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Evaluation of Lung Aeration and Respiratory System Mechanics in Obese Dogs Ventilated With Tidal Volumes Based on Ideal vs. Current Body Weight
Indexado
WoS WOS:000708938700001
Scopus SCOPUS_ID:85117082232
DOI 10.3389/FVETS.2021.704863
Año 2021
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



We describe the respiratory mechanics and lung aeration in anesthetized obese dogs ventilated with tidal volumes (VT) based on ideal (VTi) vs. current (VTc) body weight. Six dogs with body condition scores ≥ 8/9 were included. End-expiratory respiratory mechanics and end-expiratory CT-scan were obtained at baseline for each dog. Thereafter, dogs were ventilated with VT 15 ml kg−1 based on VTi and VTc, applied randomly. Respiratory mechanics and CT-scan were repeated at end-inspiration during VTi and VTc. Data analyzed with linear mixed models and reported as mean ± SD or median [range]. Statistical significance p < 0.05. The elastance of the lung, chest wall and respiratory system indexed by ideal body weight (IBW) were positively correlated with body fat percentage, whereas the functional residual capacity indexed by IBW was negatively correlated with body fat percentage. At end-expiration, aeration (%) was: hyperaeration 0.03 [0.00–3.35], normoaeration 69.7 [44.6–82.2], hypoaeration 29.3 [13.6–49.4] and nonaeration (1.06% [0.37–6.02]). Next to the diaphragm, normoaeration dropped to 12 ± 11% and hypoaeration increased to 90 ± 8%. No differences in aeration between groups were found at end-inspiration. Airway driving pressure (cm H2O) was higher (p = 0.002) during VTc (9.8 ± 0.7) compared with VTi (7.6 ± 0.4). Lung strain was higher (p = 0.014) during VTc (55 ± 21%) than VTi (38 ± 10%). The stress index was higher (p = 0.012) during VTc (SI = 1.07 [0.14]) compared with VTi (SI = 0.93 [0.18]). This study indicates that body fat percentage influences the magnitude of lung, chest wall, and total respiratory system elastance and resistance, as well as functional residual capacity. Further, these results indicate that obese dogs have extensive areas of hypoaerated lungs, especially in caudodorsal regions. Finally, lung strain and airway driving pressure, surrogates of lung deformation, are higher during VTc than during VTi, suggesting that in obese anesthetized dogs, ventilation protocols based on IBW may be advantageous.

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Disciplinas de Investigación



WOS
Veterinary Sciences
Scopus
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SciELO
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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

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Autores - Afiliación



Ord. Autor Género Institución - País
1 ARAOS-BRALIC, JOAQUIN DANIEL Hombre Cornell University College of Veterinary Medicine - Estados Unidos
CORNELL UNIV - Estados Unidos
2 Lacitignola, Luca Hombre Section of Veterinary Clinics and Animal Production - Italia
Università degli studi di Bari Aldo Moro - Italia
Aldo Moro Univ Bari - Italia
3 de Monte, Valentina Mujer Section of Veterinary Clinics and Animal Production - Italia
Università degli studi di Bari Aldo Moro - Italia
Aldo Moro Univ Bari - Italia
4 Stabile, Marzia Mujer Section of Veterinary Clinics and Animal Production - Italia
Università degli studi di Bari Aldo Moro - Italia
Aldo Moro Univ Bari - Italia
5 Porter, Ian - Cornell University College of Veterinary Medicine - Estados Unidos
CORNELL UNIV - Estados Unidos
6 HURTADO-SEPULVEDA, DANIEL ESTEBAN Hombre Pontificia Universidad Católica de Chile - Chile
Núcleo Milenio en Resonancia Magnética Cardiovascular - Chile
Millennium Nucleus Cardiovasc Magnet Resonance - Chile
7 Perez, Agustin Hombre Pontificia Universidad Católica de Chile - Chile
8 Crovace, Antonio Hombre Section of Veterinary Clinics and Animal Production - Italia
Università degli studi di Bari Aldo Moro - Italia
Aldo Moro Univ Bari - Italia
9 Grasso, Salvatore Hombre Università degli studi di Bari Aldo Moro - Italia
Aldo Maro Univ Bari - Italia
10 Martin-Flores, Manuel Hombre Cornell University College of Veterinary Medicine - Estados Unidos
CORNELL UNIV - Estados Unidos
11 Staffieri, Francesco Hombre Section of Veterinary Clinics and Animal Production - Italia
Università degli studi di Bari Aldo Moro - Italia
Aldo Moro Univ Bari - Italia

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