Tissue oxygenation in obese and non-obese patients during laparoscopy

Obesity Surgery

Volumn 15, Issue 6, 2005, Pages 813-819

  Fleischmann, Edith ^a   Kurz, Andrea ^b,c   Niedermayr, Monika ^d   Schebesta, Karl ^a   Kimberger, Oliver ^d   Sessler, Daniel I ^c,e   Kabon, Barbara ^a   Prager, Gerhard ^a  

^a MEDICAL UNIVERSITY OF VIENNA   (Austria)

^b UNIVERSITY OF BERN   (Switzerland)

^c UNIVERSITY OF LOUISVILLE   (United States)

^d UNIVERSITY OF VIENNA   (Austria)

^e Outcomes Research Institute   (United States)

Author keywords

Anesthesia; Infection; Morbid obesity; Surgery; Tissue oxygenation; Wound infection

Indexed keywords

ADULT; ANESTHESIOLOGICAL TECHNIQUES; ARTERIAL OXYGEN TENSION; ARTICLE; BODY MASS; CONTROLLED STUDY; FEMALE; FLUID INTAKE; HUMAN; INFECTION RISK; LAPAROSCOPIC SURGERY; MALE; OBESITY; PRIORITY JOURNAL; SUBCUTANEOUS TISSUE; TISSUE OXYGENATION; WOUND INFECTION;

ADULT; GASTROPLASTY; HUMANS; LAPAROSCOPY; MIDDLE AGED; OBESITY, MORBID; OXYGEN; PNEUMOPERITONEUM, ARTIFICIAL; SURGICAL WOUND INFECTION;

EID: 21344460456     PISSN: 09608923     EISSN: None     Source Type: Journal    
DOI: 10.1381/0960892054222867     Document Type: Article

References (30)

1. Kabon B, Nagele A, Reddy D et al. Obesity decreases perioperative tissue oxygenation. Anesthesiology 2004; 100: 274-80.
2. Choban PS, Heckler R, Burge JC et al. Increased incidence of nosocomial infections in obese surgical patients. Am Surg 1995; 61: 1001-5.
3. 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.
4. Lujan JA, Frutos MD, Hernandez Q et al. Laparoscopic versus open gastric bypass in the treatment of morbid obesity: a randomized prospective study. Ann Surg 2004; 239: 433-7.
5. Braga M, Vignali A, Gianotti L et al. Laparoscopic versus open colorectal surgery: a randomized trial on short-term outcome. Ann Surg 2002; 236: 759-66; disscussion 67.
6. Harris SN, Ballantyne GH, Luther MA et al. Alterations of cardiovascular performance during laparoscopic colectomy: a combined hemodynamic and echocardiographic analysis. Anesth Analg 1996; 83: 482-7.
7. Schwarte LA, Scheeren TW, Lorenz C et al. Moderate increase in intraabdominal pressure attenuates gastric mucosal oxygen saturation in patients undergoing laparoscopy. Anesthesiology 2004; 100: 1081-7.
8. Gelman S, Laws HL, Potzick J et al. Thoracic epidural vs balanced anesthesia in morbid obesity: an intraoperative and postoperative hemodynamic study. Anest Analg 1980; 59: 902-8.
9. Buskirk E, Taylor HL Maximal oxygen intake and its relation to body composition, with special reference to chronic physical activity and obesity. J Appl Physiol 1957; 11: 72-8.
10. Nakatsuka M. Pulmonary vascular resistance and right ventricular function in morbid obesity in relation to gastric bypass surgery. J Clin Anesth 1.996; 8: 205-9.
11. Jansson PA, Larsson A, Smith U et al. Glycerol production in subcutaneous adipose tissue in lean and obese humans. J Clin Invest 1992; 89: 1610-7.
12. Cheymol G. Drug pharmacokinetics in the obese. Fundam Clin Pharmacol 1988; 2: 239-56.
13. Di Girolamo M, Skinner NS Jr, Hanley HG et al. Relationship of adipose tissue blood flow to fat cell size and number. Am J Physiol 1971; 220: 932-7.
14. Hopf HW, Viele M, Watson JJ et al. Subcutaneous perfusion and oxygen during acute severe isovolemic hemodilution in healthy volunteers. Arch Surg 2000; 135: 1443-9.
15. Greif R, Akca O, Horn EP et al. Supplemental perioperative oxygen to reduce the incidence of surgical-wound infection. Outcomes Research Group. N Engl J Med 2000; 342: 161-7.
16. Knighton DR, Halliday B, Hunt TK. Oxygen as an antibiotic. The effect of inspired oxygen on infection. Arch Surg 1984; 119: 199-204.
17. Jonsson K, Hunt TK, Mathes SJ. Oxygen as an isolated variable influences resistance to infection. Ann Surg 1988; 208: 783-7.
18. Babior BM. Oxygen-dependent microbial killing by phagocytes (first of two parts). N Engl J Med 1978; 298: 659-68.
19. Babior BM. Oxygen-dependent microbial killing by phagocytes (second of two parts). N Engl J Med 1978; 298: 721-5.
20. Sachdev U, Murphy K, Derzie A et al. Predictors of nonsentinel lymph node metastasis in breast cancer patients. Am J Surg 2002; 183: 213-7.
21. Paxton JH, Matthews JB. The cost effectiveness of laparoscopic versus open gastric bypass surgery. Obes Surg 2005; 15: 24-34.
22. Brolin RE. Laparoscopic versus open gastric bypass to treat morbid obesity. Ann Surg 2004; 239: 438-40.
23. 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.
24. Hopf HW, Hunt TK, West JM et al. Wound tissue oxygen tension predicts the risk of wound infection in surgical patients. Arch Surg 1997; 132: 997-1004; discussion 05.
25. Akca O, Melischek M, Scheck T et al. Postoperative pain and subcutaneous oxygen tension. Lancet 1999; 354: 41-2.
26. Kabon B, Fleischmann E, Treschan T et al. Thoracic epidural anesthesia increases tissue oxygenation during major abdominal surgery. Anesth Analg 2003; 97: 1812-7.
27. Chang N, Goodson WH 3rd, Gottrup F et al. Direct measurement of wound and tissue oxygen tension in postoperative patients. Ann Surg 1983; 197: 470-8.
28. Akca O, Liem E, Suleman MI et al. Effect of intraoperative end-tidal carbon dioxide partial pressure on tissue oxygenation. Anaesthesia 2003; 58: 536-42.
29. Akca O, Doufas AG, Morioka N et al. Hypercapnia improves tissue oxygenation. Anesthesiology 2002; 97: 801-6.
30. Kurz A, Sessler DI, Narzt E et al. Morphometric influences on intraoperative core temperature changes. Anesth Analg 1995; 80: 562-7.