Clinical analysis of different anesthesia methods for pulmonary infection after perioperative operation

被引:1
作者
Huang, Qingqing [1 ]
Weng, Digui [1 ]
Yuan, Jinqiang [1 ]
Liang, Yagui [1 ]
Cai, Sanying [1 ]
Jiang, Runnian [1 ]
机构
[1] Fujian Med Univ, Mindong Hosp, Dept Anesthesiol, 89 Heshan Rd,Chengnan St, Fuan 355000, Fujian, Peoples R China
关键词
Anesthesia; Pulmonary infection; Perioperative operation; Treatment;
D O I
10.1016/j.jiph.2019.09.011
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The purpose is to explore the effect of different anesthesia methods on pulmonary infection after the operation. 120 patients who underwent surgery from January 2015 to August 2018 were selected in three groups: group A (n = 40), group B (n = 40), and group C (n = 40). Group A was given inhalation anesthesia, group B was given total intravenous anesthesia, and group C was given epidural block combined with general anesthesia. In addition to lung imaging examination, the postoperative parameters of patients such as leukocyte count and mean arterial pressure were recorded. Through image analysis, the case of pulmonary infection after epidural block combined with general anesthesia was 1, while that of inhalation anesthesia and intravenous injection was 7 and 8. In terms of the fluctuation of heart rate and mean arterial pressure, patients in group C had lower levels of heart rate and mean arterial pressure, while patients in groups A and B had higher levels of these parameters. There was no significant difference between inhalation anesthesia and intravenous injection for pulmonary infection after the operation. Thus, it can be concluded that the negative effects of epidural block combined with general anesthesia are much less than those of the other two anesthesia methods, which has the smallest effect on pulmonary infection after the operation. Therefore, the epidural block combined with general anesthesia has the smallest effect on pulmonary infection after the operation. This study is of great significance, and more anesthesia methods can be further studied in subsequent works. (C) 2019 The Authors. Published by Elsevier Ltd on behalf of King Saud Bin Abdulaziz University for Health Sciences.
引用
收藏
页码:71 / 76
页数:6
相关论文
共 17 条
[1]   Clinical Practice Guidelines for Enhanced Recovery After Colon and Rectal Surgery From the American Society of Colon and Rectal Surgeons and Society of American Gastrointestinal and Endoscopic Surgeons [J].
Carmichael, Joseph C. ;
Keller, Deborah S. ;
Baldini, Gabriele ;
Bordeianou, Liliana ;
Weiss, Eric ;
Lee, Lawrence ;
Boutros, Marylise ;
McClane, James ;
Feldman, Liane S. ;
Steele, Scott R. .
DISEASES OF THE COLON & RECTUM, 2017, 60 (08) :761-784
[2]   Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council [J].
Chou, Roger ;
Gordon, Debra B. ;
de Leon-Casasola, Oscar A. ;
Rosenberg, Jack M. ;
Bickler, Stephen ;
Brennan, Tim ;
Carter, Todd ;
Cassidy, Carla L. ;
Chittenden, Eva Hall ;
Degenhardt, Ernest ;
Griffith, Scott ;
Manworren, Renee ;
McCarberg, Bill ;
Montgomery, Robert ;
Murphy, Jamie ;
Perkal, Melissa F. ;
Suresh, Santhanam ;
Sluka, Kathleen ;
Strassels, Scott ;
Thirlby, Richard ;
Viscusi, Eugene ;
Walco, Gary A. ;
Warner, Lisa ;
Weisman, Steven J. ;
Wu, Christopher L. .
JOURNAL OF PAIN, 2016, 17 (02) :131-157
[3]   Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice [J].
Feldheiser, A. ;
Aziz, O. ;
Baldini, G. ;
Cox, B. P. B. W. ;
Fearon, K. C. H. ;
Feldman, L. S. ;
Gan, T. J. ;
Kennedy, R. H. ;
Ljungqvist, O. ;
Lobo, D. N. ;
Miller, T. ;
Radtke, F. F. ;
Ruiz Garces, T. ;
Schricker, T. ;
Scott, M. J. ;
Thacker, J. K. ;
Ytrebo, L. M. ;
Carli, F. .
ACTA ANAESTHESIOLOGICA SCANDINAVICA, 2016, 60 (03) :289-334
[4]   Perioperative benefit and outcome of thoracic epidural in esophageal surgery: a clinical review [J].
Feltracco, P. ;
Bortolato, A. ;
Barbieri, S. ;
Michieletto, E. ;
Serra, E. ;
Ruol, A. ;
Merigliano, S. ;
Ori, C. .
DISEASES OF THE ESOPHAGUS, 2018, 31 (05)
[5]   Postoperative Pulmonary Complications, Early Mortality, and Hospital Stay Following Noncardiothoracic Surgery A Multicenter Study by the Perioperative Research Network Investigators [J].
