Can postoperative continuous positive airway pressure (CPAP) prevent pulmonary complications after abdominal surgery?

Intensive Care Medicine
C CarlssonU Thylén

Abstract

Twenty-four patients underwent elective cholecystectomy. They were randomized into two groups, one consisting of 13 patients having CPAP* by face-mask for 4 h after surgery and the other, consisting of 11 patients serving as control. The patients were all given intravenous anesthesia and were manually ventilated during anesthesia without using PEEP. The groups were comparable as concerns sex, age, weight, smoking-habits, preoperative pulmonary status, type of surgery and anesthesia-time. The study showed that both groups had a reduction in VC and PaO2 and a high percentage of them developed chest X-ray changes. In none of the variables mentioned was there any significant difference between the groups after surgery. Hypoxemia after abdominal surgery can thus not be prevented by only using CPAP for 4 h postoperatively.

References

Feb 6, 1975·The New England Journal of Medicine·P M SuterM D Isenberg
Jul 1, 1977·Critical Care Medicine·G B SchmidtJ Feder
Jun 1, 1979·Acta Anaesthesiologica Scandinavica·P BerthelsenH Kortsen
Aug 12, 1967·Lancet·D G AshbaughB E Levine
Aug 1, 1972·Anesthesiology·B E Marshall, M Q Wyche
Sep 1, 1972·The Journal of Clinical Investigation·K J FalkeM B Laver
Oct 1, 1969·Southern Medical Journal·H J Forthman, A Shepard
Jun 17, 1971·The New England Journal of Medicine·G A GregoryW K Hamilton
Jun 1, 1972·Anesthesiology·H B Fairley
Jan 1, 1966·Progress in Surgery·M B Laver, H H Bendixen
Oct 1, 1969·Shujutsu. Operation·A MatsumotoT Wada
Feb 1, 1968·The British Journal of Surgery·J A Wightman
Nov 1, 1968·Journal of Applied Physiology·P W SutherlandJ Milic-Emili
Dec 1, 1957·Postgraduate Medical Journal·A R ANSCOMBE
Jan 1, 1946·Virginia Medical Monthly·M L WHITE

❮ Previous
Next ❯

Citations

Mar 23, 2011·Intensive Care Medicine·D ChiumelloC Gregoretti
Feb 18, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Sean P KeenanUNKNOWN Canadian Critical Care Trials Group/Canadian Critical Care Society Noninvasive Ventilation Guidelines Group
Feb 6, 2014·British Journal of Anaesthesia·I GaruttiF Gónzalez-Aragoneses
Sep 20, 2012·Anesthesiology Clinics·Patrick J Neligan
Jul 27, 2007·Thoracic Surgery Clinics·John P SutyakJennine Larson
Apr 22, 2015·Revista española de anestesiología y reanimación·A M EsquinasUNKNOWN International Working Group on Critical and Noninvasive Mechanical Ventilation Anesthesiology
Aug 1, 1983·Resuscitation·J L VincentM H Weil
Sep 1, 1987·Anaesthesia·M G Elphinstone, I S Grant
Jun 23, 2009·Current Opinion in Critical Care·Gabriela FerreyraVito Marco Ranieri
Oct 8, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Dunja KokotovicJakob Burcharth

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.