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Variations in respiratory rate do not reflect changes in tidal volume or minute ventilation after major abdominal surgery
Monitoring of postoperative pulmonary function usually includes respiratory rate and oxygen saturation measurements. We hypothesized that changes in postoperative respiratory rate do not correlate with changes in tidal volume or minute ventilation. In addition, we hypothesized that variability of mi...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Netherlands
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286957/ https://www.ncbi.nlm.nih.gov/pubmed/32488678 http://dx.doi.org/10.1007/s10877-020-00538-3 |
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author | van den Bosch, O. F. C. Alvarez-Jimenez, R. Stam, M. M. H. den Boer, F. C. Loer, S. A. |
author_facet | van den Bosch, O. F. C. Alvarez-Jimenez, R. Stam, M. M. H. den Boer, F. C. Loer, S. A. |
author_sort | van den Bosch, O. F. C. |
collection | PubMed |
description | Monitoring of postoperative pulmonary function usually includes respiratory rate and oxygen saturation measurements. We hypothesized that changes in postoperative respiratory rate do not correlate with changes in tidal volume or minute ventilation. In addition, we hypothesized that variability of minute ventilation and tidal volume is larger than variability of respiratory rate. Respiratory rate and changes in tidal volume and in minute ventilation were continuously measured in 27 patients during 24 h following elective abdominal surgery, using an impedance-based non-invasive respiratory volume monitor (ExSpiron, Respiratory Motion, Waltham, MA, US). Coefficients of variation were used as a measure for variability of respiratory rate, tidal volume and minute ventilation. Data of 38,149 measurements were analyzed. We found no correlation between respiratory rate and tidal volume or minute ventilation (r(2) = 0.02 and 0.01). Mean respiratory rate increased within the first 24 h after abdominal surgery from 13.9 ± 2.5 to 16.2 ± 2.4 breaths/min (p = 0.008), while tidal volume and minute ventilation remained unchanged (p = 0.90 and p = 0.18). Of interest, variability of respiratory rate (0.21 ± 0.06) was significantly smaller than variability of tidal volume (0.37 ± 0.12, p < 0.001) and minute ventilation (0.41 ± 0.12, p < 0.001). Changes in postoperative respiratory rate do not allow conclusions about changes in tidal volume or minute ventilation. We suggest that postoperative alveolar hypoventilation may not be recognized by monitoring respiratory rate alone. Variability of respiratory rate is smaller than variability in tidal volume and minute ventilation, suggesting that adaptations of alveolar ventilation to metabolic needs may be predominately achieved by variations in tidal volume. |
format | Online Article Text |
id | pubmed-8286957 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Netherlands |
record_format | MEDLINE/PubMed |
spelling | pubmed-82869572021-07-20 Variations in respiratory rate do not reflect changes in tidal volume or minute ventilation after major abdominal surgery van den Bosch, O. F. C. Alvarez-Jimenez, R. Stam, M. M. H. den Boer, F. C. Loer, S. A. J Clin Monit Comput Original Research Monitoring of postoperative pulmonary function usually includes respiratory rate and oxygen saturation measurements. We hypothesized that changes in postoperative respiratory rate do not correlate with changes in tidal volume or minute ventilation. In addition, we hypothesized that variability of minute ventilation and tidal volume is larger than variability of respiratory rate. Respiratory rate and changes in tidal volume and in minute ventilation were continuously measured in 27 patients during 24 h following elective abdominal surgery, using an impedance-based non-invasive respiratory volume monitor (ExSpiron, Respiratory Motion, Waltham, MA, US). Coefficients of variation were used as a measure for variability of respiratory rate, tidal volume and minute ventilation. Data of 38,149 measurements were analyzed. We found no correlation between respiratory rate and tidal volume or minute ventilation (r(2) = 0.02 and 0.01). Mean respiratory rate increased within the first 24 h after abdominal surgery from 13.9 ± 2.5 to 16.2 ± 2.4 breaths/min (p = 0.008), while tidal volume and minute ventilation remained unchanged (p = 0.90 and p = 0.18). Of interest, variability of respiratory rate (0.21 ± 0.06) was significantly smaller than variability of tidal volume (0.37 ± 0.12, p < 0.001) and minute ventilation (0.41 ± 0.12, p < 0.001). Changes in postoperative respiratory rate do not allow conclusions about changes in tidal volume or minute ventilation. We suggest that postoperative alveolar hypoventilation may not be recognized by monitoring respiratory rate alone. Variability of respiratory rate is smaller than variability in tidal volume and minute ventilation, suggesting that adaptations of alveolar ventilation to metabolic needs may be predominately achieved by variations in tidal volume. Springer Netherlands 2020-06-01 2021 /pmc/articles/PMC8286957/ /pubmed/32488678 http://dx.doi.org/10.1007/s10877-020-00538-3 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Research van den Bosch, O. F. C. Alvarez-Jimenez, R. Stam, M. M. H. den Boer, F. C. Loer, S. A. Variations in respiratory rate do not reflect changes in tidal volume or minute ventilation after major abdominal surgery |
title | Variations in respiratory rate do not reflect changes in tidal volume or minute ventilation after major abdominal surgery |
title_full | Variations in respiratory rate do not reflect changes in tidal volume or minute ventilation after major abdominal surgery |
title_fullStr | Variations in respiratory rate do not reflect changes in tidal volume or minute ventilation after major abdominal surgery |
title_full_unstemmed | Variations in respiratory rate do not reflect changes in tidal volume or minute ventilation after major abdominal surgery |
title_short | Variations in respiratory rate do not reflect changes in tidal volume or minute ventilation after major abdominal surgery |
title_sort | variations in respiratory rate do not reflect changes in tidal volume or minute ventilation after major abdominal surgery |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286957/ https://www.ncbi.nlm.nih.gov/pubmed/32488678 http://dx.doi.org/10.1007/s10877-020-00538-3 |
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