Perioperative Pulmonary Support of the Elderly

Entriken, Catherine; Pritts, Timothy A.

doi:10.1007/s13670-021-00369-3

Cited by 9 publications

(6 citation statements)

References 61 publications

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“…Educating people about health care is a process and activity that helps them learn about health concepts, gain knowledge about health care, and enhance their personal health. The theory of knowledge, belief, and behavior (abbreviation of knowledge, belief, and behavior) is also known as KAP theory (KABP or KAP) [ 35 , 36 ]. It is the continuation of the application of cognitive theory to health education.…”

Section: Discussionmentioning

confidence: 99%

Influence of Nurse-Led Health Education on Self-Management Ability, Satisfaction, and Compliance of Elderly Patients with Chronic Obstructive Pulmonary Disease Based on Knowledge, Belief, and Practice Model

Cao

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. Knowledge, belief, and behavior model (knowledge-attitude-practice (KAP)) is known as a cognitive model. Health education is important to the prognosis of patients, including chronic obstructive pulmonary disease (COPD) patients. However, the investigation regarding health education based on the KAP model is few. Thus, this work is aimed at analyzing the influence of nurse-led health education on self-management ability, satisfaction, and compliance of elderly patients with COPD based on knowledge, belief, and practice model. Methods. 60 elderly patients with COPD cured in our hospital from January 2019 to April 2021 were enrolled for the study. The patients were randomly assigned to control group ( n = 30 ) and study group ( n = 30 ). The former group received routine nursing, and the latter group accepted health education based on “knowledge, belief, and practice” model. Finally, the scores of nursing satisfaction, KAP score, compliance rate, self-management level, pulmonary function, and life quality were compared in the two groups. Results. The nursing satisfaction of the study group (100.00%) was higher than that (83.33%) of the control group ( P < 0.05 ). The scores of knowledge, attitude, and behavior were remarkably higher in the study group than in the control group after nursing ( P < 0.05 ). Moreover, KAP scores also significantly increased in the study group after nursing. The compliance rate of the study group (93.33%) was higher than that of the control group (66.67%) ( P < 0.05 ). After nursing, the scores of symptom management, daily life management, emotion management, information management, and management efficiency were higher in the study group than in the control group ( P < 0.05 ). In addition, pulmonary functions were improved in the two groups following nursing. Compared with the control groups, the 6 min walking distance, FEV1%, and FEV1/FVC% were higher in the study group ( P < 0.05 ). After nursing, the scores of life quality were reduced in the two groups. The scores of physiological function, psychological function, social function, and health self-cognition were lower in the study group than in the control group ( P < 0.05 ). Conclusion. Based on the model of knowledge, belief, and practice, nurse-led health education can successfully enhance the self-management ability, satisfaction, and compliance of elderly COPD patients.

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Section: Discussionmentioning

confidence: 99%

Influence of Nurse-Led Health Education on Self-Management Ability, Satisfaction, and Compliance of Elderly Patients with Chronic Obstructive Pulmonary Disease Based on Knowledge, Belief, and Practice Model

Cao

et al. 2022

Computational and Mathematical Methods in Medicine

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“…Optimization of respiratory mechanics in elderly patients is very important because physiological and biochemical changes caused by aging can lead to deteriorate respiratory function and increase postoperative pulmonary complications [ 31 ]. Furthermore, carbon dioxide insufflation for laparoscopic surgery is accompanied by not only hemodynamic changes but also airway pressure elevation, hypercarbia, and decreased pulmonary compliance.…”

Section: Discussionmentioning

confidence: 99%

Comparisons of Mechanical Power and Respiratory Mechanics in Pressure-Controlled Ventilation and Volume-Controlled Ventilation during Laparoscopic Cholecystectomy in Elderly Patients

Chang

Lee

et al. 2023

JPM

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We compared the effects of pressure-controlled volume-guaranteed ventilation (PCV) and volume-controlled ventilation (VCV) on respiratory mechanics and mechanical power (MP) in elderly patients undergoing laparoscopy. Fifty patients aged 65–80 years scheduled for laparoscopic cholecystectomy were randomly assigned to either the VCV group (n = 25) or the PCV group (n = 25). The ventilator had the same settings in both modes. The change in MP over time was insignificant between the groups (p = 0.911). MP significantly increased during pneumoperitoneum in both groups compared with anesthesia induction (IND). The increase in MP from IND to 30 min after pneumoperitoneum (PP30) was not different between the VCV and PCV groups. The change in driving pressure (DP) over time were significantly different between the groups during surgery, and the increase in DP from IND to PP30 was significantly higher in the VCV group than in the PCV group (both p = 0.001). Changes in MP during PCV and VCV were similar in elderly patients, and MP increased significantly during pneumoperitoneum in both groups. However, MP did not reach clinical significance (≥12 J/min). In contrast, the PCV group had a significantly lower increase in DP after pneumoperitoneum than the VCV group.

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“…Elderly patients, due to age-related changes in lung elasticity and immune function, are more prone to complications, and adverse postoperative outcomes [26]. Lung-protective ventilation strategies have been shown to offer several benefits for older individuals by reducing the risk of potential lung injury [24].…”

Section: Patients Subgroupsmentioning

confidence: 99%

Intraoperative lung protection: strategies and their impact on outcomes

Simonte,

Cammarota,

De Robertis

2024

Current Opinion in Anaesthesiology

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Purpose of review The present review summarizes the current knowledge and the barriers encountered when implementing tailoring lung-protective ventilation strategies to individual patients based on advanced monitoring systems. Recent findings Lung-protective ventilation has become a pivotal component of perioperative care, aiming to enhance patient outcomes and reduce the incidence of postoperative pulmonary complications (PPCs). High-quality research has established the benefits of strategies such as low tidal volume ventilation and low driving pressures. Debate is still ongoing on the most suitable levels of positive end-expiratory pressure (PEEP) and the role of recruitment maneuvers. Adapting PEEP according to patient-specific factors offers potential benefits in maintaining ventilation distribution uniformity, especially in challenging scenarios like pneumoperitoneum and steep Trendelenburg positions. Advanced monitoring systems, which continuously assess patient responses and enable the fine-tuning of ventilation parameters, offer real-time data analytics to predict and prevent impending lung complications. However, their impact on postoperative outcomes, particularly PPCs, is an ongoing area of research. Summary Refining protective lung ventilation is crucial to provide patients with the best possible care during surgery, reduce the incidence of PPCs, and improve their overall surgical journey.

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Perioperative Pulmonary Support of the Elderly

Cited by 9 publications

References 61 publications

Influence of Nurse-Led Health Education on Self-Management Ability, Satisfaction, and Compliance of Elderly Patients with Chronic Obstructive Pulmonary Disease Based on Knowledge, Belief, and Practice Model

Influence of Nurse-Led Health Education on Self-Management Ability, Satisfaction, and Compliance of Elderly Patients with Chronic Obstructive Pulmonary Disease Based on Knowledge, Belief, and Practice Model

Comparisons of Mechanical Power and Respiratory Mechanics in Pressure-Controlled Ventilation and Volume-Controlled Ventilation during Laparoscopic Cholecystectomy in Elderly Patients

Intraoperative lung protection: strategies and their impact on outcomes

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