Entegre pulmoner indeks ile göğüs cerrahisi hasta takip verileri arasında ilişki var mı? prospektif, gözlemsel çalışma

Year 2023, Volume: 48 Issue: 3, 1044 - 1052, 30.09.2023

Zaid Abdulkarem , Mediha Türktan , Ersel Güleç , Zehra Hatipoğlu , Hulya Binokay , Dilek Özcengiz

https://doi.org/10.17826/cumj.1322052

Abstract

Amaç: Bu çalışmada göğüs cerrahisi sonrası hastaların demografik verileri, cerrahi özellikleri, postoperatif komplikasyonları, kan gazı analizi ve hemodinamik değerleri ile entegre pulmoner indeks arasındaki ilişkiyi araştırdık.
Gereç ve Yöntem: Bu çalışmaya elektif göğüs cerrahisi planlanan toplam 97 hasta dahil edildi. Ameliyat sonrası anestezi sonrası bakım ünitesindeki tüm hastalara entegre pulmoner indeks monitörizasyonu uygulandı. Hastaların demografik özellikleri, postoperatif hemodinamik değerleri, arteriyel kan gazı analizleri, hastanede kalış süreleri, postoperatif komplikasyonlar, anestezi süreleri ve ameliyat süreleri kaydedildi. Bu değerlerin ameliyat sonrası 30. dakika, 1. saat ve 2. saat entegre pulmoner indeks skorları ile korelasyonları araştırıldı.
Bulgular: Hastaların demografik verileri ve cerrahi özelliklerinin entegre pulmoner indeks skorlarını etkilemediği görüldü. Entegre pulmoner indeks skorları ile anestezi süresi, ameliyat süresi, postoperatif komplikasyonlar veya hastanede kalış süresi arasında anlamlı bir ilişki bulunamadı. Ancak postoperatif hemodinamik değerler ile arteriyel kan gazı analizi ve entegre pulmoner indeks skoru arasında korelasyon mevcuttu).
Sonuç: Entegre pulmoner indeks monitorizasyonu, tek ekranda birden fazla parametreyi göstermesi, arteriyel kan gazı analizi ve hemodinamik değerleri ile korelasyon göstermesi, yatak başı ve non-invaziv bir yöntem olması nedeniyle göğüs cerrahisi hastalarının erken takibinde avantajlar sağlayabilir. Ancak entegre pulmoner indeksin göğüs cerrahisi geçiren hastalardaki etkinliğini araştırmak için daha fazla sayıda hastayı içeren, çok merkezli, randomize kontrollü çalışmalara ihtiyaç vardır.

Keywords

Kan gazı analizi, hemodinamik değerler, entegre pulmoner indeks, monitörizasyon, postoperatif komplikasyonlar, göğüs cerrahisi

Is there any correlation between integrated pulmonary index and thoracic surgery patients’ follow-up data? a prospective, observational study

Abstract

Purpose: In this study, we investigated the relationship between integrated pulmonary index and patients’ demographic data, surgical characteristics, postoperative complications, blood gas analysis, and hemodynamic values after thoracic surgery.
Materials and Methods: A total of 97 patients scheduled for elective thoracic surgery were included in this study. After surgery, integrated pulmonary index monitoring was performed for all patients in the post-anesthetic care unit. Patients’ characteristics, postoperative hemodynamic values, arterial blood gas analysis, length of hospital stay, postoperative complications, duration of anesthesia, and duration of surgery were recorded. Their correlations with postoperative integrated pulmonary index scores at 30 minutes, 1 hour, and 2 hours were investigated.
Results: Patients’ demographic data and surgical characteristics did not affect integrated pulmonary index scores. No significant correlation was found between integrated pulmonary index scores and duration of anesthesia, duration of surgery, postoperative complications, or length of hospital stay. However, there was a correlation between postoperative hemodynamic values, arterial blood gas analysis and integrated pulmonary index score.
Conclusion: Integrated pulmonary index monitoring is a bedside and non-invasive method that displays multiple parameters on a single screen, corraletes with arterial blood gas analysis and hemodynamic values. Therefore, it may provide advantages in early follow-up of thoracic surgery patients. However, multicenter, randomized controlled studies with a larger number of patients are needed to investigate the efficacy of integrated pulmonary index in patients undergoing thoracic surgery.

Keywords

blood gas analysis, hemodynamic values, integrated pulmonary index, monitoring, postoperative complications, thoracic surgery

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