Changes in chest wall compartment volumes on induction of anaesthesia with eltanolone, propofol and thiopentone.

Abstract

Changes in the expiratory dimensions of the rib cage and abdomen on induction of anaesthesia with eltanolone, propofol and thiopentone were measured in 76 patients using respiratory inductance bands. Calibration of the respiratory inductance plethysmograph was by simultaneous flow measurement with a pneumotachograph. Movement of the vertebral column was restrained with a rigid mattress to allow volume change to be estimated more accurately from rib cage and abdominal dimensions. Rib cage volumes decreased by a median of 125 ml, while the median change in the abdominal compartment was 0. These findings suggest that a reduction in rib cage volume may contribute to the decrease in functional residual capacity after induction of anaesthesia, but that changes in the diaphragmatic-abdominal compartment are not important.