低风险手术患者的手术内机械功率和术后肺部并发症:一个前性观察队列研究
Mohamad El-Khatib1, Carine Zeeni1, Fadia M Shebbo1
1Department of Anesthesiology and Pain Medicine, American University of Beirut Medical Center, PO-Box: 11-0236, Beirut, 1107 2020, Lebanon.
BMC anesthesiology
|February 27, 2024
概括
在低风险的手术患者中,高的手术内机械功率 (MP) 会增加术后肺部并发症 (PPC) 的风险. 与传统的通风变量相比,MP是PPC的优越预测因素.
科学领域:
- 麻醉学 麻醉学
- 关键护理医学 关键护理医学
- 肺部医学 肺部医学
背景情况:
- 不充分的手术内机械通风 (MV) 可能导致呼吸器诱导的肺损伤和术后肺部并发症 (PPC) 的风险增加.
- 机械功率 (MP) 是一个公认的指标,用于MV在重症监护的结果.
- 这项研究调查了低风险手术患者的手术内MP和PPC之间的关联.
研究的目的:
- 评估手术内机械功率 (MP) 和术后肺部并发症 (PPC) 之间的关联.
- 为了确定MP是否是PPC的显著预测因素,在接受全身麻醉的低风险手术患者中.
主要方法:
- 包括218名接受选择性全身麻醉的低风险手术患者.
- 在手术期间收集了机械通风支参数.
- 在住院期间和出院后长达七天,对患者进行了PPC监测.
主要成果:
- 35%的患者出现了PPC.
- 在患有PPC的患者中观察到更高的BMI,潮体积,峰值呼吸压力和MP.
- 多变量回归确定MP为PPC风险的唯一显著预测因素 (OR1.1,p=0.036).
结论:
- 高度的手术内机械功率是患上术后肺部并发症的危险因素.
- 术内MP是一种比传统变量更有效的指标,用于识别患有PPC风险的手术患者.
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