INFLUENCE OF DIFFERENT INFUSION THERAPY MODES ON THE DEVELOPMENT OF POSTOPERATIVE PULMONARY COMPLICATIONS IN PATIENTS WITH MEDIUM AND HIGH SURGICAL RISK WITH ACUTE ABDOMINAL PATHOLOGY

Introduction. Postoperative pulmonary complications occur in 5–70% of cases in surgical patients and are accompanied by significant short-term and long-term mortality. The purpose is to conduct a comparative analysis of the relationship between the frequency of postoperative pulmonary complications, the degree of surgical risk and the development of interstitial edema in different modes of infusion therapy in patients with moderate and high surgical risk with acute abdominal pathology. Materials and Methods. We examined 200 patients with acute abdominal pathology, operated on urgently by laparatomy access. Patients were divided into groups according to the degree of surgical risk, subgroups were formed taking into account the regimen of infusion therapy. Subgroup 1.1 (n = 50) included patients who received infusion therapy in a liberal regimen; in subgroup 1.2 (n = 50), infusion therapy was performed in a restriction regimen. Subgroup 2.1 (n = 50) consisted of patients who received goal-direct infusion therapy, subgroup 2.2 (n = 50) – restrictive infusion therapy. The non-invasive bioelectric rheography method was used to evaluate the performance of the body's water sectors, sonographically determine the degree of fluid accumulation in the extravascular pulmonary fluid space, postoperative pulmonary complications were verified on the basis of clinical, laboratory and radiological data. In the total cohort of patients we noted 10.5% of postoperative pulmonary complications. In the postoperative period of the liberal regime of infusion therapy was accompanied by an increase of interstitial volume by 146% (p<0.04) and 159% (p<0.02) of norm, a moderate degree of accumulation of fluid within the pulmonary space (R=0,86, p=0.04) and had a strong direct relationship with the development 16% of postoperative pulmonary complications (R=0.79, p=0.002). The absence of interstitial edema on the background of the restrictive regime of infusion therapy, normal sonographic pattern of light when the frequency of postoperative pulmonary complications 6% in the group of moderate surgical risk of 10% in the group of high surgical risk. Goal-direct infusion therapy generates an increase in the volume of interstices on the first day, the accumulation of fluid within the primary space of mild to 3 days and combined with a 10% development of pulmonary complications after surgery. Discussion. In patients with acute abdominal pathology of middle and high surgical risk the overall incidence of postoperative pulmonary complications is 10.5%, of which 80.9% of all cases are associated with pneumonia. Moderate surgical risk patients had a different infusion therapy's affects to the development of postoperative pulmonary complications; a liberal regime is accompanied by the development of interstitial edema, increased extravascular fluid in the lungs and incidence of pulmonary complications in 16%, restrictive mode preserves the volume of the interstices within the boundaries of the rules during postoperative period and reduces the risks of pulmonary complications to 6%. High surgical risk patients with acute abdominal pathology, postoperative period is complicated by development of pulmonary complications in 10% of cases due to increased interstitial volume and pulmonary extravascular fluid mild in the first day when targeted mode of infusion therapy limits the development of interstitial edema during all the postoperative period in the restrictive mode of infusion therapy. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	О. V. Kravets [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch ; Ukrainisch

Erschienen:	2019

Schlagwörter:	infusion therapy, acute abdominal pathology, postoperative pulmonary complications, interstitial edema, sonographic diagnosis

Übergeordnetes Werk:	In: Східноукраїнський медичний журнал - Sumy State University, 2022, 7(2019), 3, Seite 257-266
Übergeordnetes Werk:	volume:7 ; year:2019 ; number:3 ; pages:257-266

Links:	Link aufrufen Link aufrufen Journal toc Journal toc

Katalog-ID:	DOAJ085805831

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245	1	0	\|a INFLUENCE OF DIFFERENT INFUSION THERAPY MODES ON THE DEVELOPMENT OF POSTOPERATIVE PULMONARY COMPLICATIONS IN PATIENTS WITH MEDIUM AND HIGH SURGICAL RISK WITH ACUTE ABDOMINAL PATHOLOGY
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520			\|a Introduction. Postoperative pulmonary complications occur in 5–70% of cases in surgical patients and are accompanied by significant short-term and long-term mortality. The purpose is to conduct a comparative analysis of the relationship between the frequency of postoperative pulmonary complications, the degree of surgical risk and the development of interstitial edema in different modes of infusion therapy in patients with moderate and high surgical risk with acute abdominal pathology. Materials and Methods. We examined 200 patients with acute abdominal pathology, operated on urgently by laparatomy access. Patients were divided into groups according to the degree of surgical risk, subgroups were formed taking into account the regimen of infusion therapy. Subgroup 1.1 (n = 50) included patients who received infusion therapy in a liberal regimen; in subgroup 1.2 (n = 50), infusion therapy was performed in a restriction regimen. Subgroup 2.1 (n = 50) consisted of patients who received goal-direct infusion therapy, subgroup 2.2 (n = 50) – restrictive infusion therapy. The non-invasive bioelectric rheography method was used to evaluate the performance of the body's water sectors, sonographically determine the degree of fluid accumulation in the extravascular pulmonary fluid space, postoperative pulmonary complications were verified on the basis of clinical, laboratory and radiological data. In the total cohort of patients we noted 10.5% of postoperative pulmonary complications. In the postoperative period of the liberal