Comparison of volume-controlled and pressure-controlled ventilation during laryngeal mask airway anesthesia in cataract surgery
Introduction: Most patients undergoing eye surgery are elderly adults with underlying cardiovascular diseases. One of the complications during recovery is gastric insufflation, which can cause detrimental effects on cardiovascular patients. The present study compares two methods of volume-controlled...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tabriz University of Medical Sciences Press
2023-05-01
|
| Series: | Journal of Research in Clinical Medicine |
| Subjects: | |
| Online Access: | https://jrcm.tbzmed.ac.ir/PDF/jrcm-11-9.pdf |
| _version_ | 1797818567481098240 |
|---|---|
| author | Roghayeh Yaghoubi Saghezchi Ali Akbar Ghamari Shadi Irankhah Shiraz Omid Randjbar Daemi Amirhossein Fathi |
| author_facet | Roghayeh Yaghoubi Saghezchi Ali Akbar Ghamari Shadi Irankhah Shiraz Omid Randjbar Daemi Amirhossein Fathi |
| author_sort | Roghayeh Yaghoubi Saghezchi |
| collection | DOAJ |
| description | Introduction: Most patients undergoing eye surgery are elderly adults with underlying cardiovascular diseases. One of the complications during recovery is gastric insufflation, which can cause detrimental effects on cardiovascular patients. The present study compares two methods of volume-controlled ventilation (VCV) and pressure-controlled ventilation (PCV). Methods: The study enrolled 81 patients undergoing cataract surgery (41 in the PCV group and 40 in the VCV group). According to the American Society of Anaesthesiologists (ASA) classes I and II received general anaesthesia and laryngeal mask airway (LMA) ventilation using VCV or PCV. Maximum pressure (Ppeak), dynamic compliance, expiratory tidal volume, Spo2, non-invasive blood pressure, heart rate, and pain in the epigastrium and umbilical region were monitored at intervals of 1, 5, 10, and 20 minutes after the initiation of anaesthesia and the results of two groups were compared. Results: The means of Ppeak and tidal volume in the PCV group as well as the means of dynamic compliance and end-tidal carbon dioxide (EtCO2) in the VCV group were significantly high. The mean diastolic blood pressure was significantly different between two groups at 20th minute. There were no significant differences in heart rate, mean systolic blood pressure, arterial oxygen saturation, or abdominal pain between two study groups. Conclusion: VCV had a lower Ppeak and a higher dynamic compliance, but PCV had a larger tidal volume and lower EtCO2. There were no differences in terms of abdominal and umbilicus pain, as well as hemodynamic parameters, between two groups. |
| first_indexed | 2024-03-13T09:09:47Z |
| format | Article |
| id | doaj.art-6262a81f8bfb4f16874684c76f927089 |
| institution | Directory Open Access Journal |
| issn | 2717-0616 |
| language | English |
| last_indexed | 2024-03-13T09:09:47Z |
| publishDate | 2023-05-01 |
| publisher | Tabriz University of Medical Sciences Press |
| record_format | Article |
| series | Journal of Research in Clinical Medicine |
| spelling | doaj.art-6262a81f8bfb4f16874684c76f9270892023-05-27T08:58:21ZengTabriz University of Medical Sciences PressJournal of Research in Clinical Medicine2717-06162023-05-011119910.34172/jrcm.2023.33287jrcm-33287Comparison of volume-controlled and pressure-controlled ventilation during laryngeal mask airway anesthesia in cataract surgeryRoghayeh Yaghoubi Saghezchi0Ali Akbar Ghamari1Shadi Irankhah Shiraz2Omid Randjbar Daemi3Amirhossein Fathi4Emergency Medicine, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Anesthesiology, Imam Reza Medical Research & Training Hospital, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Anesthesiology, Tabriz University of Medical Sciences, Tabriz, IranPediatric Anesthesia Fellowship, Tabriz University of Medical Sciences, Tabriz, IranPain Fellowship, Tabriz University