Pulmonary function and thoraco-abdominal configuration after elective craniotomy

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dc.contributor.authorFranceschini, Juliana [UNIFESP]
dc.contributor.authorSogame, Luciana Carrupt Machado
dc.contributor.authorGazzotti, Mariana Rodrigues [UNIFESP]
dc.contributor.authorVidotto, Milena Carlos [UNIFESP]
dc.contributor.authorJardim, Jose Roberto [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionEMESCAM
dc.date.accessioned2018-06-18T11:15:22Z
dc.date.available2018-06-18T11:15:22Z
dc.date.issued2008-03-01
dc.description.abstractBackground and Purpose: The development of pathophysiologic pulmonary alterations are observed after thoracic and abdominal surgeries. The purpose of this article is to report the alterations in the thoracoabdominal configuration and ventilometric parameters that occur during the postoperative period after elective craniotomy.Subjects: Forty-seven patients submitted to craniotomy owing to the presence of an aneurysm or tumor, under general anesthesia were analyzed.Methods: Tidal volume (TV), respiratory rate, and diaphragmatic index were measured from the preoperative period to the fourth postoperative day and pH, PaCO(2), PaO(2), and SaO(2) to the second postoperative day.Results: We observed a decrease in TV, an increase in respiratory rate, increased alveolar ventilation, and a change in the respiratory pattern from predominantly abdominal to predominantly thoracic respiration.Conclusions: A decrease in the diaphragmatic index, and a reduction in abdominal motion, associated to a lower TV, is suggestive that the lower parts of the lungs were less ventilated than the higher ones.en
dc.description.affiliationUniv Fed Sao Paulo, Div Resp, Disciplina Pneumol, BR-04023062 Sao Paulo, Brazil
dc.description.affiliationEMESCAM, Physiotherapy Course, Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Resp Physiotherapy Especializat Course, BR-04023062 Sao Paulo, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Div Resp, Pulm Rehabil Ctr, BR-04023062 Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Div Resp, Disciplina Pneumol, BR-04023062 Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Resp Physiotherapy Especializat Course, BR-04023062 Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Div Resp, Pulm Rehabil Ctr, BR-04023062 Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent22-27
dc.identifierhttp://dx.doi.org/10.1097/WNQ.0b013e3181642714
dc.identifier.citationNeurosurgery Quarterly. Philadelphia: Lippincott Williams & Wilkins, v. 18, n. 1, p. 22-27, 2008.
dc.identifier.doi10.1097/WNQ.0b013e3181642714
dc.identifier.issn1050-6438
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/45030
dc.identifier.wosWOS:000253936000005
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofNeurosurgery Quarterly
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectcraniotomyen
dc.subjectdiaphragmen
dc.subjectpulmonary function testsen
dc.titlePulmonary function and thoraco-abdominal configuration after elective craniotomyen
dc.typeinfo:eu-repo/semantics/article
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