regime of infusion therapy was accompanied by an increase of interstitial volume by 146% (p<0.04) and 159% (p<0.02) of norm, a moderate degree of accumulation of fluid within the pulmonary space (R=0,86, p=0.04) and had a strong direct relationship with the development 16% of postoperative pulmonary complications (R=0.79, p=0.002). The absence of interstitial edema on the background of the restrictive regime of infusion therapy, normal sonographic pattern of light when the frequency of postoperative pulmonary complications 6% in the group of moderate surgical risk of 10% in the group of high surgical risk. Goal-direct infusion therapy generates an increase in the volume of interstices on the first day, the accumulation of fluid within the primary space of mild to 3 days and combined with a 10% development of pulmonary complications after surgery. Discussion. In patients with acute abdominal pathology of middle and high surgical risk the overall incidence of postoperative pulmonary complications is 10.5%, of which 80.9% of all cases are associated with pneumonia. Moderate surgical risk patients had a different infusion therapy's affects to the development of postoperative pulmonary complications; a liberal regime is accompanied by the development of interstitial edema, increased extravascular fluid in the lungs and incidence of pulmonary complications in 16%, restrictive mode preserves the volume of the interstices within the boundaries of the rules during postoperative period and reduces the risks of pulmonary complications to 6%. High surgical risk patients with acute abdominal pathology, postoperative period is complicated by development of pulmonary complications in 10% of cases due to increased interstitial volume and pulmonary extravascular fluid mild in the first day when targeted mode of infusion therapy limits the development of interstitial edema during all the postoperative period in the restrictive mode of infusion therapy.
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allfields	(DE-627)DOAJ085805831 (DE-599)DOAJ5c95572764e64f2093d07709bbd58d3e DE-627 ger DE-627 rakwb eng ukr R5-920 О. V. Kravets verfasserin aut INFLUENCE OF DIFFERENT INFUSION THERAPY MODES ON THE DEVELOPMENT OF POSTOPERATIVE PULMONARY COMPLICATIONS IN PATIENTS WITH MEDIUM AND HIGH SURGICAL RISK WITH ACUTE ABDOMINAL PATHOLOGY 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Postoperative pulmonary complications occur in 5–70% of cases in surgical patients and are accompanied by significant short-term and long-term mortality. The purpose is to conduct a comparative analysis of the relationship between the frequency of postoperative pulmonary complications, the degree of surgical risk and the development of interstitial edema in different modes of infusion therapy in patients with moderate and high surgical risk with acute abdominal pathology. Materials and Methods. We examined 200 patients with acute abdominal pathology, operated on urgently by laparatomy access. Patients were divided into groups according to the degree of surgical risk, subgroups were formed taking into account the regimen of infusion therapy. Subgroup 1.1 (n = 50) included patients who received infusion therapy in a liberal regimen; in subgroup 1.2 (n = 50), infusion therapy was performed in a restriction regimen. Subgroup 2.1 (n = 50) consisted of patients who received goal-direct infusion therapy, subgroup 2.2 (n = 50) – restrictive infusion therapy. The non-invasive bioelectric rheography method was used to evaluate the performance of the body's water sectors, sonographically determine the degree of fluid accumulation in the extravascular pulmonary fluid space, postoperative pulmonary complications were verified on the basis of clinical, laboratory and radiological data. In the total cohort of patients we noted 10.5% of postoperative pulmonary complications. In the postoperative period of the liberal regime of infusion therapy was accompanied by an increase of interstitial volume by 146% (p<0.04) and 159% (p<0.02) of norm, a moderate degree of accumulation of fluid within the pulmonary space (R=0,86, p=0.04) and had a strong direct relationship with the development 16% of postoperative pulmonary complications (R=0.79, p=0.002). The absence of interstitial edema on the background of the restrictive regime of infusion therapy, normal sonographic pattern of light when the frequency of postoperative pulmonary complications 6% in the group of moderate surgical risk of 10% in the group of high surgical risk. Goal-direct infusion therapy generates an increase in the volume of interstices on the first day, the accumulation of fluid within the primary space of mild to 3 days and combined with a 10% development of pulmonary complications after surgery. Discussion. In patients with acute abdominal pathology of middle and high surgical risk the overall incidence of postoperative pulmonary complications is 10.5%, of which 80.9% of all cases are associated with pneumonia. Moderate surgical risk patients had a different infusion therapy's affects to the development of postoperative pulmonary complications; a liberal regime is accompanied by the development of interstitial edema, increased extravascular fluid in the lungs and incidence of pulmonary complications in 16%, restrictive mode preserves the volume of the interstices within the boundaries of the rules during postoperative period and reduces the risks of pulmonary complications to 6%. High surgical risk patients with acute abdominal pathology, postoperative period is complicated by development of pulmonary complications in 10% of cases due to increased interstitial volume and pulmonary extravascular fluid mild in the first day when targeted mode of infusion therapy limits the development of interstitial edema during all the postoperative period in the restrictive mode of infusion therapy. infusion therapy, acute abdominal pathology, postoperative pulmonary complications, interstitial edema, sonographic diagnosis Medicine (General) In Східноукраїнський медичний журнал Sumy State University, 2022 7(2019), 3, Seite 257-266 (DE-627)1819763420 (DE-600)3138108-X 26644231 nnns volume:7 year:2019 number:3 pages:257-266 https://doaj.org/article/5c95572764e64f2093d07709bbd58d3e kostenfrei https://eumj.med.sumdu.edu.ua/index.php/journal/article/view/42 kostenfrei https://doaj.org/toc/2663-5909 Journal toc kostenfrei https://doaj.org/toc/2664-4231 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2019 3 257-266
