지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 영남대학교 의과대학 Journal of Yeungnam Medical Science Yeungnam University Journal of Medicine 제35권 제2호
- 발행연도
- 2018.1
- 수록면
- 165 - 170 (6page)
이용수
초록· 키워드
오류제보하기
Background: The purpose of this study was to investigate whether tidal volume (TV) of 8 mL/kg without positive end-expiratory pressure (PEEP) and TV of 6 mL/kg with or without PEEP in pressure-controlled ventilation-volume guaranteed (PCV-VG) mode can maintain arterial oxygenation and decrease inspiratory airway pressure effectively during one-lung ventilation (OLV). Methods: The study enrolled 27 patients undergoing thoracic surgery. All patients were ventilated with PCVVG mode. During OLV, patients were initially ventilated with TV 8 mL/kg (group TV8) without PEEP. Ventilation was subsequently changed to TV 6 mL/kg with PEEP (5 cmH2O; group TV6+PEEP) or without (group TV6) in random sequence. Peak inspiratory pressure (Ppeak), mean airway pressure (Pmean), and arterial blood gas analysis were measured 30 min after changing ventilator settings. Ventilation was then changed once more to add or eliminate PEEP (5 cmH2O), while maintaining TV 6 mL/kg. Thirty min after changing ventilator settings, the same parameters were measured once more. Results: The Ppeak was significantly lower in group TV6 (19.3±3.3 cmH2O) than in group TV8 (21.8±3.1 cmH2O) and group TV6+PEEP (20.1±3.4 cmH2O). PaO2 was significantly higher in group TV8 (242.5±111.4 mmHg) than in group TV6 (202.1±101.3 mmHg) (p=0.044). There was no significant difference in PaO2 between group TV8 and group TV6+PEEP (226.8±121.1 mmHg). However, three patients in group TV6 were dropped from the study because PaO2 was lower than 80 mmHg after ventilation. Conclusion: It is postulated that TV 8 mL/kg without PEEP or TV 6 mL/kg with 5 cmH2O PEEP in PCV-VG mode during OLV can safely maintain adequate oxygenation.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
윤두균 / 2014 / Is small tidal volume with low positive end expiratory pressure during one-lung ventilation an effective ventilation method for endoscopic thoracic surgery? / Korean Journal of Anesthesiology 67(5):329~333
김희주 / 2014 / Protective strategies for one-lung ventilation / Korean Journal of Anesthesiology 67(4):233~234
정종달 / 2014 / Effects of a preemptive alveolar recruitment strategy on arterial oxygenation during one-lung ventilation with different tidal volumes in patients with normal pulmonary function test / Korean Journal of Anesthesiology 67(2):96~102
이원진 / 2015 / Airway dimensions and margin of safety with the left-sided double-lumen tube in patients of a short stature / Anesthesia and Pain Medicine 10(2):110~117
Tuğrul M / 1997 / Comparison of volume controlled with pressure controlled ventilation during one-lung anaesthesia / Br J Anaesth 79:306~310
김희주 / 2014 / Protective strategies for one-lung ventilation / Korean Journal of Anesthesiology 67(4):233~234
정종달 / 2014 / Effects of a preemptive alveolar recruitment strategy on arterial oxygenation during one-lung ventilation with different tidal volumes in patients with normal pulmonary function test / Korean Journal of Anesthesiology 67(2):96~102
이원진 / 2015 / Airway dimensions and margin of safety with the left-sided double-lumen tube in patients of a short stature / Anesthesia and Pain Medicine 10(2):110~117
Tuğrul M / 1997 / Comparison of volume controlled with pressure controlled ventilation during one-lung anaesthesia / Br J Anaesth 79:306~310
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Effects of small tidal volume and positive end-expiratory pressure on oxygenation in pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation
영남의대학술지
2018 .01
-
Auto-PEEP-like condition recognized by a sudden decrease in airway pressure during pressure controlled ventilation and low-flow anesthesia -A case report-
Anesthesia and Pain Medicine
2015 .01
-
Effects of Alveolar Recruitment and Positive End-Expiratory Pressure on Oxygenation during One-Lung Ventilation in the Supine Position
Yonsei Medical Journal
2015 .01
-
Effects of Intraoperative Ventilation Strategy on Perioperative Atelectasis Assessed by Lung Ultrasonography in Patients Undergoing Open Abdominal Surgery: a Prospective Randomized Controlled Study
Journal of Korean Medical Science
2020 .01
-
Prognostic influence of 3-dimensional tumor volume on breast cancer compared to conventional 1-dimensional tumor size
Annals of Surgical Treatment and Research
2018 .10
-
Could the unexpected excessive airway pressure be caused by water in the ventilator circuit?: a case report
Medical Biological Science and Engineering
2019 .01
-
Evaluation of Respiratory Dynamics in an Asymmetric Lung Compliance Model
Acute and Critical Care
2017 .01
-
Driving pressure guided ventilation
Korean Journal of Anesthesiology
2020 .01
-
The Adequacy of a Conventional Mechanical Ventilator as a Ventilation Method during Cardiopulmonary Resuscitation: A Manikin Study
Acute and Critical Care
2015 .01
-
Long-Term Results after Surgical Treatment of Ebstein’s Anomaly: a 30-year Experience
Korean Circulation Journal
2016 .01
-
Effects of Changes in Inspiratory Time on Inspiratory Flowrate and Airway Pressure during Cardiopulmonary Resuscitation: A Manikin-Based Study
고신대학교 의과대학 학술지
2021 .12
-
Inspiratory Muscle Training in Patients in the Postoperative Phase of Cardiac Surgery: A Systematic Review and Meta-Analysis
Annals of Rehabilitation Medicine
2023 .06
-
Non-invasive positive pressure ventilation with average volume assured pressure support may benefit patients with acute hypercapnic respiratory failure
Clinical and Experimental Emergency Medicine
2020 .01
-
The change of stroke volume variation during thoracotomy or one lung ventilation
Anesthesia and Pain Medicine
2019 .01
-
Effect of Equal Ratio Ventilation on Respiratory Mechanics and Oxygenation During Volume-Controlled Ventilation in Pediatric Patients
Yonsei Medical Journal
2021 .01
-
Television Viewing Time and Breast Cancer Incidence for Japanese Premenopausal and Postmenopausal Women: The JACC Study
Cancer Research and Treatment
2019 .01
-
급성 호흡부전의 치료: 침습적 기계환기
대한의사협회지
2022 .03
-
Relationship between positive end-expiratory pressure levels, central venous pressure, systemic inflammation and acute renal failure in critically ill ventilated COVID-19 patients: a monocenter retrospective study in France
Acute and Critical Care
2023 .05
-
Assessment of Perioperative Atelectasis Using Lung Ultrasonography in Patients Undergoing Pneumoperitoneum Surgery in the Trendelenburg Position: Aspects of Differences according to Ventilatory Mode
Journal of Korean Medical Science
2021 .12
이 논문의 저자 정보
최근 본 자료
댓글(0)
0