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Published in: Inflammation 4/2016

01-08-2016 | ORIGINAL ARTICLE

The Effect of Pressure-Controlled Ventilation and Volume-Controlled Ventilation in Prone Position on Pulmonary Mechanics and Inflammatory Markers

Authors: Hasan Şenay, Remziye Sıvacı, Serdar Kokulu, Buğra Koca, Elif Doğan Bakı, Yüksel Ela

Published in: Inflammation | Issue 4/2016

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ABSTRACT

The aim of this present study is to compare the effect of pressure-controlled ventilation and volume-controlled ventilation on pulmonary mechanics and inflammatory markers in prone position. The study included 41 patients undergoing to vertebrae surgery. The patients were randomized into two groups: Group 1 received volume-controlled ventilation, while group 2 received pressure-controlled ventilation. The demographic data, pulmonary mechanics, the inflammatory marker levels just after the induction of anesthetics, at the 6th and 12th hours, and gas analysis from arterial blood samples taken at the beginning and the 30th minute were recorded. The inflammatory marker levels increased in both groups, without any significant difference among groups. Peak inspiratory pressure level was higher in the volume-controlled ventilation group. This study revealed that there is no difference regarding inflammatory marker levels between volume- and pressure-controlled ventilation.
Literature
1.
go back to reference Kim, B.S. 2009. Anesthesia and pain management, 2nd ed, 929–973. Seoul: Elsevier Korea. Kim, B.S. 2009. Anesthesia and pain management, 2nd ed, 929–973. Seoul: Elsevier Korea.
2.
go back to reference Warner, M.A. 2006. Patient positioning. In Clinical anesthesia, 5th ed, ed. P.G. Barash, B.F. Cullen, and R.K. Stoelting, 657–661. Philadelphia: Lippincott-Raven Publishers. Warner, M.A. 2006. Patient positioning. In Clinical anesthesia, 5th ed, ed. P.G. Barash, B.F. Cullen, and R.K. Stoelting, 657–661. Philadelphia: Lippincott-Raven Publishers.
3.
go back to reference Manna, E.M., O.A. Ibraheim, A.H. Samarkandi, W.M. Alotaibi, and S.M. Elwatidy. 2005. The effect of prone position on respiratory mechanics during spinal surgery. Middle East Journal of Anesthesiology 18: 623–630.PubMed Manna, E.M., O.A. Ibraheim, A.H. Samarkandi, W.M. Alotaibi, and S.M. Elwatidy. 2005. The effect of prone position on respiratory mechanics during spinal surgery. Middle East Journal of Anesthesiology 18: 623–630.PubMed
4.
go back to reference Senturk, M. 2006. New concepts of the management of one-lung ventilation. Current Opinion in Anaesthesiology 19(1): 1–4.CrossRefPubMed Senturk, M. 2006. New concepts of the management of one-lung ventilation. Current Opinion in Anaesthesiology 19(1): 1–4.CrossRefPubMed
5.
go back to reference Benumorf, J.L. 2000. Anesthesia for thoracic surgery. In Anesthesia, ed. M. Anesthesia, 1665–2000. Philadephia. Benumorf, J.L. 2000. Anesthesia for thoracic surgery. In Anesthesia, ed. M. Anesthesia, 1665–2000. Philadephia.
6.
go back to reference Longnecker, D.E. 1984. Stres free to be or not to be? In Anaesthesiology, ed. D. E. Longnecker, 643–644. Longnecker, D.E. 1984. Stres free to be or not to be? In Anaesthesiology, ed. D. E. Longnecker, 643–644.
7.
go back to reference Rozet, I., and M.S. Vavilala. 2007. Risks and benefits of patient positioning during neurosurgical care. Anesthesiology Clinics 25(3):631–653. Rozet, I., and M.S. Vavilala. 2007. Risks and benefits of patient positioning during neurosurgical care. Anesthesiology Clinics 25(3):631–653.
8.
go back to reference Krayer, S., et al. 1989. Position and motion of the human diaphragm during anesthesia-paralysis. Anesthesiology 70(6): 891–898.CrossRefPubMed Krayer, S., et al. 1989. Position and motion of the human diaphragm during anesthesia-paralysis. Anesthesiology 70(6): 891–898.CrossRefPubMed
9.
go back to reference Pelosi, P., et al. 1995. The prone positioning during general anesthesia minimally affects respiratory mechanics while improving functional residual capacity and increasing oxygen tension. Anesthesia and Analgesia 80(5): 955–960.PubMed Pelosi, P., et al. 1995. The prone positioning during general anesthesia minimally affects respiratory mechanics while improving functional residual capacity and increasing oxygen tension. Anesthesia and Analgesia 80(5): 955–960.PubMed
10.
go back to reference Jiang, J., B. Li, N. Kang, A. Wu, and Y. Yue. 2015. Pressure-controlled versus volume-controlled ventilation for surgical patients: a systematic review and meta-analysis. Journal of Cardiothoracic and Vascular Anesthesia. Jiang, J., B. Li, N. Kang, A. Wu, and Y. Yue. 2015. Pressure-controlled versus volume-controlled ventilation for surgical patients: a systematic review and meta-analysis. Journal of Cardiothoracic and Vascular Anesthesia.
