Effect of a Care Bundle Combined with Continuous Positive Airway Pressure in the Postanesthesia Care Unit on Rapid Recovery after Pulmonary Tumor Resection

Objective. To study the effect of a care bundle combined with continuous positive airway pressure (CPAP) in the postanesthesia care unit (PACU) on rapid recovery after pulmonary tumor resection. Methods. A total of 135 patients requiring anesthesia resuscitation after pulmonary tumor resection in ou...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Yongxiang Yan, Jianwei Luo, Liuming Pei, Jianfeng Zeng, Wenchan Yan, Dongni Xu, Shaoman Lin, Xiangbo Wu, Haixuan Zhao, Sihua Liang
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Medicine (General) R5-920 Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/a8896d8a611644d7a18d6b0457b77561
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a8896d8a611644d7a18d6b0457b77561
record_format	dspace
spelling	oai:doaj.org-article:a8896d8a611644d7a18d6b0457b775612021-11-08T02:35:15ZEffect of a Care Bundle Combined with Continuous Positive Airway Pressure in the Postanesthesia Care Unit on Rapid Recovery after Pulmonary Tumor Resection2040-230910.1155/2021/5906855https://doaj.org/article/a8896d8a611644d7a18d6b0457b775612021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/5906855https://doaj.org/toc/2040-2309Objective. To study the effect of a care bundle combined with continuous positive airway pressure (CPAP) in the postanesthesia care unit (PACU) on rapid recovery after pulmonary tumor resection. Methods. A total of 135 patients requiring anesthesia resuscitation after pulmonary tumor resection in our hospital from June 2020 to February 2021 were selected. They were randomly divided into three groups: the PACU experimental group, PACU control group, and operating room resuscitation (OR) group. Subsequently, their intraoperative clinical symptoms, parameters in monitoring postoperative respiratory status, and follow-up results were compared among the three groups. Results. The PACU experimental group had the highest number of right lesions, while the OR group had the highest intraoperative blood transfusion volume, urine volume, intraoperative colloid volume, intrapulmonary shunt, and intraoperative physician handover rate (P<0.05). Before surgery, serum potassium (K) in the PACU experimental group was significantly higher than that in the OR group but lower than that in the PACU control group (P<0.01). During the time in the PACU, blood partial pressure of oxygen (PO2) and oxygen index (OI) levels in the PACU experimental group were significantly higher than those in the other groups (P<0.01). After surgery, total PACU stay time, time from PACU to extubation, and stay after extubation were markedly reduced in the PACU experimental group (P<0.05). The highest number of patients with drainage was found in the PACU experimental group, while the highest number of patients without drainage was found in the PACU control group. Conclusion. A care bundle combined with CPAP in the PACU can improve the monitoring time of respiratory status and improve blood gas parameters, thus accelerating the postoperative rehabilitation process of patients undergoing pulmonary tumor resection.Yongxiang YanJianwei LuoLiuming PeiJianfeng ZengWenchan YanDongni XuShaoman LinXiangbo WuHaixuan ZhaoSihua LiangHindawi LimitedarticleMedicine (General)R5-920Medical technologyR855-855.5ENJournal of Healthcare Engineering, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920 Medical technology R855-855.5
spellingShingle	Medicine (General) R5-920 Medical technology R855-855.5 Yongxiang Yan Jianwei Luo Liuming Pei Jianfeng Zeng Wenchan Yan Dongni Xu Shaoman Lin Xiangbo Wu Haixuan Zhao Sihua Liang Effect of a Care Bundle Combined with Continuous Positive Airway Pressure in the Postanesthesia Care Unit on Rapid Recovery after Pulmonary Tumor Resection
