Volume-Controlled Versus Dual-Controlled Ventilation during Robot-Assisted Laparoscopic Prostatectomy with Steep Trendelenburg Position: A Randomized-Controlled Trial
Abstract
:1. Introduction
2. Experimental Section
2.1. Patients
2.2. Anesthetic Management
2.3. Ventilation Management
2.4. Data Collection
2.5. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Variables | VCV (n = 38) | DCV (n = 38) |
---|---|---|
Age (year) | 65.3 (6.2) | 64.5 (7.2) |
Height (cm) | 168.8 (5.0) | 166.8 (5.2) |
Weight (kg) | 68.9 (7.3) | 65.8 (7.3) |
Body mass index (kg m−2) | 24.2 (2.8) | 23.7 (2.5) |
Hypertension (n (%)) | 16 (42.1) | 15 (39.5) |
Diabetes mellitus (n (%)) | 7 (18.4) | 3 (7.9) |
Coronary artery disease (n (%)) | 4 (10.5) | 2 (5.3) |
Duration of anesthesia (min) | 157.9 (27.9) | 153.4 (22.3) |
Duration of surgery (min) | 117.7 (24.9) | 111.6 (20.9) |
Duration of Trendelenburg position (min) | 62.4 (18.1) | 61.1 (16.3) |
Total fluid amounts (mL) | 1505.8 (363.6) | 1413.7 (321.8) |
Colloid amounts (mL) | 165.8 (251.8) | 155.3 (227.4) |
Total urine output (mL) | 190.0 (155.0) | 167.9 (136.4) |
Total blood loss (mL) | 407.9 (280.3) | 402.6 (245.8) |
Total ephedrine amounts (mg) | 9.4 (8.7) | 7.4 (7.4) |
Post anesthesia care unit duration (min) | 46.9 (22.5) | 45.8 (18.9) |
Postoperative hospital stay (day) | 2.6 (0.8) | 2.5 (0.7) |
Variables | VCV (n = 38) | DCV (n = 38) | Estimate (95% CI) | p-Value |
---|---|---|---|---|
pH | 0.803 * | |||
T1 | 7.43 (0.03) | 7.43 (0.03) | −0.005 (−0.019 to 0.009) | >0.999 |
T2 | 7.33 (0.04) | 7.34 (0.04) | −0.003 (−0.022 to 0.159) | >0.999 |
T3 † | 7.33 (0.04) | 7.34 (0.04) | −0.012 (−0.030 to 0.005) | 0.509 |
T4 | 7.33 (0.04) | 7.34 (0.03) | −0.006 (−0.022 to 0.010) | >0.999 |
PaO2 (mmHg) | 0.149 * | |||
T1 | 205.2 (38.2) | 198.1 (43.5) | 7.076 (−11.644 to 25.797) | >0.999 |
T2 | 169.2 (34.8) | 181.8 (31.6) | −12.687 (−27.874 to 2.500) | 0.400 |
T3 † | 168.6 (42.4) | 170.9 (36.4) | −2.268 (−20.470 to 15.934) | >0.999 |
T4 | 177.8 (27.6) | 175.0 (38.3) | 2.768 (−12.514 to 18.051) | >0.999 |
PaCO2 (mmHg) | 0.830 * | |||
T1 | 32.7 (3.2) | 32.4 (3.1) | 0.305 (−1.119 to 1.730) | >0.999 |
T2 | 44.2 (5.6) | 43.8 (6.2) | 0.437 (−2.262 to 3.136) | >0.999 |
T3† | 44.9 (5.3) | 43.5 (6.3) | 1.403 (−1.285 to 4.092) | 0.905 |
T4 | 44.9 (4.6) | 43.9 (4.9) | 1.039 (−1.118 to 3.197) | >0.999 |
EtCO2 (mmHg) | 0.716 * | |||
T1 | 35.0 (2.6) | 35.3 (2.2) | −0.368 (−1.459 to 0.723) | >0.999 |
T2 | 43.3 (3.7) | 42.7 (4.1) | 0.658 (−1.126 to 2.442) | >0.999 |
T3† | 42.6 (4.1) | 42.8 (3.9) | −0.125 (−1.969 to 1.719) | >0.999 |
T4 | 43.7 (4.5) | 43.5 (3.3) | 0.211 (−1.580 to 2.001) | >0.999 |
Variables | VCV (n = 38) | DCV (n = 38) | Estimate (95% CI) | p-Value |
---|---|---|---|---|
Ppeak (cmH2O) | <0.001 * | |||
T1 | 13.6 (2.4) | 13.4 (2.1) | 0.263 (−0.758 to 1.285) | >0.999 |
T2 | 32.8 (3.2) | 27.8 (3.3)* | 5.026 (3.520 to 6.533) | <0.001 |
T3 † | 32.0 (3.4) | 28.1 (3.8)* | 3.865 (2.209 to 5.520) | <0.001 |
