About: Effect of the “Recruitment” Maneuver on Respiratory Mechanics in Laparoscopic Sleeve Gastrectomy Surgery

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About: Effect of the “Recruitment” Maneuver on Respiratory Mechanics in Laparoscopic Sleeve Gastrectomy Surgery Goto Sponge NotDistinct Permalink

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Effect of the “Recruitment” Maneuver on Respiratory Mechanics in Laparoscopic Sleeve Gastrectomy Surgery
Creator	Alver, Selçuk Coşkun, Halil Mefkur Bakan, & Salihoglu, Ziya Seniyye, & Sümer, Ismail Ufuk Topuz, & Umutoglu, Tarik Zengin, Ülgen
Source	PMC
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, PaO(2) were significantly high, while PaCO(2) 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.
has issue date	2020-03-23(xsd:dateTime)
bibo:doi	10.1007/s11695-020-04551-y
bibo:pmid	32207048
has license	no-cc
sha1sum (hex)	6d47420f53e9ebc7cf9744f9f0672f949bbe7bfe
schema:url	https://doi.org/10.1007/s11695-020-04551-y
resource representing a document's title	Effect of the “Recruitment” Maneuver on Respiratory Mechanics in Laparoscopic Sleeve Gastrectomy Surgery
has PubMed Central identifier	PMC7224081
has PubMed identifier	32207048
schema:publication	Obes Surg
resource representing a document's body	covid:6d47420f53e9ebc7cf9744f9f0672f949bbe7bfe#body_text
is schema:about of	named entity 'Compliance' named entity 'respiratory' named entity 'arterial' named entity 'PEEP' named entity 'Methods' named entity 'ARTERIAL BLOOD GASES' named entity 'ADDING' named entity 'INSUFFLATION' named entity 'ARTERIAL' named entity 'DIVIDED' named entity 'MECHANICAL VENTILATION' named entity 'CONCLUSION' named entity 'METHODS' named entity 'standard' named entity 'anesthesia' named entity 'higher' named entity 'cmH' named entity 'group R' named entity 'pneumoperitoneum' named entity 'values' named entity 'study' named entity 'gases' named entity 'Patients' named entity 'group C' named entity 'min' named entity 'morbid obesity' named entity 'recruitment' named entity 'alveoli' named entity 'morbidly obese' named entity 'pneumoperitoneum' named entity 'insufflation' named entity 'anesthesia' named entity 'respiratory mechanics' named entity 'respiratory mechanics' named entity 'sample size' named entity 'hypoxia' named entity 'statistically significantly' named entity 'morbidly obese' named entity 'statistically significant' named entity 'statistically significantly' named entity 'tramadol' named entity '100% oxygen' named entity 'PEEP' named entity 'statistically significantly' named entity 'PEEP' named entity 'diaphragm' named entity 'insufflation' named entity 'statistically significantly' named entity 'Wilcoxon signed ranks test' named entity 'PEEP' named entity 'oxygen' named entity 'Wilcoxon signed ranks test' named entity 'Obese' named entity 'extubation' named entity 'obese' named entity 'BMI' named entity 'NIBP' named entity 'hypoxemia' named entity 'statistically significant' named entity 'respiration' named entity 'intensive care' named entity 'respiratory mechanics' named entity 'Mann-Whitney U test' named entity 'statistically significantly' named entity 'mechanical ventilation' named entity 'Lung' named entity 'Mann-Whitney' named entity 'open surgery' named entity 'HCO' named entity 'obese' named entity 'statistically significant' named entity 'operating room' named entity 'PEEP'

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