Effects of small and large face masks and translaryngeal and tracheostomy intubation on ventilation, upper-airway dead space, and arterial blood gases.

Abstract

Pulmonary function was examined in pentobarbital-anesthetized dogs that were spontaneously breathing through a large poorly fitted face mask, a small snug-fitted face mask, an endotracheal tube, and a tracheostomy tube. Increasing upper-airway dead space volumes were associated with higher minute ventilation and faster breathing rates. Minute and tidal alveolar ventilation, calculated ideal alveolar oxygen, alveolar-arterial oxygen gradient, venous admixture, arterial pH and blood gases, cardiac output, and systemic and pulmonary arterial blood pressure were not changed. The functional dead space of each mask was considerably less than that measured by water displacement. The small mask only slightly increased, and the endotracheal tube slightly decreased, the dead space estimated for a nasally breathing healthy dog.