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10.1111/aas.13525

http://scihub22266oqcxt.onion/10.1111/aas.13525
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31830306!ä!31830306

suck abstract from ncbi


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pmid31830306      Acta+Anaesthesiol+Scand 2020 ; 64 (4): 517-525
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  • Redistribution of pulmonary ventilation after lung surgery detected with electrical impedance tomography #MMPMID31830306
  • Lehmann M; Oehler B; Zuber J; Malzahn U; Walles T; Muellenbach RM; Roewer N; Kredel M
  • Acta Anaesthesiol Scand 2020[Apr]; 64 (4): 517-525 PMID31830306show ga
  • BACKGROUND: Regional ventilation of the lung can be visualized by pulmonary electrical impedance tomography (EIT). The aim of this study was to examine the post-operative redistribution of regional ventilation after lung surgery dependent on the side of surgery and its association with forced vital capacity. METHODS: In this prospective, observational cohort study 13 patients undergoing right and 13 patients undergoing left-sided open or video-thoracoscopic procedures have been investigated. Pre-operative measurements with EIT and spirometry were compared with data obtained 3 days post-operation. The center of ventilation (COV) within a 32 x 32 pixel matrix was calculated from EIT data. The transverse axis coordinate of COV, COVx (left/right), was modified to COVx' (ipsilateral/contralateral). Thus, COVx' shows a negative change if ventilation shifts contralateral independent of the side of surgery. This enabled testing with two-way ANOVA for repeated measurements (side, time). RESULTS: The perioperative shift of COVx' was dependent on the side of surgery (P = .007). Ventilation shifted away from the side of surgery after the right-sided surgery (COVx'-1.97 pixel matrix points, P < .001), but not after the left-sided surgery (COVx'-0.61, P = .425). The forced vital capacity (%predicted) decreased from 94 (83-109)% (median [quartiles]; [left-sided]) and 89 (80-97)% (right-sided surgery) to 61 (59-66)% and 62 (40-72)% (P < .05), respectively. The perioperative changes in forced vital capacity (%predicted) were weakly associated with the shift of COVx'. CONCLUSION: Only after right-sided lung surgery, EIT showed reduced ventilation on the side of surgery while vital capacity was markedly reduced in both groups.
  • |*Electric Impedance[MESH]
  • |*Postoperative Period[MESH]
  • |Aged[MESH]
  • |Cohort Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Lung/diagnostic imaging/*physiology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Prospective Studies[MESH]
  • |Pulmonary Ventilation/*physiology[MESH]


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