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1.
Water Res ; 249: 120890, 2024 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-38016222

RESUMEN

Emerging electrochemical disinfection techniques provide a promising pathway to the biofouling control of reverse osmosis (RO) process. However, the comparative effectiveness and mechanism of it under flow-through conditions with low voltage remains unclear. This study investigated the effect of a flow-through electrode system (FES) with both direct current (DC) and alternating pulse current (AC) on RO biofouling control compared with chlorine disinfection. At the initial stage of biofouling development, the normalized flux of AC-FES (67% on Day 5) was saliently higher than the control group (56% on Day 5). Subsequently, the normalized fluxes of each group tended similarity in their differences until the 20th day. After mild chemical cleaning, the RO membrane in the AC-FES group reached the highest chemical cleaning efficiency of 58%, implying its foulant was more readily removable and the biofouling was more reversible. The biofouling layer in the DC-FES group was also found to be easily cleanable. Morphological analysis suggested that the thickness and compactness of the fouling layers were the major reasons for the fouling behavior difference. The abundance of 4 fouling-related abundant genera (>1%), which were Pseudomonas, Thiobacillus, Sphingopyxis, and Mycobacterium exhibited a salient correlation with the biofouling degree. The operating cost of FES was also lower than that of chlorine disinfection. In summary, AC-FES is a promising alternative to chlorine disinfection in RO biofouling control, as it caused less and easy-cleaning biofouling layer mainly due to two advantages: a) reducing the regrowth potential after disinfection of the bacteria, leading to alleviated initial fouling, (b) reshaping the microbial community to those with weaker biofilm formation capacity.


Asunto(s)
Incrustaciones Biológicas , Purificación del Agua , Aguas Residuales , Incrustaciones Biológicas/prevención & control , Cloro , Membranas Artificiales , Ósmosis , Purificación del Agua/métodos
2.
Water Res ; 244: 120531, 2023 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-37659185

RESUMEN

With the widespread use of chlorine disinfection, chlorine-resistant bacteria (CRB) in water treatment systems have gained public attention. Bacterial chlorine resistance has been found positively correlated with extracellular polymeric substance (EPS) secretion. In this study, we selected the most suitable CRB controlling method against eight bacterial strains with different chlorine resistance among chloramine, ozone, and ultraviolet (UV) disinfection, analyzed the resistance mechanisms, clarified the contribution of EPS to disinfection resistance, and explored the role of carbon source metabolism capacity. Among all the disinfectants, UV disinfection showed the highest disinfection capacity by achieving the highest average and median log inactivation rates for the tested strains. For Bacillus cereus CR19, the strain with the highest chlorine resistance, 40 mJ/cm2 UV showed a 1.90 log inactivation, which was much higher than that of 2 mg-Cl2/L chlorine (0.67 log), 2 mg-Cl2/L chloramine (1.68 log), and 2 mg/L ozone (0.19 log). Meanwhile, the UV resistance of the bacteria did not correlate with EPS secretion. These characteristics render UV irradiation the best CRB controlling disinfection method. Chloramine was found to have a generally high inactivation efficiency for bacteria with high chlorine-resistance, but a low inactivation efficiency for low chlorine-resistant ones. Although EPS consumed up to 56.7% of chloramine which an intact bacterial cell consumed, EPS secretion could not explain chloramine resistance. Thus, chloramine is an acceptable CRB control method. Similar to chlorine, ozone generally selected high EPS-secreting bacteria, with EPS consuming up to 100% ozone. Therefore, ozone is not an appropriate method for controlling CRB with high EPS secretion. EPS played an important role in all types of disinfection resistance, and can be considered the main mechanism for bacterial chlorine and ozone disinfection resistance. However, as EPS was not the main resistance mechanism in UV and chloramine disinfection, CRB with high EPS secretion were inactivated more effectively. Furthermore, carbon source metabolism was found related to the multiple resistance of bacteria. Those with low carbon source metabolism capacity tended to have higher multiple resistance, especially to chlorine, ozone, and UV light. Distinctively, among the tested gram-negative bacteria, in contrast to other disinfectants, chloramine resistance was negatively correlated with EPS secretion and positively correlated with carbon source metabolism capacity, suggesting a special disinfection mechanism.


Asunto(s)
Desinfectantes , Ozono , Cloro/farmacología , Cloraminas/farmacología , Desinfección , Matriz Extracelular de Sustancias Poliméricas , Halógenos , Bacterias , Desinfectantes/farmacología , Carbono , Cloruros
3.
Sci Total Environ ; 904: 166297, 2023 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-37595918

RESUMEN

With the increasingly serious shortage of water resources globally, it has been paid more attention on how to secure the biosafety of reclaimed water and other non-traditional water sources. However, the 3 most applied disinfection technics, which are chlorine, ultraviolet (UV), and ozone disinfection, all have their disadvantages of selecting undesired bacteria and low energy utilization efficiency. Electrode disinfection is a promising solution, but the current electrode disinfection process still needs to be optimized in terms of the use conditions of the configuration reactivation. In this paper, we built a flow electrode system (FES). To evaluate the disinfection techniques more precisely, we isolated ultraviolet-resistant bacteria (URB) bacteria from the water of the full-scale water plant and tested the disinfection performance of FES and UV. The inactivation rate, reactivation potential, and energy consumption were analyzed. FES could inactivate 99.99 % of the URB and cause irreversible damage to the residual bacteria. FES could make all bacteria strains apoptosis in the subsequent 24 h of storage after alternating pulse current (APC) treatment, 3 V, within 27.7 s. Besides, the energy consumption of FES is about 2 orders lower than that of UV disinfection under the same inactivation rate. In summary, APC-FES is an efficient and low-carbon alternative for future water disinfection, which could achieve the ideal disinfection effect of a high inactivation rate, no reactivation, and low energy consumption.


Asunto(s)
Purificación del Agua , Agua , Carbono , Bacterias , Desinfección/métodos , Purificación del Agua/métodos , Cloro/farmacología , Electrodos , Rayos Ultravioleta
4.
Sci Total Environ ; 844: 157079, 2022 Oct 20.
Artículo en Inglés | MEDLINE | ID: mdl-35779720

RESUMEN

Membrane fouling is the Achilles' heel of the reverse osmosis (RO) system for high-quality reclaimed water production. Previous studies have found that after the significant selection effect of traditional disinfection, the remaining disinfection-residual bacteria (DRB) may possess more severe biofouling potentials. To provide more constructive advice for the prevention of biofouling, we compared the RO membrane fouling characteristics of DRB after using five commonly used disinfection methods (NaClO, NH2Cl, ClO2, UV, and O3) and two novel disinfection methods (K2FeO4 and the flow-through electrode system (FES)). Compared with the control group (undisinfected, 21.1 % flux drop), the UV-DRB biofilm aggravated biofouling of the RO membrane (23.4 % flux drop), while the FES, K2FeO4, and NH2Cl treatments showed less severe biofouling, with final flux drops of 6.9 %, 8.1 %, and 8.1 %, respectively. Adenosine triphosphate (ATP) was found to be a capable indicator for predicting the biofouling potential of DRB. Systematic analysis showed that the thickness and density of the DRB biofilms were most closely related to the different fouling degree of RO membranes. Moreover, the relative abundance of bacteria with higher extracellular polymeric substance (EPS) secretion levels, such as Pseudomonas and Sphingomonas, was found closely related with the biofouling degree of RO membranes.


Asunto(s)
Incrustaciones Biológicas , Purificación del Agua , Bacterias , Biopelículas , Incrustaciones Biológicas/prevención & control , Desinfección , Matriz Extracelular de Sustancias Poliméricas , Membranas Artificiales , Ósmosis , Purificación del Agua/métodos
5.
Chemosphere ; 292: 133471, 2022 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-34974050

RESUMEN

Adsorption and coagulation were commonly used to alleviate reverse osmosis (RO) membrane fouling caused by dissolved organic matters (DOM), but the effects of changed composition and structure of DOM in dyeing wastewater after adsorption and coagulation on RO membrane fouling have seldom been studied. This study aimed at resolving the mechanism how the RO membrane fouling during dyeing wastewater treatment was alleviated by using adsorption and coagulation. The dyeing wastewater caused serious RO membrane fouling. Pretreatment with granular activated carbon (GAC), polyferric sulfate (PFS) and polyaluminum chloride (PACl) were conducted. It was shown that GAC could remove most of the DOM (95%) and preferred to adsorb protein, hydrophobic neutrals and fluorescent compounds. Both coagulants of PFS and PACl preferred to remove polysaccharides (the removal rate was 9-19% higher than that of DOM), high-MW compounds and these compounds with high fouling potential. Afterwards, the RO membrane fouling potential of the dyeing wastewater was tested. The GAC and PFS performed well to alleviate fouling. After GAC treatment, the decline rate of RO flux was similar to that of raw wastewater after 6-fold dilution. With pretreatment by PFS or PACl, the fouling potential of dyeing wastewater was much lower than that of raw wastewater after diluted to the same DOM content. Changes in polysaccharides content in the DOM had more effects on RO membrane fouling than that of proteins after these pretreatment. Although the DOM changed significantly after pretreatment, the fouling type was still intermediate blocking.


