Relationship between declined preoperative left ventricular diastolic function and increased postoperative extravascular lung water in patients undergoing transurethral resection of prostate
10.3760/cma.j.cn131073.20211209.00404
- VernacularTitle:经尿道前列腺电切术患者术前左室舒张功能减退与术后血管外肺水增多的关系
- Author:
Mengjun ZHANG
1
;
Xiaofan HUANG
;
Xiaohan ZHANG
;
Ziying LI
;
Qiuchong CHEN
;
Jindong LIU
Author Information
1. 徐州医科大学附属医院麻醉科，徐州 221000
- Keywords:
Ventricular dysfunction, left;
Extravascular lung water;
Postoperative complications;
Transurethral resection of the prostate
- From:
Chinese Journal of Anesthesiology
2022;42(4):399-402
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the relationship between declined preoperative left ventricular diastolic function and postoperative increased extravascular lung water (EVLW) in the patients undergoing transurethral resection of the prostate (TURP).Methods:A total of 116 patients, aged 55-90 yr, of American Society of Anesthesiologists physical status Ⅰ-Ⅲ, with body mass index of ≤30 kg/m 2, undergoing elective TURP under general anesthesia, without increased EVLW before surgery, were included in the study.Lung ultrasound examination was performed and lung ultrasound scores were assessed before leaving PACU.Increased EVLW was defined as lung ultrasound score ≥20.The occurrence of increased EVLW after operation was recorded, and patients were divided into increased EVLW group and non-increased EVLW group according to whether increased EVLW occurred.Multivariate logistic regression analysis was used to identify the risk factors for postoperative increased EVLW. Results:The results of multivariate logistic regression analysis showed that declined preoperative left ventricular diastolic function was an independent risk factor for postoperative increased EVLW ( P<0.05). Conclusions:Declined preoperative left ventricular diastolic function is an independent risk factor for postoperative increased EVLW in the patients undergoing TURP.
