Obesity Decreases Perioperative Tissue Oxygenation

Anesthesiology

Volumn 100, Issue 2, 2004, Pages 274-280

  Kabon, Barbara ^a,b   Nagele, Angelika ^a   Reddy, Dayakar ^a   Eagon, Chris ^a   Fleshman, James W ^a   Sessler, Daniel I ^c,d   Kurz, Andrea ^a,d,e  

^a WASHINGTON UNIVERSITY   (United States)

^b UNIVERSITY OF VIENNA   (Austria)

^c Outcomes Research Institute   (United States)

^d UNIVERSITY OF LOUISVILLE   (United States)

^e UNIVERSITY OF BERN   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL SURGERY; ADULT; ARTICLE; BODY MASS; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; HUMAN; INHALATION ANESTHESIA; INTRAOPERATIVE PERIOD; MAJOR SURGERY; MALE; OBESITY; OXYGEN BREATHING; OXYGEN TISSUE LEVEL; PRIORITY JOURNAL; TISSUE OXYGENATION;

ABDOMEN; ADULT; BLOOD PRESSURE; BODY MASS INDEX; FEMALE; HUMANS; INTRAOPERATIVE PERIOD; MALE; MIDDLE AGED; OBESITY; OXYGEN; OXYGEN CONSUMPTION; POSTOPERATIVE PERIOD; RISK FACTORS;

EID: 1642499314     PISSN: 00033022     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000542-200402000-00015     Document Type: Article

References (32)

