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Date Published: 02/12/2024
Abstract Views: 150
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DOI: https://doi.org/10.51298/vmj.v544i3.12027
Issue
Vol. 544 No. 3 (2024)
Section
Các bài báo
How to Cite
Lại, V. H., & Phạm, T. H. (2024). RESEARCH ON THE VARIATIONS OF ARTERIAL BLOOD GASES AND HEMODYNAMIC EFFECTS DURING GENERAL ANESTHESIA APPLYING ALVEOLAR RECRUITMENT MANEUVERS FOR ABDOMINAL SURGERY IN THE ELDERLY. Vietnam Medical Journal, 544(3). https://doi.org/10.51298/vmj.v544i3.12027

RESEARCH ON THE VARIATIONS OF ARTERIAL BLOOD GASES AND HEMODYNAMIC EFFECTS DURING GENERAL ANESTHESIA APPLYING ALVEOLAR RECRUITMENT MANEUVERS FOR ABDOMINAL SURGERY IN THE ELDERLY

Văn Hoàn Lại, Thị Hằng Phạm

Main Article Content

Abstract

Objectives: To evaluate on the variations of arterial blood gases and hemodynamic effects during general anesthesia applying alveolar recruitment maneuvers for abdominal surgery in the elderly. Materials and methods: Study-intervene random objects with comparison at Friendship Hospital from October 2016 to October 2019. Patients are selecting with ASA 1-3, age ≥ 60 years, undergoing anesthesia for abdominal surgery. Control group enrolled 37 patients with PEEP +5cmH2O, the intervention group enrolled 45 patients maneuver consisted to a peak inspiratory pressure of 40cmH2O for 40s and PEEP +5cmH2O. Results: The number PaO2 and the average rate PaO2/FiO2 after mobilizing alveolus were higher than before mobilizing (p<0,05). Heart beat and the average blood pressure after mobilizing alveolus 1 minute were lower than before mobilizing (p<0,05) and recover after mobilizing alveolus 5 minutes. Conclusion: Alveolar recuitment maneuvers with pressure +40cmH2O improve blood oxidizing level and breathing function in elderly patients undergoing anesthesia for abdominal surgery

Article Details

Keywords

Alveolar mobilization, abdominal surgery, anesthesia for elderly.

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