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독수리(Aegypius monachus)의 흡입마취에서 Capnography를 이용한 호기말 이산화탄소분압 모니터링

Capnographic Monitoring of End-Tidal Partial Pressure of Carbon Dioxide in Anesthetized Cinereous vultures (Aegypius monachus)

  • 박원규 (경상대학교 수의과대학 수의외과, 행동학 연구실) ;
  • 석성훈 (경상대학교 수의과대학 수의외과, 행동학 연구실) ;
  • 박세진 (경상대학교 수의과대학 수의외과, 행동학 연구실) ;
  • 이승용 (경상대학교 수의과대학 수의외과, 행동학 연구실) ;
  • 김영기 (경상대학교 수의과대학 수의외과, 행동학 연구실) ;
  • 황재민 (경상대학교 수의과대학 수의외과, 행동학 연구실) ;
  • 정동혁 (경상대학교 수의과대학 수의외과, 행동학 연구실) ;
  • 이희천 (경상대학교 수의과대학 수의영상의학 실험실) ;
  • 연성찬 (경상대학교 수의과대학 수의외과, 행동학 연구실)
  • Park, Won-Kyu (Laboratory of Veterinary Surgery and Behavior, College of Veterinary Medicine, Gyeongsang National University) ;
  • Seok, Seong-Hoon (Laboratory of Veterinary Surgery and Behavior, College of Veterinary Medicine, Gyeongsang National University) ;
  • Park, Se-Jin (Laboratory of Veterinary Surgery and Behavior, College of Veterinary Medicine, Gyeongsang National University) ;
  • Lee, Seung-Yong (Laboratory of Veterinary Surgery and Behavior, College of Veterinary Medicine, Gyeongsang National University) ;
  • Kim, Young-Ki (Laboratory of Veterinary Surgery and Behavior, College of Veterinary Medicine, Gyeongsang National University) ;
  • Hwang, Jae-Min (Laboratory of Veterinary Surgery and Behavior, College of Veterinary Medicine, Gyeongsang National University) ;
  • Jeong, Dong-Hyuk (Laboratory of Veterinary Surgery and Behavior, College of Veterinary Medicine, Gyeongsang National University) ;
  • Lee, Hee-Chun (Laboratory of Veterinary Medical Imaging, College of Veterinary Medicine, Gyeongsang National University) ;
  • Yeon, Seong-Chan (Laboratory of Veterinary Surgery and Behavior, College of Veterinary Medicine, Gyeongsang National University)
  • 심사 : 2015.03.27
  • 발행 : 2015.08.31

초록

The relationships between end-tidal partial pressure of carbon dioxide ($P_{ET}CO_2$) and arterial partial pressure of carbon dioxide ($P_aCO_2$), and between $P_{ET}CO_2$ and blood pH in isoflurane-anesthetized cinereous vultures were evaluated. Nine cinereous vultures (weighing 7.3-9.5 kg) were anesthetized via mask with isoflurane, intubated, and connected to a mechanical ventilator. By mechanical ventilator, respiratory rate was altered to achieve a $P_{ET}CO_2$ randomly selected among 30 to 35 mmHg. $P_aCO_2$ and blood pH were determined in serial arterial samples and compared with concurrent $P_{ET}CO_2$ measured with a sidestream capnography. Thirty six samples, nine cinereous vultures were tested 4 times each, were used to determine correlations coefficients between $P_aCO_2$ and $P_{ET}CO_2$, and between $P_{ET}CO_2$ and blood pH. Strong correlations were observed between $P_aCO_2$ and $P_{ET}CO_2$ (r = 0.951, P = 0.000, y = 1.679x - 30.236, $R^2=0.905$) as well as between $P_{ET}CO_2$ and blood pH (r = -0.728, P = 0.000, y = -0.024x + 8.389, $R^2=0.530$) with Pearson's correlation coefficient and simple linear regression. These results suggest that the capnography used provided a sufficiently accurate estimation of $P_aCO_2$ and blood pH. Thus, the monitoring of $P_{ET}CO_2$ can be useful method to prevent hypoventilation for cinereous vultures receiving mechanical ventilation.

