Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement

DEMİRHAN, Özkan; Saracoglu, Ayten; DALAR, Levent; SAĞBAŞ, Liva Ertan; SARAÇOĞLU, Kemal Tolga; DURAK ERDİNÇ, Yasemen

Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement

Yasemen DURAK ERDİNÇ, (İstanbul Bilim Üniversitesi, Tıp Fakültesi Kardiyovasküler Cerrahi Anabilim Dalı, İstanbul, Türkiye)

Ayten SARAÇOĞLU, (İstanbul Bilim Üniversitesi, Tıp Fakültesi Anesteziyoloji Ve Reanimasyon Ana Bilim Dalı, İstanbul, Türkiye)

Levent DALAR, (İstanbul Bilim Üniversitesi Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, İstanbul, Türkiye)

Kemal Tolga SARAÇOĞLU, (İstanbul Bilim Üniversitesi, Tıp Fakültesi, Anesteziyoloji Ve Reanimasyon Ana Bilim Dalı, İstanbul, Türkiye)

Özkan DEMİRHAN, (İstanbul Bilim Üniversitesi, Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, İstanbul, Türkiye)

Liva Ertan SAĞBAŞ (İstanbul Bilim Üniversitesi, Tıp Fakültesi, Kardiyovasküler Cerrahi Ana Bilim Dalı, İstanbul, Türkiye)

Kocaeli Tıp Dergisi

2 0

Yıl: 2018 Cilt: 7 Sayı: 1 Sayfa Aralığı: 70 - 76 Metin Dili: İngilizce İndeks Tarihi: 02-03-2020

Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement

Öz:

INTRODUCTION: We aimed to investigate the relationshipbetween preoperative pulmonary function tests detected byobstruction of the airway and postoperative intubation timewith prolonged intensive care unit stay in patients undergoingmitral valve replacement.METHODS: Sixtytwo consecutive patients undergoing mitralvalve replacement surgery were included. Patients’ gender,presence of systemic disease, smoking history, pulmonaryfunction tests, ejection fraction, pulmonary artery pressure,perioperative cardiopulmonary bypass and aortic clamp time,postoperative intubation time, length of stay in the intensivecare unit, preoperative and postoperative laboratory findings,arterial blood gas values were recorded.RESULTS: In 47 patients systemic concomitant diseases werediagnosed. Nine had asthma, 8 had chronic obstructivepulmonary disease. Length of stay in the intensive care unitwas significantly lower in patients with respirotary diseaseunder treatment than the patients without respirotary disease(p<0.05). Chronic Obstructive Pulmonary Disease patientsstayed significantly shorter than non-Chronic Obstructivepatients (p<0.05). Significantly positive correlation existedbetween intensive care staying time and post-operative renalfunction indicators (p<0.05). Significantly negative correlationexisted between intubation period and forced expiratoryvolume in first second (p<0.05).DISCUSSION and CONCLUSION: Preoperative airwayobstruction assessments may provide postoperative decreasedhospital stay and mechanical ventilation requirement inpatients undergoing mitral valve replacement withcardiopulmonary bypass.

Anahtar Kelime:

Mitral Kapak Replasmanı Yapılan Olgularda Bir Morbidiite Nedeni Olarak Preoperatiif Havayolu Obstrüksiyonu

Öz:

