TY - JOUR
AU1 - Sümer, Ismail
AU2 - Topuz, Ufuk
AU3 - Alver, Selçuk
AU4 - Umutoglu, Tarik
AU5 - Bakan, Mefkur
AU6 - Zengin, Seniyye Ülgen
AU7 - Coşkun, Halil
AU8 - Salihoglu, Ziya
AB - PurposeLSG 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 MethodsSixty 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 cmH2O 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.ResultsIn 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.ConclusionAdding 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.
TI - Effect of the “Recruitment” Maneuver on Respiratory Mechanics in Laparoscopic Sleeve Gastrectomy Surgery
JF - Obesity Surgery
DO - 10.1007/s11695-020-04551-y
DA - 2020-03-23
UR - https://www.deepdyve.com/lp/pubmed-central/effect-of-the-recruitment-maneuver-on-respiratory-mechanics-in-eSHqdDHVMR
SP - 2684
EP - 2692
VL - 30
IS - 7
DP - DeepDyve
ER -