T4 | 18.4 (2.5) | 18.3 (2.3) | 0.131 (−0.967 to 1.230) | >0.999 |
Pplat (cmH2O) | <0.001 * | |||
T1 | 12.4 (2.3) | 12.4 (2.0) | 0.053 (−0.948 to 1.053) | >0.999 |
T2 | 30.2 (4.2) | 27.5 (3.4)* | 2.711 (0.981 to 4.440) | 0.012 |
T3 † | 29.6 (4.0) | 27.9 (4.0) | 1.713 (−0.119 to 3.546) | 0.264 |
T4 | 15.8 (3.3) | 16.2 (2.5) | −0.368 (−1.695 to 0.958) | >0.999 |
Pmean (cmH2O) | 0.001 * | |||
T1 | 4.1 (0.8) | 3.8 (0.8) | 0.211 (−0.161 to 0.582) | >0.999 |
T2 | 8.2 (0.9) | 8.6 (1.0) | −0.342 (−0.787 to 0.103) | 0.520 |
T3 † | 8.1 (1.0) | 8.8 (1.2) | −0.625 (−1.116 to −0.134) | 0.053 |
T4 | 5.2 (0.8) | 5.2 (0.6) | 0.026 (−0.293 to 0.345) | >0.999 |
TV (mL) | 0.683 * | |||
T1 | 518.9 (41.3) | 493.6 (43.4) | 25.3 (6.001 to 44.736) | 0.044 |
T2 | 528.1 (41.3) | 500.7 (47.5) | 27.4 (6.981 to 47.650) | 0.036 |
T3 † | 530.6 (47.8) | 511.9 (51.6) | 18.7 (−4.256 to 41.469) | 0.436 |
T4 | 528.5 (40.6) | 506.2 (44.9) | 22.2 (2.753 to 41.879) | 0.104 |
RR (breaths min−1) | >0.999 * | |||
T1 | 13.4 (1.4) | 13.0 (1.4) | 0.342 (−0.295 to 0.979) | >0.999 |
T2 | 18.6 (3.0) | 18.3 (3.5) | 0.316 (−1.184 to 1.816) | >0.999 |
T3 † | 18.2 (3.6) | 17.7 (3.7) | 0.428 (−1.269 to 2.125) | >0.999 |
T4 | 19.5 (3.3) | 19.2 (2.6) | 0.316 (−1.046 to 1.677) | >0.999 |
Variables | VCV (n = 38) | DCV (n = 38) | Estimate (95% CI) | p-Value |
---|---|---|---|---|
MAP (mmHg) | 0.317 * | |||
T1 | 74.9 (9.9) | 73.2 (11.3) | 1.711 (−3.135 to 6.556) | >0.999 |
T2 | 81.3 (9.9) | 82.2 (10.1) | −0.921 (−5.498 to 3.656) | >0.999 |
T3 † | 74.1 (8.3) | 77.4 (9.4) | −3.247 (−7.317 to 0.824) | 0.348 |
T4 | 69.0 (11.2) | 70.4 (9.6) | −1.368 (−6.139 to 3.402) | >0.999 |
HR (beats/min) | 0.941 * | |||
T1 | 73.5 (11.9) | 72.4 (10.8) | 1.132 (−4.062 to 6.325) | >0.999 |
T2 | 72.2 (11.1) | 70.6 (11.0) | 1.632 (−3.415 to 6.678) | >0.999 |
T3 † | 70.9 (11.4) | 70.4 (10.1) | 0.436 (−4.525 to 5.397) | >0.999 |
T4 | 71.2 (11.1) | 70.3 (9.3) | 0.816 (−3.874 to 5.505) | >0.999 |
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Park, J.H.; Park, I.K.; Choi, S.H.; Eum, D.; Kim, M.-S. Volume-Controlled Versus Dual-Controlled Ventilation during Robot-Assisted Laparoscopic Prostatectomy with Steep Trendelenburg Position: A Randomized-Controlled Trial. J. Clin. Med. 2019, 8, 2032. https://doi.org/10.3390/jcm8122032
Park JH, Park IK, Choi SH, Eum D, Kim M-S. Volume-Controlled Versus Dual-Controlled Ventilation during Robot-Assisted Laparoscopic Prostatectomy with Steep Trendelenburg Position: A Randomized-Controlled Trial. Journal of Clinical Medicine. 2019; 8(12):2032. https://doi.org/10.3390/jcm8122032
Chicago/Turabian StylePark, Jin Ha, In Kyeong Park, Seung Ho Choi, Darhae Eum, and Min-Soo Kim. 2019. "Volume-Controlled Versus Dual-Controlled Ventilation during Robot-Assisted Laparoscopic Prostatectomy with Steep Trendelenburg Position: A Randomized-Controlled Trial" Journal of Clinical Medicine 8, no. 12: 2032. https://doi.org/10.3390/jcm8122032