By J. B. West (auth.), T. H. Stanley, R. J. Sperry (eds.)
Anesthesia and the Lung 1992 offers contemporary advances within the analysis, pre-, intra-, and postoperative anesthetic administration of sufferers with lung affliction, featuring for pulmonary and non-pulmonary surgical procedure. It additionally bargains with ventilation-perfusion concerns, the lung as a metabolic organ, the consequences of anesthesia on pulmonary mechanics and pulmonary blood circulation. furthermore, there are chapters that concentrate on hypoxia; nearby ameliorations within the lung; pulmonary surfactant; fresh advances within the figuring out of pulmonary edema; excessive altitude affliction; anesthesia and the keep watch over of respiring; fresh improvement in oximetry; instrumentation designed to degree pulmonary oxygen stress, pO2 and pCO2 transcutaneously; differential lung air flow; reactive airlines; septic surprise; the grownup respiration misery syndrome and diverse points of ventilatory aid.
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Additional info for Anesthesia and the Lung 1992
This bimodal behavior appears to explain the variable HPV responses that have been reported when global hypoxia is present and may be of considerable clinical importance in chronic and acute lung disease and perhaps lung transplantation. No Thoracot. 7 1 0 Yes Two Lateral 3 1 0 No Two Lateral 2 Left Constr. fracto 0 Two Vent AnesthMAC Supine 1 Posture SteE Table 1. Simulation of non-dependent left lung blood flow and Pa02 with anesthesia for thoracic surgery. J 38 :sa ....... 0 ::::. 8 ] '" ~ os >>.
Interstitial Cells The basement membranes of the alveolar epithelial and endothelial cells define the boundaries of the alveolar interstitial region. This area, which contains a connective tissue matrix composed of elastin, Types I and III collagen, proteoglycans, and fibronectin, represents about 50% of the tissue volume of the normal lung. Its major cell type is the pulmonary interstitial fibroblast, which is likely a group of cell types with somewhat similar morphology but different biochemical and functional activities.
Another reason for our work was some recent intriguing data obtained in high altitude pulmonary edema. There is now very strong evidence that the occurrence of high altitude pulmonary edema is strongly correlated with the increase in pulmonary artery pressure caused by hypoxic pulmonary vasoconstriction (1). This strongly suggests a hydrostatic basis for the edema although it is not immediately clear how the increased pressure is seen by the capillaries. Presumably the constriction of the small pulmonary arteries caused by the alveolar hypoxia is uneven, as first suggested by Hultgren (2) and, as a result, those capillaries that are not protected from the increased pulmonary artery pressure are exposed to an increased transmural pressure.
Anesthesia and the Lung 1992 by J. B. West (auth.), T. H. Stanley, R. J. Sperry (eds.)