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Canadian Journal of Anesthesia, Vol 21, 159-172, Copyright © 1974 by Canadian Anesthesiologists' Society

Plethysmographie Comparee Chez Des Adolescents Scoliotiques, Avant Et Apres Correction Par La Methode instrumentale De Harrington, Relativement Aux Normalites Obtenues

BERNARD PARADIS M.D., F.R.C.P.(C)1 and DIANE MAJOR B.SC.2

1 Professeur titulaire à I'Université Laval et directeur du département d'anesthésie-réanimation du Centre Hospitalier de I'Université Laval
2 Biophysiologiste, laboratoire du département d'anesthésie-réanimation du Centre Hospitalier de I'Université Laval

A 521 L, variable pressure, body plethysmograph, connected to preamplifiers and recorder, has been used to study airway resistance and conductance, thoracic gas volume and specific conductance on a group of healthy adolescents, from 12 to 17 years.

Due to discrepancies in other predicted normal values already published, this study was established to enable our laboratory to have its proper predicted normal values for the four parameters described above.

Results were accumulated from the study of plethysmography of nine adolescents operated for correction by the Harrington instrumentation method both pre-operative and a mean of nine and a half months post-operative.

We discovered in the first part a significant linear relation between the thoracic gas volume (TGV) and the age. When height is difficult to evaluate, as in scoliosis, this relation could be used to replace the one based on height.

The results have been compiled by computer and statistically evaluated by {eta}2, {eta}-r, r2, total mean square, residual mean square and regression mean square.

The second part is also significant in that we observed an improvement of the thoracic gas volume or FRC and a great improvement of airway resistance in the majority of patients tested.

This work shows new aspects with regards to treatment of scoliosis patients, some of which differ with the opinions expressed by Bergofsky and Westgate.

Note:

Travail présenté à la réunion annuelle de la Société Canadienne d'Anesthésie, Vancouver, 27 juin 1973.







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Copyright © 1974 by the Canadian Anesthesiologists' Society.