A comparison of the effects of postoperative CPAP and nasal oxygen use on arterial blood gas in laparoscopic cholecystectomy performed in obese patients: a prospective, randomized clinical trial.
Objective: This study was designed to compare the effects of continuous positive airway pressure (CPAP) and nasal oxygen use on postoperative blood gases in obese patients undergoing laparoscopic cholecystectomy. Material and Methods: A total of 40 patients with a body mass index (BMI) ranging betwe...
| Publicado en: | Turkiye Klinikleri Journal of Medical Sciences Vol. 32; no. 3; pp. 726 - 733 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Turkiye Klinikleri
Jun2012
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104446203&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104446203 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13000292 1VOP jtl: Turkiye Klinikleri Journal of Medical Sciences issn: 13000292 maglogo: N pubinfo: dt: Jun2012 vid: 32 iid: 3 pid: 67298 pub: Turkiye Klinikleri artinfo: ui: 104446203 104446203 2011551581 10.5336/medsci.2011-25901 104446203 ppf: 726 ppct: 7 formats: fmt: @attributes: type: P tig: atl: A comparison of the effects of postoperative CPAP and nasal oxygen use on arterial blood gas in laparoscopic cholecystectomy performed in obese patients: a prospective, randomized clinical trial. aug: au: Kizilöz, Sema Perker Tavlan, Aybars Topal, Ahmet Erol, Atilla Kiliçaslan, Alper Otelcioglu, Seref sug: subj: Blood Gas Analysis Cholecystectomy Continuous Positive Airway Pressure Laparoscopy Methods Obesity Complications Oxygen Therapy Adult Body Mass Index Chi Square Test Confidence Intervals Data Analysis Software Descriptive Statistics Female Goodness of Fit Chi Square Test Human Male Middle Age Post Hoc Analysis Power Analysis Randomized Controlled Trials T-Tests Two-Way Analysis of Variance Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Objective: This study was designed to compare the effects of continuous positive airway pressure (CPAP) and nasal oxygen use on postoperative blood gases in obese patients undergoing laparoscopic cholecystectomy. Material and Methods: A total of 40 patients with a body mass index (BMI) ranging between 30 and 40 were enrolled in this study. Patients were divided into two groups: Group C (n=20) = CPAP and Group N (n=20) = Nasal O2. Baseline blood gas was sampled on spontaneous respiration (G0). The blood gas sampling was repeated before patients were admitted to the postoperative care unit (PACU) (G1). Following the operation, Group C received CPAP 5 cmH2O and Group N received 5 l/min O2 via nasal cannula for 60 minutes. Blood gas sampling was repeated after 60 minutes in both groups (G2). Results: At the PACU, the SpO2 values were higher in Group C relative to Group N at 30 minutes (p<0.05). In both groups, the in-group pH values at G1 measurement time displayed a statistically significant reduction compared to those at the G0 measurement time (p<0.05). At G2, PaCO2 was higher in Group N compared to Group C (p<0.05). In both groups, the in-group PaCO2 values were significantly higher at G1 relative to G0 (p<0.01). In Group C, PaO2 was higher at G2 compared to Group N (p<0.05). Conclusion: Postoperative CPAP use may increase the PaO2 more and provide a better CO2 elimination compared to nasal oxygen use in obese patients undergoing laparoscopic cholecystectomy. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: Turkish refInfo: holdings: @attributes: islocal: N |
|---|