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Effects of airway occlusion on breathing muscle electromyogram signals, during isoflurane anaesthesia, with and without the effects of fentanyl and hypercapnia G.B. Drummond, G. Dhonneur, K. Kirov, P. Duvaldestin British Journal of Anaesthesia Volume 107, Issue 6, Pages (December 2011) DOI: /bja/aer301 Copyright © 2011 The Author(s) Terms and Conditions
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Fig 1 The breathing system used. All tubing was wide bore. The taps on each side of the one-way system could be closed to occlude inspiration or expiration. British Journal of Anaesthesia , DOI: ( /bja/aer301) Copyright © 2011 The Author(s) Terms and Conditions
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Fig 2 A representative patient tracing showing (a) an occlusion of inspiration and (b) an occlusion of expiration. British Journal of Anaesthesia , DOI: ( /bja/aer301) Copyright © 2011 The Author(s) Terms and Conditions
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Fig 3 Changes in airway flow and muscle activity after giving naloxone. The first and last parts of the trace are at a faster timescale to show the waveform and the central part shows the trend in values. British Journal of Anaesthesia , DOI: ( /bja/aer301) Copyright © 2011 The Author(s) Terms and Conditions
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Fig 4 Comparison of timing and EMG amplitudes for normal breaths and occluded breaths during the four treatment periods. Each panel shows the same sequence: fentanyl action, without and then with CO2, followed by naloxone administration, without and then with CO2. The lower part of each panel shows the absolute values, related to the left-hand axis. The upper part shows the changes associated with occlusion, plotted in relation to the right-hand axis. (a) Comparison of inspiratory duration for normal and occluded breaths. The duration of inspiration was increased by occlusion (P<0.001, anova). Post hoc tests showed a significant effect in the period when breathing was stimulated during fentanyl administration (P<0.05). (b) Comparison of expiratory duration for normal and occluded breaths. (c) Maximal diaphragmintegrated EMG signal for normal and occluded breaths. (d) Mid-expiratory abdomenintegrated EMG signal for normal and occluded breaths. There were no significant differences between normal and occluded breaths. British Journal of Anaesthesia , DOI: ( /bja/aer301) Copyright © 2011 The Author(s) Terms and Conditions
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Fig 5 Relationship of mean values of occlusion pressure with integrated EMG for diaphragm (a) and abdominal muscles (b), for the four periods: closed symbols, fentanyl; open symbols, after naloxone: the lines join the periods without (circles) and with CO2 stimulation (squares). British Journal of Anaesthesia , DOI: ( /bja/aer301) Copyright © 2011 The Author(s) Terms and Conditions
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