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Characteristics of cardiopulmonary ultrasonography in patients with reduced postoperative oxygenation index in PACU

Volume 6, Issue 5, October 2021    |    PP. 385-393    |PDF (173 K)|    Pub. Date: September 28, 2021
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Author(s)
CHAI Mei, Department of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, China
SU Yang, Department of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, China
XIONG Ying, Department of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, China
LUO Wei, Department of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, China
LIU Jie, Department of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, China
ZHOU Feng, Department of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, China
ZHANG Yanjun, Department of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, China
ZHENG Xin, Department of Anesthesiology, The Second Affiliated Hospital of Dalian Medical University, China
ZHAO Linyan, Department of Intensive Care, The Second Affiliated Hospital of Dalian Medical University, China

Abstract
Objective: To study the cardiopulmonary changes in patients in post-anesthesia care unit by using BLUE protocol and FATE protocol. Methods: The cardiopulmonary ultrasonography of 60 patients with hypoxemia in post anesthesia care unit were analyzed retrospectively, and the cardiopulmonary ultrasonography of patients with hypoxemia in different operations was compared. Results: A certain degree of pulmonary edema was found in patients with hypoxemia, which was mainly B7 line in patients with general surgery, B3 line in patients with thoracic surgery, and B3 line and debris sign in patients with spinal surgery. Cardiac ultrasound found that the inferior vena cava was larger than 2cm in most patients, and the mutation rate of inferior vena cava was less than 25%. Conclusion: Combined with cardiopulmonary ultrasonography can find abnormal pulmonary signs in patients. The decrease of oxygenation index after surgery is related to the surgical site and the tendency of fluid overload should be paid attention to.

Keywords
ultrasound, postoperative surgery, hypoxemia, pulmonary edema, inferior vena cava

Cite this paper
CHAI Mei, SU Yang, XIONG Ying, LUO Wei, LIU Jie, ZHOU Feng, ZHANG Yanjun, ZHENG Xin, ZHAO Linyan, Characteristics of cardiopulmonary ultrasonography in patients with reduced postoperative oxygenation index in PACU, SCIREA Journal of Clinical Medicine. Vol. 6 , No. 5 , 2021 , pp. 385 - 393 .

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