Asunto(s)
Aguas Residuales , Purificación del Agua , Colorantes , Filtración , Membranas Artificiales , Ósmosis
6.
Chemosphere ; 289: 133217, 2022 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-34896174

RESUMEN

Fouling of RO membranes has long been a complex but inevitable problem in wastewater reclamation. In this study, a modified intermediate blocking model with two parameters was applied to describe the flux change of RO membranes treating various water samples, including municipal secondary effluent, treated industrial wastewater, surface water, and groundwater. The model was validated by 55 sets of data reported by 13 articles, and the results were promising, with 90% of the determination coefficient (R2) exceeding 0.90. Relatively large flux and high operational pressure were found likely to aggravate membrane fouling. Treated industrial wastewater had the highest fouling potential (fouling constant k: 0.061-2.433) compared to municipal wastewater secondary effluent, surface water, and groundwater, even with similar dissolved organic carbon concentration. With industrial wastewater excluded, water samples exhibited lower fouling potential than organic matter solutions, with the majority (25%∼75%) of k distributing in 0.03-0.12, much lower compared to the major k range of the latter (0.05-0.28). This suggested a deviation in fouling behaviors between model organic matters and real water samples. Xanthan gum and guar gum were proposed to be model polysaccharides based on their model parameters, which were relatively close to real water samples.


Asunto(s)
Purificación del Agua , Materia Orgánica Disuelta , Membranas Artificiales , Ósmosis , Aguas Residuales , Agua
7.
Ying Yong Sheng Tai Xue Bao ; 32(12): 4195-4202, 2021 Dec.
Artículo en Chino | MEDLINE | ID: mdl-34951260

RESUMEN

Subalpine meadow is extremely sensitive to climate change. Few studies, however, focused on the responses of subalpine meadow to climatic factors in subtropical regions. It is still a challenge to extract the biophysical parameters from optical remote sensing imagery during the growing season. Based on the normalized difference vegetation index (NDVI) time series dataset from the MOD13Q1 vegetation index products and meteorological data, we analyzed the changes of vegetation growth of subalpine meadow at Huanggang Mountain in the top of Wuyishan National Park from 2000 to 2019, its responses to climate factors and the time lag effects. The results showed that NDVI in summer increased insignificantly during 2000-2019, and that NDVI in the growing season, spring, and autumn increased significantly. The enhancement of NDVI was mainly contributed by the increasing temperature (0.026 ℃·a-1) from 2000 to 2019. The increasing temperature in spring and autumn influenced meadow growth more than that in summer and growing season. NDVI of the growing season in subalpine meadow was sensitive to precipitation,indicating that the growth of subalpine meadow was strongly affected by precipitation even in the subtropical region with sufficient precipitation. Temperature and precipitation in different growth periods had different time lag effects on the NDVI of subalpine meadowo. The time lag effects of temperature on subalpine meadow were 0-1 month, and that of precipitation were 2-3 month.


Asunto(s)
Cambio Climático , Pradera , China , Estaciones del Año , Temperatura
8.
Water Res ; 209: 117966, 2021 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-34952485

