经过机器人辅助前列腺切除术的流量控制通风后的周围手术肺功能:一项观察性研究
Mustafa Syrafe1, Wiebke Köhne1, Andre Börgers1
1Department of Anaesthesia, Critical Care Medicine and Pain Therapy, Kliniken Essen-Mitte, Henricistr. 92, 45136, Essen, Germany.
Intensive care medicine experimental
|August 10, 2023
概括
流控通风 (FCV) 在机器人辅助前列腺切除术后没有显著改变最大的中呼吸/吸入流量比率 (MEF50/MIF50). 虽然这个比率在24小时内恢复正常,但生命能力和FEV1需要5天才能恢复.
科学领域:
- 麻醉学和外科手术期间的医学.
- 肺部生理学 肺部生理学
- 手术创新 在外科创新.
背景情况:
- 的Trendelenburg位置与capnoperitoneum可以损害术后的肺功能.
- 肺部并发症独立于通风模式和PEEP水平.
- 在这种情况下,控制流量通风 (FCV) 对肺功能的影响尚不清楚.
研究的目的:
- 为了评估经过FCV的机器人辅助前列腺切除术的患者的术前肺功能.
- 为了测试FCV在手术后不会显著改变MEF50/MIF50比率的假设.
主要方法:
- 在20名患者中,手术前和多个时间点在术后5天内进行了螺旋计测量 (MEF50/MIF50,VC,FEV1).
- 还记录了手术期间的通风参数.
- 患者接受了使用FCV的机器人辅助前列腺切除术.
主要成果:
- 手术后MEF50/MIF50比率显著增加 (p < 0.0001),并在24小时内恢复到基线.
- 活力 (VC) 和1秒内强迫呼吸量 (FEV1) 在术后下降,24小时达到最低点,在第5天正常化 (p < 0.0001).
- 与接受压力控制通风 (PCV) 的患者相比,术后肺功能变化类似.
结论:
- FCV导致了与PCV相比的肺功能变化.
- MEF50/MIF50比率在24小时内迅速恢复.
- VC和FEV1的恢复速度较慢,在手术后第五天恢复正常.
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