spelling	(DE-627)DOAJ085805831 (DE-599)DOAJ5c95572764e64f2093d07709bbd58d3e DE-627 ger DE-627 rakwb eng ukr R5-920 О. V. Kravets verfasserin aut INFLUENCE OF DIFFERENT INFUSION THERAPY MODES ON THE DEVELOPMENT OF POSTOPERATIVE PULMONARY COMPLICATIONS IN PATIENTS WITH MEDIUM AND HIGH SURGICAL RISK WITH ACUTE ABDOMINAL PATHOLOGY 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Postoperative pulmonary complications occur in 5–70% of cases in surgical patients and are accompanied by significant short-term and long-term mortality. The purpose is to conduct a comparative analysis of the relationship between the frequency of postoperative pulmonary complications, the degree of surgical risk and the development of interstitial edema in different modes of infusion therapy in patients with moderate and high surgical risk with acute abdominal pathology. Materials and Methods. We examined 200 patients with acute abdominal pathology, operated on urgently by laparatomy access. Patients were divided into groups according to the degree of surgical risk, subgroups were formed taking into account the regimen of infusion therapy. Subgroup 1.1 (n = 50) included patients who received infusion therapy in a liberal regimen; in subgroup 1.2 (n = 50), infusion therapy was performed in a restriction regimen. Subgroup 2.1 (n = 50) consisted of patients who received goal-direct infusion therapy, subgroup 2.2 (n = 50) – restrictive infusion therapy. The non-invasive bioelectric rheography method was used to evaluate the performance of the body's water sectors, sonographically determine the degree of fluid accumulation in the extravascular pulmonary fluid space, postoperative pulmonary complications were verified on the basis of clinical, laboratory and radiological data. In the total cohort of patients we noted 10.5% of postoperative pulmonary complications. In the postoperative period of the liberal regime of infusion therapy was accompanied by an increase of interstitial volume by 146% (p<0.04) and 159% (p<0.02) of norm, a moderate degree of accumulation of fluid within the pulmonary space (R=0,86, p=0.04) and had a strong direct relationship with the development 16% of postoperative pulmonary complications (R=0.79, p=0.002). The absence of interstitial edema on the background of the restrictive regime of infusion therapy, normal sonographic pattern of light when the frequency of postoperative pulmonary complications 6% in the group of moderate surgical risk of 10% in the group of high surgical risk. Goal-direct infusion therapy generates an increase in the volume of interstices on the first day, the accumulation of fluid within the primary space of mild to 3 days and combined with a 10% development of pulmonary complications after surgery. Discussion. In patients with acute abdominal pathology of middle and high surgical risk the overall incidence of postoperative pulmonary complications is 10.5%, of which 80.9% of all cases are associated with pneumonia. Moderate surgical risk patients had a different infusion therapy's affects to the development of postoperative pulmonary complications; a liberal regime is accompanied by the development of interstitial edema, increased extravascular fluid in the lungs and incidence of pulmonary complications in 16%, restrictive mode preserves the volume of the interstices within the boundaries of the rules during postoperative period and reduces the risks of pulmonary complications to 6%. High surgical risk patients with acute abdominal pathology, postoperative period is complicated by development of pulmonary complications in 10% of cases due to increased interstitial volume and pulmonary extravascular fluid mild in the first day when targeted mode of infusion therapy limits the development of interstitial edema during all the postoperative period in the restrictive mode of infusion therapy. infusion therapy, acute abdominal pathology, postoperative pulmonary complications, interstitial edema, sonographic diagnosis Medicine (General) In Східноукраїнський медичний журнал Sumy State University, 2022 7(2019), 3, Seite 257-266 (DE-627)1819763420 (DE-600)3138108-X 26644231 nnns volume:7 year:2019 number:3 pages:257-266 https://doaj.org/article/5c95572764e64f2093d07709bbd58d3e kostenfrei https://eumj.med.sumdu.edu.ua/index.php/journal/article/view/42 kostenfrei https://doaj.org/toc/2663-5909 Journal toc kostenfrei https://doaj.org/toc/2664-4231 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2019 3 257-266
allfields_unstemmed	(DE-627)DOAJ085805831 (DE-599)DOAJ5c95572764e64f2093d07709bbd58d3e DE-627 ger DE-627 rakwb eng ukr R5-920 О. V. Kravets verfasserin aut INFLUENCE OF DIFFERENT INFUSION THERAPY MODES ON THE DEVELOPMENT OF POSTOPERATIVE PULMONARY COMPLICATIONS IN PATIENTS WITH MEDIUM AND HIGH SURGICAL RISK WITH ACUTE ABDOMINAL PATHOLOGY 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Postoperative pulmonary complications occur in 5–70% of cases in surgical patients and are accompanied by significant short-term and long-term mortality. The purpose is to conduct a comparative analysis of the relationship between the frequency of postoperative pulmonary complications, the degree of surgical risk and the development of interstitial edema in different modes of infusion therapy in patients with moderate and high surgical risk with acute abdominal pathology. Materials and Methods. We examined 200 patients with acute abdominal pathology, operated on urgently by laparatomy access. Patients were divided into groups according to the degree of surgical risk, subgroups were formed taking into account the regimen of infusion therapy. Subgroup 1.1 (n = 50) included patients who received infusion therapy