Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Academic Journal of Second Military Medical University》 2012-12
Add to Favorite Get Latest Update

Effect of lung protection strategy on stroke volume variation in patients undergoing open-chest operation

LU Zhu-feng1,2,GE Sheng-jin2,XUE Zhang-gang2,DENG Xiao-ming1* 1.Department of Anesthesiology,Changhai Hospital,Second Military Medical University,Shanghai 200433,China 2.Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China  
Objective To investigate the effect of lung-protective ventilation mode on stroke volume variation(SVV) in patients receiving selected thoracotomy.Methods Twenty patients of the American Society of Anesthesiology(ASA) class Ⅰ or class Ⅱ were selected for this study,with no drugs administrated before operation.In addition to standard hemodynamic monitoring,SVV and cardiac index(CI) were recorded at the following eight time points: spontaneous breathing when awake and at supine position(T1),spontaneous breathing when awake and at lateral position(T2),general anesthesia with two-lung ventilation and at supine position(T3),general anesthesia with one-lung ventilation under lung-protective strategy and at supine position(T4),general anesthesia with two-lung ventilation and at lateral position(T5),general anesthesia with one-lung ventilation under lung-protective strategy and at lateral position(T6),combined anesthesia with one-lung ventilation under lung-protective strategy when skin incision(T7),and combined anesthesia with one-lung ventilation under lung-protective strategy when pleural dissection(T8).The changes of heart rate(HR),mean arterial pressure(MAP),SVV,and CI were observed at the above eight time points;and the relation of SVV with HR,MAP and CI was discussed.Homogenity test of variances was used to analyze the data of the four indices;the use of further statistical scheme was judged by the result of homoscedasticity.A Pearson correlation analysis was used for SVV with HR,MAP,and CI.Results Homogenity of variance test showed that the changes of SVV and HR at T1-T8 had no significant difference(P0.05),while the changes of MAP and CI had significant difference(P0.05).LSD multiple comparison indicated significant differences for the followings(P0.05): SVV between T2 and T5,CI among T1 and T3-8,CI among T2 and T4,6,7,8,MAP among T1 and T3,4,6,7,8,MAP among T2 and T3,4,6,7,8,and MAP between T4 and T5.We also found that SVV had negative correlation with CI(r=-0.267,P=0.018).Conclusion The change of body position(from supine to lateral position) in patients without hypovolemia before operation has no significant impact on SVV and HR;one-lung ventilation under lung-protective strategy has no noticeable effects on SVV,HR,MAP or CI.Anesthetic factor can cause the drop of MAP and CI,and the action of passive position change under anesthesia can result in the rise of MAP and CI.Alteration of SVV has negative correlation with CI,but the correlation is weak.
【CateGory Index】: R614
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
【References】
Chinese Journal Full-text Database 1 Hits
1 ZHANG Ming-can,YOU Kai,HUANG Yi,PEI Jia-qiang,GONG Wen-qing(Department of Cardio-Thoracic Surgery,No.324 PLA Hospital at Jiangbei District,Chongqing 400000,China);Pulmonary protective effect of salvia miltiorrhiza injection in thoracoscope heart surgery during perioperative period[J];Journal of Hainan Medical University;2013-10
【Citations】
Chinese Journal Full-text Database 2 Hits
1 TANG Liang,QIU Yimin,LI Shitong.Department of Anesthesiology,Shanghai First People's Hospital,Shanghai Jiaotong University,Shanghai 200080,China;Effect of lateral position during thoracotomy on stroke volume variation[J];Shanghai Medical Journal;2009-11
2 JIANG Wei-qing,BAO Hong-guang,HAN Liu.Department of Anesthesiology,Nanjing First Hospital Affiliated to Nanjing Medical University,Nanjing 210006,China;FloTrac/Vigileo system monitoring the effects of intravenous injection of vasopressors on haemodynamics during combined spinal-epidural anesthesia for cesarean section[J];Chinese Journal of Clinicians(Electronic Edition);2011-15
【Co-citations】
Chinese Journal Full-text Database 5 Hits
1 Feng Ming-hua,Zheng Ming-xia(West China Hospital,Sichuan University,Chengdu 610041,China);Interventional Treatment of Coronary Heart Disease Patients after the Causes of Vascular Complications and Nursing Effect[J];Chinese Journal of Medicinal Guide;2012-02
2 ZHANG Ming-can,YOU Kai,HUANG Yi,PEI Jia-qiang,GONG Wen-qing(Department of Cardio-Thoracic Surgery,No.324 PLA Hospital at Jiangbei District,Chongqing 400000,China);Pulmonary protective effect of salvia miltiorrhiza injection in thoracoscope heart surgery during perioperative period[J];Journal of Hainan Medical University;2013-10
3 YANG Xiujuan, LI Shitong.Department of Anesthesiology, Shanghai First People’s Hospital, Shanghai Jiaotong University, Shanghai 200080, China;Effect of epidural block combined with general anesthesia on hemodynamics[J];Shanghai Medical Journal;2011-04
4 QIU Yimin,TANG Liang,WANG Zhengping,WANG Zhaomin,ZHOU Yachun,HUANG Lina,LI Shitong.Department of Anesthesiology and Pain Management,Shanghai First People's Hospital,Shanghai Jiaotong University,Shanghai 200080,China;Effects of general anesthesia combined with paravertebral block technique on perioperative circulatory system and postoperative analgesia in patients undergoing thoracic esophagus surgery[J];Shanghai Medical Journal;2011-12
5 WANG Ya-hong,ZHAO Guang-yu.(Department of Anesthesiology,Yunnan Province Tumor Hospital,the Third Affiliated Hospital of Kunming Medical College,Kunming 650118,China);Applications of Stroke Volume Variation Monitoring in Volume Therapy[J];Medical Recapitulate;2012-07
【Co-references】
Chinese Journal Full-text Database 4 Hits
1 Li Qiying,Min Su(Department of Anesthesiology,First Affiliated Hospital,Chongqing Medical University,Chongqing,400016,China);Effects of continuous positive airway pressure on oxygenation and shunt fraction during one-lung ventilation in thoracoscopy and laparoscopy-assisted radical treatment of esophageal carcinoma[J];Journal of Third Military Medical University;2011-10
2 LIAO Chengquan, JIANG Yueping, CHEN Chong, et al Yuebei People’s Hospital,Guangdong,512026,PRC;ONE-WAY VALVE AND THE PULMONARY ARTERY INJECTION OF PROSTAGLANDIN E1 (PGE1) TREATMENT OF VENTRICULAR SEPTAL DEFECT WITH PULMONARY HYPERTENSION[J];Modern Hospital;2010-07
3 AI Yu-hang,PENG Liu,ZHANG Li-na.Intensive Care Unit Xiangya Hospital,Central South University,Changsha 410008,China;Protective effect of Shenfu injection on endotoxin induced acute lung injury[J];Chinese Journal of Critical Care Medicine;2006-04
4 JIANG Wei-qing,BAO Hong-guang,HAN Liu.Department of Anesthesiology,Nanjing First Hospital Affiliated to Nanjing Medical University,Nanjing 210006,China;FloTrac/Vigileo system monitoring the effects of intravenous injection of vasopressors on haemodynamics during combined spinal-epidural anesthesia for cesarean section[J];Chinese Journal of Clinicians(Electronic Edition);2011-15
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved