Loading…
Volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation
The purpose of this study was to investigate the changes in airway pressure and arterial oxygenation between ventilation modes during one-lung ventilation (OLV) in patients undergoing thoracic surgery. We enrolled 27 patients for thoracic surgery with OLV in the lateral decubitus position. The subje...
Saved in:
Published in: | Korean journal of anesthesiology 2014, 67(4), , pp.258-263 |
---|---|
Main Authors: | , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c501t-cef397a18e3c0b79e8146059813cae8660abcb629a02370dd28eacbcc100d6713 |
---|---|
cites | cdi_FETCH-LOGICAL-c501t-cef397a18e3c0b79e8146059813cae8660abcb629a02370dd28eacbcc100d6713 |
container_end_page | 263 |
container_issue | 4 |
container_start_page | 258 |
container_title | Korean journal of anesthesiology |
container_volume | 67 |
creator | Song, Seok Young Jung, Jin Yong Cho, Min-Su Kim, Jong Hae Ryu, Tae Ha Kim, Bong Il |
description | The purpose of this study was to investigate the changes in airway pressure and arterial oxygenation between ventilation modes during one-lung ventilation (OLV) in patients undergoing thoracic surgery.
We enrolled 27 patients for thoracic surgery with OLV in the lateral decubitus position. The subjects received various modes of ventilation in random sequences during surgery, including volume-controlled ventilation (VCV) and pressure-controlled ventilation-volume guaranteed (PCV-VG) with a tidal volume (TV) of 8 ml/kg of actual body weight. Target-controlled infusion (TCI) with propofol and remifentanil was used for anesthesia induction and maintenance. After double-lumen endobronchial tube (DLT) insertion, the proper positioning of the DLT was assessed using a fiberoptic bronchoscope. Peak inspiratory pressure (Ppeak), exhaled TV, and arterial blood gas were measured 30 min after each ventilation mode.
Ppeak was significantly reduced with the PCV-VG mode (19.6 ± 2.5 cmH2O) compared with the VCV mode (23.2 ± 3.1 cmH2O) (P < 0.000). However, no difference in arterial oxygen tension was noted between the groups (PCV-VG, 375.8 ± 145.1 mmHg; VCV, 328.1 ± 123.7 mmHg) (P = 0.063). The exhaled TV was also significantly increased in PCV-VG compared with VCV (451.4 ± 85.4 vs. 443.9 ± 85.9 ml; P = 0.035).
During OLV in patients with normal lung function, although PCV-VG did not provide significantly improved arterial oxygen tension compared with VCV, PCV-VG provided significantly attenuated airway pressure despite significantly increased exhaled TV compared with VCV. |
doi_str_mv | 10.4097/kjae.2014.67.4.258 |
format | article |
fullrecord | <record><control><sourceid>proquest_nrf_k</sourceid><recordid>TN_cdi_nrf_kci_oai_kci_go_kr_ARTI_725221</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_5949710508fb4c07ada4d8f9c725ede5</doaj_id><sourcerecordid>1620587497</sourcerecordid><originalsourceid>FETCH-LOGICAL-c501t-cef397a18e3c0b79e8146059813cae8660abcb629a02370dd28eacbcc100d6713</originalsourceid><addsrcrecordid>eNpdUstq3DAUNaWlCWl-oIviZTd2rmS9vCmE0MdAoFDSboUsXU89I1tTyR7I31czk6RJtbkXnYeO4BTFewI1g1ZebTcGawqE1ULWrKZcvSrOKQCvJBfN64ddMNKeFZcpbSCfpgEQ9G1xRnkjlFTsvNj-Cn4ZsbJhmmPwHl25x5iWVO4iprTE_6BpHryZhzBV-6OwXC8mmmnGjI7BYemWOEzrMkxY-SUvzyTvije98QkvH-ZF8fPL57ubb9Xt96-rm-vbynIgc2Wxb1ppiMLGQidbVIQJ4K0ijTWohADT2U7Q1gBtJDhHFRrbWUsAnJCkuSg-nnyn2OutHXQww3Gug95Gff3jbqUl5ZQeqKsT1QWz0bs4jCbeH_nHixDX2sR5sB41b1krCXBQfccsSOMMc6pvbbZChzx7fTp57ZZuRGfzx6PxL0xfItPwO0faa0aJkEr9y72L4c-CadbjkCx6byYMS9JEUOBK5hiZSk9UG0NKEfunZwjoQz_0oR_60A8tpGY69yOLPjwP-CR5bEPzF6T5uoU</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1620587497</pqid></control><display><type>article</type><title>Volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation</title><source>PubMed (Medline)</source><creator>Song, Seok Young ; Jung, Jin Yong ; Cho, Min-Su ; Kim, Jong Hae ; Ryu, Tae Ha ; Kim, Bong Il</creator><creatorcontrib>Song, Seok Young ; Jung, Jin Yong ; Cho, Min-Su ; Kim, Jong Hae ; Ryu, Tae Ha ; Kim, Bong Il</creatorcontrib><description>The purpose of this study was to investigate the changes in airway pressure and arterial oxygenation between ventilation modes during one-lung ventilation (OLV) in patients undergoing thoracic surgery.