in a liberal regimen; in subgroup 1.2 (n = 50), infusion therapy was performed in a restriction regimen. Subgroup 2.1 (n = 50) consisted of patients who received goal-direct infusion therapy, subgroup 2.2 (n = 50) – restrictive infusion therapy. The non-invasive bioelectric rheography method was used to evaluate the performance of the body's water sectors, sonographically determine the degree of fluid accumulation in the extravascular pulmonary fluid space, postoperative pulmonary complications were verified on the basis of clinical, laboratory and radiological data. In the total cohort of patients we noted 10.5% of postoperative pulmonary complications. In the postoperative period of the liberal regime of infusion therapy was accompanied by an increase of interstitial volume by 146% (p<0.04) and 159% (p<0.02) of norm, a moderate degree of accumulation of fluid within the pulmonary space (R=0,86, p=0.04) and had a strong direct relationship with the development 16% of postoperative pulmonary complications (R=0.79, p=0.002). The absence of interstitial edema on the background of the restrictive regime of infusion therapy, normal sonographic pattern of light when the frequency of postoperative pulmonary complications 6% in the group of moderate surgical risk of 10% in the group of high surgical risk. Goal-direct infusion therapy generates an increase in the volume of interstices on the first day, the accumulation of fluid within the primary space of mild to 3 days and combined with a 10% development of pulmonary complications after surgery. Discussion. In patients with acute abdominal pathology of middle and high surgical risk the overall incidence of postoperative pulmonary complications is 10.5%, of which 80.9% of all cases are associated with pneumonia. Moderate surgical risk patients had a different infusion therapy's affects to the development of postoperative pulmonary complications; a liberal regime is accompanied by the development of interstitial edema, increased extravascular fluid in the lungs and incidence of pulmonary complications in 16%, restrictive mode preserves the volume of the interstices within the boundaries of the rules during postoperative period and reduces the risks of pulmonary complications to 6%. High surgical risk patients with acute abdominal pathology, postoperative period is complicated by development of pulmonary complications in 10% of cases due to increased interstitial volume and pulmonary extravascular fluid mild in the first day when targeted mode of infusion therapy limits the development of interstitial edema during all the postoperative period in the restrictive mode of infusion therapy. infusion therapy, acute abdominal pathology, postoperative pulmonary complications, interstitial edema, sonographic diagnosis Medicine (General) In Східноукраїнський медичний журнал Sumy State University, 2022 7(2019), 3, Seite 257-266 (DE-627)1819763420 (DE-600)3138108-X 26644231 nnns volume:7 year:2019 number:3 pages:257-266 https://doaj.org/article/5c95572764e64f2093d07709bbd58d3e kostenfrei https://eumj.med.sumdu.edu.ua/index.php/journal/article/view/42 kostenfrei https://doaj.org/toc/2663-5909 Journal toc kostenfrei https://doaj.org/toc/2664-4231 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2019 3 257-266
allfieldsGer	(DE-627)DOAJ085805831 (DE-599)DOAJ5c95572764e64f2093d07709bbd58d3e DE-627 ger DE-627 rakwb eng ukr R5-920 О. V. Kravets verfasserin aut INFLUENCE OF DIFFERENT INFUSION THERAPY MODES ON THE DEVELOPMENT OF POSTOPERATIVE PULMONARY COMPLICATIONS IN PATIENTS WITH MEDIUM AND HIGH SURGICAL RISK WITH ACUTE ABDOMINAL PATHOLOGY 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Postoperative pulmonary complications occur in 5–70% of cases in surgical patients and are accompanied by significant short-term and long-term mortality. The purpose is to conduct a comparative analysis of the relationship between the frequency of postoperative pulmonary complications, the degree of surgical risk and the development of interstitial edema in different modes of infusion therapy in patients with moderate and high surgical risk with acute abdominal pathology. Materials and Methods. We examined 200 patients with acute abdominal pathology, operated on urgently by laparatomy access. Patients were divided into groups according to the degree of surgical risk, subgroups were formed taking into account the regimen of infusion therapy. Subgroup 1.1 (n = 50) included patients who received infusion therapy in a liberal regimen; in subgroup 1.2 (n = 50), infusion therapy was performed in a restriction regimen. Subgroup 2.1 (n = 50) consisted of patients who received goal-direct infusion therapy, subgroup 2.2 (n = 50) – restrictive infusion therapy. The non-invasive bioelectric rheography method was used to evaluate the performance of the body's water sectors, sonographically determine the degree of fluid accumulation in the extravascular pulmonary fluid space, postoperative pulmonary complications were verified on the basis of clinical, laboratory and radiological data. In the total cohort of patients we noted 10.5% of postoperative pulmonary complications. In the postoperative period of the liberal regime of infusion therapy was accompanied by an increase of interstitial volume by 146% (p<0.04) and 159% (p<0.02) of norm, a moderate degree of accumulation of fluid within the pulmonary space (R=0,86, p=0.04) and had a strong direct relationship with the development 16% of postoperative pulmonary complications (R=0.79, p=0.002). The absence of interstitial edema on the background of the restrictive regime of infusion therapy, normal sonographic pattern of light when the frequency of postoperative pulmonary complications 6% in the group of moderate surgical risk of 10% in the group of high surgical risk. Goal-direct infusion therapy generates an increase in the volume of interstices on the first day, the accumulation of fluid within the primary space of mild to 3 days and combined with a 10% development of pulmonary complications after surgery. Discussion. In patients with acute abdominal