Effects of four intraoperative ventilatory strategies on respiratory compliance and gas exchange during laparoscopic gastric banding in obese patients

British Journal of Anaesthesia

Volumn 102, Issue 6, 2009, Pages 862-868

  Almarakbi, W A ^a   Fawzi, H M ^a   Alhashemi, J A ^b  

^a AIN SHAMS UNIVERSITY   (Egypt)

^b KING ABDULAZIZ UNIVERSITY   (Saudi Arabia)

Author keywords

Laparoscopy; Lung, atelectasis; Lung, compliance; Lung, gas exchange, respiratory; Obesity; Oxygen, partial pressure; Ventilation, positive end expiratory pressure

Indexed keywords

FENTANYL; PROPOFOL; ROCURONIUM; CARBON DIOXIDE; OXYGEN;

ADULT; ANESTHESIA INDUCTION; ARTERIAL PRESSURE; ARTICLE; BODY MASS; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DRUG DOSE TITRATION; FEMALE; GASTRIC BANDING; HUMAN; INTUBATION; LAPAROSCOPIC SURGERY; LUNG COMPLIANCE; LUNG GAS EXCHANGE; LUNG VENTILATION; MAJOR CLINICAL STUDY; MALE; OBESITY; OXYGEN SATURATION; OXYGEN TENSION; PNEUMOPERITONEUM; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SURGICAL PATIENT; THERAPY EFFECT; TREATMENT OUTCOME; BARIATRIC SURGERY; BLOOD; GENERAL ANESTHESIA; LAPAROSCOPY; MIDDLE AGED; PATHOPHYSIOLOGY; PEROPERATIVE CARE; PRESSURE; PROCEDURES;

ADULT; ANESTHESIA, GENERAL; BARIATRIC SURGERY; CARBON DIOXIDE; FEMALE; HUMANS; INTRAOPERATIVE CARE; LAPAROSCOPY; LUNG COMPLIANCE; MALE; MIDDLE AGED; OBESITY; OXYGEN; PARTIAL PRESSURE; POSITIVE-PRESSURE RESPIRATION; PULMONARY GAS EXCHANGE;

EID: 67649427688     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aep084     Document Type: Article

References (21)

1. Dumont L, Mattys M, Mardirosoff C, Vervloesem N, Alle JL, Massaut J. Changes in pulmonary mechanics during laparoscopic gastroplasty in morbidly obese patients. Acta Anaesthesiol Scand 1997; 41: 408-13
2. 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
3. Hedenstierna G, Edmark L. The effects of anesthesia and muscle paralysis on the respiratory system. Intensive Care Med 2005; 31: 1327-35
4. Hedenstierna G, Rothen HU. Atelectasis formation during anesthesia: causes and measures to prevent it. J Clin Monit Comput 2000; 16: 329-35
5. Pelosi P, Croci M, Ravagnan I, Vicardi P, Gattinoni L. Total respiratory system, lung, and chest wall mechanics in sedated-paralyzed postoperative morbidly obese patients. Chest 1996; 109: 144-51
6. Putensen-Himmer G, Putensen C, Lammer H, Lingnau W, Aigner F, Benzer H. Comparison of postoperative respiratory function after laparoscopy or open laparotomy for cholecystectomy. Anesthesiology 1992; 77: 675-80
7. Sprung J, Whalley DG, Falcone T, Wilks W, Navratil JE, Bourke DL. The effects of tidal volume and respiratory rate on oxygenation and respiratory mechanics during laparoscopy in morbidly obese patients. Anesth Analg 2003; 97: 268-74
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. Perilli V, Sollazzi L, Bozza P, et al. The effects of the reverse Trendelenburg position on respiratory mechanics and blood gases in morbidly obese patients during bariatric surgery. Anesth Analg 2000; 91: 1520-5
10. Chalhoub V, Yazigi A, Sleilaty G, et al. Effect of vital capacity manoeuvres on arterial oxygenation in morbidly obese patients undergoing open bariatric surgery. Eur J Anaesthesiol 2007; 24: 283-8
11. Lachmann B. Open up the lung and keep the lung open. Intensive Care Med 1992; 18: 319-21
12. Oikkonen M, Tallgren M. Changes in respiratory compliance at laparoscopy: measurements using side stream spirometry. Can J Anaesth 1995; 42: 495-7
13. Fahy BG, Barnas GM, Flowers JL, Nagle SE, Njoku MJ. The effects of increased abdominal pressure on lung and chest wall mechanics during laparoscopic surgery. Anesth Analg 1995; 81: 744-50
14. Andersson LE, Baath M, Thorne A, Aspelin P, Odeberg-Wernerman S. Effect of carbon dioxide pneumoperitoneum on development of atelectasis during anesthesia, examined by spiral computed tomography. Anesthesiology 2005; 102: 293-9
15. Dyhr T, Nygard E, Laursen N, Larsson A. Both lung recruitment maneuver and PEEP are needed to increase oxygenation and lung volume after cardiac surgery. Acta Anaesthesiol Scand 2004; 48: 187-97
16. Whalen FX, Gajic O, Thompson GB, et al. The effects of the alveolar recruitment maneuver and positive end-expiratory pressure on arterial oxygenation during laparoscopic bariatric surgery. Anesth Analg 2006; 102: 298-305
17. Sprung J, Whalen FX, Comfere T, et al. Alveolar recruitment and arterial desflurane concentration during bariatric surgery. Anesth Analg 2009; 108: 120-7
18. Tusman G, Bohm SH, Vazquez de Anda GF, do Campo JL, Lachmann B. 'Alveolar recruitment strategy' improves arterial oxygenation during general anaesthesia. Br J Anaesth 1999; 82: 8-13
19. Tusman G, Bohm SH, Suarez-Sipmann F, Turchetto E. Alveolar recruitment improves ventilatory efficiency of the lungs during anesthesia. Can J Anaesth 2004; 51: 723-7
20. Celebi S, Koner O, Menda F, Korkut K, Suzer K, Cakar N. The pulmonary and hemodynamic effects of two different recruitment maneuvers after cardiac surgery. Anesth Analg 2007; 104: 384-90
21. Dyhr T, Laursen N, Larsson A. Effects of lung recruitment maneuver and positive end-expiratory pressure on lung volume, respiratory mechanics and alveolar gas mixing in patients ventilated after cardiac surgery. Acta Anaesthesiol Scand 2002; 46: 717-25