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首页> 外文期刊>Eastern Journal of Medicine >Effects of increasing Positive End-Expiratory Pressure (PEEP) values on intraabdominal pressure and hemodynamics: A prospective clinical study
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Effects of increasing Positive End-Expiratory Pressure (PEEP) values on intraabdominal pressure and hemodynamics: A prospective clinical study

机译：呼气末正压（PEEP）值的增加对腹腔内压力和血液动力学的影响：一项前瞻性临床研究

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Effects of increasing Positive End-Expiratory Pressure (PEEP) values on intraabdominal pressure and hemodynamics: A prospective clinical study U?UR SERKAN DUMANLIDA? sup1/sup, NUREDDIN YUZKAT sup2/sup, Celaleddin Soyalp sup2/sup, NUR?IN GüLHAS sup2/sup sup1/supDepartment Of Anesthesiology And Reanimation, Aksaray Ortak?y State Hospital, Aksaray, Turkey sup2/supDepartment Of Anesthesiology And Reanimation, Van Yuzuncu Yil University, Van, Turkey INTRODUCTION: In the present study, the purpose was to compare the effects of Positive End-Expiratory Pressure (PEEP), which is applied to intensive care patients, on Intraabdominal Pressure (IAP) and hemodynamic parameters. METHODS: The patients were selected from among the patients who received mechanical ventilator support and PEEP at various levels in Intensive Care Unit, who were between 18-80 years of age, who did not have abdominal surgery.In the present study, a total of 64 patients were divided into 3 groups.Those who had PEEP value at 4 cmH2O were included as Group 4, those with PEEP value between 5-8 cmH2O were included in Group 8, and those with PEEP value between 9-12 cmH2O were included in Group 12.The intraabdominal pressures, central venous and arterial blood pressures, heart rates, peripheral oxygen saturation values, body temperatures, fluid balances and urine volumes were measured at 0, 6, 12, 18 and 24th hours.The Intra-Bladder Pressure Measurement Method was employed to measure the intra-abdominal pressure. RESULTS: The lowest IAP values were measured in Group 4, and the highest values were measured in Group 12.The IAP values that were measured in Group 12 were higher than the other groups at a significant level.The intra and inter-group blood pressures, body temperatures, urine outputs, central venous pressures, and fluid balance values were similar in all groups. DISCUSSION AND CONCLUSION: In the present study, it was concluded that IAP was low in low PEEP values, and the IAP was high in higher PEEP levels; and this increase caused mild intrabdominal hypertension; however, did not affect hemodynamics.
机译：呼气末正压（PEEP）值的增加对腹腔内压力和血液动力学的影响：一项前瞻性临床研究U？UR SERKAN DUMANLIDA？ 1 ，NUREDDIN YUZKAT 2 ，Celaleddin Soyalp 2 ，NUR？INGüLHAS 2 1 土耳其阿克萨赖市阿克萨赖Ortak？y国立医院麻醉与复健科 2 土耳其范·范·祖祖库伊尔大学麻醉与复健科引言：在本研究中，目的是为了比较用于重症监护患者的呼气末正压（PEEP）对腹腔内压（IAP）和血液动力学参数的影响。方法：从年龄在18-80岁之间，未进行腹部手术的重症监护病房接受机械通气支持和PEEP的患者中选择不同水平的患者。将64例患者分为3组，第4组包括PEEP值为4 cmH2O的患者，第8组包括PEEP值为5-8 cmH2O的患者，第9组为PEEP值为9-12 cmH2O的患者。第12组在第0、6、12、18和24小时测量腹腔内压力，中心静脉和动脉血压，心率，外周血氧饱和度值，体温，体液平衡和尿液量。方法用于测量腹腔内压力。结果：第4组的IAP值最低，第12组的IAP值最高。第12组的IAP值显着高于其他各组。 ，体温，尿量，中心静脉压和体液平衡值在所有组中均相似。讨论与结论：在本研究中，得出的结论是：低PEEP值时IAP较低，而较高PEEP值时IAP较高。这种增加导致轻度的腹内高压;但是，并没有影响血液动力学。

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