Cardiopulmonary Bypass and Perioperative Mechanical Ventilation Strategy: National Turkey Study

Yavuz Orak; Feyza Çalışır; Hafize Öksüz; Türkan Kudsioglu; Ömer Faruk Boran; İlker Solmaz; Adem Doğaner

Makale detayları

Cardiopulmonary Bypass and Perioperative Mechanical Ventilation Strategy: National Turkey Study

Yazarlar:

Yavuz Orak | Feyza Çalışır | Hafize Öksüz | Türkan Kudsioglu | Ömer Faruk Boran | İlker Solmaz | Adem Doğaner

Yayıncı:

Kahramanmaras Sutcu Imam University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.19 Issue 2, pp.5-14

Belge Tipi:

Makale

Yayın Tarihi:

7/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001322846

pISSN:

1303-6610

Anahtar kelimeler:

Özet:

 Objective: This study aims to describe anesthesiologists perioperative mechanical ventilation strategies in cases where cardiopulmonary bypass CPB is performed in Turkey. Material and Methods: Survey questions were sent twice via e-mail to members of the two associations consisting of specialists in Anesthesiology and Reanimation. The questions were divided into three parts to determine anesthesia applications and mechanical ventilation strategies in the preoperative, intraoperative, and postoperative periods of CPB. Results: The questionnaire was provided with the participation of 269 anesthesiologists. 105 40.2 participants stated that the number of intensive care unit beds in their hospital was over 20. A 6 mlkg 42.5 coefficient is preferred in calculating tidal volume outside the CPB process. The number of participants who preferred low 0-5 cmH2O positive end-expiratory pressure PEEP throughout the surgery was 41.1. 40.8 of the participants prefer 5-10 cmH2O PEEP in hemodynamically stable and obese patients. During the CPB process, 38.3 of the participants turned off the mechanical ventilator, and 24.4  preferred to wean the patient from the mechanical ventilator. While 35.8  of anesthesia specialists preferred recruitment maneuvers, 38.9 did not. It was concluded that 51 of the participants preferred non-invasive ventilation in patients with hypoxemiahypercapnia, and 55.1 applied pulmonary rehabilitation after extubation to all patients. Conclusion: Our study showed that the mechanical ventilation strategies followed by most anesthesiologists in CPB in Turkey are similar.

 Objective: This study aims to describe anesthesiologists perioperative mechanical ventilation strategies in cases where cardiopulmonary bypass CPB is performed in Turkey. Material and Methods: Survey questions were sent twice via e-mail to members of the two associations consisting of specialists in Anesthesiology and Reanimation. The questions were divided into three parts to determine anesthesia applications and mechanical ventilation strategies in the preoperative, intraoperative, and postoperative periods of CPB. Results: The questionnaire was provided with the participation of 269 anesthesiologists. 105 40.2 participants stated that the number of intensive care unit beds in their hospital was over 20. A 6 mlkg 42.5 coefficient is preferred in calculating tidal volume outside the CPB process. The number of participants who preferred low 0-5 cmH2O positive end-expiratory pressure PEEP throughout the surgery was 41.1. 40.8 of the participants prefer 5-10 cmH2O PEEP in hemodynamically stable and obese patients. During the CPB process, 38.3 of the participants turned off the mechanical ventilator, and 24.4  preferred to wean the patient from the mechanical ventilator. While 35.8  of anesthesia specialists preferred recruitment maneuvers, 38.9 did not. It was concluded that 51 of the participants preferred non-invasive ventilation in patients with hypoxemiahypercapnia, and 55.1 applied pulmonary rehabilitation after extubation to all patients. Conclusion: Our study showed that the mechanical ventilation strategies followed by most anesthesiologists in CPB in Turkey are similar.

 Objective: This study aims to describe anesthesiologists perioperative mechanical ventilation strategies in cases where cardiopulmonary bypass CPB is performed in Turkey. Material and Methods: Survey questions were sent twice via e-mail to members of the two associations consisting of specialists in Anesthesiology and Reanimation. The questions were divided into three parts to determine anesthesia applications and mechanical ventilation strategies in the preoperative, intraoperative, and postoperative periods of CPB. Results: The questionnaire was provided with the participation of 269 anesthesiologists. 105 40.2 participants stated that the number of intensive care unit beds in their hospital was over 20. A 6 mlkg 42.5 coefficient is preferred in calculating tidal volume outside the CPB process. The number of participants who preferred low 0-5 cmH2O positive end-expiratory pressure PEEP throughout the surgery was 41.1. 40.8 of the participants prefer 5-10 cmH2O PEEP in hemodynamically stable and obese patients. During the CPB process, 38.3 of the participants turned off the mechanical ventilator, and 24.4  preferred to wean the patient from the mechanical ventilator. While 35.8  of anesthesia specialists preferred recruitment maneuvers, 38.9 did not. It was concluded that 51 of the participants preferred non-invasive ventilation in patients with hypoxemiahypercapnia, and 55.1 applied pulmonary rehabilitation after extubation to all patients. Conclusion: Our study showed that the mechanical ventilation strategies followed by most anesthesiologists in CPB in Turkey are similar.

