전신마취를 이용한 수술에서 수술부위에 따른 폐기능의 회복
- Alternative Title
- Recovery of pulmonary functions according to the operative sites after general anesthesia
- Abstract
- Background: After general anesthesia, decrease of functional residual capacity and lung compliance, ventilation/perfusion imbalance, and transpulmonary shunting can provoke hypoxemia during postoperative periods. Diaphragmatic dysfunction may be the main cause of these physiological abnormalities. Thus, we evaluated the change of pulmonary function after general anesthesia according to the operative sites, which could suggest clinical course and critical period of respiratory care of postoperative patients. Method: Preoperative portable spirometric evaluation and arterial blood gas analysis were performed at sitting or most-sitting position just previous day of surgery. Pulmonary function tests were also as same condition from postoperative day 1 to day 5. Results: 1) For thoracic surgery, FEV1 and FVC were not recovered at day 5, but FEV1/FVC was not decreased. $PaCO_2$ was slightly elevated at postoperative one day. 2) After upper abdominal surgery, postoperative day 5 did not show the recovery of FEV1 and FVC, but mild hypoxemia was developed at postoperative day 1. 3) Pulmonary function was recovered as preoperative value at postoperative day 5 in lower abdominal operation, but mild hypoxemia was also noted at postoperative day 1. 4) Surgery of peripheral areas did not show significant pulmonary function change and hypoxemia and hypercapnia from postoperative day 1. Conclusion: Surgery involving diaphragm provoke significant postoperative pulmonary function change after day 5. For the operation of peripheral sites adequate respiratory care during operation and postoperative period within 24 hours could prevent patients from respiratory complication.
- All Author(s)
- 김현태
; 이상무
; 어수택
; 정연태
; 김용훈
; 박춘식
- Issued Date
- 1993
- Type
- Article
- Keyword
- Postoperative hypoxemia; Diaphragm dysfunction; Pulmonary function test
- Publisher
- 대한결핵및호흡기학회
- ISSN
- 0378-0066
; 1738-3536
; 2005-6184
- Citation Title
- 결핵 및 호흡기질환
Tuberculosis and Respiratory Disease
- Citation Volume
- 40
- Citation Number
- 3
- Citation Start Page
- 250
- Citation End Page
- 258
- Language(ISO)
- kor
- DOI
- 10.4046/trd.1993.40.3.250
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/542
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