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Preoperative estimation of pulmonary extravascular thermal volume in patients undergoing pneumonectomy

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Abstract

Pulmonary extravascular thermal volume (PETV) was measured during pulmonary artery occlusion in 18 patients preoperatively and 7 patients postoperatively who were undergoing pneumonectomy. We found that the PETV decreased from 6.6±2.3 ml·kg−1 before occlusion to 4.1±1.6 ml·kg−1 during occlusion. There was a significant correlation between the PETVs before and during occlusion multiplied by the fraction of pulmonary perfusion (r=0.77,P<0.001). Although the PETV increased in two patients and decreased in four within 48 h after pneumonectomy, it returned to the value during occlusion at 3 weeks after pneumonectomy in seven patients. There was a significant correlation between the PETV during occlusion and that at 3 weeks after pneumonectomy (r=0.66,P<0.05). In conclusion, PETV during pulmonary artery occlusion is a reliable baseline value in the assessment of postoperative pneumonectomy values.

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Authors and Affiliations

  1. Department of Surgery, Sendai Kosei Hospital, 4-12 Hirosemachi, Aobaku, 980, Sendai, Japan

    Tsutomu Sakuma & Tasuku Nakada

  2. Miyagi Medical Center for Adults, Natori, Japan

    Kaoru Koike

  3. The Research Institute for Chest Diseases and Cancer, Tohoku University, Sendai, Japan

    Shigefumi Fujimura

Authors
  1. Tsutomu Sakuma
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  2. Tasuku Nakada
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  3. Kaoru Koike
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  4. Shigefumi Fujimura
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Sakuma, T., Nakada, T., Koike, K. et al. Preoperative estimation of pulmonary extravascular thermal volume in patients undergoing pneumonectomy. J Anesth 8, 6–11 (1994). https://doi.org/10.1007/BF02482744

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  • DOI: https://doi.org/10.1007/BF02482744

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