We enrolled 27 patients for thoracic surgery with OLV in the lateral decubitus position. The subjects received various modes of ventilation in random sequences during surgery, including volume-controlled ventilation (VCV) and pressure-controlled ventilation-volume guaranteed (PCV-VG) with a tidal volume (TV) of 8 ml/kg of actual body weight. Target-controlled infusion (TCI) with propofol and remifentanil was used for anesthesia induction and maintenance. After double-lumen endobronchial tube (DLT) insertion, the proper positioning of the DLT was assessed using a fiberoptic bronchoscope. Peak inspiratory pressure (Ppeak), exhaled TV, and arterial blood gas were measured 30 min after each ventilation mode.
Ppeak was significantly reduced with the PCV-VG mode (19.6 ± 2.5 cmH2O) compared with the VCV mode (23.2 ± 3.1 cmH2O) (P < 0.000). However, no difference in arterial oxygen tension was noted between the groups (PCV-VG, 375.8 ± 145.1 mmHg; VCV, 328.1 ± 123.7 mmHg) (P = 0.063). The exhaled TV was also significantly increased in PCV-VG compared with VCV (451.4 ± 85.4 vs. 443.9 ± 85.9 ml; P = 0.035).
During OLV in patients with normal lung function, although PCV-VG did not provide significantly improved arterial oxygen tension compared with VCV, PCV-VG provided significantly attenuated airway pressure despite significantly increased exhaled TV compared with VCV.</description><identifier>ISSN: 2005-6419</identifier><identifier>EISSN: 2005-7563</identifier><identifier>DOI: 10.4097/kjae.2014.67.4.258</identifier><identifier>PMID: 25368784</identifier><language>eng</language><publisher>Korea (South): The Korean Society of Anesthesiologists</publisher><subject>airway pressure ; arterial oxygenation ; Clinical ; one-lung ventilation ; pressure-controlled ventilation-volume guaranteed ; 마취과학</subject><ispartof>Korean Journal of Anesthesiology, 2014, 67(4), , pp.258-263</ispartof><rights>Copyright © the Korean Society of Anesthesiologists, 2014 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c501t-cef397a18e3c0b79e8146059813cae8660abcb629a02370dd28eacbcc100d6713</citedby><cites>FETCH-LOGICAL-c501t-cef397a18e3c0b79e8146059813cae8660abcb629a02370dd28eacbcc100d6713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4216788/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4216788/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25368784$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.kci.go.kr/kciportal/ci/sereArticleSearch/ciSereArtiView.kci?sereArticleSearchBean.artiId=ART001922262$$DAccess content in National Research Foundation of Korea (NRF)$$Hfree_for_read</backlink></links><search><creatorcontrib>Song, Seok Young</creatorcontrib><creatorcontrib>Jung, Jin Yong</creatorcontrib><creatorcontrib>Cho, Min-Su</creatorcontrib><creatorcontrib>Kim, Jong Hae</creatorcontrib><creatorcontrib>Ryu, Tae Ha</creatorcontrib><creatorcontrib>Kim, Bong Il</creatorcontrib><title>Volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation</title><title>Korean journal of anesthesiology</title><addtitle>Korean J Anesthesiol</addtitle><description>The purpose of this study was to investigate the changes in airway pressure and arterial oxygenation between ventilation modes during one-lung ventilation (OLV) in patients undergoing thoracic surgery.