pathology of middle and high surgical risk the overall incidence of postoperative pulmonary complications is 10.5%, of which 80.9% of all cases are associated with pneumonia. Moderate surgical risk patients had a different infusion therapy's affects to the development of postoperative pulmonary complications; a liberal regime is accompanied by the development of interstitial edema, increased extravascular fluid in the lungs and incidence of pulmonary complications in 16%, restrictive mode preserves the volume of the interstices within the boundaries of the rules during postoperative period and reduces the risks of pulmonary complications to 6%. High surgical risk patients with acute abdominal pathology, postoperative period is complicated by development of pulmonary complications in 10% of cases due to increased interstitial volume and pulmonary extravascular fluid mild in the first day when targeted mode of infusion therapy limits the development of interstitial edema during all the postoperative period in the restrictive mode of infusion therapy. infusion therapy, acute abdominal pathology, postoperative pulmonary complications, interstitial edema, sonographic diagnosis Medicine (General) In Східноукраїнський медичний журнал Sumy State University, 2022 7(2019), 3, Seite 257-266 (DE-627)1819763420 (DE-600)3138108-X 26644231 nnns volume:7 year:2019 number:3 pages:257-266 https://doaj.org/article/5c95572764e64f2093d07709bbd58d3e kostenfrei https://eumj.med.sumdu.edu.ua/index.php/journal/article/view/42 kostenfrei https://doaj.org/toc/2663-5909 Journal toc kostenfrei https://doaj.org/toc/2664-4231 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2019 3 257-266
allfieldsSound	(DE-627)DOAJ085805831 (DE-599)DOAJ5c95572764e64f2093d07709bbd58d3e DE-627 ger DE-627 rakwb eng ukr R5-920 О. V. Kravets verfasserin aut INFLUENCE OF DIFFERENT INFUSION THERAPY MODES ON THE DEVELOPMENT OF POSTOPERATIVE PULMONARY COMPLICATIONS IN PATIENTS WITH MEDIUM AND HIGH SURGICAL RISK WITH ACUTE ABDOMINAL PATHOLOGY 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction. Postoperative pulmonary complications occur in 5–70% of cases in surgical patients and are accompanied by significant short-term and long-term mortality. The purpose is to conduct a comparative analysis of the relationship between the frequency of postoperative pulmonary complications, the degree of surgical risk and the development of interstitial edema in different modes of infusion therapy in patients with moderate and high surgical risk with acute abdominal pathology. Materials and Methods. We examined 200 patients with acute abdominal pathology, operated on urgently by laparatomy access. Patients were divided into groups according to the degree of surgical risk, subgroups were formed taking into account the regimen of infusion therapy. Subgroup 1.1 (n = 50) included patients who received infusion therapy in a liberal regimen; in subgroup 1.2 (n = 50), infusion therapy was performed in a restriction regimen. Subgroup 2.1 (n = 50) consisted of patients who received goal-direct infusion therapy, subgroup 2.2 (n = 50) – restrictive infusion therapy. The non-invasive bioelectric rheography method was used to evaluate the performance of the body's water sectors, sonographically determine the degree of fluid accumulation in the extravascular pulmonary fluid space, postoperative pulmonary complications were verified on the basis of clinical, laboratory and radiological data. In the total cohort of patients we noted 10.5% of postoperative pulmonary complications. In the postoperative period of the liberal regime of infusion therapy was accompanied by an increase of interstitial volume by 146% (p<0.04) and 159% (p<0.02) of norm, a moderate degree of accumulation of fluid within the pulmonary space (R=0,86, p=0.04) and had a strong direct relationship with the development 16% of postoperative pulmonary complications (R=0.79, p=0.002). The absence of interstitial edema on the background of the restrictive regime of infusion therapy, normal sonographic pattern of light when the frequency of postoperative pulmonary complications 6% in the group of moderate surgical risk of 10% in the group of high surgical risk. Goal-direct infusion therapy generates an increase in the volume of interstices on the first day, the accumulation of fluid within the primary space of mild to 3 days and combined with a 10% development of pulmonary complications after surgery. Discussion. In patients with acute abdominal pathology of middle and high surgical risk the overall incidence of postoperative pulmonary complications is 10.5%, of which 80.9% of all cases are associated with pneumonia. Moderate surgical risk patients had a different infusion therapy's affects to the development of postoperative pulmonary complications; a liberal regime is accompanied by the development of interstitial edema, increased extravascular fluid in the lungs and incidence of pulmonary complications in 16%, restrictive mode preserves the volume of the interstices within the boundaries of the rules during postoperative period and reduces the risks of pulmonary complications to 6%. High surgical risk patients with acute abdominal pathology, postoperative period is complicated by development of pulmonary complications in 10% of cases due to increased interstitial volume and pulmonary extravascular fluid mild in the first day when targeted mode of infusion therapy limits the development of interstitial edema during all the postoperative period in the restrictive mode of infusion therapy. infusion therapy, acute abdominal pathology, postoperative pulmonary complications, interstitial edema, sonographic diagnosis Medicine (General) In Східноукраїнський медичний журнал Sumy State University, 2022 7(2019), 3, Seite 257-266 (DE-627)1819763420 (DE-600)3138108-X 26644231 nnns volume:7 year:2019 number:3 pages:257-266 https://doaj.org/article/5c95572764e64f2093d07709bbd58d3e kostenfrei https://eumj.med.sumdu.edu.ua/index.php/journal/article/view/42 kostenfrei https://doaj.org/toc/2663-5909 Journal toc kostenfrei https://doaj.org/toc/2664-4231 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2019 3 257-266
