Article Type
Original Study
Abstract
Background : The major determinant of postoperative morbidity and mortality after pulmonary resection is the functional status of the cardiac and pulmonary systems. Right ventricular (RV) thermoditution ejection fraction/oximetric catheter has been recently proposed as a new technique to evaluate the pulmonary hemody-namics and gas exchange variables in lung resection. Aim of the work : The aim of this study was to evaluate the effect of lo-bectomy on pulmonary hemodynam-ics and gas exchange variables using the RV thermodilution ejection frac-tion/oximeteric catheter and its possible effects on early morbidity and mortality. Patients and methods : We evalu-201 ated the acute postoperative effects of lung resection on hemodynamic and gas exchange parameters in thirty patients using the RV thermodilution ejection fraction/oximeteric catheter. Anesthesia was induced with thiopentone sodium and maintained with midazolam, fentanyl and pipecu-ronium. Intubation was performed with double-lumen, left-sided endo-bronchial tube for one lung ventilation. The hemodynamic and gas exchange parameters were recorded before and after induction of anesthesia, and two hours after lung resection. Results : Lobectomy was associated with significant hemodynamic changes and good maintenance of gas exchange variables. SVI, LVSWI and RVEF were significantly decreased in the early postoperative
Recommended Citation
Hamza, Usama and Mageed, Nabil
(2004)
"ACUTE EFFECTS OF LOBECTOMY ON RIGHT VENTRICULAR EJECTION FRACTION AND MIXIED VENOUS OXYGEN SATURATION,"
Mansoura Medical Journal: Vol. 33
:
Iss.
1
, Article 12.
Available at:
https://doi.org/10.21608/mjmu.2004.127444
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This work is licensed under a Creative Commons Attribution 4.0 International License.
