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
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.67 No.5
- 발행연도
- 2014.1
- 수록면
- 329 - 333 (5page)
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초록· 키워드
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Background: The present study will focus on the rationale for the use of small tidal volume with 6 cmH2O positive endexpiratory pressure (PEEP) with the changes of arterial oxygen tension, plateau airway pressure, and static lung complianceduring one lung ventilation for endoscopic thoracic surgery.
Methods: Forty-three patients were intubated with a double-lumen endobronchial tube. After positioning the patientsin the lateral decubitus, one-lung ventilation was started with 100% oxygen, tidal volume 10 ml/kg without PEEP; arterialoxygen tension, plateau airway pressure, and static compliance were checked as baseline values (T0). Fifteen minuteslater, same parameters were measured (T15). The tidal volume had changed to 6 ml/kg with 6 cmH2O PEEP. Fifteen minuteslater, the same parameters were measured (T30).
Results: Oxygen tension had decreased at T15 (282.1 ± 83.4 mmHg) compared to T0 (477.2 ± 82.4 mmHg) (P < 0.0001),but was maintained at T30 (270.4 ± 81.9 mmHg). There was no difference in peak inspiratory pressure at T15 or T30compared to T0, plateau airway pressure was increased at T15 and T30 (P < 0.05) and static lung compliance was decreasedat T15 and T30 (P < 0.0001).
Conclusions: In carrying out one-lung ventilation for thoracic surgery using an endoscope, the addition of a PEEP of 6cmH2O in the dependent lung, while reducing the tidal volume of 6 ml/kg, both oxygen tension and lung compliance aremaintained without increasing the plateau airway pressure. Protective lung ventilation is useful for one lung ventilation.
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참고문헌 (21)
참고문헌 신청
Slinger PD / 2010 / Miller’s Anesthesia / Churchill Livingstone :1851~1853
Grichnik KP / 2009 / Update on one-lung ventilation : the use of continuous positive airway pressure ventilation and positive endexpirataory pressure ventilation - clinical application / Curr Opin Anaesthesiol 22:23~30
Fujiwara M / 2001 / The effect of positive end-expiratory pressure and continuous positive airway pressure on the oxygenation and shunt fraction during one-lung ventilation with propofol anesthesia / J Clin Anesth 13:473~477
Slinger PD / 2001 / Relation of the static compliance curve and positive end-expiratory pressure to oxygenation during one-lung ventilation / Anesthesiology 95:1096~1102
Slinger PD / 2003 / Acute lung injury after pulmonary resection: more pieces of the puzzle / Anesth Analg 97:1555~1557
Grichnik KP / 2009 / Update on one-lung ventilation : the use of continuous positive airway pressure ventilation and positive endexpirataory pressure ventilation - clinical application / Curr Opin Anaesthesiol 22:23~30
Fujiwara M / 2001 / The effect of positive end-expiratory pressure and continuous positive airway pressure on the oxygenation and shunt fraction during one-lung ventilation with propofol anesthesia / J Clin Anesth 13:473~477
Slinger PD / 2001 / Relation of the static compliance curve and positive end-expiratory pressure to oxygenation during one-lung ventilation / Anesthesiology 95:1096~1102
Slinger PD / 2003 / Acute lung injury after pulmonary resection: more pieces of the puzzle / Anesth Analg 97:1555~1557
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