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Effect of the -Recruitment- Maneuver on Respiratory Mechanics in Laparoscopic Sleeve Gastrectomy Surgery

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dc.contributor.authorPanaccione, Remo
dc.contributor.authorColombel, Jean-Frederic
dc.contributor.authorTravis, Simon P. L.
dc.contributor.authorBossuyt, Peter
dc.contributor.authorBaert, Filip
dc.contributor.authorVanasek, Tomas
dc.contributor.authorNovacek, Gottfried
dc.contributor.authorLee, Wan-Ju
dc.contributor.authorD'Haens, Geert R.
dc.contributor.authorDanalioglu, Ahmet
dc.contributor.authorArmuzzi, Alessandro
dc.contributor.authorReinisch, Walter
dc.contributor.authorJohnson, Scott
dc.contributor.authorBuessing, Marric
dc.contributor.authorNeimark, Ezequiel
dc.contributor.authorPetersson, Joel
dc.date.accessioned2020-06-05T20:59:57Z
dc.date.available2020-06-05T20:59:57Z
dc.date.issued2020-04-01T00:00:00Z
dc.description.abstractPurpose LSG surgery is used for surgical treatment of morbid obesity. Obesity, anesthesia, and pneumoperitoneum cause reduced pulmoner functions and a tendency for atelectasis. The alveolar -recruitment- maneuver (RM) keeps airway pressure high, opening alveoli, and increasing arterial oxygenation. The aim of our study is to research the effect on respiratory mechanics and arterial blood gases of performing the RM in LSG surgery. Materials and Methods Sixty patients undergoing LSG surgery were divided into two groups (n = 30) Patients in group R had the RM performed 5 min after desufflation with 100% oxygen, 40 cmH(2)O pressure for 40 s. Group C had standard mechanical ventilation. Assessments of respiratory mechanics and arterial blood gases were made in the 10th min after induction (T1), 10th min after insufflation (T2), 5th min after desufflation (T3), and 15th min after desufflation (T4). Arterial blood gases were assessed in the 30th min (T5) in the postoperative recovery unit. Results In group R, values at T5, PaO2 were significantly high, while PaCO2 were significantly low compared with group C. Compliance in both groups reduced with pneumoperitoneum. At T4, the compliance in the recruitment group was higher. In both groups, there was an increase in PIP with pneumoperitoneum and after desufflation this was identified to reduce to levels before pneumoperitoneum. Conclusion Adding the RM to PEEP administration for morbidly obese patients undergoing LSG surgery is considered to be effective in improving respiratory mechanics and arterial blood gas values and can be used safely.
dc.identifier.citationSÜMER İ., Topuz U., Alver S., Umutoglu T., Bakan M., ZENGİN S. Ü. , COŞKUN H., SALİHOĞLU Z., -Effect of the -Recruitment- Maneuver on Respiratory Mechanics in Laparoscopic Sleeve Gastrectomy Surgery-, OBESITY SURGERY, 2020
dc.identifier.doi10.1007/s11695-020-04551-y
dc.identifier.pubmed32207048
dc.identifier.scopus85083360127
dc.identifier.urihttps://hdl.handle.net/20.500.12645/18081
dc.identifier.wosWOS:000521719800002
dc.language.isoen
dc.language.isoen
dc.rightsinfo:eu-repo/semantics/openAccess
dc.titleEffect of the -Recruitment- Maneuver on Respiratory Mechanics in Laparoscopic Sleeve Gastrectomy Surgery
dc.typeArticle
dspace.entity.typePublication
local.avesis.id78580976-4f1b-404d-8d36-65c82c9f1be8?
local.publication.isinternational1
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