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112315

Pressure Controlled Ventilation versus Volume-Controlled Ventilation Regarding Hemodynamics and Stress Response for Posterior Lumbar Spine Surgeries in The Prone Position

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Last updated: 30 Jan 2023

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Abstract

Background: Prone positioning may induce alterations of airway pressures and hemodynamic that may affect intraoperative blood loss. Ventilation mode may modify these alterations.
Objective: Our study aimed to differences between pressure-controlled ventilation (PCV) and volume-controlled ventilation (VCV) in their effects on hemodynamic changes during posterior lumbar surgeries performed in the prone position.
Patients and Methods: This is a prospective randomized controlled study, which was performed in the Department of Anaesthesiology and Surgical ICU, Aswan university, Egypt at the duration from 1-6-2017 to 13-12-2018 for 60 patients who had posterior lumbar spine surgery in prone position who were eligible to inclusion/exclusion criteria divided into two groups; Group (I) were received VCV mode (n = 30) and Group (II) were received PCV mode (n = 30) then study parameters were recorded intraoperatively and postoperatively in the two groups of ventilation modes. Results: As regarding heart rate, mean arterial blood pressure, serum glucose level, and serum cortisol level, they were statistically significantly lower in PCV group than VCV group both intraoperative and postoperative which reflects that stress response is lower with PCV more than VCV and that may have also a rule in decreasing intraoperative blood loss and improving the surgical field in these surgeries.
Conclusions: for lumbar spine surgeries in the prone position, PCV was associated with decreased HR, blood pressure, cortisol, glucose levels compared with VCV. The stress response is lesser with PCV which is better for this type of patients.

DOI

10.21608/ejhm.2020.112315

Keywords

Pressure-Controlled Ventilation, Volume-Controlled Ventilation, Hemodynamic changes, Lumbar spine surgery

Authors

First Name

Ahmed Mohamed Reda

Last Name

Ragheb

MiddleName

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Affiliation

Department of Anaesthesiology and Intensive care, Faculty of Medicine – Aswan University, Aswan

Email

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City

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Orcid

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First Name

Ahmed ELSaied

Last Name

Abdul Rahman

MiddleName

-

Affiliation

Department of Anesthesiology and Intensive care, Faculty of Medicine – Sohag University, Sohag, Egypt

Email

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City

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Orcid

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First Name

Ayman Mohamady

Last Name

Aldemrdash

MiddleName

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Affiliation

Department of Anaesthesiology and Intensive care, Faculty of Medicine – Aswan University, Aswan

Email

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City

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Orcid

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First Name

Sherif Kamal Hafez

Last Name

Arafa

MiddleName

-

Affiliation

Department of Anaesthesiology and Intensive care, Faculty of Medicine – Aswan University, Aswan

Email

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City

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Orcid

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Volume

81

Article Issue

1

Related Issue

16813

Issue Date

2020-10-01

Receive Date

2020-09-13

Publish Date

2020-10-01

Page Start

1,262

Page End

1,268

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 1_Pages 1262-1268.pdf

PDF . 690.6kB

Link

https://ejhm.journals.ekb.eg/article_112315.html

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https://ejhm.journals.ekb.eg/service?article_code=112315

Order

17

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

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Article

Created At

22 Jan 2023