Pulsed delivery of nitric oxide counteracts hypoxaemia in the anaesthetized horse

Objective To study the effect of the pulsed delivery of nitric oxide (NO) on pulmonary gas exchange in the anaesthetized horses. Design Prospective, controlled randomized. Animals Five healthy Standardbred trotters, three geldings and two mares. Methods The horses were anaesthetized with thiopentone and isoflurane and positioned in dorsal recumbency. Nitric oxide was added as a pulse to the inspired gas during the first half of each inspiration. In three horses the effect of NO on the ventilation–perfusion distribution was also investigated using the multiple inert gas elimination technique. Data were analysed with repeated measures ANOVA. Results During spontaneous breathing, arterial oxygen tension (PaO₂) increased with NO inhalation, from 14 ± 2 to 29 ± 3 kPa (105 ± 15 to 218 ± 23 mm Hg) (p < 0.001). Arterial oxygen tension also increased, from 17 ± 3 to 31 ± 5 kPa (128 ± 23 to 233 ± 38 mm Hg) (p < 0.05) during intermittent positive pressure ventilation. The increase in PaO₂ was mainly due to a reduced right to left vascular shunt, but ventilation and perfusion matching also improved. The beneficial effect of NO inhalation was lost within 5 minutes of its discontinuation. Conclusion Delivery of NO as a pulse during inspiration is an effective method for counteracting impaired gas exchange caused by anaesthesia in horses. Pulsation has to be continuous because of the transience of NO's therapeutic effect. Clinical relevance Horses with impaired pulmonary gas exchange during anaesthesia can be treated with pulsed NO inhalation.     

Atmospheric Impacts due to Anthropogenic Activities in Remote Areas: The Case Study of Admiralty Bay/King George Island/Antarctic Peninsula

The aim of the present work is to characterize the local atmospheric emissions levels and compare them to the component derived from global pollution in a remote site at South Hemisphere (Admiralty Bay located at King George Island in Antarctic Peninsula). Airborne particles, snow and soil/sediments samples were analyzed. Local-produced atmospheric aerosol dispersion was estimated for metals originated by fossil fuel burning from the permanent scientific stations using a simplified Gaussian model. Validation of atmospheric dispersion was established by in situ measurements. Soluble and insoluble particles deposited in freshly snow and airborne particles were analyzed by PIXE (Particle Induced X-Ray Emission) for the determination of the elemental mass concentration and to obtain the Mass Median Aerodynamic Diameter (MMAD). The results showed significant correlation between the concentration of atmospheric aerosol and the freshly deposited particles in the snow, and permitted an estimate of the atmospheric snow deposition factor for K, Cu, Zn, Fe, Pb, and Ti. Results of long-term aerosol data compilation suggest that besides the local aerosol sources, the continental atmospheric transport of airborne particles is not significantly affected by the airborne particles produced by local human impacts at King George Island.     

Medical CAT-scanning: X-ray absorption coefficients,CT-numbers and their relation to wood density

Summary This paper describes how X-ray absorption coefficients and CT-number in medical CAT-scanning can be calculated for dry and wet wood. A comparison with earlier recorded data for dry wood showed that the deviation between calculated and measured CT-numbers was not significant. Linear regression showed that wood density could be measured with an accuracy of ±4 kg/m³. Wood having the same green density but containing different amounts of water have different absorption coefficients and CT-numbers. A linear relationship between CT-numbers and density of wood containing water was developed. Wood density could be measured with an accuracy of ±13.4 kg/m³.     

The accuracy of medical CAT-scan images for non-destructive density measurements in small volume elements within solid wood

Summary A comparison between identically sampled CAT-scan images of five wooden test pieces (Pinus sylvestris) showed that the CT-number in each pixel varied with a standard deviation of ±3.9–11.1 CT numbers. This inaccuracy in CT-numbers is called noise. As long as the direction of rotation can be controlled the noise in CAT-scan images of wood can be assumed to be approx. ±4 CT-numbers in each pixel. A calculation showed the average CT-number must differ ±1 unit to distinguish average CT-numbers in 2 × 2 × 1.5 mm volumes within solid wood. It has previously been shown that a change of ±1 CT-number corresponds approx. to a change in density of ±1 kg/m³. On the other hand, there is a difference in X-ray absorption coefficients between wood and water. Thereby dry wood densities in corresponding volumes must differ approx. ±2 kg/m³ to significantly be distinguished. The corresponding figure is approx. ±6 kg/m³ for wet wood densities with moisture content levels ranging from 6–100%.     

In vitro validation of a Pitot-based flow meter for the measurement of respiratory volume and flow in large animal anaesthesia

Objective  To remodel and validate commercially available monitors and their Pitot tube-based flow sensors for use in large animals, using in vitro techniques.
Study design  Prospective, in vitro experiment.
Methods  Both the original and the remodelled sensor were studied with a reference flow generator. Measurements were taken of the static flow-pressure relationship and linearity of the flow signal. Sensor airway resistance was calculated. Following recalibration of the host monitor, volumes ranging from 1 to 7 L were generated by a calibration syringe, and bias and precision of spirometric volume was determined. Where manual recalibration was not available, a conversion factor for volume measurement was determined. The influence of gas composition mixture and peak flow on the conversion factor was studied.
Results  Both the original and the remodelled sensor showed similar static flow–pressure relationships and linearity of the flow signal. Mean bias (%) of displayed values compared with the reference volume of 3, 5 and 7 L varied between −0.4% and +2.4%, and this was significantly smaller than that for 1 L (4.8% to +5.0%). Conversion factors for 3, 5 and 7 L were very similar (mean 6.00 ± 0.2, range 5.91–6.06) and were not significantly influenced by the gas mixture used. Increasing peak flow caused a small decrease in the conversion factor. Volume measurement error and conversion factors for inspiration and expiration were close to identity.
Conclusion  The combination of the host monitor with the remodelled flow sensor allowed accurate in vitro measurement of flows and volumes in a range expected during large animal anaesthesia.
Clinical relevance  This combination has potential as a reliable spirometric monitor for use during large animal anaesthesia.     

BIODEGRADABLE IMPLANTS IN FRACTURE FIXATION IN SMALL ANIMAL SURGERY

The Finnish group led by Rokkanen and Tormala has developed a biodegradable implant for fracture fixation. Results from experimental and clinical studies of polyglycolic acid (PGA) are encouraging, and further studies are being made in the use the biorod, which has been used successfully to treat an avulsed calcaneal fracture in a puppy. Other biodegradable substances are being investigated to improve biodegradable fracture fixation devices.