The effects of tidal volume and respiratory rate on oxygenation and respiratory mechanics during laparoscopy in morbidly obese patients

Anesthesia and Analgesia

Volumn 97, Issue 1, 2003, Pages 268-274

  Sprung, Juraj ^a,e   Whalley, David G ^b   Falcone, Tommaso ^c   Wilks, William ^c   Navratil, James E ^f   Bourke, Denis L ^d  

^a MAYO CLINIC   (United States)

^b DEPARTMENT OF COLORECTAL SURGERY   (United States)

^c LERNER RESEARCH INSTITUTE   (United States)

^d UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE   (United States)

^e MAYO CLINIC COLLEGE OF MEDICINE   (United States)

^f Saint Mary's Hospital ^*

Author keywords

[No Author keywords available]

Indexed keywords

CARBON DIOXIDE;

ARTERIAL OXYGEN TENSION; ARTICLE; ARTIFICIAL VENTILATION; BLOOD OXYGENATION; BREATHING RATE; CALCULATION; CARBON DIOXIDE MEASUREMENT; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; HUMAN; LAPAROSCOPY; LUNG ALVEOLUS OXYGEN TENSION; LUNG COMPLIANCE; LUNG MECHANICS; MASS SPECTROMETER; OBESITY; PATIENT POSITIONING; PNEUMOPERITONEUM; PRIORITY JOURNAL; RESPIRATORY SYSTEM; SUPINE POSITION; TIDAL VOLUME; TRANSCUTANEOUS OXYGEN MONITORING;

EID: 0038311729     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ANE.0000067409.33495.1F     Document Type: Article

References (32)