11.
go back to reference Palmon, S.C., et al. 1998. The effect of the prone position on pulmonary mechanics is frame-dependent. Anesthesia and Analgesia 87(5): 1175–1180.PubMed Palmon, S.C., et al. 1998. The effect of the prone position on pulmonary mechanics is frame-dependent. Anesthesia and Analgesia 87(5): 1175–1180.PubMed
12.
go back to reference Soro, M., et al. 2007. Effects of prone position on alveolar dead space and gas exchange during general anaesthesia in surgery of long duration. European Journal of Anaesthesiology 24(5): 431–437.CrossRefPubMed Soro, M., et al. 2007. Effects of prone position on alveolar dead space and gas exchange during general anaesthesia in surgery of long duration. European Journal of Anaesthesiology 24(5): 431–437.CrossRefPubMed
13.
go back to reference Nam, Y., A.M. Yoon, Y.H. Kim, and S.H. Yoon. 2010. The effect on respiratory mechanics when using a Jackson surgical table in the prone position during spinal surgery. Korean Journal of Anesthesiology 59(5): 323–328. Nam, Y., A.M. Yoon, Y.H. Kim, and S.H. Yoon. 2010. The effect on respiratory mechanics when using a Jackson surgical table in the prone position during spinal surgery. Korean Journal of Anesthesiology 59(5): 323–328.
14.
go back to reference Wahba, R.W., M.J. Tessler, and K.J. Kardash. 1998. Carbon dioxide tensions during anesthesia in the prone position. Anesthesia and Analgesia 86(3): 668–669.CrossRefPubMed Wahba, R.W., M.J. Tessler, and K.J. Kardash. 1998. Carbon dioxide tensions during anesthesia in the prone position. Anesthesia and Analgesia 86(3): 668–669.CrossRefPubMed
15.
go back to reference Manikandan, S. 2002. Effect of surgical position on pulmonary gas exchange in neurosurgical patients. In Effect of surgical position on pulmonary gas exchange in neurosurgical patients, ed. S. Manikandan, Vol. 46. India: Indian J Anaesth. Manikandan, S. 2002. Effect of surgical position on pulmonary gas exchange in neurosurgical patients. In Effect of surgical position on pulmonary gas exchange in neurosurgical patients, ed. S. Manikandan, Vol. 46. India: Indian J Anaesth.
16.
go back to reference Franke, A., et al. 2002. Proinflammatory and antiinflammatory cytokines after cardiac operation: different cellular sources at different times. Annals of Thoracic Surgery 74(2): 363–370. discussion 370–1.CrossRefPubMed Franke, A., et al. 2002. Proinflammatory and antiinflammatory cytokines after cardiac operation: different cellular sources at different times. Annals of Thoracic Surgery 74(2): 363–370. discussion 370–1.CrossRefPubMed
17.
go back to reference Fishman, A.P. 1992. Update, pulmonary diseases and disorders. In Update, pulmonary diseases and disorders, ed. A.P. Fishman. Fishman, A.P. 1992. Update, pulmonary diseases and disorders. In Update, pulmonary diseases and disorders, ed. A.P. Fishman.
18.
go back to reference Finn, A., et al. 1993. Interleukin-8 release and neutrophil degranulation after pediatric cardiopulmonary bypass. Journal of Thoracic and Cardiovascular Surgery 105(2): 234–241.PubMed Finn, A., et al. 1993. Interleukin-8 release and neutrophil degranulation after pediatric cardiopulmonary bypass. Journal of Thoracic and Cardiovascular Surgery 105(2): 234–241.PubMed
19.
go back to reference Feldmann, M., and R.N. Maini. 2001. Anti-TNF alpha therapy of rheumatoid arthritis: what have we learned? Annual Review of Immunology 19: 163–196.CrossRefPubMed Feldmann, M., and R.N. Maini. 2001. Anti-TNF alpha therapy of rheumatoid arthritis: what have we learned? Annual Review of Immunology 19: 163–196.CrossRefPubMed
20.
go back to reference Memtsoudis, S.G., A.M. Bombardieri, Y. Ma, and F.P. Girardi. 2012. The effect of low versus high tidal volume ventilation on inflammatory markers in healthy individuals undergoing posterior spine fusion in the prone position: a randomized controlled trial. Journal of Clinical Anesthesia 24(4): 263–269.CrossRefPubMed Memtsoudis, S.G., A.M. Bombardieri, Y. Ma, and F.P. Girardi. 2012. The effect of low versus high tidal volume ventilation on inflammatory markers in healthy individuals undergoing posterior spine fusion in the prone position: a randomized controlled trial. Journal of Clinical Anesthesia 24(4): 263–269.CrossRefPubMed
Metadata
Title
The Effect of Pressure-Controlled Ventilation and Volume-Controlled Ventilation in Prone Position on Pulmonary Mechanics and Inflammatory Markers
Authors
Hasan Şenay
Remziye Sıvacı
Serdar Kokulu
Buğra Koca
Elif Doğan Bakı
Yüksel Ela
Publication date
01-08-2016
Publisher
Springer US
Published in
Inflammation / Issue 4/2016
Print ISSN: 0360-3997
Electronic ISSN: 1573-2576
DOI
https://doi.org/10.1007/s10753-016-0379-2

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