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Postoperative pulmonary complications occur in 5–70% of cases in surgical patients and are accompanied by significant short-term and long-term mortality. The purpose is to conduct a comparative analysis of the relationship between the frequency of postoperative pulmonary complications, the degree of surgical risk and the development of interstitial edema in different modes of infusion therapy in patients with moderate and high surgical risk with acute abdominal pathology. Materials and Methods. We examined 200 patients with acute abdominal pathology, operated on urgently by laparatomy access. Patients were divided into groups according to the degree of surgical risk, subgroups were formed taking into account the regimen of infusion therapy. Subgroup 1.1 (n = 50) included patients who received infusion therapy in a liberal regimen; in subgroup 1.2 (n = 50), infusion therapy was performed in a restriction regimen. 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The absence of interstitial edema on the background of the restrictive regime of infusion therapy, normal sonographic pattern of light when the frequency of postoperative pulmonary complications 6% in the group of moderate surgical risk of 10% in the group of high surgical risk. Goal-direct infusion therapy generates an increase in the volume of interstices on the first day, the accumulation of fluid within the primary space of mild to 3 days and combined with a 10% development of pulmonary complications after surgery. Discussion. In patients with acute abdominal pathology of middle and high surgical risk the overall incidence of postoperative pulmonary complications is 10.5%, of which 80.9% of all cases are associated with pneumonia. 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title	INFLUENCE OF DIFFERENT INFUSION THERAPY MODES ON THE DEVELOPMENT OF POSTOPERATIVE PULMONARY COMPLICATIONS IN PATIENTS WITH MEDIUM AND HIGH SURGICAL RISK WITH ACUTE ABDOMINAL PATHOLOGY
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title_sort	influence of different infusion therapy modes on the development of postoperative pulmonary complications in patients with medium and high surgical risk with acute abdominal pathology
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title_auth	INFLUENCE OF DIFFERENT INFUSION THERAPY MODES ON THE DEVELOPMENT OF POSTOPERATIVE PULMONARY COMPLICATIONS IN PATIENTS WITH MEDIUM AND HIGH SURGICAL RISK WITH ACUTE ABDOMINAL PATHOLOGY
abstract	Introduction. Postoperative pulmonary complications occur in 5–70% of cases in surgical patients and are accompanied by significant short-term and long-term mortality. The purpose is to conduct a comparative analysis of the relationship between the frequency of postoperative pulmonary complications, the degree of surgical risk and the development of interstitial edema in different modes of infusion therapy in patients with moderate and high surgical risk with acute abdominal pathology. Materials and Methods. We examined 200 patients with acute abdominal pathology, operated on urgently by laparatomy access. Patients were divided into groups according to the degree of surgical risk, subgroups were formed taking into account the regimen of infusion therapy. Subgroup 1.1 (n = 50) included patients who received infusion therapy in a liberal regimen; in subgroup 1.2 (n = 50), infusion therapy was performed in a restriction regimen. Subgroup 2.1 (n = 50) consisted of patients who received goal-direct infusion therapy, subgroup 2.2 (n = 50) – restrictive infusion therapy. The non-invasive bioelectric rheography method was used to evaluate the performance of the body's water sectors, sonographically determine the degree of fluid accumulation in the extravascular pulmonary fluid space, postoperative pulmonary complications were verified on the basis of clinical, laboratory and radiological data. In the total cohort of patients we noted 10.5% of postoperative pulmonary complications. In the postoperative period of the liberal regime of infusion therapy was accompanied by an increase of interstitial volume by 146% (p<0.04) and 159% (p<0.02) of norm, a moderate degree of accumulation of fluid within the pulmonary space (R=0,86, p=0.04) and had a strong direct relationship with the development 16% of postoperative pulmonary complications (R=0.79, p=0.002). The absence of interstitial edema on the background of the restrictive regime of infusion therapy, normal sonographic pattern of light when the frequency of postoperative pulmonary complications 6% in the group of moderate surgical risk of 10% in the group of high surgical risk. Goal-direct infusion therapy generates an increase in the volume of interstices on the first day, the accumulation of fluid within the primary space of mild to 3 days and combined with a 10% development of pulmonary complications after surgery. Discussion. In patients with acute abdominal pathology of middle and high surgical risk the overall incidence of postoperative pulmonary complications is 10.5%, of which 80.9% of all cases are associated with pneumonia. Moderate surgical risk patients had a different infusion therapy's affects to the development of postoperative pulmonary complications; a liberal regime is accompanied by the development of interstitial edema, increased extravascular fluid in the lungs and incidence of pulmonary complications in 16%, restrictive mode preserves the volume of the interstices within the boundaries of the rules during postoperative period and reduces the risks of pulmonary complications to 6%. High surgical risk patients with acute abdominal pathology, postoperative period is complicated by development of pulmonary complications in 10% of cases due to increased interstitial volume and pulmonary extravascular fluid mild in the first day when targeted mode of infusion therapy limits the development of interstitial edema during all the postoperative period in the restrictive mode of infusion therapy.
