Cargando…
Application of PEEP using the i-gel during volume-controlled ventilation in anesthetized, paralyzed patients
PURPOSE: This prospective, randomized trial was designed to assess whether the i-gel supraglottic airway device is suitable for volume-controlled ventilation while applying positive end-expiratory pressure (PEEP) of 5 cmH(2)O under general anesthesia. It was believed that this device might improve a...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Japan
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3889257/ https://www.ncbi.nlm.nih.gov/pubmed/23649920 http://dx.doi.org/10.1007/s00540-013-1628-2 |
_version_ | 1782299168507691008 |
---|---|
author | Kim, Yong Beom Chang, Young Jin Jung, Wol Seon Byen, Sang Ho Jo, Youn Yi |
author_facet | Kim, Yong Beom Chang, Young Jin Jung, Wol Seon Byen, Sang Ho Jo, Youn Yi |
author_sort | Kim, Yong Beom |
collection | PubMed |
description | PURPOSE: This prospective, randomized trial was designed to assess whether the i-gel supraglottic airway device is suitable for volume-controlled ventilation while applying positive end-expiratory pressure (PEEP) of 5 cmH(2)O under general anesthesia. It was believed that this device might improve arterial oxygenation. METHODS: Forty adult patients (aged 20–60 years) scheduled for elective orthopedic surgery were enrolled in this study. Twenty patients were ventilated without external PEEP [zero positive end-expiratory pressure (ZEEP) group], and the other 20 were ventilated with PEEP 5 cmH(2)O (PEEP group) after placing an i-gel device. Volume-controlled ventilation at a tidal volume (TV) of 8 ml/kg of ideal body weight, leak volume, and arterial blood gas analysis were investigated. RESULTS: The incidences of a significant leak were similar in the ZEEP and PEEP groups (3/20 and 1/20, respectively; P = 0.605), as were leak volumes. No significant PaO(2) difference was observed between the two groups at 1 h after satisfactory i-gel insertion (215 ± 38 vs. 222 ± 54; P = 0.502). CONCLUSIONS: The use of an i-gel during PEEP application at 5 cmH(2)O did not increase the incidence of a significant air leak, and a PEEP of 5 cmH(2)O failed to improve arterial oxygenation during controlled ventilation in healthy adult patients. |
format | Online Article Text |
id | pubmed-3889257 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Springer Japan |
record_format | MEDLINE/PubMed |
spelling | pubmed-38892572014-01-14 Application of PEEP using the i-gel during volume-controlled ventilation in anesthetized, paralyzed patients Kim, Yong Beom Chang, Young Jin Jung, Wol Seon Byen, Sang Ho Jo, Youn Yi J Anesth Original Article PURPOSE: This prospective, randomized trial was designed to assess whether the i-gel supraglottic airway device is suitable for volume-controlled ventilation while applying positive end-expiratory pressure (PEEP) of 5 cmH(2)O under general anesthesia. It was believed that this device might improve arterial oxygenation. METHODS: Forty adult patients (aged 20–60 years) scheduled for elective orthopedic surgery were enrolled in this study. Twenty patients were ventilated without external PEEP [zero positive end-expiratory pressure (ZEEP) group], and the other 20 were ventilated with PEEP 5 cmH(2)O (PEEP group) after placing an i-gel device. Volume-controlled ventilation at a tidal volume (TV) of 8 ml/kg of ideal body weight, leak volume, and arterial blood gas analysis were investigated. RESULTS: The incidences of a significant leak were similar in the ZEEP and PEEP groups (3/20 and 1/20, respectively; P = 0.605), as were leak volumes. No significant PaO(2) difference was observed between the two groups at 1 h after satisfactory i-gel insertion (215 ± 38 vs. 222 ± 54; P = 0.502). CONCLUSIONS: The use of an i-gel during PEEP application at 5 cmH(2)O did not increase the incidence of a significant air leak, and a PEEP of 5 cmH(2)O failed to improve arterial oxygenation during controlled ventilation in healthy adult patients. Springer Japan 2013-05-07 2013 /pmc/articles/PMC3889257/ /pubmed/23649920 http://dx.doi.org/10.1007/s00540-013-1628-2 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by/2.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. |
spellingShingle | Original Article Kim, Yong Beom Chang, Young Jin Jung, Wol Seon Byen, Sang Ho Jo, Youn Yi Application of PEEP using the i-gel during volume-controlled ventilation in anesthetized, paralyzed patients |
title | Application of PEEP using the i-gel during volume-controlled ventilation in anesthetized, paralyzed patients |
title_full | Application of PEEP using the i-gel during volume-controlled ventilation in anesthetized, paralyzed patients |
title_fullStr | Application of PEEP using the i-gel during volume-controlled ventilation in anesthetized, paralyzed patients |
title_full_unstemmed | Application of PEEP using the i-gel during volume-controlled ventilation in anesthetized, paralyzed patients |
title_short | Application of PEEP using the i-gel during volume-controlled ventilation in anesthetized, paralyzed patients |
title_sort | application of peep using the i-gel during volume-controlled ventilation in anesthetized, paralyzed patients |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3889257/ https://www.ncbi.nlm.nih.gov/pubmed/23649920 http://dx.doi.org/10.1007/s00540-013-1628-2 |
work_keys_str_mv | AT kimyongbeom applicationofpeepusingtheigelduringvolumecontrolledventilationinanesthetizedparalyzedpatients AT changyoungjin applicationofpeepusingtheigelduringvolumecontrolledventilationinanesthetizedparalyzedpatients AT jungwolseon applicationofpeepusingtheigelduringvolumecontrolledventilationinanesthetizedparalyzedpatients AT byensangho applicationofpeepusingtheigelduringvolumecontrolledventilationinanesthetizedparalyzedpatients AT joyounyi applicationofpeepusingtheigelduringvolumecontrolledventilationinanesthetizedparalyzedpatients |