Strategies for the respiratory disorders prophylaxis after large ventral hernias plastic treatment
DOI:
https://doi.org/10.14739/2310-1210.2015.6.57016Keywords:
Postoperative Complications, Continuous Positive Airway Pressure, Ventral Hernia, Respiratory Tract DiseasesAbstract
Perioperative pulmonary atelectasis (PA) is closely associated with the development of postoperative respiratory disorders (PRD) and takes first place in the structure of the general postoperative complications.
Aim. To assess role of intraoperative recruitment (PM) and postoperative continuous positive airway pressure (CPAP) in the elimination and prevention of LA, PRD after plastic ventral hernias.
Methods and results. Dynamics of the gradient of the partial pressure of carbon dioxide in the arterial blood and end-expiratory (P(a-et)CO2), the frequency and severity of the PRD, the duration of hospitalization were studied in 103 patients . Postoperative CPAP and its combination with intraoperative recruitment of reduces abnormal increase in the P(a-et)CO2gradient, frequency and severity of PRD, duration of hospitalization.
Conclusion. Postoperative CPAP and its combination with intraoperative RM effectively prevents development of PRD after large ventral hernia plastic treatment.
References
Gerbali, O. Yu. (2009). Legochno-plevral′nye oslozhneniya u bol′nykh s posleoperacionnymi ventral′nymi grizhami zhivota [Pleural pulmonary complications in patients with postoperative ventral hernias of the abdomen]. Ukraiinskyi zhurnal khirurhii, 3, 39–42. [in Ukrainian].
Gajdukov, K. M., Rajbuzhis, E. N., Khusejn, A., Teterin, A. Yu., & Kirov M. Yu. (2012). Rol′ vnutribryushnogo davleniya v narushenii legochnogo gazoobmena u bol′nykh posle plastiki ventral′nykh gryzh [The role of intra-abdominal pressure in violation of pulmonary gas exchange in patients after plastic ventral hernias]. Vestnik anesteziologii i reanimatologii, 8(3), 008–0011. [in Russian].
Magnusson, L., & Spahn, D. R. (2003). New concepts of atelectasis during general anaesthesia. Br J Anaesth , 91, 61–72.
Restrepo, R. D., Wettstein, R., & Tracy, M. (2011). Restrepo Incentive spirometry. Respir Care, 56(10), 1600–1604. doi: 10.4187/respcare.01471.
Defresne, A. A., Hans, G. A., Goffin, P. G., Bindelle, S. P., Amabili, P. G., DeRoover, A. M., et al. (2014). Recruitment of lung volume during surgery neither affects the postoperative spirometry nor the risk of hypoxaemia after laparoscopic gastric bypass in morbidly obese patients: a randomized controlled study. British Journal of Anaesthesia, 15(5), 1–7. doi: 10.1093/bja/aeu101.
Ireland, C. J., Chapman, M. T., Mathew, S. F., Herbison, G. P., & Zacharias, M. (2014). Continuous positive airway pressure (CPAP) during the postoperative period for prevention of postoperative morbidity and mortality following major abdominal surgery. Cochrane database of systematic reviews, 8, doi: 10.1002/14651858.CD008930.pub2.
Duggan, M., & Kavanagh, B. P. (2005). Pulmonary atelectasis: a pathogenic perioperative entity. Anesthesiology, 102(4), 838–54. doi: 10.1097/00000542200504000-00021.
Celebi, S., Koner, O., Menda, F., Omay, O., Gunay, I., Suzer, K., & Cakar, N. (2008). Pulmonary effects of noninvasive ventilation combined with the recruitment maneuver after cardiac surgery. Anesthesia&Analgesia, 107(2), 614–619. doi: 10.1213/0b013e31817e651.
Strang, C. M., Hachenberg, T., Fredén, F., & Hedenstierna, G. (2009). Development of atelectasis and arterial to end-tidal PCO2-difference in a porcine model of pneumoperitoneum. Br J Anaesth, 103(2), 298–303. doi: 10.1093/bja/aep102.
Tusman, G., Suarez-Sipmann, F., Böhm, S. H., Pech, T., Reissmann, H., Meschino, G., Scandurra, A., & Hedenstierna, G. (2006) Monitoring dead space during recruitment and PEEP titration in an experimental model. Intensive Care Med., 32, 1863–1871 doi: 10.1007/s00134-006-0371-7.
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