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Ann Thorac Surg 1996;61:948
© 1996 The Society of Thoracic Surgeons

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Discussion

Discussion

The first 20% of the full text of this article appears below.

See also page 945.

DR MARK J. KRASNA (Baltimore, MD): I compliment Dr Hill and associates on this work and their previous work from 2 or 3 years ago. I think you have shown eloquently that in an animal model, specifically in a pig model, there is probably a bad effect caused by using CO2 insufflation.

We have shown here clinically a series of 32 patients with right-sided measurements and systemic arterial pressure measurements with no side effect of CO2 insufflation. Since that time we have used CO2 insufflation routinely in more than 450 thoracoscopies with no untoward effects. I think, therefore, that although these data clearly show it is a not a good idea in a pig model, it may be applicable in certain indications to increase exposure in a clinical setting.

DR . . . [Full Text of this Article]

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Selective Lung Ventilation During Thoracoscopy: Effects of Insufflation on Hemodynamics

Ronald C. Hill, David R. Jones, Robert A. Vance, and Behrooz Kalantarian
Ann. Thorac. Surg. 1996 61: 945-948. [Abstract] [Full Text]