Cargando…

Comparison of volume control and pressure control ventilation in patients undergoing single level anterior cervical discectomy and fusion surgery

BACKGROUND AND AIMS: Pressure control and volume control ventilation are the most preferred modes of ventilator techniques available in the intraoperative period. The study compared the intraoperative ventilator and blood gas variables of volume-controlled ventilation (VCV) and pressure-controlled v...

Descripción completa

Detalles Bibliográficos
Autores principales: Moningi, Srilata, Elmati, Praveen Kumar, Rao, Prasad, Kanithi, Geetha, Kulkarni, Dilip Kumar, Ramachandran, Gopinath
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664887/
https://www.ncbi.nlm.nih.gov/pubmed/29242654
http://dx.doi.org/10.4103/ija.IJA_605_16
_version_ 1783275084449841152
author Moningi, Srilata
Elmati, Praveen Kumar
Rao, Prasad
Kanithi, Geetha
Kulkarni, Dilip Kumar
Ramachandran, Gopinath
author_facet Moningi, Srilata
Elmati, Praveen Kumar
Rao, Prasad
Kanithi, Geetha
Kulkarni, Dilip Kumar
Ramachandran, Gopinath
author_sort Moningi, Srilata
collection PubMed
description BACKGROUND AND AIMS: Pressure control and volume control ventilation are the most preferred modes of ventilator techniques available in the intraoperative period. The study compared the intraoperative ventilator and blood gas variables of volume-controlled ventilation (VCV) and pressure-controlled ventilation (PCV) in patients undergoing single level anterior cervical discectomy and fusion (ACDF). METHODS: After obtaining Institutional Ethical Committee approval and informed consent, sixty patients scheduled for single level ACDF surgery performed in supine position under general anaesthesia were included. Group V (30 patients) received VCV and Group P (30 patients) received PCV. The primary objective was oxygenation variable PaO(2)/FiO(2) at different points of time i.e. T1–20 min after the institution of the ventilation, T2–20 min after placement of the retractors and T3–20 min after removal of the retractors. The secondary objectives include other arterial blood gas parameters, respiratory and haemodynamic parameters. NCSS version 9 statistical software was used for statistics. Two-way repeated measures for analysis of variance with post hoc Tukey Kramer test was used to analyse continuous variables for both intra- and inter-group comparisons, paired sample t-test for overall comparison and Chi-square test for categorical data. RESULTS: The primary variable PaO(2)/FiO(2) was comparable in both groups (P = 0.08). The respiratory variables, PAP and C(dynam) were statistically significant in PCV group compared to VCV (P < 0.05), though clinically insignificant. Other secondary variables were comparable. (P > 0.05) CONCLUSION: Clinically, both PCV and VCV group appear to be-equally suited ventilator techniques for anterior cervical spine surgery patients.
format Online
Article
Text
id pubmed-5664887
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-56648872017-12-14 Comparison of volume control and pressure control ventilation in patients undergoing single level anterior cervical discectomy and fusion surgery Moningi, Srilata Elmati, Praveen Kumar Rao, Prasad Kanithi, Geetha Kulkarni, Dilip Kumar Ramachandran, Gopinath Indian J Anaesth Original Article BACKGROUND AND AIMS: Pressure control and volume control ventilation are the most preferred modes of ventilator techniques available in the intraoperative period. The study compared the intraoperative ventilator and blood gas variables of volume-controlled ventilation (VCV) and pressure-controlled ventilation (PCV) in patients undergoing single level anterior cervical discectomy and fusion (ACDF). METHODS: After obtaining Institutional Ethical Committee approval and informed consent, sixty patients scheduled for single level ACDF surgery performed in supine position under general anaesthesia were included. Group V (30 patients) received VCV and Group P (30 patients) received PCV. The primary objective was oxygenation variable PaO(2)/FiO(2) at different points of time i.e. T1–20 min after the institution of the ventilation, T2–20 min after placement of the retractors and T3–20 min after removal of the retractors. The secondary objectives include other arterial blood gas parameters, respiratory and haemodynamic parameters. NCSS version 9 statistical software was used for statistics. Two-way repeated measures for analysis of variance with post hoc Tukey Kramer test was used to analyse continuous variables for both intra- and inter-group comparisons, paired sample t-test for overall comparison and Chi-square test for categorical data. RESULTS: The primary variable PaO(2)/FiO(2) was comparable in both groups (P = 0.08). The respiratory variables, PAP and C(dynam) were statistically significant in PCV group compared to VCV (P < 0.05), though clinically insignificant. Other secondary variables were comparable. (P > 0.05) CONCLUSION: Clinically, both PCV and VCV group appear to be-equally suited ventilator techniques for anterior cervical spine surgery patients. Medknow Publications & Media Pvt Ltd 2017-10 /pmc/articles/PMC5664887/ /pubmed/29242654 http://dx.doi.org/10.4103/ija.IJA_605_16 Text en Copyright: © 2017 Indian Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Moningi, Srilata
Elmati, Praveen Kumar
Rao, Prasad
Kanithi, Geetha
Kulkarni, Dilip Kumar
Ramachandran, Gopinath
Comparison of volume control and pressure control ventilation in patients undergoing single level anterior cervical discectomy and fusion surgery
title Comparison of volume control and pressure control ventilation in patients undergoing single level anterior cervical discectomy and fusion surgery
title_full Comparison of volume control and pressure control ventilation in patients undergoing single level anterior cervical discectomy and fusion surgery
title_fullStr Comparison of volume control and pressure control ventilation in patients undergoing single level anterior cervical discectomy and fusion surgery
title_full_unstemmed Comparison of volume control and pressure control ventilation in patients undergoing single level anterior cervical discectomy and fusion surgery
title_short Comparison of volume control and pressure control ventilation in patients undergoing single level anterior cervical discectomy and fusion surgery
title_sort comparison of volume control and pressure control ventilation in patients undergoing single level anterior cervical discectomy and fusion surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664887/
https://www.ncbi.nlm.nih.gov/pubmed/29242654
http://dx.doi.org/10.4103/ija.IJA_605_16
work_keys_str_mv AT moningisrilata comparisonofvolumecontrolandpressurecontrolventilationinpatientsundergoingsinglelevelanteriorcervicaldiscectomyandfusionsurgery
AT elmatipraveenkumar comparisonofvolumecontrolandpressurecontrolventilationinpatientsundergoingsinglelevelanteriorcervicaldiscectomyandfusionsurgery
AT raoprasad comparisonofvolumecontrolandpressurecontrolventilationinpatientsundergoingsinglelevelanteriorcervicaldiscectomyandfusionsurgery
AT kanithigeetha comparisonofvolumecontrolandpressurecontrolventilationinpatientsundergoingsinglelevelanteriorcervicaldiscectomyandfusionsurgery
AT kulkarnidilipkumar comparisonofvolumecontrolandpressurecontrolventilationinpatientsundergoingsinglelevelanteriorcervicaldiscectomyandfusionsurgery
AT ramachandrangopinath comparisonofvolumecontrolandpressurecontrolventilationinpatientsundergoingsinglelevelanteriorcervicaldiscectomyandfusionsurgery