The predictor role of FEV1 in airway management of patients under laryngeal tumor surgery.

lranian journal of Clinical Infectious Diseases

K Karvandian²  HR Abtahi³  MT Beigmohammadi¹  A Mahmoodpoor¹  A Jafarzadeh² 

[1] Critical Care Medicine Fellow, Department of Anesthesiology,;Assistant Professor, Department of Anesthesiology,;ssistant professor, Section of Pulmonology, Department of Internal Medicine, Tehran University of Medical Sciences, Imam Khomeini hospital, Tehran, Iran.

关键词: FEV1;    Laryngeal tumor;    Airway management;    Anesthesia induction;   

DOI  :  10.17795/semj20502

学科分类：基础医学

来源: Shiraz University of Medical Sciences

【 摘 要 】

Backgroundandobjective::Becauseoffixedairwayobstructioninpatientswithlaryngealtumors,measurementofFEV1canhelpinpredictingthedegreeofairwayobstructionanddecidingthesafeplanforanesthesia.Materialsandmethods::154patients,40-80yearsold,withASAclassII-IIIwhowerescheduledforelectivesurgeryenrolledinthisstudy.Pulmonaryfunctiontests(PFT)wasdonebeforesurgeryforallpatients.TheyweredividedintothreegroupsbasedontheresultofPFT:Group1:FEV1#62;2.5Lwhichreceivedstandardanesthesiainduction.Group2:FEV1=1.5-2.5L,inductionwasperformedbykeepingspontaneousbreathingandGroup3:FEV1#60;1.5L:whichawakeintubationwasperformedwithtopicalanesthesia.Results::therewassignificantdifferenceinintubationtimeandattemptsamong3groups(8.91.8,10.7±1.7,15.6±6.3sec.p=.000;1.2±0.5,1.4±0.6,1.7±0.8,p=.002respectively).Failedintubationswere3,4,9inthreegroupsrespectively,whichwasnotstatisticallydifferent(P=0.1).Conclusion::Duetofixedairwayobstructioninpatientswithlaryngealtumors,FEV1canbeusedasapredictorforclassificationandchoosingasafemethodforinductionofanesthesia.

【 授权许可】

Unknown