Positive end-expiratory pressure does not decrease cardiac output during laparoscopic liver surgery
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چکیده
منابع مشابه
Application of positive end expiratory pressure during laparoscopic surgery
provided the original work is properly cited. CC Positive-pressure ventilation during general anesthesia is a prerequisite for numerous surgical conditions. Mechanical ventilation is non-physiological and can induce lung injury, although ventilator-induced lung injury may be of minor clinical importance during anesthesia for most patients with healthy lungs. However, growing evidence suggests t...
متن کاملClinical review: Positive end-expiratory pressure and cardiac output
In patients with acute lung injury, high levels of positive end-expiratory pressure (PEEP) may be necessary to maintain or restore oxygenation, despite the fact that 'aggressive' mechanical ventilation can markedly affect cardiac function in a complex and often unpredictable fashion. As heart rate usually does not change with PEEP, the entire fall in cardiac output is a consequence of a reducti...
متن کاملDoes the Use of Positive End Expiratory Pressure (PEEP) During Surgery Decrease Respiratory Complications Twenty-Four Hours Post Operative?
General anesthesia can lead to pulmonary compromise during surgery. Nurse anesthetists in the operating room are responsible for minimizing pulmonary complications while managing ventilation through mechanical ventilation. Positive end-expiratory pressure (PEEP) can be used to improve oxygenation, prevent airway collapse and facilitate expansion of alveoli during each breath. Yet the use of PEE...
متن کاملPositive end-expiratory pressure.
PURPOSE OF REVIEW In the last 2 years, several reports have dealt with recruitment/positive end-expiratory pressure (PEEP) selection. Most of them confirm previous results and few add new information. RECENT FINDINGS It has been definitely confirmed that opening pressures are different throughout the acute respiratory distress syndrome lung parenchyma, ranging from 5-10 up to 30-40 cmH2O. The...
متن کاملNoninvasive Cardiac Output Monitoring in Morbidly Obese Patients During Laparoscopic Bariatric Surgery: Effect of Positive End-Expiratory Pressure and Alveolar Recruitment Maneuver
Objective: This study was designed to evaluate the effect of positive end-expiratory pressure (PEEP) and Alveolar recruitment maneuver (ARM) used to improve gas exchange during anesthesia in laparoscopic bariatric surgery on cardiac output parameters using non-invasive thoracic electrical bioimpedance. Study Design: A randomized controlled study was conducted on 30 morbidly obese patients (ASA ...
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ژورنال
عنوان ژورنال: HPB
سال: 2017
ISSN: 1365-182X
DOI: 10.1016/j.hpb.2016.10.009