Fernandez-Bustamante, Ana ;
Frendl, Gyorgy ;
Sprung, Juraj ;
Kor, Daryl J. ;
Subramaniam, Bala ;
Ruiz, Ricardo Martinez ;
Lee, Jae-Woo ;
Henderson, William G. ;
Moss, Angela ;
Mehdiratta, Nitin ;
Colwell, Megan M. ;
Bartels, Karsten ;
Kolodzie, Kerstin ;
Giquel, Jadelis ;
Melo, Marcos Francisco Vidal .
JAMA SURGERY, 2017, 152 (02) :157-166
[6]   Individualised perioperative open-lung approach versus standard protective ventilation in abdominal surgery (iPROVE): a randomised controlled trial [J].
Ferrando, Carlos ;
Soro, Marina ;
Unzueta, Carmen ;
Suarez-Sipmann, Fernando ;
Canet, Jaume ;
Librero, Julian ;
Pozo, Natividad ;
Peiro, Salvador ;
Llombart, Alicia ;
Leon, Irene ;
India, Inmaculada ;
Aldecoa, Cesar ;
Diaz-Cambronero, Oscar ;
Pestana, David ;
Redondo, Francisco J. ;
Garutti, Ignacio ;
Balust, Jaume ;
Garcia, Jose I. ;
Ibanez, Maite ;
Granell, Manuel ;
Rodriguez, Aurelio ;
Gallego, Lucia ;
de la Matta, Manuel ;
Gonzalez, Rafael ;
Brunelli, Andrea ;
Garcia, Javier ;
Rovira, Lucas ;
Barrios, Francisco ;
Torres, Vicente ;
Hernandez, Samuel ;
Gracia, Estefania ;
Gine, Marta ;
Garcia, Maria ;
Garcia, Nuria ;
Miguel, Lisset ;
Sanchez, Sergio ;
Pineiro, Patricia ;
Pujol, Roger ;
Garcia-del-Valle, Santiago ;
Valdivia, Jose ;
Hernandez, Maria J. ;
Padron, Oto ;
Colas, Ana ;
Puig, Jaume ;
Azparren, Gonzalo ;
Tusman, Gerardo ;
Villar, Jesus ;
Belda, Javier .
LANCET RESPIRATORY MEDICINE, 2018, 6 (03) :193-203
[7]   Effect of Individualized vs Standard Blood Pressure Management Strategies on Postoperative Organ Dysfunction Among High-Risk Patients Undergoing Major Surgery A Randomized Clinical Trial [J].
Futier, Emmanuel ;
Lefrant, Jean-Yves ;
Guinot, Pierre-Gregoire ;
Godet, Thomas ;
Lorne, Emmanuel ;
Cuvillon, Philippe ;
Bertran, Sebastien ;
Leone, Marc ;
Pastene, Bruno ;
Piriou, Vincent ;
Molliex, Serge ;
Albanese, Jacques ;
Julia, Jean-Michel ;
Tavernier, Benoit ;
Imhoff, Etienne ;
Bazin, Jean-Etienne ;
Constantin, Jean-Michel ;
Pereira, Bruno ;
Jaber, Samir .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2017, 318 (14) :1346-1357
[8]  
Grant MC, 2017, ANN SURG, V265, P68, DOI [10.1097/SLA.0000000000001703, 10.1097/sla.0000000000001703]
[9]   Postoperative Complications in Patients With Unrecognized Obesity Hypoventilation Syndrome Undergoing Elective Noncardiac Surgery [J].
Kaw, Roop ;
Bhateja, Priyanka ;
Paz y Mar, Hugo ;
Hernandez, Adrian V. ;
Ramaswamy, Anuradha ;
Deshpande, Abhishek ;
Aboussouan, Loutfi S. .
CHEST, 2016, 149 (01) :84-91
[10]   Effect of Intensive vs Moderate Alveolar Recruitment Strategies Added to Lung-Protective Ventilation on Postoperative Pulmonary Complications A Randomized Clinical Trial [J].
Leme, Alcino Costa ;
Hajjar, Ludhmila Abrahao ;
Volpe, Marcia S. ;
Fukushima, Julia Tizue ;
De Santis Santiago, Roberta Ribeiro ;
Osawa, Eduardo A. ;
de Almeida, Juliano Pinheiro ;
Gerent, Aline Muller ;
Franco, Rafael Alves ;
Zanetti Feltrim, Maria Ignez ;
Nozawa, Emilia ;
de Moraes Coimbra, Vera Regina ;
Ianotti, Rafael de Moraes ;
Hashizume, Clarice Shiguemi ;
Kalil Filho, Roberto ;
Costa Auler, Jose Otavio, Jr. ;
Jatene, Fabio Biscegli ;
Barbosa Gomes Galas, Filomena Regina ;
Passos Amato, Marcelo Britto .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2017, 317 (14) :1422-1432