...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Bariatric Surgical Patient Care >Effect of PEEP, Zero PEEP and Intraabdominal Pressure Levels on Cerebral Oxygenation in the Morbidly Obese Undergoing Sleeve Gastrectomy
【24h】

Effect of PEEP, Zero PEEP and Intraabdominal Pressure Levels on Cerebral Oxygenation in the Morbidly Obese Undergoing Sleeve Gastrectomy

机译：窥视，吞咽和腹腔压力水平对肌肌切除术治疗脑氧氧的影响

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The study is designed to determine the effect of zero end expiratory pressure (ZEEP) and 5mmHg positive end expiratory pressure (5PEEP) on cerebral oxymeter (CO) levels in morbidly obese (MO) patients. Study was performed on 60 morbidly obese patients between 18-60 years old, American Society of Anesthesiology 2-3 status, scheduled to undergo laparoscopic sleeve gastrectomy under general anesthesia. The patients were divided into two groups: those ventilated with no PEEP (group ZEEP, n = 30) and those ventilated with 5 cmH(2)O PEEP levels (group 5PEEP, n = 28). rSO(2) values were measured. Data were recorded as basal, after the induction (A ind) of anesthesia, 5 min before insufflation (BI), 5 min after insufflation (AI), 15, 30, 45, and 60 min after induction, 5 min before desufflation, and 5 min after desufflation (AD). Invasive arterial pressures, CO values, peripheral oxygen saturation, end tidal carbondioxide, and intraabdominal pressure (IAP) were recorded in these time periods in all groups. Arterial blood samples were analyzed in terms of the 5BI, 5AI, and 5AD periods. There was a negative correlation between IAP and left CO on pneumoperitoneum time in group 5PEEP. Correlation was observed between bilateral CO values and ideal body weight (IBW), lean body weight (LBW), body surface area BSA, in group ZEEP. Correlation was observed between IBW, LBW, and right CO values in group 5PEEP. PEEP application may have a protective effect on cerebral oxygenation.
机译：该研究旨在确定零末呼气压力（Zeep）和5mmHg正末端呼气压力（5Peep）对病态肥胖（MO）患者的脑血小仪（CO）水平的影响。在18-60岁之间的60例病态肥胖患者中进行了研究，美国麻醉学会2-3个状态，计划在全身麻醉下进行腹腔镜套管胃切除术。将患者分为两组：用没有窥视（Zeep，N = 30）通气的人和用5cmH（2）o窥视水平通气的那些（组5peep，n = 28）。测量RSO（2）值。数据被记录为基础，在感觉诱导（ASIN）后，在吹入（BI）之前5分钟，诱导后5分钟，15分钟，30,45和60分钟后，在加裂后5分钟， DESFLATION（AD）后5分钟。在所有组的这些时间段内记录了侵入性动脉压，CO值，外周氧饱和度，结束潮汐碳氧化物和腹腔压力（IAP）。根据5BI，5AI和5AD期间分析动脉血样。 IAP与左CO对5次胃肠盆腔的左侧CO之间存在负相关性。双侧Co值和理想体重（IBW），瘦体重（LBW），体表面积Bsa，体表面积Bsa，在Zeep中的倾斜度之间观察到相关性。在5Peep组中的IBW，LBW和右Co值之间观察到相关性。 PEEP应用可能对脑氧合具有保护作用。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号