POSTOPERATIVE NON-INVASIVE VENTILATION IN ABDOMINAL SURGERY
Keywords:
postoperative pulmonary complications, non-invasive ventilation, abdominal surgeryAbstract
Postoperative period in abdominal surgery may be complicated by the development of postoperative pulmonary complications. Technical features of surgery, general anesthesia with mechanical ventilation, postoperative pain caused by these factors and postoperative diaphragmatic dysfunction, in conjunction with the individual patient, as obesity, chronic lung disease, advanced age contribute to the development of postoperative pulmonary complications. The article presents an overview of the literature on the use of postoperative noninvasive ventilation in abdominal surgery. There are highlighted the major physiological effects and techniques of non-invasive ventilation. The results of randomized controlled trials of postoperative noninvasive ventilation in the prevention and treatment of postoperative hypoxemia, postoperative respiratory complications. Clinical postoperative noninvasive ventilation improves gas exchange, normalizes lung volume, reduces the reintubation frequency, duration of stay in the ICU, mortality and the number of infectious pulmonary complications (pneumonia).
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