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Titolo:
Evaluation of pulmonary gas exchange after lobectomy and simple thoracotomy
Autore:
Sekine, Y; Miyata, Y; Yamada, K; Yamada, H; Yasukawa, T; Yoshida, S; Saitoh, Y; Fujisawa, T; Fujisawa, T;
Indirizzi:
Chiba Univ, Sch Med, Inst Pulm Canc Res, Dept Surg, Chiba 2608670, Japan Chiba Univ Chiba Japan 2608670 Canc Res, Dept Surg, Chiba 2608670, Japan Sakura Natl Hosp, Dept Surg, Chiba, Japan Sakura Natl Hosp Chiba JapanSakura Natl Hosp, Dept Surg, Chiba, Japan Sakura Natl Hosp, Dept Anesthesiol, Chiba, Japan Sakura Natl Hosp Chiba Japan Natl Hosp, Dept Anesthesiol, Chiba, Japan Sakura Natl Hosp, Clin Res Inst, Chiba, Japan Sakura Natl Hosp Chiba Japan ura Natl Hosp, Clin Res Inst, Chiba, Japan
Titolo Testata:
SCANDINAVIAN CARDIOVASCULAR JOURNAL
fascicolo: 3, volume: 34, anno: 2000,
pagine: 339 - 344
SICI:
1401-7431(200006)34:3<339:EOPGEA>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
ANESTHESIA; SURGERY; ATELECTASIS; HYPOXEMIA; VCO2; VO2;
Keywords:
alveolar-arterial oxgen tension gradient; atelectasis; lobectomy; pulmonary gas exchange; thoracotomy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
18
Recensione:
Indirizzi per estratti:
Indirizzo: Sekine, Y Chiba Univ, Sch Med, Inst Pulm Canc Res, Dept Surg, Chiba 2608670, Japan Chiba Univ Chiba Japan 2608670 Dept Surg, Chiba 2608670, Japan
Citazione:
Y. Sekine et al., "Evaluation of pulmonary gas exchange after lobectomy and simple thoracotomy", SC CARDIOVA, 34(3), 2000, pp. 339-344

Abstract

Postoperative influence of simple thoracotomy and lobectomy on pulmonary gas exchange was investigated in 10 patients undergoing thoracotomy and lobectomy (L group) and 10 patients with simple thoracotomy (ST group). Gas exchange was assessed with hot-wire mass spectrometry and blood gas analyses preoperatively and postoperatively at 1, 3, 6, 12, 24 and 48 h and on days 4, 6 and 13. The preoperative values of alveolar-arterial oxygen tension gradient (AaDO(2)), ventilation-perfusion mismatch (V-A/Q) and circulatory shunt (Qs/Qt) were maintained in the ST group. In the L group, however, AaDO(2) and Qs/Qt showed good maintenance of gas exchange for only 6-12 h after lobectomy and then deteriorated because of peripheral atelectasis, resultingin poorer values than those in the ST group on days 4 and 13. Careful postoperative management, including pulmonary toilet, is essential for maintenance of gas exchange and prevention of pulmonary complications.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 13/07/20 alle ore 14:10:59