Штучна вентиляція легенів у пацієнтів з морбідним ожирінням під час лапаротомних баріатричних операцій
| Autor: | О. V. Vynnychenko, V. М. Shevchenko, А. P. Маzur, О. V. Аsharenkov |
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| Rok vydání: | 2018 |
| Předmět: |
business.industry
lcsh:Surgery lcsh:RD1-811 General Medicine Respiratory physiology Volume (thermodynamics) Anesthesia Respiration Breathing Medicine Arterial blood Respiratory system business Body mass index штучна вентиляція легенів керована за об’ємом штучна вентиляція легенів керована за тиском механіка дихання морбідне ожиріння Respiratory minute volume |
| Zdroj: | Клінічна хірургія, Iss 2, Pp 59-61 (2018) |
| ISSN: | 2522-1396 0023-2130 |
| DOI: | 10.26779/2522-1396.2018.02.59 |
| Popis: | In 90 patients, operated on for morbid obesity (МО), the regimes of ventilation for pressure and volume, their impact on biomechanics of respiration and the gas exchange indices were studied. Objective. To compare the impact of artificial pulmonary ventilation (APV) in regime of the forced ventilation for volume and pressure on respiratory system of patients, suffering MO. Маterials and methods. Investigation of 90 patients, operated for MO, was conducted. Body mass index (BMI) of all the patients have exceeded 40 kg/m2. Depending on regime of guided pulmonary ventilation the patients were divided on two groups: Group I (n = 46) – APV with control for volume (VCV), Group II (n = 44) – APV with control for pressure (PCV). Intraoperatively the arterial blood gases level was measured and the respiratory mechanics indices registered. Results. In Group I (VCV) the average respiratory volume have constituted (11.5 ± 4.3) ml/kg, calculated for ideal body mass, and in Group II PCV – (9.4 ± 3.2) ml/kg. At the end of operation the level of the oxygen partial pressure in arterial blood (РаО2) was trustworthily higher in a PCV group (14.8 ± 4.0) kPa (110.8 ± 29.7 mm Hg), comparing with a VCV group – (12.5 ± 1.3) kPa (93.5 ± 9.9 mm Hg). Conclusion. The investigation conducted have revealed, that essential difference in patients with MО between APV with VCV and APV with PCV in the patients is absent. |
| Databáze: | OpenAIRE |
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