Effect of Positive end expiratory pressure during one-lung ventilation on hemodynamics in thoracic surgeries in adult patients
Background: One-lung ventilation (OLV) is a common practice during thoracic surgery involving pulmonary resection to facilitate surgical exposure. For long time, arterial hypoxemia during OLV was is the most important problem for the anesthesiologist. At present, there is increasing concern about...
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| Format: | Article |
| Language: | English |
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South Valley University, Faculty of Medicine
2020-01-01
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| Series: | SVU - International Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://svuijm.journals.ekb.eg/article_123745.html |
| _version_ | 1828423370034642944 |
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| author | Mohammed Aly Mubarak* Ahmed Fathy Abdel-Latif Mohamed Abdel-Bary Gad Sayed Gad |
| author_facet | Mohammed Aly Mubarak* Ahmed Fathy Abdel-Latif Mohamed Abdel-Bary Gad Sayed Gad |
| author_sort | Mohammed Aly Mubarak* |
| collection | DOAJ |
| description | Background: One-lung ventilation (OLV) is a common practice during thoracic surgery
involving pulmonary resection to facilitate surgical exposure. For long time, arterial
hypoxemia during OLV was is the most important problem for the anesthesiologist. At
present, there is increasing concern about the effects of ventilator settings on acute lung
injury.
Objectives: The aim of this study is to compare the effect of different levels of Positive end
expiratory pressure (PEEP) on hemodynamics in thoracic surgeries in adult patients.
Patients and Methods: This is a prospective study that included 60 adult patients undergoing
elective thoracic procedures requiring one-lung ventilation through a posterio-lateral
thoracotomy at cardio-thoracic surgery department in Qena university hospital “between
October 2017 to April 2019”, the Sixty patients were assigned to three groups: group I
received no PEEP (n = 20),group II received a PEEP (5 cmH2O) (n = 20),and group III
received a PEEP (10 cmH2O) (n = 20). Patient hemodynamics, pulmonary mechanics, and
arterial blood gases were measured just after OLV(T1) and 20 (T2), 40 (T3), and 60 min(T4)
after OLV.
Results: All cases were completed successfully. The heart rate and mean arterial blood
pressure showed no significant changes between all groups.
Conclusion: During OLV, mechanical ventilation with PEEP 0, 5 or 10 cmH2O has no effect
on hemodynamics in thoracic surgeries in adult patients. |
| first_indexed | 2024-12-10T16:01:45Z |
| format | Article |
| id | doaj.art-3a3597438727446a9c8c5ae284ea1a70 |
| institution | Directory Open Access Journal |
| issn | 2735-427X 2636-3402 |
| language | English |
| last_indexed | 2024-12-10T16:01:45Z |
| publishDate | 2020-01-01 |
| publisher | South Valley University, Faculty of Medicine |
| record_format | Article |
| series | SVU - International Journal of Medical Sciences |
| spelling | doaj.art-3a3597438727446a9c8c5ae284ea1a702022-12-22T01:42:24ZengSouth Valley University, Faculty of MedicineSVU - International Journal of Medical Sciences2735-427X2636-34022020-01-01313741https://dx.doi.org/10.21608/svuijm.2020.123745 Effect of Positive end expiratory pressure during one-lung ventilation on hemodynamics in thoracic surgeries in adult patientsMohammed Aly Mubarak*0 Ahmed Fathy Abdel-Latif1 Mohamed Abdel-Bary2https://orcid.org/0000-0002-7734-9089Gad Sayed Gad3Department of Anesthesiology and Intensive Care and pain management, Faculty of Medicine, South Valley University, Qena, EgyptDepartment of Anesthesiology and Intensive Care and pain management, Faculty of Medicine, South Valley University, Qena, EgyptDepartment of cardio-thoracic surgery, Faculty of Medicine, South Valley University, Qena, EgyptDepartment of Anesthesiology and Intensive Care and pain management, Faculty of Medicine, South Valley University, Qena, EgyptBackground: One-lung ventilation (OLV) is a common practice during thoracic surgery involving pulmonary resection to facilitate surgical exposure. For long time, arterial hypoxemia during OLV was is the most important problem for the anesthesiologist. At present, there is increasing concern about the effects of ventilator settings on acute lung injury. Objectives: The aim of this study is to compare the effect of different levels of Positive end expiratory pressure (PEEP) on hemodynamics in thoracic surgeries in adult patients. Patients and Methods: This is a prospective study that included 60 adult patients undergoing elective thoracic procedures requiring one-lung ventilation through a posterio-lateral thoracotomy at cardio-thoracic surgery department in Qena university hospital “between October 2017 to April 2019”, the Sixty patients were assigned to three groups: group I received no PEEP (n = 20),group II received a PEEP (5 cmH2O) (n = 20),and group III received a PEEP (10 cmH2O) (n = 20). Patient hemodynamics, pulmonary mechanics, and arterial blood gases were measured just after OLV(T1) and 20 (T2), 40 (T3), and 60 min(T4) after OLV. Results: All cases were completed successfully. The heart rate and mean arterial blood pressure showed no significant changes between all groups. Conclusion: During OLV, mechanical ventilation with PEEP 0, 5 or 10 cmH2O has no effect on hemodynamics in thoracic surgeries in adult patients.https://svuijm.journals.ekb.eg/article_123745.htmlhypoxemia; one-lung ventilation; peep |
| spellingShingle | Mohammed Aly Mubarak* Ahmed Fathy Abdel-Latif Mohamed Abdel-Bary Gad Sayed Gad Effect of Positive end expiratory pressure during one-lung ventilation on hemodynamics in thoracic surgeries in adult patients SVU - International Journal of Medical Sciences hypoxemia; one-lung ventilation; peep |
| title | Effect of Positive end expiratory pressure during one-lung ventilation on hemodynamics in thoracic surgeries in adult patients |
| title_full | Effect of Positive end expiratory pressure during one-lung ventilation on hemodynamics in thoracic surgeries in adult patients |
| title_fullStr | Effect of Positive end expiratory pressure during one-lung ventilation on hemodynamics in thoracic surgeries in adult patients |
| title_full_unstemmed | Effect of Positive end expiratory pressure during one-lung ventilation on hemodynamics in thoracic surgeries in adult patients |
| title_short | Effect of Positive end expiratory pressure during one-lung ventilation on hemodynamics in thoracic surgeries in adult patients |
| title_sort | effect of positive end expiratory pressure during one lung ventilation on hemodynamics in thoracic surgeries in adult patients |
| topic | hypoxemia; one-lung ventilation; peep |
| url | https://svuijm.journals.ekb.eg/article_123745.html |
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