低流量麻醉对肥胖症手术中血流动力学和外周氧合参数的影响。
The effect of low flow anesthesia on hemodynamic and peripheral oxygenation parameters in obesity surgery.
机构信息
From the Department of Anesthesiology and Reanimation (Öterkuş), Faculty of Medicine, Malatya Turgut Özal University, Malatya; from the Department of Anesthesiology and Reanimation (Dönmez), Beyoglu Eye Training and Research Hospital, İstanbul; from the Department of Anesthesiology and Reanimation (Nadir), Izmir Katip Celebi University Ataturk Training and Research Hospital, İzmir; and from the Department of Cardiology (Rencüzoğulları, Karabağ), Department of General Surgery (Binnetoğlu), Medical Faculty, Kafkas University, Kars, Turkey.
出版信息
Saudi Med J. 2021 Mar;42(3):264-269. doi: 10.15537/smj.2021.42.3.20200575.
OBJECTIVES
To investigate the effects of low-flow anesthesia on hemodynamic parameters and recovery from anesthesia in obese individuals undergoing laparoscopic surgery.
METHODS
This randomized-controlled and prospective study included 44 obese patients who underwent laparoscopic sleeve gastrectomy operation. The patients were randomly allocated into 2 groups as low-flow and high-flow anesthesia. Further, the groups compared in terms of hemodynamic parameters, anesthesia recovery times, operation times, and arterial blood gas parameters.
RESULTS
The groups were similar with respect to demographic data. Heart rate, peripheral oxygen saturation, arterial blood pressure measurements, end-tidal, and CO, lactate levels measurements were similar in both groups during the entire procedure. There was also no statistically significant difference in terms of arterial blood gas parameters or anesthesia recovery periods.
CONCLUSION
Low-flow anesthesia in laparoscopic obesity surgery seems to be safer compared to high-flow anesthesia in terms of the adequacy of tissue perfusion, depth of anesthesia, and postoperative recovery.
目的
研究低流量麻醉对肥胖患者腹腔镜手术中血流动力学参数和麻醉恢复的影响。
方法
本随机对照前瞻性研究纳入了 44 例行腹腔镜袖状胃切除术的肥胖患者。患者随机分为低流量组和高流量组。进一步比较两组的血流动力学参数、麻醉恢复时间、手术时间和动脉血气参数。
结果
两组的人口统计学数据相似。整个手术过程中，两组的心率、外周血氧饱和度、动脉血压测量、呼气末二氧化碳和乳酸水平测量均相似。在动脉血气参数或麻醉恢复时间方面，两组也无统计学差异。
结论
与高流量麻醉相比，低流量麻醉在腹腔镜肥胖手术中似乎更安全，因为它能更好地保证组织灌注、麻醉深度和术后恢复。
Zotero 插件