Prostatic Neoplasms Clinical Trial
Official title:
Effect of Positive End-expiratory Pressure on Arterial Oxygen Partial Pressure in Elderly Patients Undergoing Urologic Surgery Using LMA Supreme™ in Lithotomy Position
The purpose of the present study is to compare the effect of PEEP on arterial oxygen partial pressure in elderly patients undergoing urologic surgery using LMA supreme™ in a lithotomy position.
Positive end-expiratory pressure (PEEP) during general anesthesia with mechanical ventilation
is routinely used as a standard lung protective strategy to prevent postoperative pulmonary
complications including atelectasis.
In urologic surgery, elderly patients are common. Since aging decreases the elasticity of
lung tissues and allowing the collapse of small airways, old age is a risk factor for
postoperative atelectasis. Lithotomy position is the preferred position in urologic surgery.
However, it causes the abdominal viscera to displace the diaphragm cephalad, reducing lung
compliance and resulting atelectasis. Therefore, in elderly patients undergoing urologic
surgery with lithotomy position, PEEP may be essential to prevent postoperative atelectasis.
Laryngeal mask airway (LMA) has been widely used in urologic surgery with lithotomy position
because of short surgical time and no necessity of administration of muscle relaxant.
However, application of PEEP when using LMA is still controversy. Therefore, in the present
study, we aimed to compare the effect of PEEP on arterial oxygen partial pressure in elderly
patients undergoing urologic surgery using LMA supreme™ in a lithotomy position.
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