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العنوان
Invasive Versus Non-Invasive Ventilation in The Management Of postoperative Hypoxemia After Major Abdominal Surgery In Morbidly Obese Patients /
المؤلف
Abd ElRahman, Ahmed Mohammad Fattouh.
هيئة الاعداد
باحث / احمد محمد فتوح عبدالرحمن
مشرف / ثناء محمد النعماني
مناقش / محمد احمد الحارتي
مناقش / لا يوجد
الموضوع
Anaesthesiology.
تاريخ النشر
2016.
عدد الصفحات
p 170. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
التخدير و علاج الألم
تاريخ الإجازة
20/4/2016
مكان الإجازة
جامعة طنطا - كلية الطب - Anaesthesiology
الفهرس
Only 14 pages are availabe for public view

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Abstract

Morbid obese patients who undergo upper abdominal surgery havegreater postoperative risk for developing pulmonary complications due to their limitations in pulmonary function. Oxygen administration is efficient in the treatment of the majority of hypoxemia cases. PaO2 will be supported while oxygen mask isn’t the appropriate tool for recruitment of the collapsed alveoli. So respiratory complications and respiratory insufficiency might occur in the PO period of abdominal surgery. In addition to, although invasive endotracheal mechanical ventilation has remained the cornerstone of ventilatory strategy for many years for severe ARF, several studies have shown that mortality associated with pulmonary disease is largely related to complications of postoperative reintubation and mechanical ventilation. Therefore, major objectives for anesthesiologists are first to prevent the occurrence of postoperative complications and second to ensure oxygen administration and carbon dioxide removal while avoiding intubation if ARF occurs. Noninvasive ventilation (NIV) does not require an artificial airway (endotracheal tube or tracheotomy), and its use is well established to prevent ARF occurrence (prophylactic treatment) or to treat ARF to avoid reintubation (curative.