RESUMEN

Chlorine disinfection is often used as a pretreatment technology to control biofouling of reverse osmosis (RO) membranes. However, previous studies showed that biofouling of the RO system was aggravated after chlorine disinfection. Chlorine-resistant bacteria (CRB) were presumed to be closely related to the aggravation of fouling caused by chlorine disinfection. In order to analyze the membrane fouling mechanisms of CRB, 5 CRB strains were isolated from the surface of fouled RO membranes for wastewater reclamation, and 3 reference bacterial strains, Sphingopyxis soli BM1-1, Pseudomonas aeruginosa PAO1 and Escherichia coli CGMCC1.3373, were selected for comparative study. The chlorine resistance, membrane fouling potential, secretion and adhesion characteristics of these strains were evaluated. Among these isolated strains, 3 strains showed much higher chlorine resistance than PAO1 under the condition of 0.5, 2, 5 mg/L-Cl2, especially Bacillus CR19 and Bacillus CR2. Furthermore, a significant positive correlation was found between membrane fouling potential and chlorine resistance of all the strains in this study. The membrane fouling potential of the above 8 strains increased monotonically with the increase of chlorine resistance (under the condition of 0.5 mg/L-Cl2). Serious fouling caused by extracellular substances was observed in biofouling layers of the strains with high chlorine resistance, which lead to more severe flux decline. Extracellular polymeric substances (EPS) amount per cell was found to be the main factor related to the chlorine resistance as well as the fouling potential. Computational fluid dynamics (CFD) simulation was used to demonstrate the filtration resistance induced by the secretion of EPS. However, CRB with higher EPS amount may not show higher membrane adhesion potential, and thus may not be the dominant strain on the RO membranes before chlorine disinfection. These CRB with high fouling potential but low membrane adhesion potential, such as Bacillus CR19 and Bacillus CR2, may become the dominant bacteria on the membrane surface after chlorine disinfection and thus aggravate membrane fouling significantly.

9.
Water Res ; 204: 117606, 2021 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-34500181

RESUMEN

The epidemic of COVID-19 has aroused people's particular attention to biosafety. A growing number of disinfection products have been consumed during this period. However, the flaw of disinfection has not received enough attention, especially in water treatment processes. While cutting down the quantity of microorganisms, disinfection processes exert a considerable selection effect on bacteria and thus reshape the microbial community structure to a great extent, causing the problem of disinfection-residual-bacteria (DRB). These systematic and profound changes could lead to the shift in regrowth potential, bio fouling potential, as well as antibiotic resistance level and might cause a series of potential risks. In this review, we collected and summarized the data from the literature in recent 10 years about the microbial community structure shifting of natural water or wastewater in full-scale treatment plants caused by disinfection. Based on these data, typical DRB with the most reporting frequency after disinfection by chlorine-containing disinfectants, ozone disinfection, and ultraviolet disinfection were identified and summarized, which were the bacteria with a relative abundance of over 5% in the residual bacteria community and the bacteria with an increasing rate of relative abundance over 100% after disinfection. Furthermore, the phylogenic relationship and potential risks of these typical DRB were also analyzed. Twelve out of fifteen typical DRB genera contain pathogenic strains, and many were reported of great secretion ability. Pseudomonas and Acinetobacter possess multiple disinfection resistance and could be considered as model bacteria in future studies of disinfection. We also discussed the growth, secretion, and antibiotic resistance characteristics of DRB, as well as possible control strategies. The DRB phenomenon is not limited to water treatment but also exists in the air and solid disinfection processes, which need more attention and more profound research, especially in the period of COVID-19.


Asunto(s)
COVID-19 , Microbiota , Bacterias , Desinfección , Humanos , SARS-CoV-2
10.
Water Res ; 195: 116995, 2021 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-33721675

RESUMEN

Membrane fouling is a prominent problem that hinders the stable and efficient operation of the reverse osmosis (RO) system for wastewater reclamation. Previous studies showed that chlorine disinfection, which was commonly used in industrial RO systems as pretreatment, could lead to significant change in microbial community structure and resulted in serious biofouling. In order to prevent biofouling during wastewater reclamation, the effect of ultraviolet (UV) disinfection on RO membrane fouling was investigated and the mechanism was also revealed in this study. With the disinfection pretreatment by UV of 20, 40 and 80 mJ/cm2, the bacteria in the feed water were inactivated significantly with a log reduction of 1.11, 2.55 and 3.61-log, respectively. However, RO membrane fouling aggravated with higher UV dosage. Especially, in the group with the UV dosage of 80 mJ/cm2, the normalized RO membrane flux decreased by 15% compared with the control group after 19-day operation. The morphology of the fouled RO membranes indicated serious biofouling in all groups. The analysis on the microbial amount of the foulants showed that the heterotrophic plate counts (HPC) and ATP content on the fouled RO membranes with and without UV disinfection were at the same level. However, the total organic carbon content of the foulants with the UV dosage of 40 and 80 mJ/cm2 was significantly higher than the control group, with higher content of proteins and polysaccharides as indicated by EEM and FTIR spectrum. Microbial community structure analysis showed that some typical UV-resistant bacteria were selected and remained on the RO membrane after disinfection with high UV dosage, including. These residual bacteria after disinfection with high UV dosage showed higher extracellular polymeric substances (EPS) secretion compared with those without UV disinfection, and thus aggravated RO membrane fouling. Thicker EPS could decrease the transmission of UV rays, and thus bacteria with higher EPS secretion might be selected after UV disinfection.


