Okayama Igakkai Zasshi (Journal of Okayama Medical Association)
Online ISSN : 1882-4528
Print ISSN : 0030-1558
Studies on the Re-expansion of the Lung by the Positive Insufflation Method after the Segmental Pneumectomy
Part 1 Experiment by Model and Animals
Tetsuo Kusaka
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1959 Volume 71 Issue 5-1 Pages 2221-2234

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Abstract
1. A model experiment was pergormed just as in the case of a real wound occurrred in the lung. The air leak changed according the diameter of the opening, the difference of the pressure and the expansion of the the bag.
2. Three bottle catheter suction drainage consisting of a trap bottle, water seal and valve bottle in series was used as Theaspiration apparatus. By animal experiment, the air leak mostly continues 7 hours to 12 hours after the operation.
3. The appropriate pressure of the intermittent insufflation for the re-expansion is +15cm H2O. This insufflation does not injure the surface of the wound and the parenchyms of the lung.
4. By the intermittent insufflation after the segmental pneumectomy, the air leak continues for about 6 hours, and it showe better re-expansion more earlier than the non-insufflation.
5. Testing the air leak by cutting the bronchus in different thickness, the air leak stops around 6 hours with the 0.1 cm diameter one but takes more than 30 houts with 0.3cm one.
6. The air leak and the insufflation have important influence upon the intrathoracic pressure, and by the massive air leak the re-expansion of the lung is much slower.
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© Okayama Medical Association
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