키워드

참고문헌

  1. Brackenbury JH. Ventilation of the lung-airsac system. In: Bird Respiration, 1st ed. Florida: CRC press. 1987: 39-69.
  2. Casati A, Gallioli G, Passaretta R, Scandroglio M, Bignami E, Torri G. End tidal carbon dioxide monitoring in spontaneously breathing, nonintubated patients. A clinical comparison between conventional sidestream and microstream capnometers. Minerva Anestesiol 2001; 67: 161-164.
  3. Casati A, Gallioli G, Scandroglio M, Passaretta R, Borghi B, Torri G. Accuracy of end-tidal carbon dioxide monitoring using the NBP-$75^{(R)}$ microstream capnometer. A study in intubated ventilated and spontaneously breathing nonintubated patients. Eur J Anaesthesiol 2000; 17: 622-626.
  4. Curro TG, Brunson DB, Paul-Murphy J. Determination of the ED50 of isoflurane and evaluation of the isoflurane-sparing effect of butorphanol in cockatoos (cacatua spp.). Vet Surg 1994; 23: 429-433. https://doi.org/10.1111/j.1532-950X.1994.tb00502.x
  5. Davies DG, Dutton RE. Gas blood $pCO_2$ gradients during avian gas exchange. J Appl Physiol 1975; 39: 405-410. https://doi.org/10.1152/jappl.1975.39.3.405
  6. Fedde MR. Respiration. In: Avian physiology, 1st ed. New York: Springer-Verlag. 1986: 191-220.
  7. Grosenbaugh DA, Muir WW. Using end-tidal carbon dioxide to monitor patients. Vet Med 1998; 93: 67-74.
  8. Hagerty JJ, Kleinman ME, Zurakowski D, Lyons AC, Krauss B. Accuracy of a new low-flow sidestream capnography technology in newborns: A pilot study. Am J Perinatol 2002; 22: 219-225. https://doi.org/10.1038/sj.jp.7210672
  9. Kollias Jr. GV, McLeish I. Effects of ketamine hydrochloride in Red-tailed hawks (Buteo jamaicensis). I. arterial blood gas and acid base. Comp Biochem Physiol 1978; 60: 57-59. https://doi.org/10.1016/0300-9629(78)90036-1
  10. Ludders JW, Mitchell GS, Rode J. Minimal anesthetic concentration and cardiopulmonary dose response of isoflurane in ducks. Vet Surg 1990; 19: 304-307. https://doi.org/10.1111/j.1532-950X.1990.tb01193.x
  11. Ludders JW, Rode J, Mitchell GS. Isoflurane anesthesia in Sandhill cranes (Grus canadensis): Minimal anesthetic concentration and cardiopulmonary dose-response during spontaneous and controlled breathing. Anesth Analg 1989; 68: 511-516.
  12. Ludders JW, Seaman GC, Erb HN. Inhalant anesthetics and inspired oxygen: Implications for anesthesia in birds. J Am Anim Hosp Assoc 1995; 31: 38-41. https://doi.org/10.5326/15473317-31-1-38
  13. Muir WW, Hubbell LA. Pharmacology of inhalation anesthetic drugs. In: Handbook of Veterinary Anesthesia, 3rd ed. St. Louis: Mosby. 2000: 164-181.
  14. Naganobu K, Hagio M. Dose-related cardiovascular effects of isoflurane in chickens during controlled ventilation. J Vet Med Sci 2000; 62: 435-437. https://doi.org/10.1292/jvms.62.435
  15. Nam DH, Lee DP. Abnormal lead exposure in globally threatened Cinereous vultures (Aegypius monachus) wintering in south korea. Ecotoxicology 2009; 18: 225-229. https://doi.org/10.1007/s10646-008-0275-0
  16. Piiper J, Drees F, Scheid P. Gas exchange in the domestic fowl during spontaneous breathing and artificial ventilation. Respir Physiol 1970; 9: 234-245. https://doi.org/10.1016/0034-5687(70)90073-3
  17. Powell FL. Respiration. In: Sturkie's avian physiology, 5th ed. San Diego: Academic press Inc. 2000: 233-264.
  18. Scheid P, Piiper J. Analysis of gas exchange in the avian lung: Theory and experiments in the domestic fowl. Respir Physiol 1970; 9: 246-262. https://doi.org/10.1016/0034-5687(70)90074-5
  19. Seaman GC, Ludders JW, Erb HN, Gleed RD. Effects of low and high fractions of inspired oxygen on ventilation in ducks anesthetized with isoflurane. Am J Vet Res 1994; 55: 395-398.
  20. Teixeira Neto FJ, Carregaro AB, Mannarino R, Cruz ML, Luna SPL. Comparison of a sidestream capnograph and a mainstream capnograph in mechanically ventilated dogs. J Am Vet Med Assoc 2002; 221: 1582-1585. https://doi.org/10.2460/javma.2002.221.1582
  21. Teixeira Neto FJ, Luna SPL, Massone F, Thomassian A, Vargas JLR, Junior JRS, D'Utra Vaz BB, Crocci AJ. The effect of changing the mode of ventilation on the arterial-toend-tidal $CO_2$ difference and physiological dead space in laterally and dorsally recumbent horses during halothane anesthesia. Vet Surg 2000; 29: 200-205. https://doi.org/10.1111/j.1532-950X.2000.00200.x