T D Ambrisko1, V Lammer, J P Schramel, Y P S Moens. 1. Anaesthesiology and Perioperative Intensive-Care Medicine, Department for Companion Animals and Horses, University of Veterinary Medicine, Austria.
Abstract
REASONS FOR PERFORMING STUDY: A spirometry device equipped with mainstream CO2 flow sensor is not available for large animal anaesthesia. OBJECTIVES: To measure the resistance of a new large animal spirometry device and assess its agreement with reference methods for volume measurements. STUDY DESIGN: In vitro experiment and crossover study using anaesthetised horses. METHODS: A flow partitioning device (FPD) equipped with 4 human CO2 flow sensors was tested. Pressure differences were measured across the whole FPD and across each sensor separately using air flows (range: 90-720 l/min). One sensor was connected to a spirometry monitor for in vitro volume (3, 5 and 7 l) measurements. These measurements were compared with a reference method. Five anaesthetised horses were used for tidal volume (VT) measurements using the FPD and a horse-lite sensor (reference method). Bland-Altman analysis, ANOVA and linear regression analysis were used for data analysis. RESULTS: Pressure differences across each sensor were similar suggesting equal flow partitioning. The resistance of the device increased with flow (range: 0.3-1.5 cmH2 O s/l) and was higher than that of the horse-lite. The limits of agreement for volume measurements were within -1 and 2% in vitro and -12 and 0% in vivo. Nine of 147 VT measurements in horses were outside of the ± 10% limits of acceptance but most of these erroneous measurements occurred with VTs lower than 4 l. The determined correction factor for volume measurements was 3.97 ± 0.03. CONCLUSIONS: The limits of agreement for volume measurements by the new device were within ± 10% using clinically relevant range of volumes. The new spirometry device can be recommended for measurement of VT in adult Warmblood horses.
REASONS FOR PERFORMING STUDY: A spirometry device equipped with mainstream CO2 flow sensor is not available for large animal anaesthesia. OBJECTIVES: To measure the resistance of a new large animal spirometry device and assess its agreement with reference methods for volume measurements. STUDY DESIGN: In vitro experiment and crossover study using anaesthetised horses. METHODS: A flow partitioning device (FPD) equipped with 4 humanCO2 flow sensors was tested. Pressure differences were measured across the whole FPD and across each sensor separately using air flows (range: 90-720 l/min). One sensor was connected to a spirometry monitor for in vitro volume (3, 5 and 7 l) measurements. These measurements were compared with a reference method. Five anaesthetised horses were used for tidal volume (VT) measurements using the FPD and a horse-lite sensor (reference method). Bland-Altman analysis, ANOVA and linear regression analysis were used for data analysis. RESULTS: Pressure differences across each sensor were similar suggesting equal flow partitioning. The resistance of the device increased with flow (range: 0.3-1.5 cmH2 O s/l) and was higher than that of the horse-lite. The limits of agreement for volume measurements were within -1 and 2% in vitro and -12 and 0% in vivo. Nine of 147 VT measurements in horses were outside of the ± 10% limits of acceptance but most of these erroneous measurements occurred with VTs lower than 4 l. The determined correction factor for volume measurements was 3.97 ± 0.03. CONCLUSIONS: The limits of agreement for volume measurements by the new device were within ± 10% using clinically relevant range of volumes. The new spirometry device can be recommended for measurement of VT in adult Warmblood horses.
Authors: O Brabant; B Crivellari; G Hosgood; A Raisis; A D Waldmann; U Auer; A Adler; L Smart; M Laurence; M Mosing Journal: J Clin Monit Comput Date: 2021-01-25 Impact factor: 1.977