Asunto(s)
Incrustaciones Biológicas , Purificación del Agua , Desinfección , Membranas Artificiales , Ósmosis , Aguas Residuales
11.
J Hazard Mater ; 410: 124602, 2021 05 15.
Artículo en Inglés | MEDLINE | ID: mdl-33234394

RESUMEN

Chlorine disinfection is a common technology to control biofouling in the pretreatment of the reverse osmosis (RO) system for wastewater reclamation. However, chlorine disinfection could even aggravate the RO membrane biofouling because of the changes of microbial community structure. In this study, the mechanism of biofilm formation and EPS secretion after chlorine disinfection was investigated by analyzing the genes coding quorum sensing, exopolysaccharide biosynthesis, and amino acid biosynthesis. After 1, 5, and 15 mg-Cl2/L chlorine disinfection, the relative abundances of the functional genes all increased significantly. Compared with the control group, chlorine-resistant bacteria (Acidovorax, Arenimonas, and Pseudomonas) also harbored higher relative abundances of these functional genes. The high relative abundances of these genes might provide the bacterial community after chlorine disinfection with high potential of biofilm formation and EPS secretion and then cause severe RO membrane biofouling. In the sample with 5 mg-Cl2/L chlorine disinfection, the correlation coefficients (r) between each two of the three kinds of functional genes were more than 0.9 and much stronger than that in the control group. These results indicated that the bacterial community selected by chlorine disinfection could build more stable biofilm to resist chlorine but also could cause more severe RO membrane biofouling.


Asunto(s)
Incrustaciones Biológicas , Purificación del Agua , Biopelículas , Incrustaciones Biológicas/prevención & control , Cloro , Desinfección , Membranas Artificiales , Metagenómica , Ósmosis
12.
Water Res ; 188: 116474, 2021 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-33039832

RESUMEN

Chlorine-resistant bacteria (CRB) are commonly defined as bacteria with high resistance to chlorine disinfection or bacteria which can survive or even regrow in the residual chlorine. Chlorine disinfection cannot completely control the risks of CRB, such as risks of pathogenicity, antibiotic resistance and microbial growth. Currently, researchers pay more attention to CRB with pathogenicity or antibiotic resistance. The microbial growth risks of non-pathogenic CRB in water treatment and reclamation systems have been neglected to some extent. In this review, these three kinds of risks are all analyzed, and the last one is also highlighted. In order to study CRB, various methods are used to evaluate chlorine resistance. This review summarizes the evaluating methods for chlorine resistance reported in the literatures, and collects the important information about the typical isolated CRB strains including their genera, sources and levels of chlorine resistance. To our knowledge, few review papers have provided such systematic information about CRB. Among 44 typical CRB strains from 17 genera isolated by researchers, Mycobacterium, Bacillus, Legionella, Pseudomonas and Sphingomonas were the five genera with the highest frequency of occurrence in literatures. They are all pathogenic or opportunistic pathogenic bacteria. In addition, although there are many studies on CRB, information about chlorine resistance level is still limited to specie level or strain level. The difference in chlorine resistance level among different bacterial genera is less well understood. An inconvenient truth is that there is still no widely-accepted method to evaluate chlorine resistance and to identify CRB. Due to the lack of a unified method, it is difficult to compare the results about chlorine resistance level of bacterial strains in different literatures. A recommended evaluating method using logarithmic removal rate as an index and E. coli as a reference strain is proposed in this review based on the summary of the current evaluating methods. This method can provide common range of chlorine resistance of each genus and it is conducive to analyzing the distribution and abundance of CRB in the environment.


