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Published: 2024-09-26
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DOI: https://doi.org/10.52163/yhc.v65iCD9.1517
Issue
Vol. 65 No. CD9 - Hội Gây mê Hồi sức
Section
Articles
How to Cite
Quang, Đặng T., Thắng, C. Q., & Dung, Đào T. K. (2024). 10. EVALUATE THE EFFECTIVENESS OF IMPROVING RESPIRATORY FUNCTION AND BLOOD OXYGENATION OF CPAP METHOD ON JPAP DEVICE IN ELDERLY PATIENTS AFTER ABDOMINAL SURGERY. Vietnam Journal of Community Medicine, 65(CD9 - Hội Gây mê Hồi sức). https://doi.org/10.52163/yhc.v65iCD9.1517

10. EVALUATE THE EFFECTIVENESS OF IMPROVING RESPIRATORY FUNCTION AND BLOOD OXYGENATION OF CPAP METHOD ON JPAP DEVICE IN ELDERLY PATIENTS AFTER ABDOMINAL SURGERY

Dang Tuan Quang1, Cong Quyet Thang2, Dao Thi Kim Dung1
1 Center of Anesthesia and Surgical Intensive Care, Viet Duc University Hospital
2 Department of Anesthesiology and Intensive Care, Friendship Hospital

Main Article Content

Abstract

Ojective: This study aims to evaluate the effect on pulmonary function tests after abdominal surgery in the elderly treated postoperatively with CPAP in JPAP device versus traditional oxygen delivery systems.


Patients and method: 60 patients aged 60 years or older undergoing abdominal surgery were divided into 2 groups. Both groups were given oxygen at 5 liters/minute. In addition, the experimental group received CPAP through the nasal mask after surgery for 4 hours.


Results: 60 patients (36 male, 24 female) were divided into 2 groups, each group of 30 patients. There were no significant differences between the 2 groups in terms of age, gender, BMI, ASA, type of surgery and surgery time. In the experimental group, there was an improvement in respiratory rate, SpO2 and PaO2 compared to the control group. Specifically, breathing rate, SpO2, PaO2 in the intervention group were 15.9 ± 1.3; 96.0 ± 0.9; 79.8 ± 5.0 respectively; compared to 15.1 ± 1.6; 95.0 ± 1.2; 77.2 ± 5.9 in the control group (p < 0.05). There was no difference in FEV1, FVC, FEV1/FVC, PEF between the 2 groups (p > 0.05).


Conclusion: The JPAP device with CPAP breathing mode is a convenient, safe device that effectively improves some pulmonary function tests after abdominal surgery in the elderly.

Article Details

Keywords

Continuous positive airway pressure, elderly patients, abdominal surgery

References

[1] Lindner KH, Lotz P, Ahnefeld FW, Continuous positive airway pressure effect on functional residual capacity, vital capacity and its subdivisions, Chest, Jul 1987, 92(1): 66-70.
[2] Vennelle M, White S, Riha RL, Mackay TW, Engleman HM, Douglas NJ, Randomized controlled trial of variable-pressure versus fixed-pressure continuous positive airway pressure (CPAP) treatment for patients with obstructive sleep apnea/hypopnea syndrome (OSAHS), Sleep, Feb 2010, 33(2): 267-71.
[3] Canet J, Gallart L, Gomar C et al, Prediction of postoperative pulmonary complications in a population-based surgical cohort, Anesthesiology, Dec 2010, 113(6): 1338-50.
[4] Mikhail’s M, Geriatric anesthesia, Clinical anesthesiology 5nd, 2013, 907-917.
[5] Nguyễn Xuân Thọ, Nghiên cứu hiệu quả thở áp lực dương liên tục (CPAP Boussignac) giai đoạn sau mổ bụng trên ở người cao tuổi, Luận văn thạc sỹ y học, Trường Đại học Y Hà Nội, 2013.
[6] Ngọc Tiền, So sánh hiệu quả của BiPAP ST với Boussignac trên một số chỉ số lâm sàng, cận lâm sàng sau phẫu thuật ở người cao tuổi, Luận văn thạc sỹ y học, Trường Đại học Y Hà Nội, 2019.
[7] Pasin L, Nardelli P, Belletti A et al, Pulmonary Complications After Open Abdominal Aortic Surgery: A Systematic Review and Meta-Analysis, J Cardiothorac Vasc Anesth, Apr 2017, 31(2): 562-568.
[8] Bradley TD, Holloway RM, McLaughlin PR, Ross BL, Walters J, Liu PP, Cardiac output response to continuous positive airway pressure in congestive heart failure, Am Rev Respir Dis, Feb 1992, 145 (2 Pt 1): 377-82.
[9] Guimaraes J, Pinho D, Nunes CS, Cavaleiro CS, Machado HS, Effect of Boussignac continuous positive airway pressure ventilation on PaO2 and PaO2/FiO2 ratio immediately after extubation in morbidly obese patients undergoing bariatric surgery: a randomized controlled trial, J Clin Anesth, Nov 2016,34: 562-70.