 Amaç: Bu çalışma, kardiyopulmoner baypas KPB uygulanan durumlarda Türkiyedeki anestezi uzmanlarının perioperatif mekanik ventilasyon stratejilerini tanımlamayı amaçlamaktadır. Gereç ve Yöntemler: Anesteziyoloji ve Reanimasyon uzmanlarından oluşan iki derneğin üyelerine e-posta yoluyla iki kez anket soruları gönderildi. Sorular, KPB cerrahisinde preoperatif, intraoperatif ve postoperatif dönemlerde anestezi uygulamaları ve mekanik ventilasyon stratejilerini belirlemek için üç bölüme ayrılmıştır. Bulgular: Ankete 269 anestezi uzmanı katıldı. Katılımcıların 105i 40.2 hastanelerindeki yoğun bakım ünitesi yatak sayısının 20nin üzerinde olduğunu belirtti. KPB süreci dışında tidal volüm hesaplanmasında 6 mlkg 42.5 katsayısının kullanımı tercih edilmektedir. Ameliyat boyunca düşük 0-5 cmH2O pozitif ekspiryum sonu basıncı PEEP tercih eden katılımcı sayısı 41.1 idi. Katılımcıların 40.8i hemodinamik olarak stabil ve obez hastalarda 5-10 cmH2O PEEP tercih etmektedir. KPB sürecinde katılımcıların 38.3ü mekanik ventilatörü kapatmaktadır, 24.4ü hastayı mekanik ventilatörden ayırmayı tercih etmektedir. Anestezi uzmanlarının 35.8i rekruitment manevralarını tercih ederken, 38.9u tercih etmemiştir. Katılımcıların 51inin hipoksemihiperkapnisi olan hastalarda non-invaziv ventilasyonu tercih ettiği ve 55.1inin tüm hastalara ekstübasyon sonrası pulmoner rehabilitasyon uyguladığı sonucuna varıldı. Sonuç: Çalışmamız, Türkiyede KPB cerrahisinde çoğu anestezi uzmanının izlediği mekanik ventilasyon stratejilerinin benzer olduğunu göstermiştir.

Makale detayları

Cardiopulmonary Bypass and Perioperative Mechanical Ventilation Strategy: National Turkey Study

Yazarlar:

Yavuz Orak | Feyza Çalışır | Hafize Öksüz | Türkan Kudsioglu | Ömer Faruk Boran | İlker Solmaz | Adem Doğaner

Yayıncı:

Kahramanmaras Sutcu Imam University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.19 Issue 2, pp.5-14

Belge Tipi:

Makale

Yayın Tarihi:

7/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001322846

pISSN:

1303-6610

Anesthesiologists

Cardiopulmonary Bypass

Cardiac Surgery

Guidelines

Mechanical Ventilation.Anestezi uzmanları

Kardiyopulmoner Baypas

Kardiyak Cerrahi

Kılavuzlar

Mekanik Ventilasyon.

Sayı

Makale detayları

Yazarlar: Yavuz Orak | Feyza Çalışır | Hafize Öksüz | Türkan Kudsioglu | Ömer Faruk Boran | İlker Solmaz | Adem Doğaner

Yayıncı: Kahramanmaras Sutcu Imam University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.19 Issue 2, pp.5-14

Belge Tipi: Makale

Yayın Tarihi: 7/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001322846

pISSN: 1303-6610

Sayı

Yazarlar:

Yavuz Orak | Feyza Çalışır | Hafize Öksüz | Türkan Kudsioglu | Ömer Faruk Boran | İlker Solmaz | Adem Doğaner

Yayıncı:

Kahramanmaras Sutcu Imam University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi Vol.19 Issue 2, pp.5-14

Belge Tipi:

Makale

Yayın Tarihi:

7/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001322846

pISSN:

1303-6610