1. Vaughan RW, Wise L. Intraoperative arterial oxygenation in obese patients. Ann Surg 1976;184:35-42.
2. Sprung J, Whalley DG, Falcone T, et al. The impact of morbid obesity, pneumoperitoneum, and posture on respiratory system mechanics and oxygenation during laparoscopy. Anesth Analg 2002;94:1345-50.
3. Visick WD, Fairley HB, Hickey RF. The effects of tidal volume and end-expiratory pressure on pulmonary gas exchange during anesthesia. Anesthesiology 1973;39:285-90.
4. Salem MR, Dalal FY, Zygmunt MP, et al. Does PEEP improve intraoperative arterial oxygenation in grossly obese patients? Anesthesiology 1978;48:280-1.
5. Burns D, West TA, Hawkins K, O'Keefe GE. Immediate effects of positive end-expiratory pressure and low and high tidal volume ventilation upon gas exchange and compliance in patients with acute lung injury. J Trauma 2001;51:1177-81.
6. Hedenstierna G. Gas exchange during anaesthesia. Br J Anaesth 1990;64:507-14.
7. McCarthy GS, Hedenstierna G. Arterial oxygenation during artificial ventilation: the effect of airway closure and of its prevention by positive end-expiratory pressure. Acta Anaesthesiol Scand 1978;22:563-9.
8. Pelosi P, Ravagnan I, Giurati G, et al. Positive end-expiratory pressure improves respiratory function in obese but not in normal subjects during anesthesia and paralysis. Anesthesiology 1999;91:1221-31.
9. Pelosi P, Caironi P, Bottino N, Gattinoni L. [Positive end expiratory pressure in anesthesia]. Minerva Anestesiol 2000;66: 297-306.
10. Tokics L, Hedenstierna G, Strandberg A, et al. Lung collapse and gas exchange during general anesthesia: effects of spontaneous breathing, muscle paralysis, and positive end-expiratory pressure. Anesthesiology 1987;66:157-67.
11. Wyche MQ Jr, Teichner RL, Kallos T, et al. Effects of continuous positive-pressure breathing on functional residual capacity and arterial oxygenation during intra-abdominal operations: studies in man during nitrous oxide and d-tubocurarine anesthesia. Anesthesiology 1973;38:68-74.
12. Horton WG, Cheney FW. Variability of effect of positive end expiratory pressure. Arch Surg 1975;110:395-8.
13. Cooper JR, Brodsky JB. Anesthetic management of the morbidly obese patients. Semin Anesth 1987;6:260-70.
14. Shenkman Z, Shir Y, Brodsky JB. Perioperative management of the obese patient. Br J Anaesth 1993;70:349-59.
15. Tweed WA, Phua WT, Chong KY, et al. Tidal volume, lung hyperinflation and arterial oxygenation during general anaesthesia. Anaesth Intensive Care 1993;21:806-10.
16. Bardoczky GI, Yernault J-C, Houben J-J, d'Hollander AA. Large tidal volume ventilation does not improve oxygenation in morbidly obese patients during anesthesia. Anesth Analg 1995;81: 385-8.
17. Dumont L, Mattys M, Mardirosoff C, et al. Changes in pulmonary mechanics during laparoscopic gastroplasty in morbidly obese patients. Acta Anaesthesiol Scand 1997;41:408-13.
18. Perilli V, Sollazzi L, Patrizia B et al. The effects of the reverse Trendelenburg position on respiratory mechanics and blood gasses in morbidly obese patients during bariatric surgery. Anesth Analg 2000;91:1520-5.
19. Damia G, Mascheroni D, Croci M, Tarenzi L. Perioperative changes in functional residual capacity in morbidly obese patients. Br J Anaesth 1988;60:574-8.
20. Hedenstierna G, Santesson J. Breathing mechanics, dead space and gas exchange in the extremely obese, breathing spontaneously and during anaesthesia with intermittent positive pressure ventilation. Acta Anaesthesiol Scand 1976;20:248-54.
21. Vaughan RW, Cork RC, Hollander D. The effect of massive weight loss on arterial oxygenation and pulmonary function tests. Anesthesiology 1981;54:325-8.
22. Pelosi P, Croci M, Ravagnan I, et al. Respiratory system mechanics in sedated, paralyzed, morbidly obese patients. J Appl Physiol 1997;82:811-8.
23. Luce JM. The cardiovascular effects of mechanical ventilation and positive end-expiratory pressure. JAMA 1984;252:807-11.
24. Pelosi P, Croci M, Ravagnan I, et al. The effects of body mass on lung volumes, respiratory mechanics, and gas exchange during general anesthesia. Anesth Analg 1998;87:654-60.
25. Fahy BG, Barnas GM, Nagle SE, et al. Changes in lung and chest wall properties with abdominal insufflation of carbon dioxide are immediately reversible. Anesth Analg 1996;82:501-5.
26. Casati A, Comotti L, Tommasino C, et al. Effects of pneumoperitoneum and reverse Trendelenburg position on cardiopulmonary function in morbidly obese patients receiving laparoscopic gastric banding. Eur J Anaesthesiol 2000;17:300-5.
27. Slutsky AS. Mechanical ventilation. American College of Chest Physicians' Consensus Conference. Chest 1993;104:1833-59.
28. Slutsky AS. Consensus conference on mechanical ventilation: January 28-30, 1993 at Northbrook, Illinois, USA. Part I. European Society of Intensive Care Medicine, the ACCP and the SCCM. Intensive Care Med 1994;20:64-79.
29. Dreyfuss D, Saumon G. Ventilator-induced lung injury: lessons from experimental studies. Am J Respir Crit Care Med 1998;157: 294-323.
30. Dreyfuss D, Soler P, Basset G, Saumon G. High inflation pressure pulmonary edema: respective effects of high airway pressure, high tidal volume, and positive end-expiratory pressure. Am Rev Respir Dis 1988;137:1159-64.
31. Carlton DP, Cummings JJ, Scheerer RG, et al. Lung overexpansion increases pulmonary microvascular protein permeability in young lambs. J Appl Physiol 1990;69:577-83.
32. Tsuno K, Prato P, Kolobow T. Acute lung injury from mechanical ventilation at moderately high airway pressures. J Appl Physiol 1990;69:956-61.