The significance of examination of breathing mechanics during general anaesthesia and artificial ventilation for the complex assessment of functional pulmonary conditions in patients with nonspecific respiratory disease
Joffe, L.Z.; Swetyschewa, S.A.
Zeitschrift für Erkrankungen der Atmungsorgane 156(3): 218-224
1981
ISSN/ISBN: 0303-657X PMID: 7293277 Document Number: 178121
The results of mechanical examinations of breathing during bronchoscopy in general anesthesia with various breathing regimens in 140 patients with chronic nonspecific respiratory diseases are given. The variations of breathing mechanics depend on both the extent of the pulmonary changes and the localization of the obstructive syndrome (large and small bronchi), and they correlate with the clinical severity of the respiratory insufficiency. Comparisons with mechanical examinations during spontaneous breathing yielded good coincidence of results. Results from 42 patients with expiratory stenosis of the trachea and main bronchi are emphasized. The method guarantees a reliable judgment of the functional condition of the lungs without an additional annoyance of the patient, and without the essential complications of bronchoscopy. Conclusions concerning treatment and the choice of suitable anesthesiologic procedure are made possible.