abstractGer	Introduction. Postoperative pulmonary complications occur in 5–70% of cases in surgical patients and are accompanied by significant short-term and long-term mortality. The purpose is to conduct a comparative analysis of the relationship between the frequency of postoperative pulmonary complications, the degree of surgical risk and the development of interstitial edema in different modes of infusion therapy in patients with moderate and high surgical risk with acute abdominal pathology. Materials and Methods. We examined 200 patients with acute abdominal pathology, operated on urgently by laparatomy access. Patients were divided into groups according to the degree of surgical risk, subgroups were formed taking into account the regimen of infusion therapy. Subgroup 1.1 (n = 50) included patients who received infusion therapy in a liberal regimen; in subgroup 1.2 (n = 50), infusion therapy was performed in a restriction regimen. Subgroup 2.1 (n = 50) consisted of patients who received goal-direct infusion therapy, subgroup 2.2 (n = 50) – restrictive infusion therapy. The non-invasive bioelectric rheography method was used to evaluate the performance of the body's water sectors, sonographically determine the degree of fluid accumulation in the extravascular pulmonary fluid space, postoperative pulmonary complications were verified on the basis of clinical, laboratory and radiological data. In the total cohort of patients we noted 10.5% of postoperative pulmonary complications. In the postoperative period of the liberal regime of infusion therapy was accompanied by an increase of interstitial volume by 146% (p<0.04) and 159% (p<0.02) of norm, a moderate degree of accumulation of fluid within the pulmonary space (R=0,86, p=0.04) and had a strong direct relationship with the development 16% of postoperative pulmonary complications (R=0.79, p=0.002). The absence of interstitial edema on the background of the restrictive regime of infusion therapy, normal sonographic pattern of light when the frequency of postoperative pulmonary complications 6% in the group of moderate surgical risk of 10% in the group of high surgical risk. Goal-direct infusion therapy generates an increase in the volume of interstices on the first day, the accumulation of fluid within the primary space of mild to 3 days and combined with a 10% development of pulmonary complications after surgery. Discussion. In patients with acute abdominal pathology of middle and high surgical risk the overall incidence of postoperative pulmonary complications is 10.5%, of which 80.9% of all cases are associated with pneumonia. Moderate surgical risk patients had a different infusion therapy's affects to the development of postoperative pulmonary complications; a liberal regime is accompanied by the development of interstitial edema, increased extravascular fluid in the lungs and incidence of pulmonary complications in 16%, restrictive mode preserves the volume of the interstices within the boundaries of the rules during postoperative period and reduces the risks of pulmonary complications to 6%. High surgical risk patients with acute abdominal pathology, postoperative period is complicated by development of pulmonary complications in 10% of cases due to increased interstitial volume and pulmonary extravascular fluid mild in the first day when targeted mode of infusion therapy limits the development of interstitial edema during all the postoperative period in the restrictive mode of infusion therapy.
