Effect of Mechanical Ventilation Mode Type on Prioperative Blood Loss in Patients Undergoing Posterior Lumbar Inter body Fusion Surgery: A Randomized Controlled Trial

Abstract

Background this study has examined modes of mechanical ventilation, pressure or volume-controlled ventilation (PCV or VCV) on intra- and post-operative surgical bleeding in posterior lumbar inter body fusion (PLIF) surgery Methods This research was a randomized, single-blinded, and parallel study, that 78 patients were selected. They mechanically ventilated using either PCV or VCV in PLIF surgery. In this regard, a permuted block randomization was used with a computer-generated list. After induction of anesthesia in supine position, the hemodynamic and respiratory parameters were measured Results The mean bleeding was 431.281 ± 361.04cc in the PCV group and 465.26 ± 338.16 cc in the VCV group (p = 0.669). Moreover, blood transfusion rates in the PCV and VCV groups were 0.40 ± 0.74 and 0.43±78 0.78 pack cell (p = 0.836), respectively. Notably, surgeon satisfaction was more observed in the PCV group (82.1% vs. 74.4%, p = 0.548). In addition, the other variables were similar in these two groups. Conclusions The mean bleeding volume was higher in the VCV group compared to the PCV group; however, no significant difference was observed between these two groups. Hemoglobin levels in the patients included before and after surgery showed that the two groups were in a similar condition.