Document Detail


Nocturnal hypoxaemia and respiratory function after endovascular and conventional abdominal aortic aneurysm repair.
MedLine Citation:
PMID:  10325849     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Respiratory function, assessed by pre- and postoperative spirometry, and overnight pulse oximetry recordings, was compared prospectively in patients undergoing infrarenal abdominal aortic aneurysm repair by endovascular or conventional surgery. Episodic hypoxaemia was common in both groups before operation and up to the fifth night after operation. The frequency and severity of hypoxaemia were greater in the conventional group (P < 0.05). FEV1 and FVC decreased significantly on the third and fifth days after operation in both groups (P < 0.05); decreases in FVC were greater in patients undergoing conventional surgery. On the fifth day after operation, FVC had recovered to 86% and 64% of preoperative values in the endovascular and conventional groups, respectively (P < 0.05). Duration of surgery was greater (P < 0.05) and duration of postoperative artificial ventilation significantly less (P < 0.05) after endovascular repair. Postoperative PCA morphine consumption and duration of use were significantly greater (P < 0.05) in patients undergoing conventional abdominal aortic aneurysm surgery.
Authors:
J P Thompson; J R Boyle; M M Thompson; P R Bell; G Smith
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  British journal of anaesthesia     Volume:  82     ISSN:  0007-0912     ISO Abbreviation:  Br J Anaesth     Publication Date:  1999 Jan 
Date Detail:
Created Date:  1999-05-20     Completed Date:  1999-05-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  129-31     Citation Subset:  IM    
Affiliation:
University Department of Anaesthesia, Leicester Royal Infirmary, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Analgesia, Patient-Controlled
Analgesics, Opioid / administration & dosage
Anoxia / etiology*
Aortic Aneurysm, Abdominal / surgery*
Blood Vessel Prosthesis Implantation / methods*
Circadian Rhythm
Humans
Middle Aged
Morphine / administration & dosage
Oximetry
Postoperative Complications*
Prospective Studies
Respiratory Mechanics*
Spirometry
Chemical
Reg. No./Substance:
0/Analgesics, Opioid; 57-27-2/Morphine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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