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首页> 外文期刊>European Journal of Translational Myology >The effect of positive end-expiratory pressure during anesthesia on arterial oxygen saturation after surgery in patient undergoing cesarean section
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The effect of positive end-expiratory pressure during anesthesia on arterial oxygen saturation after surgery in patient undergoing cesarean section

机译：患有剖宫产患者患者手术后发生麻醉期间的正末期呼气压力的影响

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One of the major complications of general anesthesia in the recovery room is arterial oxygen desaturation and hypoxemia. Positive end-expiratory pressure (PEEP) can improve arterial oxygen saturation by increasing FRC. This study aims to evaluate the effects of applying PEEP on arterial oxygen saturation and hemodynamic parameters in the patient undergoing cesarean section in VALIASR hospital. In this double blind clinical trial we randomly allocated 120 patients of class1 and 2 ASA scheduled to undergoing cesarean section into 3 group (in 40).Different levels of PEEP (0, 5 and 10 CmH2o) were applied to each group while zero PEEP was established as control. All other variables (anesthesia and surgery techniques) were the same for all patients SPO2, noninvasive mean arterial pressure and heart rate were measured before, during and after surgery (Recovery room). The comparison of noninvasive arterial blood pressure and heart rate during and after surgery did not show significant differences but mean o2 saturation in group B (5 cmH2o PEEP) and C (10 cm H2o PEEP) in PACU was higher than control group (98.30±0.93 and 98.50±0.90 as opposed to97.12±1.15 respectively) P0001. In light of results applying PEEP is effective in preventing desaturation after surgery and improving respiratory indexes without the significant hemodynamic changes, the result of using five cmH2o PEEP is more efficient and satisfying.
机译：恢复室中全身麻醉的主要并发症之一是动脉氧气去饱和和低氧血症。通过增加Frc，阳性末端呼气压力（PEEP）可以通过增加来改善动脉氧饱和度。本研究旨在评估窥视对瓦亚斯尔医院剖宫产患者动脉氧饱和度和血流动力学参数的影响。在这种双盲临床试验中，我们随机分配了120名患者，调度将剖宫产分为3组（在40中）。将窥视（0,5和10cmH2O）的各种水平应用于每组，而零窥视是建立为控制。所有其他变量（麻醉和手术技术）对于所有患者SPO2相同，在手术（恢复室）之前，期间和之后测量非侵入性平均动脉压和心率。在手术期间和后术后的非侵入动脉血压和心率的比较没有显示出显着的差异，但平均在B组（5cmH2O窥视）中的饱和O2饱和度（5cmH 2 O Peep）和PACU的C（10cm H2O Peep）高于对照组（98.30±0.93和98.50±0.90，而不是97.12±1.15）P0 <001。鉴于施用窥视的结果可有效防止手术后的去饱和度并改善呼吸指标而没有显着的血液动力学变化，使用五个CMH2O窥视的结果更有效和令人满意。

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