Cited 6 times in
Effects of Positive End-Expiratory Pressure on Pulmonary Oxygenation and Biventricular Function during One-Lung Ventilation: A Randomized Crossover Study
DC Field | Value | Language |
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dc.contributor.author | 김남오 | - |
dc.contributor.author | 오영준 | - |
dc.date.accessioned | 2019-07-23T06:37:08Z | - |
dc.date.available | 2019-07-23T06:37:08Z | - |
dc.date.issued | 2019 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/170236 | - |
dc.description.abstract | Although the application ofpositiveend-expiratorypressure(PEEP) can alter cardiopulmonary physiology duringone-lungventilation(OLV), these changes have not been clearly elucidated. Thisstudyassessed theeffectsof different levels of PEEP onbiventricularfunction, as well aspulmonaryoxygenationduring OLV. Thirty-six lung cancer patients received one PEEP combination of six sequences, consisting of 0 (PEEP_0), 5 (PEEP_5), and 10 cmH2O (PEEP_10), using acrossoverdesign during OLV. The ratio of arterial oxygen partialpressureto inspired oxygen fraction (P/F ratio), systolic and diastolic echocardiographic parameters were measured at 20 min after the first, second, and third PEEP. P/F ratio at PEEP_5 was significantly higher compared to PEEP_0 (p= 0.014), whereas the P/F ratio at PEEP_10 did not show significant differences compared to PEEP_0 or PEEP_5. Left ventricular ejection fraction (LV EF) and right ventricular fractional area change (RV FAC) at PEEP_10 (EF,p< 0.001; FAC,p= 0.001) were significantly lower compared to PEEP_0 or PEEP_5. RV E/E' (p= 0.048) and RV myocardial performance index (p< 0.001) at PEEP_10 were significantly higher than those at PEEP_0 or PEEP_5. In conclusion, increasing PEEP to 10 cmH2O decreasedbiventricularfunction, especially on RVfunction, with no further improvement onoxygenationcompared to PEEP 5 cmH2O during OLV. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | MDPI AG | - |
dc.relation.isPartOf | JOURNAL OF CLINICAL MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Effects of Positive End-Expiratory Pressure on Pulmonary Oxygenation and Biventricular Function during One-Lung Ventilation: A Randomized Crossover Study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) | - |
dc.contributor.googleauthor | Namo Kim | - |
dc.contributor.googleauthor | Su Hyun Lee | - |
dc.contributor.googleauthor | Kwan Woong Choi | - |
dc.contributor.googleauthor | Haeyeon Lee | - |
dc.contributor.googleauthor | Young Jun Oh | - |
dc.identifier.doi | 10.3390/jcm8050740 | - |
dc.contributor.localId | A00356 | - |
dc.contributor.localId | A02389 | - |
dc.relation.journalcode | J03556 | - |
dc.identifier.eissn | 2077-0383 | - |
dc.identifier.pmid | 31126111 | - |
dc.subject.keyword | biventricularfunction | - |
dc.subject.keyword | one-lungventilation | - |
dc.subject.keyword | positiveend-expiratorypressure | - |
dc.subject.keyword | pulmonaryoxygenation | - |
dc.contributor.alternativeName | Kim, Namo | - |
dc.contributor.affiliatedAuthor | 김남오 | - |
dc.contributor.affiliatedAuthor | 오영준 | - |
dc.citation.volume | 8 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | E740 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CLINICAL MEDICINE, Vol.8(5) : E740, 2019 | - |
dc.identifier.rimsid | 62033 | - |
dc.type.rims | ART | - |
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