of Medical Sciences, Tabriz, IranIntroduction: Most patients undergoing eye surgery are elderly adults with underlying cardiovascular diseases. One of the complications during recovery is gastric insufflation, which can cause detrimental effects on cardiovascular patients. The present study compares two methods of volume-controlled ventilation (VCV) and pressure-controlled ventilation (PCV). Methods: The study enrolled 81 patients undergoing cataract surgery (41 in the PCV group and 40 in the VCV group). According to the American Society of Anaesthesiologists (ASA) classes I and II received general anaesthesia and laryngeal mask airway (LMA) ventilation using VCV or PCV. Maximum pressure (Ppeak), dynamic compliance, expiratory tidal volume, Spo2, non-invasive blood pressure, heart rate, and pain in the epigastrium and umbilical region were monitored at intervals of 1, 5, 10, and 20 minutes after the initiation of anaesthesia and the results of two groups were compared. Results: The means of Ppeak and tidal volume in the PCV group as well as the means of dynamic compliance and end-tidal carbon dioxide (EtCO2) in the VCV group were significantly high. The mean diastolic blood pressure was significantly different between two groups at 20th minute. There were no significant differences in heart rate, mean systolic blood pressure, arterial oxygen saturation, or abdominal pain between two study groups. Conclusion: VCV had a lower Ppeak and a higher dynamic compliance, but PCV had a larger tidal volume and lower EtCO2. There were no differences in terms of abdominal and umbilicus pain, as well as hemodynamic parameters, between two groups.https://jrcm.tbzmed.ac.ir/PDF/jrcm-11-9.pdfcataractlaryngeal maskpressure-controlled ventilationsurgeryvolume-controlled ventilation |
| spellingShingle | Roghayeh Yaghoubi Saghezchi Ali Akbar Ghamari Shadi Irankhah Shiraz Omid Randjbar Daemi Amirhossein Fathi Comparison of volume-controlled and pressure-controlled ventilation during laryngeal mask airway anesthesia in cataract surgery Journal of Research in Clinical Medicine cataract laryngeal mask pressure-controlled ventilation surgery volume-controlled ventilation |
| title | Comparison of volume-controlled and pressure-controlled ventilation during laryngeal mask airway anesthesia in cataract surgery |
| title_full | Comparison of volume-controlled and pressure-controlled ventilation during laryngeal mask airway anesthesia in cataract surgery |
| title_fullStr | Comparison of volume-controlled and pressure-controlled ventilation during laryngeal mask airway anesthesia in cataract surgery |
| title_full_unstemmed | Comparison of volume-controlled and pressure-controlled ventilation during laryngeal mask airway anesthesia in cataract surgery |
| title_short | Comparison of volume-controlled and pressure-controlled ventilation during laryngeal mask airway anesthesia in cataract surgery |
| title_sort | comparison of volume controlled and pressure controlled ventilation during laryngeal mask airway anesthesia in cataract surgery |
| topic | cataract laryngeal mask pressure-controlled ventilation surgery volume-controlled ventilation |
| url | https://jrcm.tbzmed.ac.ir/PDF/jrcm-11-9.pdf |
| work_keys_str_mv | AT roghayehyaghoubisaghezchi comparisonofvolumecontrolledandpressurecontrolledventilationduringlaryngealmaskairwayanesthesiaincataractsurgery AT aliakbarghamari comparisonofvolumecontrolledandpressurecontrolledventilationduringlaryngealmaskairwayanesthesiaincataractsurgery AT shadiirankhahshiraz comparisonofvolumecontrolledandpressurecontrolledventilationduringlaryngealmaskairwayanesthesiaincataractsurgery AT omidrandjbardaemi comparisonofvolumecontrolledandpressurecontrolledventilationduringlaryngealmaskairwayanesthesiaincataractsurgery AT amirhosseinfathi comparisonofvolumecontrolledandpressurecontrolledventilationduringlaryngealmaskairwayanesthesiaincataractsurgery |