| Autor: |
Ahmed, Alaa Anwer Ali, Shaarawy, Salwa Shaaban, Fouad Anwer, Hisham Mohamed, Roushdy, Sally Ahmed |
| Předmět: |
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| Zdroj: |
Alexandria Journal of Medicine; Dec2024, Vol. 60 Issue 1, p319-326, 8p |
| Abstrakt: |
Background: High flow nasal cannula (HFNC) and continuous positive airway pressure (CPAP) can be used postoperatively to decrease postoperative pulmonary complications. Aim: This study evaluated and compared the effect of HFNC versus CPAP on postoperative pulmonary complications in bariatric surgery. Patients and Methods: Sixty adult ASA class II and III patients scheduled for bariatric operations were divided into two equal groups: the HFNC and CPAP groups. Results: No significant variations in HR and MABP were observed between groups. Mean SpO2% and PaO2/FiO2 readings were lower on ICU admission than pre-induction (p < 0.001). However, after the intervention, readings significantly increased (p < 0.001). Respiratory rate and PaCO2 levels were higher upon ICU admission than pre-induction in both groups (p < 0.001). After the intervention, they decreased significantly during all assessment times compared to ICU admission time (p < 0.001). Both groups had lower lung ultrasound scores at ICU discharge than on admission (p < 0.001). Still, no significant variations in scores observed between groups upon admission and before discharge. No significant variations were found in the incidence of postoperative pulmonary complications and duration of stay in hospital. Conclusion: HFNC and CPAP decrease atelectasis and improve respiratory parameters postoperatively in morbidly obese persons after bariatric operation. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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