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
- 발행연도
- 2021.12
- 수록면
- 1 - 14 (14page)
- DOI
- 10.3346/jkms.2021.36.e334
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초록· 키워드
오류제보하기
Background: During robotic gynecologic pneumoperitoneum surgery in the Trendelenburg position, aeration loss leads to perioperative atelectasis. Recently developed ventilator mode pressure-controlled ventilation volume-guaranteed (PCV-VG) mode could provide adequate ventilation with lower inspiratory pressure compared to volume-controlled ventilation (VCV); we hypothesized that PCV-VG mode may be beneficial in reducing perioperative atelectasis via low tidal volume (VT) of 6 mL/kg ventilation during robotic gynecologic pneumoperitoneum surgery in the Trendelenburg position. We applied lung ultrasound score (LUS) for detecting perioperative atelectasis. We aimed to compare perioperative atelectasis between VCV and PCV-VG with a low VT of 6 mL/kg during pneumoperitoneum surgery in the Trendelenburg position using LUS.
Methods: Patients scheduled for robotic gynecologic surgery were randomly allocated to the VCV (n = 41) or PCV-VG group (n = 41). LUS, ventilatory, and hemodynamic parameters were evaluated at T1 (before induction), T2 (10 minutes after induction in the supine position), T3 (10 minutes after desufflation of CO2 in the supine position), and T4 (30 minutes after emergence from anesthesia in the recovery room).
Results: Eighty patients (40 with PCV-VG and 40 with VCV) were included. Demographic data showed no significant differences between the groups. The total LUS has changed from baseline to T4, 0.63 (95% confidence interval [CI], 0.32, 0.94) to 1.77 (95% CI, 1.42, 2.21) in the VCV group and 0.86 (95% CI, 0.56, 1.16) to 1.43 (95% CI, 1.08, 1.78) in the PCV-VG group (P = 0.170). In both groups, total LUS increased significantly compared to the baseline values.
Conclusion: Using a low VT of 6 mL/kg during pneumoperitoneum surgery in the Trendelenburg position, our study showed no evidence that PCV-VG ventilation was superior to VCV in terms of perioperative atelectasis.
목차
등록된 정보가 없습니다.
참고문헌 (35)
참고문헌 신청
Ladha K / 2015 / Intraoperative protective mechanical ventilation and risk of postoperative respiratory complications: hospital based registry study / BMJ 351:h3646
Cai H / 2007 / Effect of low tidal volume ventilation on atelectasis in patients during general anesthesia : a computed tomographic scan / J Clin Anesth 19(2):125~129
Acosta CM / 2014 / Accuracy of transthoracic lung ultrasound for diagnosing anesthesia-induced atelectasis in children / Anesthesiology 120(6):1370~1379
Gainsburg DM / 2012 / Anesthetic concerns for robotic-assisted laparoscopic radical prostatectomy / Minerva Anestesiol 78(5):596~604
Andersson LE / 2005 / Effect of carbon dioxide pneumoperitoneum on development of atelectasis during anesthesia, examined by spiral computed tomography / Anesthesiology 102(2):293~299
Cai H / 2007 / Effect of low tidal volume ventilation on atelectasis in patients during general anesthesia : a computed tomographic scan / J Clin Anesth 19(2):125~129
Acosta CM / 2014 / Accuracy of transthoracic lung ultrasound for diagnosing anesthesia-induced atelectasis in children / Anesthesiology 120(6):1370~1379
Gainsburg DM / 2012 / Anesthetic concerns for robotic-assisted laparoscopic radical prostatectomy / Minerva Anestesiol 78(5):596~604
Andersson LE / 2005 / Effect of carbon dioxide pneumoperitoneum on development of atelectasis during anesthesia, examined by spiral computed tomography / Anesthesiology 102(2):293~299
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