description	Objective. To study the effect of a care bundle combined with continuous positive airway pressure (CPAP) in the postanesthesia care unit (PACU) on rapid recovery after pulmonary tumor resection. Methods. A total of 135 patients requiring anesthesia resuscitation after pulmonary tumor resection in our hospital from June 2020 to February 2021 were selected. They were randomly divided into three groups: the PACU experimental group, PACU control group, and operating room resuscitation (OR) group. Subsequently, their intraoperative clinical symptoms, parameters in monitoring postoperative respiratory status, and follow-up results were compared among the three groups. Results. The PACU experimental group had the highest number of right lesions, while the OR group had the highest intraoperative blood transfusion volume, urine volume, intraoperative colloid volume, intrapulmonary shunt, and intraoperative physician handover rate (P<0.05). Before surgery, serum potassium (K) in the PACU experimental group was significantly higher than that in the OR group but lower than that in the PACU control group (P<0.01). During the time in the PACU, blood partial pressure of oxygen (PO2) and oxygen index (OI) levels in the PACU experimental group were significantly higher than those in the other groups (P<0.01). After surgery, total PACU stay time, time from PACU to extubation, and stay after extubation were markedly reduced in the PACU experimental group (P<0.05). The highest number of patients with drainage was found in the PACU experimental group, while the highest number of patients without drainage was found in the PACU control group. Conclusion. A care bundle combined with CPAP in the PACU can improve the monitoring time of respiratory status and improve blood gas parameters, thus accelerating the postoperative rehabilitation process of patients undergoing pulmonary tumor resection.
format	article
author	Yongxiang Yan Jianwei Luo Liuming Pei Jianfeng Zeng Wenchan Yan Dongni Xu Shaoman Lin Xiangbo Wu Haixuan Zhao Sihua Liang
author_facet	Yongxiang Yan Jianwei Luo Liuming Pei Jianfeng Zeng Wenchan Yan Dongni Xu Shaoman Lin Xiangbo Wu Haixuan Zhao Sihua Liang
author_sort	Yongxiang Yan
title	Effect of a Care Bundle Combined with Continuous Positive Airway Pressure in the Postanesthesia Care Unit on Rapid Recovery after Pulmonary Tumor Resection
title_short	Effect of a Care Bundle Combined with Continuous Positive Airway Pressure in the Postanesthesia Care Unit on Rapid Recovery after Pulmonary Tumor Resection
title_full	Effect of a Care Bundle Combined with Continuous Positive Airway Pressure in the Postanesthesia Care Unit on Rapid Recovery after Pulmonary Tumor Resection
title_fullStr	Effect of a Care Bundle Combined with Continuous Positive Airway Pressure in the Postanesthesia Care Unit on Rapid Recovery after Pulmonary Tumor Resection
title_full_unstemmed	Effect of a Care Bundle Combined with Continuous Positive Airway Pressure in the Postanesthesia Care Unit on Rapid Recovery after Pulmonary Tumor Resection
title_sort	effect of a care bundle combined with continuous positive airway pressure in the postanesthesia care unit on rapid recovery after pulmonary tumor resection
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/a8896d8a611644d7a18d6b0457b77561
work_keys_str_mv	AT yongxiangyan effectofacarebundlecombinedwithcontinuouspositiveairwaypressureinthepostanesthesiacareunitonrapidrecoveryafterpulmonarytumorresection AT jianweiluo effectofacarebundlecombinedwithcontinuouspositiveairwaypressureinthepostanesthesiacareunitonrapidrecoveryafterpulmonarytumorresection AT liumingpei effectofacarebundlecombinedwithcontinuouspositiveairwaypressureinthepostanesthesiacareunitonrapidrecoveryafterpulmonarytumorresection AT jianfengzeng effectofacarebundlecombinedwithcontinuouspositiveairwaypressureinthepostanesthesiacareunitonrapidrecoveryafterpulmonarytumorresection AT wenchanyan effectofacarebundlecombinedwithcontinuouspositiveairwaypressureinthepostanesthesiacareunitonrapidrecoveryafterpulmonarytumorresection AT dongnixu effectofacarebundlecombinedwithcontinuouspositiveairwaypressureinthepostanesthesiacareunitonrapidrecoveryafterpulmonarytumorresection AT shaomanlin effectofacarebundlecombinedwithcontinuouspositiveairwaypressureinthepostanesthesiacareunitonrapidrecoveryafterpulmonarytumorresection AT xiangbowu effectofacarebundlecombinedwithcontinuouspositiveairwaypressureinthepostanesthesiacareunitonrapidrecoveryafterpulmonarytumorresection AT haixuanzhao effectofacarebundlecombinedwithcontinuouspositiveairwaypressureinthepostanesthesiacareunitonrapidrecoveryafterpulmonarytumorresection AT sihualiang effectofacarebundlecombinedwithcontinuouspositiveairwaypressureinthepostanesthesiacareunitonrapidrecoveryafterpulmonarytumorresection
_version_	1718443304882798592

Effect of a Care Bundle Combined with Continuous Positive Airway Pressure in the Postanesthesia Care Unit on Rapid Recovery after Pulmonary Tumor Resection

Ejemplares similares