The effect of positive end expiratory pressure on the respiratory profile during one-lung ventilation for thoracotomy
In: Anaesthesia, Jg. 62 (2007), S. 23-26
Online
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Zugriff:
Summary In this randomised controlled trial we examined the effects of four different levels of positive end expiratory pressure (PEEP at 0, 5, 8 or 10 cmH(2)O), added to the dependent lung, on respiratory profile and oxygenation during one lung ventilation. Forty-six patients were recruited to receive one of the randomised PEEP levels during one lung ventilation. We did not find significant differences in lung compliance, intra-operative or postoperative oxygenation amongst the four different groups. However, the physiological deadspace to tidal volume ventilation ratio was significantly lower in the 8 cmH(2)O PEEP group compared with the other levels of PEEP (p < 0.0001). We concluded that the use of PEEP (< or =10 cmH(2)O) during one lung ventilation does not clinically improve lung compliance, intra-operative or postoperative oxygenation despite a statistically significant reduction in the physiological deadspace to tidal volume ratio.
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The effect of positive end expiratory pressure on the respiratory profile during one-lung ventilation for thoracotomy
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Autor/in / Beteiligte Person: | Gao, Fang ; Chatterjee, S. ; Leong, L. M. C. |
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Zeitschrift: | Anaesthesia, Jg. 62 (2007), S. 23-26 |
Veröffentlichung: | Wiley, 2007 |
Medientyp: | unknown |
ISSN: | 1365-2044 (print) ; 0003-2409 (print) |
DOI: | 10.1111/j.1365-2044.2006.04893.x |
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