We enrolled 27 patients for thoracic surgery with OLV in the lateral decubitus position. The subjects received various modes of ventilation in random sequences during surgery, including volume-controlled ventilation (VCV) and pressure-controlled ventilation-volume guaranteed (PCV-VG) with a tidal volume (TV) of 8 ml/kg of actual body weight. Target-controlled infusion (TCI) with propofol and remifentanil was used for anesthesia induction and maintenance. After double-lumen endobronchial tube (DLT) insertion, the proper positioning of the DLT was assessed using a fiberoptic bronchoscope. Peak inspiratory pressure (Ppeak), exhaled TV, and arterial blood gas were measured 30 min after each ventilation mode.
Ppeak was significantly reduced with the PCV-VG mode (19.6 ± 2.5 cmH2O) compared with the VCV mode (23.2 ± 3.1 cmH2O) (P < 0.000). However, no difference in arterial oxygen tension was noted between the groups (PCV-VG, 375.8 ± 145.1 mmHg; VCV, 328.1 ± 123.7 mmHg) (P = 0.063). The exhaled TV was also significantly increased in PCV-VG compared with VCV (451.4 ± 85.4 vs. 443.9 ± 85.9 ml; P = 0.035).
During OLV in patients with normal lung function, although PCV-VG did not provide significantly improved arterial oxygen tension compared with VCV, PCV-VG provided significantly attenuated airway pressure despite significantly increased exhaled TV compared with VCV.</description><subject>airway pressure</subject><subject>arterial oxygenation</subject><subject>Clinical</subject><subject>one-lung ventilation</subject><subject>pressure-controlled ventilation-volume guaranteed</subject><subject>마취과학</subject><issn>2005-6419</issn><issn>2005-7563</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpdUstq3DAUNaWlCWl-oIviZTd2rmS9vCmE0MdAoFDSboUsXU89I1tTyR7I31czk6RJtbkXnYeO4BTFewI1g1ZebTcGawqE1ULWrKZcvSrOKQCvJBfN64ddMNKeFZcpbSCfpgEQ9G1xRnkjlFTsvNj-Cn4ZsbJhmmPwHl25x5iWVO4iprTE_6BpHryZhzBV-6OwXC8mmmnGjI7BYemWOEzrMkxY-SUvzyTvije98QkvH-ZF8fPL57ubb9Xt96-rm-vbynIgc2Wxb1ppiMLGQidbVIQJ4K0ijTWohADT2U7Q1gBtJDhHFRrbWUsAnJCkuSg-nnyn2OutHXQww3Gug95Gff3jbqUl5ZQeqKsT1QWz0bs4jCbeH_nHixDX2sR5sB41b1krCXBQfccsSOMMc6pvbbZChzx7fTp57ZZuRGfzx6PxL0xfItPwO0faa0aJkEr9y72L4c-CadbjkCx6byYMS9JEUOBK5hiZSk9UG0NKEfunZwjoQz_0oR_60A8tpGY69yOLPjwP-CR5bEPzF6T5uoU</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Song, Seok Young</creator><creator>Jung, Jin Yong</creator><creator>Cho, Min-Su</creator><creator>Kim, Jong Hae</creator><creator>Ryu, Tae Ha</creator><creator>Kim, Bong Il</creator><general>The Korean Society of Anesthesiologists</general><general>Korean Society of Anesthesiologists</general><general>대한마취통증의학회</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><scope>ACYCR</scope></search><sort><creationdate>20141001</creationdate><title>Volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation</title><author>Song, Seok Young ; Jung, Jin Yong ; Cho, Min-Su ; Kim, Jong Hae ; Ryu, Tae Ha ; Kim, Bong Il</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c501t-cef397a18e3c0b79e8146059813cae8660abcb629a02370dd28eacbcc100d6713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>airway pressure</topic><topic>arterial oxygenation</topic><topic>Clinical</topic><topic>one-lung ventilation</topic><topic>pressure-controlled ventilation-volume guaranteed</topic><topic>마취과학</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Song, Seok Young</creatorcontrib><creatorcontrib>Jung, Jin Yong</creatorcontrib><creatorcontrib>Cho, Min-Su</creatorcontrib><creatorcontrib>Kim, Jong Hae</creatorcontrib><creatorcontrib>Ryu, Tae Ha</creatorcontrib><creatorcontrib>Kim, Bong Il</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><collection>Korean Citation Index</collection><jtitle>Korean journal of anesthesiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Song, Seok Young</au><au>Jung, Jin Yong</au><au>Cho, Min-Su</au><au>Kim, Jong Hae</au><au>Ryu, Tae Ha</au><au>Kim, Bong Il</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation</atitle><jtitle>Korean journal of anesthesiology</jtitle><addtitle>Korean J Anesthesiol</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>67</volume><issue>4</issue><spage>258</spage><epage>263</epage><pages>258-263</pages><issn>2005-6419</issn><eissn>2005-7563</eissn><abstract>The purpose of this study was to investigate the changes in airway pressure and arterial oxygenation between ventilation modes during one-lung ventilation (OLV) in patients undergoing thoracic surgery.
