Volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation
BackgroundThe purpose of this study was to investigate the changes in airway pressure and arterial oxygenation between ventilation modes during one-lung ventilation (OLV) in patients undergoing thoracic surgery.MethodsWe enrolled 27 patients for thoracic surgery with OLV in the lateral decubitus pos...
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doaj-5949710508fb4c07ada4d8f9c725ede52020-11-25T03:43:54ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632014-10-0167425826310.4097/kjae.2014.67.4.2587929Volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilationSeok Young Song0Jin Yong Jung1Min-Su Cho2Jong Hae Kim3Tae Ha Ryu4Bong IL Kim5Department of Anesthesiology and Pain Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.Department of Anesthesiology and Pain Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.Department of Anesthesiology and Pain Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.Department of Anesthesiology and Pain Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.Department of Anesthesiology and Pain Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.Department of Anesthesiology and Pain Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.BackgroundThe purpose of this study was to investigate the changes in airway pressure and arterial oxygenation between ventilation modes during one-lung ventilation (OLV) in patients undergoing thoracic surgery.MethodsWe enrolled 27 patients for thoracic surgery with OLV in the lateral decubitus position. The subjects received various modes of ventilation in random sequences during surgery, including volume-controlled ventilation (VCV) and pressure-controlled ventilation-volume guaranteed (PCV-VG) with a tidal volume (TV) of 8 ml/kg of actual body weight. Target-controlled infusion (TCI) with propofol and remifentanil was used for anesthesia induction and maintenance. After double-lumen endobronchial tube (DLT) insertion, the proper positioning of the DLT was assessed using a fiberoptic bronchoscope. Peak inspiratory pressure (Ppeak), exhaled TV, and arterial blood gas were measured 30 min after each ventilation mode.ResultsPpeak was significantly reduced with the PCV-VG mode (19.6 ± 2.5 cmH2O) compared with the VCV mode (23.2 ± 3.1 cmH2O) (P < 0.000). However, no difference in arterial oxygen tension was noted between the groups (PCV-VG, 375.8 ± 145.1 mmHg; VCV, 328.1 ± 123.7 mmHg) (P = 0.063). The exhaled TV was also significantly increased in PCV-VG compared with VCV (451.4 ± 85.4 vs. 443.9 ± 85.9 ml; P = 0.035).ConclusionsDuring OLV in patients with normal lung function, although PCV-VG did not provide significantly improved arterial oxygen tension compared with VCV, PCV-VG provided significantly attenuated airway pressure despite significantly increased exhaled TV compared with VCV.http://ekja.org/upload/pdf/kjae-67-258.pdfairway pressurearterial oxygenationone-lung ventilationpressure-controlled ventilation-volume guaranteed |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Seok Young Song Jin Yong Jung Min-Su Cho Jong Hae Kim Tae Ha Ryu Bong IL Kim |
spellingShingle |
Seok Young Song Jin Yong Jung Min-Su Cho Jong Hae Kim Tae Ha Ryu Bong IL Kim Volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation Korean Journal of Anesthesiology airway pressure arterial oxygenation one-lung ventilation pressure-controlled ventilation-volume guaranteed |
author_facet |
Seok Young Song Jin Yong Jung Min-Su Cho Jong Hae Kim Tae Ha Ryu Bong IL Kim |
author_sort |
Seok Young Song |
title |
Volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation |
title_short |
Volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation |
title_full |
Volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation |
title_fullStr |
Volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation |
title_full_unstemmed |
Volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation |
title_sort |
volume-controlled versus pressure-controlled ventilation-volume guaranteed mode during one-lung ventilation |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2014-10-01 |
description |
BackgroundThe purpose of this study was to investigate the changes in airway pressure and arterial oxygenation between ventilation modes during one-lung ventilation (OLV) in patients undergoing thoracic surgery.MethodsWe enrolled 27 patients for thoracic surgery with OLV in the lateral decubitus position. The subjects received various modes of ventilation in random sequences during surgery, including volume-controlled ventilation (VCV) and pressure-controlled ventilation-volume guaranteed (PCV-VG) with a tidal volume (TV) of 8 ml/kg of actual body weight. Target-controlled infusion (TCI) with propofol and remifentanil was used for anesthesia induction and maintenance. After double-lumen endobronchial tube (DLT) insertion, the proper positioning of the DLT was assessed using a fiberoptic bronchoscope. Peak inspiratory pressure (Ppeak), exhaled TV, and arterial blood gas were measured 30 min after each ventilation mode.ResultsPpeak was significantly reduced with the PCV-VG mode (19.6 ± 2.5 cmH2O) compared with the VCV mode (23.2 ± 3.1 cmH2O) (P < 0.000). However, no difference in arterial oxygen tension was noted between the groups (PCV-VG, 375.8 ± 145.1 mmHg; VCV, 328.1 ± 123.7 mmHg) (P = 0.063). The exhaled TV was also significantly increased in PCV-VG compared with VCV (451.4 ± 85.4 vs. 443.9 ± 85.9 ml; P = 0.035).ConclusionsDuring OLV in patients with normal lung function, although PCV-VG did not provide significantly improved arterial oxygen tension compared with VCV, PCV-VG provided significantly attenuated airway pressure despite significantly increased exhaled TV compared with VCV. |
topic |
airway pressure arterial oxygenation one-lung ventilation pressure-controlled ventilation-volume guaranteed |
url |
http://ekja.org/upload/pdf/kjae-67-258.pdf |
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