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
DOI: 10.54647/cm32606    72 Downloads     4528 Views  

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. Volume 6, Issue 5, October 2021 | PP. 385-393. 10.54647/cm32606

References

[ 1 ] Yu Yuan, Shang You. Procedure of bedside ultrasound examination in severe critical patients. Chinese journal of diagnostics electronic, 2017,5 (3) :154-157
[ 2 ] Lyon M, Walton P, Bhalla V, Shiver SA. Ultrasound detection of the sliding lung sign by prehospital critical care providers. Am J Emerg Med. 2012; 30:48 5-8. Doi: 10.1016 / j.a jem. 2011.01.009.
[ 3 ] Wang Xiaoting, Liu Dawei, Yu Kaijiang, et al. Consensus of Severe ultrasound experts in China. Chinese journal of internal medicine, 2016,55 (11) :900-912.
[ 4 ] Cao Yu, Chao Yangong, Chen Libo, et al. Expert consensus on clinical application of bedside ultrasound in acute and critically ill patients. Chinese journal of emergency medicine, 2016,25 (1) :10-21.
[ 5 ] Moore CL,Copel JA. Point-of-care ultrasonography, N Engl JM,2011,364(8):749-757. 10.1056/NEJMra0909487
[ 6 ] Yu Hong, Ze Peng, Yu Hai, et al. Perioperative Ultrasound: Essential Skills for anesthesiologists in the New Era, Journal of Chinese Clinical Anesthesiology, 2018,34(8):814-826.
[ 7 ] Daniel A. Lichtenstein.(2009)Lung Ultrasound in the Critically Ill.J Med Ultrasound,17(3):125-142.
[ 8 ] Daniel A. Lichtenstein. BLUE-protocol and FALLS-protocol: two applications of lung ultrasound in the Critically Ill.CHEST,2015,147(6):1659-1670. DOI:10.1378/chest.14-1313
[ 9 ] ZHIXING ZHU, XIHUA LIAN, YIMING ZENG, WEIJING WU, ZHIRONG XU, YONGJIAN CHEN, JINGYUN LI, XIAOSHAN SU, LIQING ZENG, GUORONG LV. POINT-OF-CARE ULTRASOUND—A NEW OPTION FOR EARLY QUANTITATIVE ASSESSMENT OF PULMONARY EDEMA. Ultrasound in Medicine & Biology ,2020，46,(1):1-10
[ 10 ] Aron H. Ferreira, Antonio Pazin-Filho. (2020) Lung Ultrasound in a Patient With ARDS Secondary to Pancreatitis. CHEST,158(2): e85-e87.
[ 11 ] Hatem S A, Marcelo H M. (2020) The Sound of Silence -The Power of Lung Ultrasound in the Interstitial-Alveolar Syndrome. JACC: CASE REPORTS, 2(10):1550-1552.
[ 12 ] Matthieu Jabaudon, ules Audard, Bruno Pereira, Samir Jaber, Jean-Yves Lefrant, Raiko Blondonnet, Thomas Godet, Emmanuel Futier, Céline Lambert, MSc; Jean-Etienne Bazin,Julie A. Bastarache, Jean-Michel Constantin, Lorraine B. Ware. (2020) Early Changes Over Time in the Radiographic Assessment of Lung Edema Score Are Associated With Survival in ARDS. CHEST,158(6):2394-2403.
[ 13 ] Peng Qianyi, Zhang Lina, Li Li, et al. Analysis of pulmonary ultrasound image characteristics of postoperative intensive care patients based on Blue-plus protocol. Chinese journal of ultrasound imaging, 2017,26 (11) :976-981.
[ 14 ] D T Ashton- Cleary. Is thoracic ultrasound a viable alternative to conventional imaging in the critical care setting? B J A，2013,111（2）：152-160.DOI:10.1093/bja/art076