GİRİŞ ve AMAÇ: Mitral kapak replasmanı hastalarında, preoperatif solunum fonksiyon testleriyle saptanan hava yolu obstruksiyonunun, postoperatif mekanik ventilasyon süresi ve yoğun bakım yatış süresiyle ilişkisini araştırmayı amaçladık. YÖNTEM ve GEREÇLER: Kliniğimizde mitral kapak replasmanı yapılan 62 ardışık hasta, çalışmaya alındı. Cinsiyet, sistemik hastalık varlığı, sigara kullanımı, solunum fonksiyon testleri, ejeksiyon fraksiyonu, pulmoner arter basıncı, peroperatif kardiyopulmoner baypas ve aort klempi süreleri, postoperatif entübasyon süresi, cerrahi yoğun bakım süresi, preoperatif ve postoperatif labratuar testleri, arter kan gazı değerleri kaydedildi. BULGULAR: Hastaların 47’sine eşlik eden sistemik hastalık mevcuttu. Bunlardan 9'u astım, 8'i kronik obstruktif akciğer hastalığı idi. Solunum yolu hastalığı olanlarda yoğun bakım kalış süresi solunum yolu hastalığı olmayanlardan anlamlı olarak daha düşüktü (p<0,05). Kronik obstruktif akciğer hastalığı olanlarda yoğun bakım yatış süresi, kronik obstruktif akciğer hastalığı olmayanlardan anlamlı olarak daha düşüktü (p<0,05). Hastaların yoğun bakım yatış süresi ile renal fonksiyon göstergeleri arasında anlamlı pozitif korelasyon mevcuttu (p<0,05). Entübasyon süresi ile kardiyopulmoner baypas süresi arasında anlamlı pozitif korelasyon bulundu (p<0,05). Entubasyon süresi ile birinci saniyedeki zorlu ekspiratuvar volüm değeri arasında anlamlı negatif korelasyon mevcuttu (p<0,05). TARTIŞMA ve SONUÇ: Kardiyopulmoner baypas ile mitral kapak replasmanı planlanan hastaların preoperatif dönemde ayrıntılı olarak havayolu obstruksiyonu varlığı açısından değerlendirilmeleri, postoperatif mekanik ventilasyon gereksinimi ve uzayan yatışın azaltılmasını sağlayabilir kanısına varılmıştır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	DURAK ERDİNÇ Y, Saracoglu A, DALAR L, SARAÇOĞLU K, DEMİRHAN Ö, SAĞBAŞ L (2018). Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement. , 70 - 76.
Chicago	DURAK ERDİNÇ Yasemen,Saracoglu Ayten,DALAR Levent,SARAÇOĞLU Kemal Tolga,DEMİRHAN Özkan,SAĞBAŞ Liva Ertan Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement. (2018): 70 - 76.
MLA	DURAK ERDİNÇ Yasemen,Saracoglu Ayten,DALAR Levent,SARAÇOĞLU Kemal Tolga,DEMİRHAN Özkan,SAĞBAŞ Liva Ertan Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement. , 2018, ss.70 - 76.
AMA	DURAK ERDİNÇ Y,Saracoglu A,DALAR L,SARAÇOĞLU K,DEMİRHAN Ö,SAĞBAŞ L Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement. . 2018; 70 - 76.
Vancouver	DURAK ERDİNÇ Y,Saracoglu A,DALAR L,SARAÇOĞLU K,DEMİRHAN Ö,SAĞBAŞ L Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement. . 2018; 70 - 76.
IEEE	DURAK ERDİNÇ Y,Saracoglu A,DALAR L,SARAÇOĞLU K,DEMİRHAN Ö,SAĞBAŞ L "Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement." , ss.70 - 76, 2018.
ISNAD	DURAK ERDİNÇ, Yasemen vd. "Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement". (2018), 70-76.

APA	DURAK ERDİNÇ Y, Saracoglu A, DALAR L, SARAÇOĞLU K, DEMİRHAN Ö, SAĞBAŞ L (2018). Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement. Kocaeli Tıp Dergisi, 7(1), 70 - 76.
Chicago	DURAK ERDİNÇ Yasemen,Saracoglu Ayten,DALAR Levent,SARAÇOĞLU Kemal Tolga,DEMİRHAN Özkan,SAĞBAŞ Liva Ertan Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement. Kocaeli Tıp Dergisi 7, no.1 (2018): 70 - 76.
MLA	DURAK ERDİNÇ Yasemen,Saracoglu Ayten,DALAR Levent,SARAÇOĞLU Kemal Tolga,DEMİRHAN Özkan,SAĞBAŞ Liva Ertan Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement. Kocaeli Tıp Dergisi, vol.7, no.1, 2018, ss.70 - 76.
AMA	DURAK ERDİNÇ Y,Saracoglu A,DALAR L,SARAÇOĞLU K,DEMİRHAN Ö,SAĞBAŞ L Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement. Kocaeli Tıp Dergisi. 2018; 7(1): 70 - 76.
Vancouver	DURAK ERDİNÇ Y,Saracoglu A,DALAR L,SARAÇOĞLU K,DEMİRHAN Ö,SAĞBAŞ L Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement. Kocaeli Tıp Dergisi. 2018; 7(1): 70 - 76.
IEEE	DURAK ERDİNÇ Y,Saracoglu A,DALAR L,SARAÇOĞLU K,DEMİRHAN Ö,SAĞBAŞ L "Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement." Kocaeli Tıp Dergisi, 7, ss.70 - 76, 2018.
ISNAD	DURAK ERDİNÇ, Yasemen vd. "Preoperative Airway Obstruction as a Cause of Morbidity in Patients Undergoing Mitral Valve Replacement". Kocaeli Tıp Dergisi 7/1 (2018), 70-76.