Four Hours Postoperative Mobilization is Feasible After Thoracoscopic Anatomical Pulmonary Resection
Four Hours Postoperative Mobilization is Feasible After Thoracoscopic Anatomical Pulmonary Resection
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DOI：
10.1007/s00268-020-05836-0
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发表时间：
2020-10-23
影响因子：
2.6
通讯作者：
Kuroda, Hiroaki
中科院分区：
文献类型：
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作者：
Nakada, Takeo;Shirai, Suguru;Kuroda, Hiroaki
本研究旨在分析胸腔镜肺叶和节段切除术后4小时内早期活动（EM）的可行性及相关危险因素。方法：本研究回顾性评估了2017年10月至2019年2月期间使用我们的EM方案接受胸腔镜解剖性肺切除术的214例连续患者。比较EM组（E组）和失败EM组（F组）患者用药总量、漏气、体位性低血压（OH）等围手术期参数的相关性。其次，我们评估了OH的危险因素，OH通常会导致严重的并发症。结果E组198例（92.5%）完成了EM方案，F组16例（7.5%）未完成EM方案。失败的主要原因是严重疼痛、漏气、术后恶心呕吐和OH （n = 1,3,8和4）。在单因素分析中，漏气、OH和非高血压被确定为EM失败的危险因素
Background We aimed to analyze the feasibility and risk factors associated with early mobilization (EM) within 4 h after thoracoscopic lobectomy and segmentectomy.Methods This study retrospectively evaluated 214 consecutive patients who underwent thoracoscopic anatomical pulmonary resection using our EM protocol between October 2017 and February 2019. We compared the correlations of the patients' characteristics including the total number of drugs and perioperative parameters such as air leak, and orthostatic hypotension (OH) between the EM (E group) and failed EM (F group) groups. Second, we evaluated risk factors for OH, which often causes critical complications.Results A total of 198 patients (92.5%: E group) completed the EM protocol, whereas 16 patients did not (7.5%: F group). The primary causes of failure were severe pain, air leak, postoperative nausea and vomiting, and OH (n = 1, 3, 8, and 4). Upon univariate analysis, air leakage, OH, and non-hypertension were identified as risk factors for failed EM (all p