Recovery of diaphragm function after laparotomy and chronic sonomicrometer implantation

Details

Serval ID
serval:BIB_F8EF570EB301
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Recovery of diaphragm function after laparotomy and chronic sonomicrometer implantation
Journal
Journal of Applied Physiology
Author(s)
Easton  P. A., Fitting  J. W., Arnoux  R., Guerraty  A., Grassino  A. E.
ISSN
8750-7587 (Print)
Publication state
Published
Issued date
02/1989
Volume
66
Number
2
Pages
613-21
Notes
Journal Article
Research Support, Non-U.S. Gov't --- Old month value: Feb
Abstract
If sonomicrometry transducers could be implanted permanently into the diaphragm, direct measurements of costal and crural length and shortening could be made during recovery from the laparotomy and then indefinitely in an awake, non-anesthetized mammal. We report results from six canines in which we successfully implanted transducers onto the left hemidiaphragm through a midline laparotomy and measured segmental shortening and ventilation at intervals through 22 days of postoperative recovery. After laparotomy, breathing pattern, including tidal volume, respiratory rate and mean inspiratory flow, stabilized by the 4th postoperative day (POD). Tidal shortening of costal and crural segments increased from 1.82 and 1.45% of end-expiratory length (%LFRC) on the 2nd POD to 5.32 and 8.56% LFRC, respectively, after a mean of 22 POD. Segmental shortening did not stabilize until 10 POD, and the recovery process displayed a sequence of segmental motions: lengthening, biphasic inspiratory lengthening-shortening, and increasing simple shortening. Three weeks after implantation, costal and crural segments were stable and shortening 5.32 and 8.56% LFRC, respectively, and capable of shortening 49% LFRC with maximal phrenic stimulation. In a pair of recovered animals, the initial postoperative dysfunction did not recur after a subsequent, simple laparotomy. At postmortem examination, the chronically implanted sonomicrometer transducers were found to have evoked only a thin fibrotic capsule within the diaphragm.
Keywords
Animals Diaphragm/anatomy & histology/*physiology/surgery Dogs Electromyography Muscle Contraction Prostheses and Implants Respiration *Transducers
Pubmed
Web of science
Create date
25/01/2008 10:43
Last modification date
20/08/2019 17:24
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