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首页> 外文期刊>The Open Anesthesia Journal >Perioperative Hemodynamic Changes During Video-Assisted Thoracoscopic Decortication for empyema
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Perioperative Hemodynamic Changes During Video-Assisted Thoracoscopic Decortication for empyema

机译：电视胸腔镜手术治疗脓胸的围手术期血流动力学变化

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Background and Objective:Hemodynamic consequences during video-assisted thoracoscopic surgery (VATS) with decortication during empyema drainage are unclear. The aim of the study was to assess the perioperative hemodynamic changes decortication during empyema drainage.Methods:A prospective study enrolled 23 patients with empyema who underwent decortication. Hemodynamic parameters were continuously obtained at 15 time points: supine two lung ventilation after induction, lateral decubitus position and two lung ventilation, lateral decubitus position and one-lung ventilation, every 5 min after decortication upto 60 minutes and at the end of surgery. We divided patients into three groups according to microorganisms, group 1: patients with no growth of organism; group 2: patients with staphylococcus aureus and pseudomonas; group 3: patients with streptococcus, yeast and fungus, gram-positive bacilli, and mycobacterium tuberculosis. The hemodynamic variables were recorded by the third-generation Vigileo/FloTrac~(TM) system and variables for each time interval were compared with the baseline by Wilcoxon Signed Ranks Test.Results:In group 1, hemodynamic parameters showed no significant changes over time. However, in group 2 and 3, both CO and CI increased 10 to 15 minutes after decortication and remained elevated during the remainder of surgery. However, SVR and SVRI decreased 10 to 15 minutes after decortication in both groups, especially, with a more significant decrease noted in group 2 than group 3.Conclusion:Close perioperative hemodynamic monitoring during decortication in empyema patients is required because of potential hemodynamic disturbances especially patients with toxic microorganisms.
机译：背景与目的：目前尚不清楚电视胸腔镜手术（VATS）并伴有脓胸引流时脱皮的血流动力学后果。该研究的目的是评估脓胸引流期间围术期血流动力学改变。方法：一项前瞻性研究招募了23例进行脓胸切除术的脓胸患者。在15个时间点连续获取血液动力学参数：仰卧位后60分钟直至手术结束后每5分钟仰卧两次诱导通气，侧卧位和两次肺通气，侧卧位和单肺通气。我们根据微生物将患者分为三组，第一组：无生物生长的患者;第2组：金黄色葡萄球菌和假单胞菌患者;第3组：链球菌，酵母和真菌，革兰氏阳性杆菌和结核分枝杆菌患者。通过第三代Vigileo / FloTracTM系统记录血流动力学变量，并通过Wilcoxon Signed Ranks Test将每个时间间隔的变量与基线进行比较。结果：第1组，血流动力学参数未随时间变化。但是，在第2组和第3组中，剥脱皮后10至15分钟，CO和CI均升高，并且在其余的手术过程中均保持升高。然而，两组的SVR和SVRI均在剥皮后10到15分钟减少，尤其是与第3组相比，第2组的下降更为明显。有毒性微生物的患者。

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