Asunto(s)
Cloro , Purificación del Agua , Desinfección , Farmacorresistencia Microbiana , Escherichia coli , Microbiología del Agua
13.
Pathol Res Pract ; 213(9): 1180-1184, 2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-28780081

RESUMEN

Growth factor receptor bound protein-7 (Grb7) is a multi-domain adaptor protein that is co-opted by numerous tyrosine kinases involved in various cellular signaling. The objective of this study was to investigate the expression of Grb7 and its clinicopathological significance in cervical cancer. Utilising immunohistochemical staining, we examined the expression of Grb7 in 120 cases of human cervical cancer tissue and 10 cases of adjacent non-cancerous cervical tissue. The positive rate of Grb7 protein expression was 34.2%, which was significantly higher than that in adjacent non-cancerous cervical tissue (0%, p<0.05). The expression of Grb7 was found to be correlated with age, tumor size, serosal invasion, differentiated degree, tumor stage, early or advanced stage and lymph node metastasis. Kaplan-Meier survival analysis showed that patients with positive Grb7 protein expression had a lower overall survival rate than patients without Grb7 expression. In addition, Grb7 plays an important role in promoting tumor progression, including invasion and anti-apoptosis, in cervical cancer cell line. Down-regulation of Grb7 repressed the expression of MMP-9 and Bcl-2, and increased the expression of Bax in Grb7 knockdown Hela cells. Cell invasion assay showed decreased number of Grb7 knockdown Hela cells (18.7±2.1) compared to Hela cells (65.3±2.5, P<0.05). Our results indicated that Grb7 over-expression may facilitate invasion and inhibit apoptosis in cervical cancer and Grb7 is a potentially molecular target of cervical cancer chemotherapy.


Asunto(s)
Biomarcadores de Tumor/análisis , Proteína Adaptadora GRB7/biosíntesis , Neoplasias del Cuello Uterino/patología , Adulto , Anciano , Apoptosis/fisiología , Progresión de la Enfermedad , Femenino , Proteína Adaptadora GRB7/análisis , Regulación Neoplásica de la Expresión Génica/fisiología , Células HeLa , Humanos , Estimación de Kaplan-Meier , Persona de Mediana Edad , Invasividad Neoplásica/patología , Pronóstico , Análisis de Supervivencia , Neoplasias del Cuello Uterino/mortalidad
14.
Clin Invest Med ; 38(3): E119-41, 2015 May 31.
Artículo en Inglés | MEDLINE | ID: mdl-26026639

RESUMEN

PURPOSE: Volume-controlled ventilation (VCV) has been the traditional mechanical ventilation mode in laparoscopic surgery. Pressure-controlled ventilation (PCV) has been used more frequently in recent years, especially for patients with complicated conditions; however, evidence on whether PCV is superior to VCV is still lacking. A meta-analysis was used to compare the effects of PCV and VCV on respiratory and hemodynamic parameters during laparoscopic surgery. METHODS: PubMed and Embase were each searched from their inception to December 2014 for randomized controlled trials comparing the effects of PCV and VCV on respiratory and hemodynamic parameters during laparoscopic surgery. Standard mean difference (SMD) with 95% confidence interval (CI) was calculated using a random effect model. Outcomes were assessed at three times: preoperative (T1), intraoperative (T2) and postoperative (T3). Respiratory mechanics (including peak airway pressure, plateau pressure, mean airway pressure, compliance, airway resistance, minute volume, end-tidal CO2 tension and tidal volume) and hemodynamic parameters (including heart rate and mean arterial pressure) were calculated. RESULTS: Eight randomized controlled trials with a total of 428 participants, 214 cases using PCV and 214 cases using VCV, were included in the meta-analysis. No significant differences were detected between the groups in terms of hemodynamic parameters. In contrast, with respiratory mechanics, PCV was slightly but significantly associated with lower peak airway pressure, higher compliance, lower airway resistance at T1, lower peak airway pressure, higher compliance, higher mean airway pressure at T2, lower peak airway pressure, lower mean airway pressure and higher end-tidal CO2 tension at T3. For the rest of respiratory parameters, there were no statistical differences between the groups. Subgroup analysis by morbidly obese, type of operations and quality of studies, showed similar results. CONCLUSIONS: Our meta-analysis suggests that hemodynamic parameters are similar in patients who underwent laparoscopic surgery with PCV and VCV, but patients who had PCV exhibited mildly better respiratory data.


Asunto(s)
Laparoscopía/métodos , Respiración Artificial/métodos , Hemodinámica , Humanos , Ensayos Clínicos Controlados Aleatorios como Asunto , Fenómenos Fisiológicos Respiratorios
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