Effects of Prolonged Inspiratory Time on Lung Compliance and Pulmonary Shunt During One Lung Ventilation
Author:CAI Xue-jiao, HUANG Fei
affiliation: Department of Anesthesiology, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong Province, China
PDFAbstract
Objective To evaluate the effect of lung compliance and intrapulmonary shunt by increasing the inspiratory time during one lung ventilation(OLV). Methods Forty-six age 20-65 years of age, ASA ⅠorⅡgrade patients, scheduled for selective thoracoscopic lobectomyunder lateral decubitus position were randomy divided into two groups with 23 each:C and E groups. After one lung ventilation,the inspiratory-to-expiratory ratio was adjusted during mechanical ventilation.Arterial blood gas analysis and respiratory parameters was determined after two lung ventilation (TLV) 15min(t0) and 30min(t1), 60min(t2) after OLV. Intrapulmonary shunt (Qs/Qt) and lung compliance(Cdyn) were calculated. Results Two groups Peak airway pressure (Ppeak), airway plateaupressure(Pplat) and Qs/Qt increased in t1 and t2 when compared with t0(P<0.001). PaO2, SaO2 and Cdyn decreased(P<0.001). Ppeak, Pplat(P<0.001) and Qs/Qt (P=0.021) decreased obviously in t1 and t2 in group E when compared with group C. Group E had a better PaO2(P=0.034), SaO2(P=0.03) and Cdyn(P<0.001) in t1 and t2. The difference was all statistically significant. Conclusion In the lateral position, using I:E=1:1 compared with I:E=1:2, it is advantageous to reduce the Ppeak, Pplat and Qs/Qt, improve the dynamic compliance of the lung.To a certain extent, it's improving arterial oxygenation.
【Keyword】One Lung Ventilation; Inspiratory-to-expiratoryratio; Lung Compliance; Intrapulmonary Shunt
【Chart number】R322.3+5
【Document Identification Number】A
【DOI】10.3969/j.issn.1009-3257.2017.05.001
Journal of Rare Diseases
th24Volume, th 5 Issue
2019Year11Month
Related articles