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Positive End-Expiratory Pressure in Rhinoplasty Surgery; Risks and Benefits

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Abstract

Aims

The aim of this study is to evaluate the effect of Positive End Expiratory Pressure (PEEP) on surgical field bleeding and its respiratory and hemodynamic consequences in rhinoplasty surgeries.

Materials and methods

This single-blind clinical trial performed in Amir Al-Momenin university Hospital in 2018. Seventy cases of rhinoplasty surgery patients Enrolled and were randomized into two groups; intervention (PEEP = 5) and comparison group (PEEP = 0). Surgical field bleeding and arterial oxygen saturation pulmonary dynamics and hemodynamic parameters were evaluated during operation and in post anesthesia care unit. Data were analyzed by SPSS software using descriptive and analytical statistics.

Results

PEEP applying had no negative effect on surgical bleeding as well as surgeon satisfaction, heart rate and blood pressure were similar in two groups. Pulmonary dynamics and oxygenation were stable and within normal values in all cases. The mean peak airway pressure was 17.87 ± 2.24 in the PEEP group and 16.08 ± 3.37 in the ZEEP group (P = 0.029).

Conclusion

applying low level PEEP during anesthesia improved recovery oxygen saturation but had no negative effects on the patient`s hemodynamics, and did not aggravate bleeding and visual clarity.

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Acknowledgements

We are especially grateful to all the experts who were an integral partner in the preparation of facilities.

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Authors and Affiliations

  1. Otorhinolaryngology Research Center, Department of Otolaryngology and Head and Neck Surgery, School of Medicine, Amiralmomenin Hospital, Guilan University of Medical Sciences, Rasht, Iran

    Ali Faghih Habibi, Shadman Nemati & Vahid Aghsaghloo

  2. Clinical Research Development Unit of Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran

    Ali Ashraf

  3. Department of Neurosurgery, School of Advanced Medical Sciences and Technologies, Shiraz University of Medical Sciences, Shiraz, Iran

    Zahra Ghanavi

  4. Department of Biostatics & Epidemiology, School of Health, Guilan University of Medical Sciences, Rasht, Iran

    Maryam Shakiba

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  1. Ali Faghih Habibi
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  2. Ali Ashraf
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  3. Zahra Ghanavi
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  4. Maryam Shakiba
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  5. Shadman Nemati
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  6. Vahid Aghsaghloo
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Correspondence to Ali Ashraf.

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Habibi, A.F., Ashraf, A., Ghanavi, Z. et al. Positive End-Expiratory Pressure in Rhinoplasty Surgery; Risks and Benefits. Indian J Otolaryngol Head Neck Surg 75, 2823–2828 (2023). https://doi.org/10.1007/s12070-023-03854-7

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  • DOI: https://doi.org/10.1007/s12070-023-03854-7

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