1. Babior BM: Oxygen-dependent microbial killing by phagocytes. N Engl J Med 1978; 298:659-68
2. Hopf HW, Hunt TK, West JM, Blomquist P, Goodson WH III, Jensen JA, Jonsson K, Paty PB, Rabkin JM, Upton RA, von Smitten K, Whitney JD: Wound tissue oxygen tension predicts the risk of wound infection in surgical patients. Arch Surg 1997; 132:997-1004
3. Gottrup F: Physiology and measurement of tissue perfusion. Ann Chir Gynaecol 1994; 83:183-9
4. Van Esbroeck G, Gys T, Hubens A: Evaluation of tissue oximetry in perioperative monitoring of colorectal surgery. Br J Surg 1992; 79:584-7
5. Miles AA, Miles EM, Burke JP: The value and duration of defense reactions of the skin to the primary lodgement of bacteria. Br J Exp Pathol 1957; 38:79
6. Greif R, Akca O, Horn EP, Kurz A, Sessler DI: Supplemental perioperative oxygen to reduce the incidence of surgical-wound infection. Outcomes Research Group. N Engl J Med 2000; 342:161-7
7. Sheffield CW, Sessler DI, Hopf HW, Schroeder M, Moayeri A, Hunt TK, West JM: Centrally and locally mediated thermoregulatory responses alter subcutaneous oxygen tension. Wound Rep Reg 1997; 4:339-45
8. Jensen JA, Goodson WH, Hopf HW, Hunt TK: Cigarette smoking decreases tissue oxygen. Arch Surg 1991; 126:1131-4
9. Kurz A, Sessler DI, Lenhardt R: Perioperative normothermia to reduce the incidence of surgical-wound infection and shorten hospitalization. Study of Wound Infection and Temperature Group. N Engl J Med 1996; 334:1209-15
10. Stopinski J, Staib I, Weissbach M: [Do abuse of nicotine and alcohol have an effect on the incidence of postoperative bacterial infections]? J Chir (Paris) 1993; 130:422-5
11. Melling AC, Ali B, Scott EM, Leaper DJ: Effects of preoperative warming on the incidence of wound infection after clean surgery: A randomised controlled trial. Lancet 2001; 358:876-80
12. Choban PS, Heckler R, Burge JC, Flancbaum L: Increased incidence of nosocomial infections in obese surgical patients. Am Surg 1995; 61:1001-5
13. Moulton MJ, Creswell LL, Mackey ME, Cox JL, Rosenbloom M: Obesity is not a risk factor for significant adverse outcomes after cardiac surgery. Circulation 1996; 94:1187-92
14. de Divitiis O, Fazio S, Petitto M, Maddalena G, Contaldo F, Mancini M: Obesity and cardiac function. Circulation 1981; 64:477-82
15. Cheymol G: Drug pharmacokinetics in the obese. Fundam Clin Pharmacol 1988; 2:239-56
16. Jansson PA, Larsson A, Smith U, Lonnroth P: Glycerol production in subcutancous adipose tissue in lean and obese humans. J Clin Invest 1992; 89:1610-7
17. Di Girolamo M, Skinner NS Jr, Hanley HG, Sachs RG: Relationship of adipose tissue blood flow to fat cell size and number. Am J Physiol 1971; 220:932-7
18. Jonsson K, Jensen JA, Goodson WH III, West JM, Hunt TK: Assessment of perfusion in postoperative patients using tissue oxygen measurements. Br J Surg 1987; 74:263-7
19. National Heart, Lung and Blood Institute Obesity Education Initiative Expert Panel: Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. Bethesda, National Institutes of Health, 1998
20. Hopf HW, Viele M, Watson JJ, Feiner J, Weiskopf R, Hunt TK, Noorani M, Yeap H, Ho R, Toy P: Subcutaneous perfusion and oxygen during acute severe isovolemic hemodilution in healthy volunteers. Arch Surg 2000; 135:1443-9
21. de los Santos R, Seidenfeld JJ, Anzueto A, Collins JF, Coalson JJ, Johanson WG Jr, Peters JI: One hundred percent oxygen lung injury in adult baboons. Am Rev Respir Dis 1987; 136:657-61
22. Smith LJ: Hyperoxic lung injury: Biochemical, cellular, and morphologic characterization in the mouse. J Lab Clin Med 1985; 106:269-78
23. Kotani N, Hashimoto H, Sessler DI, Muraoka M, Hashiba E, Kubota T, Matsuki A: Supplemental intraoperative oxygen augments antimicrobial and proinflammatory responses of alveolar macrophages. ANESTHESIOLOGY 2000; 93:15-25
24. Akca O, Podolsky A, Eisenhuber E, Panzer O, Herz H, Lampl K, Lackner FX, Wittmann K, Grabenwoeger F, Kurz A, Schultz AM, Negishi C, Sessler DI: Comparable postoperative pulmonary atelectasis in patients given 30% or 80% oxygen during and 2 hours after colon resection. ANESTHESIOLOGY 1999; 91:991-8
25. Akca O, Melischek M, Scheck T, Hellwagner K, Arkilic CF, Kurz A, Kapral S, Heinz T, Lackner FX, Sessler DI: Postoperative pain and subcutaneous oxygen tension. Lancet 1999; 354:41-2
26. Buggy DJ, Doherty WL, Hart EM, Pallett EJ: Postoperative wound oxygen tension with epidural or intravenous analgesia: A prospective, randomized, single-blind clinical trial. ANESTHESIOLOGY 2002; 97:952-8
27. Arkilic CF, Taguchi A, Sharma N, Ramaraj J, Sessler DI, Read TE, Fleshman JW, Kurz A: Supplemental perioperative fluid administration increases tissue oxygen pressure. Surgery 2003; 133:49-55
28. Akca O, Doufas AG, Morioka N, Iscoe S, Fisher J, Sessler DI: Hypercapnia improves tissue oxygenation. ANESTHESIOLOGY 2002; 97:801-6
29. Kabon B, Fleischmann E, Treschan T, Taguchi A, Kapral S, Kurz A: Thoracic epidural anesthesia increases tissue oxygenation during major abdominal surgery. Anesth Analog 2003; 97:1812-7
30. Sessler DI: Sweating threshold during isoflurane anesthesia in humans. Anesth Analg 1991; 73:300-3
31. Chang N, Goodson WH III, Gottrup F, Hunt TK: Direct measurement of wound and tissue oxygen tension in postoperative patients. Ann Surg 1983; 197:470-8
32. Waki M, Kral JG, Mazariegos M, Wang J, Pierson RN Jr, Heymsfield SB: Relative expansion of extracellular fluid in obese vs. nonobese women. Am J Physiol 1991; 261:E199-203