Article Sidebar

PDF
Date Published: 24/07/2021
Abstract Views: 230
Views PDF: 128
DOI: https://doi.org/10.51298/vmj.v502i1.566
Issue
Vol. 502 No. 1 (2021)
Section
Các bài báo
How to Cite
Văn Hoàn L. ., Quyết Thắng, C. ., Sáu Nguyên, L. ., & Thị Kim Oanh, N. . (2021). EVALUATION OF TIDAL VOLUME AND COMPLIANCE FOR ALVEOLAR RECRUITMENT MANEUVERS DURING GENERAL ANESTHESIA FOR ABDOMINAL SURGERY IN THE ELDERLY. Vietnam Medical Journal, 502(1). https://doi.org/10.51298/vmj.v502i1.566

EVALUATION OF TIDAL VOLUME AND COMPLIANCE FOR ALVEOLAR RECRUITMENT MANEUVERS DURING GENERAL ANESTHESIA FOR ABDOMINAL SURGERY IN THE ELDERLY

Lại Văn Hoàn, Công Quyết Thắng, Lê Sáu Nguyên, Nguyễn Thị Kim Oanh

Main Article Content

Abstract

Objective: Evaluate tidal volume and compliance for alveolar recruitment maneuvers undergoing general anesthesia for abdominal surgery in elderly. Subjects and Methods: A randomised controlled trials. Select patients 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 40 cmH2O for 40s one hours and PEEP + 5CmH2O. Both groups were evaluated of tidal volume and compliance during anesthesia. Results: Tidal volume and compliance after alveolar mobilization were higher than before mobilization (p <0.05). The intervention before extubation with Tv was 415.4 ± 57.9 (ml/time) and compliance was 46.9 ± 5.1 (ml/cmH2O), higher than the control group with Tv is 390.43 ± 73.26 (ml/time) and Compliance is 43.8 ± 4.8 (ml/cmH2O). Conclusions: Alveolar recruitment maneuvers with pressure + 40cmH2O improves the Tidal volume and Compliance in elderly patients undergoing anesthesia for abdominal surgery.

Article Details

Keywords

Alveolar mobilization, abdominal surgery, anesthesia for elderly

References

1. Nguyễn Đạt Anh (2012), Những Vấn Đề Cơ Bản Trong Thông Khí Nhân Tạo, Nhà xuất bản Y Học.
2. Nguyễn Quốc Kính (2013), Gây mê hồi sức cho phẫu thuật nội soi: Gây mê cho người cao tuổi, Nhà xuất bản Giáo Dục.
3. Sooyoung Cho (2020), "Effects of Intraoperative Ventilation Strategy on Perioperative Atelectasis Assessed by Lung Ultrasonography in Patients Undergoing Open Abdominal Surgery: a Prospective Randomized Controlled Study", J Korean Med Sci. 35(39), p. e327.
4. Junko Nakahira (2020), "Evaluation of alveolar recruitment maneuver on respiratory resistance during general anesthesia: a prospective observational study", BMC Anesthesiology. 20, p. 264.
5. Ismail Sümer (2020), "Effect of the “Recruitment” Maneuver on Respiratory Mechanics in Laparoscopic Sleeve Gastrectomy Surgery", Obesity Surgery. 30(7), pp. 2684-2692.
6. Bahattin Tuncali (2018), "Effects of volume-controlled equal ratio ventilation with recruitment maneuver and positive end-expiratory pressure in laparoscopic sleeve gastrectomy: a prospective, randomized, controlled trial", Turk J Med Sci. 48, pp. 768-776.
7. T. N. Weingarten (2010), "Comparison of two ventilatory strategies in elderly patients undergoing major abdominal surgery", British Journal of Anaesthesia. 104(1), pp. 16–22