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Gulhane Med J. 2009; 51(1): 021-026

Noninvasive comparison of the effects of right and left thoracotomies on cardiac output

Kamer Dere1, M. Emin Orhan2, Ahmet Coşar2, Sezai Özkan1, Güner Dağlı1.

In this study, we aimed to compare noninvasively the effects of right and left thoracotomies on cardiac output in the patients who would undergo thoracotomy. Forty male patients in the Group of ASA I who were planned to undergo elective thoracotomy were included in the study. Right thoracotomy and left thoracotomy were performed in Group I (n=20) and Group II (n=20), respectively. All cases were monitorized with noninvasive cardiac output monitor, and values of cardiac output, cardiac index, stroke volume and endtidal CO2 were measured. The data were recorded before and after induction at lateral decubitus position two, one and again two lung ventilation, and the last supine position. In intra-group comparisons in Groups I and II, statistically significant differences were detected in mean arterial pressure, heart rate, endtidal CO2 and peripheral oxygen saturation values before induction among two lung ventilations in supine position and lateral decubitis positon, and one lung ventilation (p

Key words: Cardiac output, noninvasive monitorization, thoracotomy

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