after the R wave of the QRS complex, the mechanical breath was synchronized to occur approximately 150 ms later. QRS-activated ventilation is used in 16 patients undergoing ESWL under general anesthesia. Tidal volume was set at 3 ml/kg (234 +/- 36 ml; mean +/- SD) at a rate that equaled the heart rate (71 +/- 9 beats/min). The time between the R wave and the initiation of mechanical breath (T1) was 124 +/- 25 ms, time of mechanical breath itself (T2) was 431 +/- 67 ms, and time between end of T2 and next R wave (T3) was 264 +/- 84 ms. End-tidal CO2 measured by the large breath technique was 28.1 +/- 4.8 mmHg. During the clinical use of QRS-activated ventilation and during earlier studies using an EKG simulator and a test lung, the shock wave occurred invariably at end-expiration even at high heart rates.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:issn |
0952-8180
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
1
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
268-71
|
pubmed:dateRevised |
2004-11-17
|
pubmed:meshHeading |
pubmed-meshheading:2627400-Adult,
pubmed-meshheading:2627400-Aged,
pubmed-meshheading:2627400-Aged, 80 and over,
pubmed-meshheading:2627400-Anesthesia, General,
pubmed-meshheading:2627400-Electrocardiography,
pubmed-meshheading:2627400-Female,
pubmed-meshheading:2627400-Humans,
pubmed-meshheading:2627400-Lithotripsy,
pubmed-meshheading:2627400-Male,
pubmed-meshheading:2627400-Middle Aged,
pubmed-meshheading:2627400-Respiration, Artificial
|
pubmed:year |
1989
|
pubmed:articleTitle |
QRS-activated ventilation during general anesthesia for extracorporeal shock wave lithotripsy.
|
pubmed:affiliation |
Department of Anesthesiology, Sheba Medical Center, Tel-Hashomer, Israel.
|
pubmed:publicationType |
Journal Article
|