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Gómez Fernández, L.; Potter, J.; Hughes, J.M.L.; Fernandez Perez, C.; Brama, P.A.J.; Niimura del Barrio, M.C.
Research in veterinary science, 12/2022, Volume: 150Journal Article
Alveolar recruitment manoeuvres (ARM) performed during general anaesthesia improve oxygenation; however cardiovascular depression may be observed. The aim of the study was to compare the effects of sustained inflation (SI) and stepwise ARMs on cardiac output (CO), mean arterial blood pressure and arterial oxygen tension (PaO2) in ten mechanically ventilated goats anaesthetised with isoflurane. In the SI ARM, peak inspiratory presure (PIP) was increased to 30 cmH2O and sustained for 20 s. In the stepwise ARM, the PIP was increased by 5 cmH2O each minute for three minutes from 10 to 25 cmH2O. Both ARMs were followed by positive end-expiratory pressure of 5 cmH2O. Paired lithium dilution CO measurements and arterial blood samples were obtained before and after each ARM. The order of the ARM was randomised and each goat was subjected to both techniques. Data was reported as median and interquartile range (IQR). Significance was set at 0.05. The median change in CO (measured by subtracting values after and before ARM) was −0.15 L min−1 (IQR -0.51; 0.03) and − 0.90 L min−1 (IQR -1.69; −0.58) for SI and stepwise ARM respectively (p = 0.04). The median change in PaO2 was 3 kPa (IQR -2.7; 7.6) and 0.4 kPa (IQR -3.4; 5.5) for SI and stepwise ARM respectively (p = 0.03). In conclusion, SI ARM causes less impact on CO and provides a better improvement in PaO2 compared to stepwise ARM in goats. •Sustained inflation and stepwise ARMs improve oxygenation but cause haemodynamic instability.•No previous reports compare these alveolar recruitment manoeuvres in healthy lungs.•Sustained inflation had less impact on cardiac output in goats.•Sustained inflation also caused greater increase in arterial oxygen tension in normoxaemic goats, however without clinical significance.
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