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Date Published: 24/07/2021
Abstract Views: 255
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DOI: https://doi.org/10.51298/vmj.v502i1.566
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Vol. 502 No. 1 (2021)
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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

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