[Choice of optimal respiratory therapy in patients operated for tumors of the posterior cranial fossa].
The results of two different approaches to respiratory support after surgical intervention into the structures of the posterior cranial fossa (PCF) are analyzed in 74 neurosurgical patients, including 41 patients having synchronized pressure support ventilation and 50-80% spontaneous intermittent mandatory ventilation (SIMV + PSV) (Group 1) and 33 patients receiving continuous positive end-expiratory airway pressure (CPAP + PSV) (Group 2). Respiratory therapy has been ascertained to provide at least 50-80% of the minute ventilation volume in neurosurgical patients after interventions into PCF when respiratory failure develops in the postoperative period. Diminished respiratory support may be performed only after neurological stabilization and within 24 hours. Early transition to spontaneous respiration increases the duration of artificial ventilation and worsens neurological symptoms.
Shchepetkov
A N
AN
Savin
I A
IA
Goriachev
A S
AS
Sokolova
E Iu
EIu
Oshorov
A V
AV
D000328:Adult; D045422:Continuous Positive Airway Pressure / Q000379:methods*; D003388:Cranial Fossa, Posterior / Q000601:surgery*; D005260:Female; D006801:Humans; D007385:Intermittent Positive-Pressure Ventilation / Q000379:methods*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D012143:Respiratory Physiological Phenomena; D012720:Severity of Illness Index; D019292:Skull Base Neoplasms / Q000601:surgery*; D016896:Treatment Outcome