在鼻整形外科手术中正极呼吸压;风险和益处
Ali Faghih Habibi1, Ali Ashraf2, Zahra Ghanavi3
1Otorhinolaryngology Research Center, Department of Otolaryngology and Head and Neck Surgery, School of Medicine, Amiralmomenin Hospital, Guilan University of Medical Sciences, Rasht, Iran.
概括
在鼻整形手术期间应用正端呼吸压力 (PEEP) 并没有增加出血或对血液动力学产生负面影响. 这种麻醉技术可以改善术后氧气和,而不会影响手术结果.
科学领域:
- 麻醉学 麻醉学
- 整形外科 整形外科 整形外科
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 阳性终端呼气压 (PEEP) 在机械通风中使用.
- 它对手术出血和鼻整形患者血液动力学的影响尚未完全理解.
研究的目的:
- 为了评估PEEP对手术外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科外科.
- 评估PEEP在这些患者的呼吸和血液动力学影响.
主要方法:
- 一个单盲临床试验,涉及70名鼻整形患者.
- 患者被随机分为两个组:PEEP (5 cmH2O) 和ZEEP (0 cmH2O).
- 评估了手术出血,氧和,肺和血液动力学参数.
主要成果:
- PEEP没有对手术出血或外科医生的满意度产生负面影响.
- 血液动力学参数 (心率,血压) 在两组之间相似.
- 在PEEP组中,气道峰值压力略高 (17.87对16.08cmH2O,P=0.029).
结论:
- 在鼻整形麻醉期间低水平的PEEP可以改善恢复氧和.
- PEEP不会对患者的血液动力学,出血或手术视觉清晰度产生不利影响.
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