Comparison of dynamic lung compliance in cattle undergoing transabdominal diaphragmatic herniorrhaphy and abdominal surgeries during isoflurane anaesthesia

S.Senthil Kumar
Assistant Professor

Veterinary College and Research Institute Namakkal, Tamil Nadu.

Objective
To estimate the dynamic lung compliance in cattle

To compare the dynamic lung compliance in cattle with /without diaphragmatic defect

Methodology
Study conducted in 2 groups of 6 cattle each Group I - Trans abdominal
diaphragmatic herniorrhaphy

Group II Ventral herniorrhaphy

and Intestinal resection & anastomosis

Anaesthesia:
GG + Ketamine + Isoflurane

Methodology
Mechanical ventilation

Dynamic lung compliance

Results

Animals with diaphragmatic defect had lung compliance more than 300 ml/cmH2O irrespective of PIP Animals with intact diaphragm had lung compliance less than 300 ml/cmH2O irrespective of PIP

Illustration to describe volutrauma

The compliant tube is considered to be the lung and tyre as the diaphragm/pleural space A defect/vent in the tyre cause bulging of tube through the defect increasing the compliance and result in tube bursting when inflated to routine pressure

Inflation of lungs during mechanical ventilation with similar Peak Inspiratory Pressure setting

Lung distension with intact diaphragm

Lung distension with diaphragmatic defect

To Conclude.
Mechanical ventilation with lower PIP should be employed in animals undergoing diaphragmatic hernia repair Animals with diaphragmatic defect may suffer volutrauma during MV with routine/ increased PIP settings

Mechanical ventilation with lower PIP setting maintained adequate oxygenation and ventilation and favoured easy diaphragmatic defect closure

Dr. S. Senthil Kumar, Asst. Prof., VSR, VC&RI, Namakkal, Tamil Nadu ssenthilvet@gmail.com

Rubber tube inflation within a tyre Free Rubber tube inflation with similar pressure

Barlow's Formula

Bursting pressure (P) = ID pressure (psi) Where, T = Wall thickness (in) OD = Outside Diameter (in) SF = Safety factor (generally 1.5 10, 1 for collapsing pressure) S = Material strength (psi)