Correlation between intra-abdominal pressure and pulmonary volumes after superior and inferior abdominal surgery
| العنوان: | Correlation between intra-abdominal pressure and pulmonary volumes after superior and inferior abdominal surgery |
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| المؤلفون: | Roberto de Cleva, Adriana Claudia Lunardi, Marianna Siqueira de Assumpção, Natalia Zuniaga Chaves, Marco Aurelio Santo, Claudia Fló, Flávia Megumi Sasaya, Wilson Jacob Filho |
| المصدر: | Clinics Clinics, Vol 69, Iss 7, Pp 483-486 (2014) Clinics; v. 69 n. 7 (2014); 483-486 Clinics; Vol. 69 Núm. 7 (2014); 483-486 Clinics; Vol. 69 No. 7 (2014); 483-486 Universidade de São Paulo (USP) instacron:USP Clinics, Volume: 69, Issue: 7, Pages: 483-486, Published: JUL 2014 |
| بيانات النشر: | Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, 2014. |
| سنة النشر: | 2014 |
| مصطلحات موضوعية: | Spirometry, Adult, Male, medicine.medical_specialty, Time Factors, Vital Capacity, Intra-Abdominal Pressure, Statistics, Nonparametric, FEV1/FVC ratio, Postoperative Complications, Reference Values, Risk Factors, Forced Expiratory Volume, Abdomen, medicine, Pressure, Humans, Lung volumes, Prospective Studies, Lung, Aged, lcsh:R5-920, Analysis of Variance, medicine.diagnostic_test, business.industry, General Medicine, Clinical Science, Pulmonary Volumes, Middle Aged, Surgery, Hypoventilation, medicine.anatomical_structure, Abdominal Surgery, Anesthesia, Female, medicine.symptom, lcsh:Medicine (General), business, Surgical incision, Abdominal surgery |
| الوصف: | OBJECTIVE: Patients undergoing abdominal surgery are at risk for pulmonary complications. The principal cause of postoperative pulmonary complications is a significant reduction in pulmonary volumes (FEV1 and FVC) to approximately 65-70% of the predicted value. Another frequent occurrence after abdominal surgery is increased intra-abdominal pressure. The aim of this study was to correlate changes in pulmonary volumes with the values of intra-abdominal pressure after abdominal surgery, according to the surgical incision in the abdomen (superior or inferior). METHODS: We prospectively evaluated 60 patients who underwent elective open abdominal surgery with a surgical time greater than 240 minutes. Patients were evaluated before surgery and on the 3rd postoperative day. Spirometry was assessed by maximal respiratory maneuvers and flow-volume curves. Intra-abdominal pressure was measured in the postoperative period using the bladder technique. RESULTS: The mean age of the patients was 56±13 years, and 41.6% 25 were female; 50 patients (83.3%) had malignant disease. The patients were divided into two groups according to the surgical incision (superior or inferior). The lung volumes in the preoperative period showed no abnormalities. After surgery, there was a significant reduction in both FEV1 (1.6±0.6 L) and FVC (2.0±0.7 L) with maintenance of FEV1/FVC of 0.8±0.2 in both groups. The maximum intra-abdominal pressure values were similar (p = 0.59) for the two groups. There was no association between pulmonary volumes and intra-abdominal pressure measured in any of the groups analyzed. CONCLUSIONS: Our results show that superior and inferior abdominal surgery determines hypoventilation, unrelated to increased intra-abdominal pressure. Patients at high risk of pulmonary complications should receive respiratory care even if undergoing inferior abdominal surgery. |
| وصف الملف: | application/pdf; text/html |
| اللغة: | English |
| تدمد: | 1980-5322 1807-5932 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::afd3a4ff735611efba669705c687fe34 http://europepmc.org/articles/PMC4081878 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....afd3a4ff735611efba669705c687fe34 |
| قاعدة البيانات: | OpenAIRE |
Full Text via ClinicalKey | تدمد: | 19805322 18075932 |
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