APPLICATION OF APNEIC OXYGENATION IN TRACHEAL SURGERY.

Anesteziologiia i reanimatologiia Pub Date : 2017-01-01 DOI:10.18821/0201-7563-2017-62-1-35-38

A V Alekseev, M A Vyzhigina, A A Bunyatyan, V D Parshin, V A Titov, V Yu Lavrinenko

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引用次数: 7

Abstract

Background: The tracheal surgery is associated with opening of airways and historically used different methods of maintaining gas exchange: System "shunt-breathing", the injection ventilation, high frequency jet ventilation and even artificial circulation. In recent years increased the interest of use of apneic oxygenation (A 0).

The aim: to study the impact ofthe application ofA o on the gas exchange, acid-base balance of arterial blood, in patients undergoing reconstructive surgery on the trachea and bronchi with AO.

Materials and methods: The study included 130 patients with stenotic disease of the trachea, operated in the period from 2011 to 2014 usingAO.

Results: Application ofAO provides a high level of oxygenation and is accompanied by a moderate increase in pCO2 level and the development of acidosis. Hypercarbia and acidosis were not accompanied with hemodynamic disturbances on ECG, heart rate and invasive measurement of blood pressure at high values of Pa O₂.

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屏息氧合在气管手术中的应用。

背景:气管手术与气道开放有关，历史上使用了不同的维持气体交换的方法:系统“分流呼吸”，注射通气，高频喷射通气甚至人工循环。近年来，人们对应用无氧氧合(a0)的兴趣日益浓厚。目的:探讨应用a0对气管、支气管无氧重建手术患者动脉血中气体交换、酸碱平衡的影响。材料与方法:本研究纳入2011 - 2014年气管狭窄性疾病患者130例，均采用ao手术。结果:ao的应用提供了高水平的氧合，并伴随着pCO2水平的适度增加和酸中毒的发生。高碳酸血症和酸中毒均不伴有心电、心率和高Pa O₂时有创血压测量的血流动力学紊乱。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Anesteziologiia i reanimatologiia

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