prikaz prve stranice dokumenta Influence of different PEEP levels on electrical impedance tomography findings in patients under general anesthesia ventilated in the lateral decubitus position
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Influence of different PEEP levels on electrical impedance tomography findings in patients under general anesthesia ventilated in the lateral decubitus position
Journal of Clinical Monitoring and Computing, 34 (2019), 2; 311-318. https://doi.org/10.1007/s10877-019-00318-8
Šribar, Andrej; Merc, Vlasta; Peršec, Zoran; Peršec, Jasminka; Milas, Ivan; Husedžinović, Sanja

Institucijski repozitorij: Repozitorij stomatološkog fakulteta u Zagrebu

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Šribar, A., Merc, V., Peršec, Z., Peršec, J., Milas, I. i Husedžinović, S. (2019). Influence of different PEEP levels on electrical impedance tomography findings in patients under general anesthesia ventilated in the lateral decubitus position. Journal of Clinical Monitoring and Computing, 34. (2), 311-318. doi: 10.1007/s10877-019-00318-8

Šribar, Andrej, et al. "Influence of different PEEP levels on electrical impedance tomography findings in patients under general anesthesia ventilated in the lateral decubitus position." Journal of Clinical Monitoring and Computing, vol. 34, br. 2, 2019, str. 311-318. https://doi.org/10.1007/s10877-019-00318-8

Šribar, Andrej, Vlasta Merc, Zoran Peršec, Jasminka Peršec, Ivan Milas i Sanja Husedžinović. "Influence of different PEEP levels on electrical impedance tomography findings in patients under general anesthesia ventilated in the lateral decubitus position." Journal of Clinical Monitoring and Computing 34, br. 2 (2019): 311-318. https://doi.org/10.1007/s10877-019-00318-8

Šribar, A., et al. (2019) 'Influence of different PEEP levels on electrical impedance tomography findings in patients under general anesthesia ventilated in the lateral decubitus position', Journal of Clinical Monitoring and Computing, 34(2), str. 311-318. doi: 10.1007/s10877-019-00318-8

Šribar A, Merc V, Peršec Z, Peršec J, Milas I, Husedžinović S. Influence of different PEEP levels on electrical impedance tomography findings in patients under general anesthesia ventilated in the lateral decubitus position. Journal of Clinical Monitoring and Computing [Internet]. 2019. [pristupljeno 26.11.2024.];34(2):311-318. doi: 10.1007/s10877-019-00318-8

A. Šribar, V. Merc, Z. Peršec, J. Peršec, I. Milas i S. Husedžinović, "Influence of different PEEP levels on electrical impedance tomography findings in patients under general anesthesia ventilated in the lateral decubitus position", Journal of Clinical Monitoring and Computing, vol. 34, br. 2, str. 311-318, 2019. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:127:912909. [Citirano: 26.11.2024.]

Za citiranje koristite ovu mrežnu adresu: https://urn.nsk.hr/urn:nbn:hr:127:912909
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Naslov (engleski)Influence of different PEEP levels on electrical impedance tomography findings in patients under general anesthesia ventilated in the lateral decubitus position
AutorAndrej Šribar
AutorVlasta Merc
AutorZoran Peršec
AutorJasminka Peršec
AutorIvan Milas
AutorSanja Husedžinović
Autorova ustanovaSveučilište Sjever
Autorova ustanova(Klinička bolnica Dubrava)
Autorova ustanova(Klinički bolnički centar Sestre milosrdnice)
Autorova ustanovaSveučilište u Zagrebu
Stomatološki fakultet
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Sažetak (engleski)
To determine the effect of various PEEP levels on electrical impedance tomography (EIT) measured differences in regional ventilation, hemodynamics, lung mechanics and parameters of alveolar gas exchange. Thirty three patients scheduled for elective urologic surgery in general anesthesia in lateral decubitus position were randomized into three groups—PEEP 0, 5 and 10 mbar. EIT recording, arterial blood gas analysis and hemodynamic parameters were captured at three timepoints—before induction (T0), 5 min after lateral positioning (T1) and 90 min after positioning (T2). Dynamic compliance (Cdyn) was measured at T1 and T2. Offline EIT data analysis was performed to calculate EIT derived parameters of ventilation distribution. Patients ventilated with PEEP of 10 mbar had a significantly lower A-a (alveolo arterial) gradient over measurements and symmetrical distribution of ventilation measured by EIT. There was no significant difference in Cdyn, center of ventilation indices and inhomogeneity index between groups. There was no difference of mean arterial pressure, cardiac index and heart rate between groups. Patients with 5 mbar of PEEP had higher stroke volume index compared to 0 and 10 mbar at baseline and over measurements. Nondependent/dependent TV ratio as well as global inhomogeneity index were correlated with A-a gradient. Dynamic compliance showed no correlation to A-a gradient. In our study, a PEEP level of 10 mbar improved alveolar gas exchange without compromising hemodynamic stability in patients mechanically ventilated in the lateral decubitus position. EIT measured parameters may be used to determine optimal ventilation parameters in these patients with inhomogeneous lung mechanics. Further studies are needed in patients with various lung pathologies.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Izvorni znanstveni rad
Status objaveObjavljen
Vrsta recenzijeRecenziran - međunarodna recenzija
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaJournal of Clinical Monitoring and Computing
Brojčani podacivol. 34, br. 2, str. 311-318
p-ISSN1387-1307
e-ISSN1573-2614
DOIhttps://doi.org/10.1007/s10877-019-00318-8
URN:NBNurn:nbn:hr:127:912909
Datum objave publikacije2019
URL dokumentahttp://link.springer.com/10.1007/s10877-019-00318-8
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Zaštićeno autorskim pravom.
Datum i vrijeme pohrane2024-10-23 11:08:13