We enrolled 27 patients for thoracic surgery with OLV in the lateral decubitus position. The subjects received various modes of ventilation in random sequences during surgery, including volume-controlled ventilation (VCV) and pressure-controlled ventilation-volume guaranteed (PCV-VG) with a tidal volume (TV) of 8 ml/kg of actual body weight. Target-controlled infusion (TCI) with propofol and remifentanil was used for anesthesia induction and maintenance. After double-lumen endobronchial tube (DLT) insertion, the proper positioning of the DLT was assessed using a fiberoptic bronchoscope. Peak inspiratory pressure (Ppeak), exhaled TV, and arterial blood gas were measured 30 min after each ventilation mode.
Ppeak was significantly reduced with the PCV-VG mode (19.6 ± 2.5 cmH2O) compared with the VCV mode (23.2 ± 3.1 cmH2O) (P < 0.000). However, no difference in arterial oxygen tension was noted between the groups (PCV-VG, 375.8 ± 145.1 mmHg; VCV, 328.1 ± 123.7 mmHg) (P = 0.063). The exhaled TV was also significantly increased in PCV-VG compared with VCV (451.4 ± 85.4 vs. 443.9 ± 85.9 ml; P = 0.035).
During OLV in patients with normal lung function, although PCV-VG did not provide significantly improved arterial oxygen tension compared with VCV, PCV-VG provided significantly attenuated airway pressure despite significantly increased exhaled TV compared with VCV.</abstract><cop>Korea (South)</cop><pub>The Korean Society of Anesthesiologists</pub><pmid>25368784</pmid><doi>10.4097/kjae.2014.67.4.258</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 2005-6419 |
ispartof | Korean Journal of Anesthesiology, 2014, 67(4), , pp.258-263 |
issn | 2005-6419 2005-7563 |
language | eng |
recordid | cdi_nrf_kci_oai_kci_go_kr_ARTI_725221 |
source | PubMed (Medline) |
subjects | airway pressure arterial oxygenation Clinical one-lung ventilation pressure-controlled ventilation-volume guaranteed 마취과학 |
title | Volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T07%3A02%3A02IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_nrf_k&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Volume-controlled%20versus%20pressure-controlled%20ventilation-volume%20guaranteed%20mode%20during%20one-lung%20ventilation&rft.jtitle=Korean%20journal%20of%20anesthesiology&rft.au=Song,%20Seok%20Young&rft.date=2014-10-01&rft.volume=67&rft.issue=4&rft.spage=258&rft.epage=263&rft.pages=258-263&rft.issn=2005-6419&rft.eissn=2005-7563&rft_id=info:doi/10.4097/kjae.2014.67.4.258&rft_dat=%3Cproquest_nrf_k%3E1620587497%3C/proquest_nrf_k%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c501t-cef397a18e3c0b79e8146059813cae8660abcb629a02370dd28eacbcc100d6713%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1620587497&rft_id=info:pmid/25368784&rfr_iscdi=true |