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

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Date
2020-04-01
Author
Panaccione, Remo
Colombel, Jean-Frederic
Travis, Simon P. L.
Bossuyt, Peter
Baert, Filip
Vanasek, Tomas
Novacek, Gottfried
Lee, Wan-Ju
D'Haens, Geert R.
Danalioglu, Ahmet
Armuzzi, Alessandro
Reinisch, Walter
Johnson, Scott
Buessing, Marric
Neimark, Ezequiel
Petersson, Joel
Advisor
Type
Article
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Abstract
Purpose 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.
Subject
SÜMER 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
URI
https://hdl.handle.net/20.500.12645/18081
Collections
  • PubMed İndeksli Yayın Koleksiyonu [3669]
  • Scopus İndeksli Yayınlar Koleksiyonu [4450]
  • WoS İndeksli Yayınlar Koleksiyonu [5147]
  • Yayınlar - Eserler [9994]

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BEZMIALEM VAKIF UNIVERSITY

About us |Policies | Library | Contact us | Send Feedback | Sitemap | Admin

Bezmialem Vakıf Üniversitesi, Adnan Menderes Bulvarı Vatan Caddesi 34093 Fatih, İstanbul / TURKEY
Copyright © Bezmialem Vakıf Üniversitesi

Creative Commons Lisansı
Bezmialem Institutional Repository, Creative Commons Alıntı-GayriTicari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.

OpenAccess@BVU

Support by  UNIREPOS