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首页> 外文期刊>International Journal of Research in Medical Sciences >Correlation of integrated pulmonary index with clinical observation in unilateral and bilateral spinal anaesthesia in geriatric patients
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Correlation of integrated pulmonary index with clinical observation in unilateral and bilateral spinal anaesthesia in geriatric patients

机译：老年患者单侧和双侧脊柱麻醉中肺综合指数与临床观察的相关性

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Background: In present study, we aimed to determine the role of integrated pulmonary index (IPI) in monitorising geriatric cases that have spontaneous ventilation under unilateral and spinal block during partial hip prosthesis and total knee arthroplasty. Methods: 24 patients who were over 65 years of age and with ASA I-IV, femoral neck fracture, intertrochanteric fracture and in whom gonarthros had developed were simply randomised into two groups. Values of blood pressure, pulse rate (PR), SPO2, EtCO2, respiratory rate (RR), IPI were recorded. Unilateral spinal block was administered with 7.5 mg, 0.5% bupivacaine and 25 mcg fentanyl in Group I and with 12.5 mg 0.5% bupivacaine and 25 mcg fentanyl in Group II. Values were recorded in intervals of 5 and 15 minutes and continued to be recorded from the moment of cement application. Preoperative mask ventilation or intubation need was recorded. Results: For EtCO2, bilateral spinal block scores at post-cement 15 minutes; postop 5 minutes were found to be high providing that they were within the clinically normal limits compared to the unilateral scores. A correlation between IPI and SpO2, EtCO2, respiratory rate, pulse rate was identified. In both groups, IPI was found to be in normal range and a correlation was identified through clinical observation. Conclusions: IPI might be the sole numerical value in early identification of clinical correlation and respiratory failure. For the IPI monitor is small and easy to be handled along with its screen that shows many parameters together makes the device be easily used.
机译：背景：在本研究中，我们旨在确定综合肺指数（IPI）在监测部分髋关节假体和全膝关节置换术期间在单侧和脊柱传导阻滞下自发通气的老年患者中的作用。方法：将年龄在65岁以上，ASA I-IV，股骨颈骨折，股骨转子间骨折并发展了尖锐湿疣的24例患者随机分为两组。记录血压，脉搏率（PR），SPO2，EtCO2，呼吸频率（RR），IPI的值。在第一组中，单侧脊髓阻滞给予7.5 mg，0.5％布比卡因和25 mcg芬太尼;在第二组中，给予12.5 mg 0.5％布比卡因和25 mcg芬太尼。以5分钟和15分钟的间隔记录数值，并且从水泥施用的时刻开始继续记录。记录术前面罩通气或需要插管。结果：对于EtCO2，在放疗后15分钟时双侧脊髓阻滞评分;术后5分钟被发现较高，前提是与单侧评分相比，它们在临床正常范围内。确定了IPI与SpO2，EtCO2，呼吸频率，脉搏频率之间的相关性。两组均发现IPI在正常范围内，并通过临床观察确定了相关性。结论：IPI可能是早期识别临床相关性和呼吸衰竭的唯一数值。由于IPI监控器体积小且易于操作，其屏幕同时显示许多参数，因此易于使用。

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