当前位置: 首页 > 详情页

Comparisons of two ventilation modes with lung recruitment maneuver during one-lung ventilation in patients undergoing thoracoscopic lobectomy

| 认领 | 导出 |

文献详情

资源类型:

收录情况: ◇ SCIE

机构: [1]Capital Med Univ, Beijing Anzhen Hosp, Ctr Anesthesiol, 2 Anzhen Rd, Beijing, Peoples R China; [2]Univ Educ, Dept Comp Sci, Lahore, Pakistan
出处:
ISSN:

关键词: Volume controlled ventilation Pressure controlled ventilation Lung recruitment maneuver One-lung ventilation

摘要:
Objective: The purpose of this study was to investigate the effects of two different ventilation modes: Volume-Controlled Ventilation (VCV) with Lung Recruitment Maneuvers (LRM) vs. PressureControlled Ventilation (PCV) with LRM during One-Lung Ventilation (OLV) in patients undergoing thoracoscopic lobectomy. Methods: Position of Double-lumen endobronchial tube (DLT) was assessed by a fiberoptic bronchoscope. At 10 min before LRM (T1), Mean Blood Pressure (MBP), Heart Rate (HR), arterial blood gas, Peak inspiratory pressure (P-peak), mean inspiratory pressure (P-mean), dynamic compliance (Cdyn) were measured in each ventilation mode. At 20 min After LRM (T2), MBP, HR, arterial blood gas, P-peak, P-mean and Cdyn were measured in every mode. Results: The rate of change of index for VCV and PCV was PaO2+ 161.3% vs. + 53.7%, SaO2+ 1.73% vs. + 0.5%, respectively. At the point of T1, by comparing PCV with VCV, PaO2 was higher, which was statistically significant (P< 0.05). By comparing T2 with T1, both VCV-LRM and PCV-LRM groups had a significant decrease in Ppeak and Pmean (P< 0.05). While they significantly increased the value of Cdyn (P< 0.05). The rate of change of index for VCV and PCV was P-peak-34.7% vs. -25.9%, P-mean-27.4% vs. -18.8%, Cdyn+ 73.2% vs. + 35.4%, respectively. AT T1, compared with VCV-LRM group, Ppeak, Pmean and Cdyn was lower, lower and higher (P< 0.05) in PCV-LRM group, the difference was statistically significant. Conclusions: The VCV with LRM mode and PCV with LRM mode not only improved oxygenation during OLV for patients undergoing thoracoscopic lobectomy, but also attenuated airway pressure and improved dynamic compliance. It should be emphasized that the former is more effective than the latter.

基金:
语种:
被引次数:
WOS:
中科院(CAS)分区:
出版当年[2016]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
最新[2023]版:
JCR分区:
出版当年[2015]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

第一作者:
第一作者机构: [1]Capital Med Univ, Beijing Anzhen Hosp, Ctr Anesthesiol, 2 Anzhen Rd, Beijing, Peoples R China;
通讯作者:
通讯机构: [1]Capital Med Univ, Beijing Anzhen Hosp, Ctr Anesthesiol, 2 Anzhen Rd, Beijing, Peoples R China;
推荐引用方式(GB/T 7714):
APA:
MLA:

资源点击量:16409 今日访问量:0 总访问量:869 更新日期:2025-01-01 建议使用谷歌、火狐浏览器 常见问题

版权所有©2020 首都医科大学宣武医院 技术支持:重庆聚合科技有限公司 地址:北京市西城区长椿街45号宣武医院