[Use of noninvasive ventilation in patients at high postoperative risk for cardiopulmonary complications].
Sixty-two patients undergoing elective abdominal surgery with a high operative risk and anesthesia by the ASA scale (III/2-3), and with a high index of cardiopulmonary risk after S. Epstein were examined. The study group comprised 31 patients who had undergone noninvasive ventilation (NIV) in the early postoperative period for preventive purposes. In the control group (n = 30), moistened oxygen was insufflated after transition to spontaneous breathing. In patients with low functional reserves, the preventive use of NIV contributes to a rapider normalization of gas exchange, stabilization of hemodynamics, a reduction in the incidence of complications (from 66.6 to 25.6%) and in the length of stay in an intensive care unit.
Vartanov
I V
IV
Khrapov
K N
KN
Polushin
Iu S
IuS
D034841:Abdominal Cavity / Q000601:surgery; D000368:Aged; D002303:Cardiac Output, Low / Q000517:prevention & control*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D012121:Respiration, Artificial / Q000379:methods*; D012131:Respiratory Insufficiency / Q000517:prevention & control*