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Pressure-controlled versus volume-controlled ventilation during one-lung ventilation in the prone position for robot-assisted esophagectomy

DC Field Value Language
dc.contributor.author나성원-
dc.contributor.author심재광-
dc.contributor.author오영준-
dc.contributor.author최용선-
dc.contributor.author홍용우-
dc.date.accessioned2015-04-24T17:13:36Z-
dc.date.available2015-04-24T17:13:36Z-
dc.date.issued2009-
dc.identifier.issn0930-2794-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/104993-
dc.description.abstractBACKGROUND: The prone position during robotic esophageal mobilization for minimally invasive esophagectomy (MIE) provides several advantages with regards to operative times, surgeon ergonomics, and surgical view; however, this technique requires one-lung ventilation (OLV). There are no guidelines about ventilatory modes during OLV in the prone position. We investigated the effects of volume-controlled (VCV) and pressure-controlled ventilation (PCV) on oxygenation and intrapulmonary shunt during OLV in the prone position in patients who underwent robot-assisted esophagectomy. METHODS: Eighteen patients, no major obstructive or restrictive pulmonary disease, were allocated randomly to one of two groups. In the first group (n = 9), OLV was started by VCV and the ventilator was switched to PCV after 30 minutes. In the second group (n = 9), the modes of ventilation were performed in the opposite order in the prone position. Hemodynamic and respiratory variables were obtained during OLV at the end of each ventilatory mode. RESULTS: There were no significant differences in arterial oxygen tension (PaO(2)), airway pressures, dynamic lung compliance, or physiologic dead space (Vd/Vt) during OLV between PCV and VCV in the prone position. Intrapulmonary shunt (Qs/Qt) was significantly lower with VCV than with PCV during OLV in the prone position (p = 0.044). CONCLUSION: PCV provides no advantages compared with VCV with regard to respiratory and hemodynamic variables during OLV in the prone position. Either ventilatory mode can be safely used for patients who undergo robot-assisted esophagectomy and who have normal body mass index and preserved pulmonary function.-
dc.description.statementOfResponsibilityopen-
dc.format.extent2286~2291-
dc.relation.isPartOfSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAnalysis of Variance-
dc.subject.MESHEsophagectomy/methods*-
dc.subject.MESHEsophagoscopy/methods*-
dc.subject.MESHFemale-
dc.subject.MESHHemodynamics-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMinimally Invasive Surgical Procedures-
dc.subject.MESHPressure-
dc.subject.MESHProne Position-
dc.subject.MESHProspective Studies-
dc.subject.MESHRespiration, Artificial/methods*-
dc.subject.MESHRespiratory Function Tests-
dc.subject.MESHRobotics*-
dc.titlePressure-controlled versus volume-controlled ventilation during one-lung ventilation in the prone position for robot-assisted esophagectomy-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorYong Seon Choi-
dc.contributor.googleauthorJae Kwang Shim-
dc.contributor.googleauthorSungwon Na-
dc.contributor.googleauthorSeung Bum Hong-
dc.contributor.googleauthorYong Woo Hong-
dc.contributor.googleauthorYoung Jun Oh-
dc.identifier.doi10.1007/s00464-008-0310-5-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01232-
dc.contributor.localIdA02205-
dc.contributor.localIdA02389-
dc.contributor.localIdA04119-
dc.contributor.localIdA04420-
dc.relation.journalcodeJ02703-
dc.identifier.eissn1432-2218-
dc.identifier.pmid19184209-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00464-008-0310-5-
dc.subject.keywordMinimally invasive esophagectomy-
dc.subject.keywordOne-lung ventilation-
dc.subject.keywordOxygenation-
dc.subject.keywordProne position-
dc.subject.keywordPressure-controlled ventilation-
dc.subject.keywordVolume-controlled ventilation-
dc.contributor.alternativeNameNa, Sung Won-
dc.contributor.alternativeNameShim, Jae Kwang-
dc.contributor.alternativeNameOh, Young Jun-
dc.contributor.alternativeNameChoi, Yong Seon-
dc.contributor.alternativeNameHong, Yong Woo-
dc.contributor.affiliatedAuthorNa, Sung Won-
dc.contributor.affiliatedAuthorShim, Jae Kwang-
dc.contributor.affiliatedAuthorOh, Young Jun-
dc.contributor.affiliatedAuthorChoi, Yong Seon-
dc.contributor.affiliatedAuthorHong, Yong Woo-
dc.citation.volume23-
dc.citation.number10-
dc.citation.startPage2286-
dc.citation.endPage2291-
dc.identifier.bibliographicCitationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.23(10) : 2286-2291, 2009-
dc.identifier.rimsid55134-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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