abstract_unstemmed	Introduction. Postoperative pulmonary complications occur in 5–70% of cases in surgical patients and are accompanied by significant short-term and long-term mortality. The purpose is to conduct a comparative analysis of the relationship between the frequency of postoperative pulmonary complications, the degree of surgical risk and the development of interstitial edema in different modes of infusion therapy in patients with moderate and high surgical risk with acute abdominal pathology. Materials and Methods. We examined 200 patients with acute abdominal pathology, operated on urgently by laparatomy access. Patients were divided into groups according to the degree of surgical risk, subgroups were formed taking into account the regimen of infusion therapy. Subgroup 1.1 (n = 50) included patients who received infusion therapy in a liberal regimen; in subgroup 1.2 (n = 50), infusion therapy was performed in a restriction regimen. Subgroup 2.1 (n = 50) consisted of patients who received goal-direct infusion therapy, subgroup 2.2 (n = 50) – restrictive infusion therapy. The non-invasive bioelectric rheography method was used to evaluate the performance of the body's water sectors, sonographically determine the degree of fluid accumulation in the extravascular pulmonary fluid space, postoperative pulmonary complications were verified on the basis of clinical, laboratory and radiological data. In the total cohort of patients we noted 10.5% of postoperative pulmonary complications. In the postoperative period of the liberal regime of infusion therapy was accompanied by an increase of interstitial volume by 146% (p<0.04) and 159% (p<0.02) of norm, a moderate degree of accumulation of fluid within the pulmonary space (R=0,86, p=0.04) and had a strong direct relationship with the development 16% of postoperative pulmonary complications (R=0.79, p=0.002). The absence of interstitial edema on the background of the restrictive regime of infusion therapy, normal sonographic pattern of light when the frequency of postoperative pulmonary complications 6% in the group of moderate surgical risk of 10% in the group of high surgical risk. Goal-direct infusion therapy generates an increase in the volume of interstices on the first day, the accumulation of fluid within the primary space of mild to 3 days and combined with a 10% development of pulmonary complications after surgery. Discussion. In patients with acute abdominal pathology of middle and high surgical risk the overall incidence of postoperative pulmonary complications is 10.5%, of which 80.9% of all cases are associated with pneumonia. Moderate surgical risk patients had a different infusion therapy's affects to the development of postoperative pulmonary complications; a liberal regime is accompanied by the development of interstitial edema, increased extravascular fluid in the lungs and incidence of pulmonary complications in 16%, restrictive mode preserves the volume of the interstices within the boundaries of the rules during postoperative period and reduces the risks of pulmonary complications to 6%. High surgical risk patients with acute abdominal pathology, postoperative period is complicated by development of pulmonary complications in 10% of cases due to increased interstitial volume and pulmonary extravascular fluid mild in the first day when targeted mode of infusion therapy limits the development of interstitial edema during all the postoperative period in the restrictive mode of infusion therapy.
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title_short	INFLUENCE OF DIFFERENT INFUSION THERAPY MODES ON THE DEVELOPMENT OF POSTOPERATIVE PULMONARY COMPLICATIONS IN PATIENTS WITH MEDIUM AND HIGH SURGICAL RISK WITH ACUTE ABDOMINAL PATHOLOGY
url	https://doaj.org/article/5c95572764e64f2093d07709bbd58d3e https://eumj.med.sumdu.edu.ua/index.php/journal/article/view/42 https://doaj.org/toc/2663-5909 https://doaj.org/toc/2664-4231
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up_date	2024-07-03T16:57:54.186Z
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Kravets</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">INFLUENCE OF DIFFERENT INFUSION THERAPY MODES ON THE DEVELOPMENT OF POSTOPERATIVE PULMONARY COMPLICATIONS IN PATIENTS WITH MEDIUM AND HIGH SURGICAL RISK WITH ACUTE ABDOMINAL PATHOLOGY</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2019</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Introduction. Postoperative pulmonary complications occur in 5–70% of cases in surgical patients and are accompanied by significant short-term and long-term mortality. The purpose is to conduct a comparative analysis of the relationship between the frequency of postoperative pulmonary complications, the degree of surgical risk and the development of interstitial edema in different modes of infusion therapy in patients with moderate and high surgical risk with acute abdominal pathology. Materials and Methods. We examined 200 patients with acute abdominal pathology, operated on urgently by laparatomy access. Patients were divided into groups according to the degree of surgical risk, subgroups were formed taking into account the regimen of infusion therapy. Subgroup 1.1 (n = 50) included patients who received infusion therapy in a liberal regimen; in subgroup 1.2 (n = 50), infusion therapy was performed in a restriction regimen. Subgroup 2.1 (n = 50) consisted of patients who received goal-direct infusion therapy, subgroup 2.2 (n = 50) – restrictive infusion therapy. The non-invasive bioelectric rheography method was used to evaluate the performance of the body's water sectors, sonographically determine the degree of fluid accumulation in the extravascular pulmonary fluid space, postoperative pulmonary complications were verified on the basis of clinical, laboratory and radiological data. In the total cohort of patients we noted 10.5% of postoperative pulmonary complications. In the postoperative period of the liberal regime of infusion therapy was accompanied by an increase of interstitial volume by 146% (p<0.04) and 159% (p<0.02) of norm, a moderate degree of accumulation of fluid within the pulmonary space (R=0,86, p=0.04) and had a strong direct relationship with the development 16% of postoperative pulmonary complications (R=0.79, p=0.002). The absence of interstitial edema on the background of the restrictive regime of infusion therapy, normal sonographic pattern of light when the frequency of postoperative pulmonary complications 6% in the group of moderate surgical risk of 10% in the group of high surgical risk. Goal-direct infusion therapy generates an increase in the volume of interstices on the first day, the accumulation of fluid within the primary space of mild to 3 days and combined with a 10% development of pulmonary complications after surgery. Discussion. In patients with acute abdominal pathology of middle and high surgical risk the overall incidence of postoperative pulmonary complications is 10.5%, of which 80.9% of all cases are associated with pneumonia. 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INFLUENCE OF DIFFERENT INFUSION THERAPY MODES ON THE DEVELOPMENT OF POSTOPERATIVE PULMONARY COMPLICATIONS IN PATIENTS WITH MEDIUM AND HIGH SURGICAL RISK WITH ACUTE ABDOMINAL PATHOLOGY

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