Effect of intra-operative pressure support vs pressure controlled ventilation on oxygenation and lung function in moderately obese adults*

Anaesthesia

Volumn 65, Issue 2, 2010, Pages 124-129

  Zoremba, M ^a   Kalmus, G ^a   Dette, F ^a   Kuhn, C ^a   Wulf, H ^a  

^a PHILIPPS UNIVERSITY MARBURG   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

DEXAMETHASONE; DIPYRONE; DOLASETRON MESILATE; FENTANYL; OXYGEN; PARACETAMOL; PIRITRAMIDE; PROPOFOL; REMIFENTANIL;

ADULT; AIR CONDITIONING; ARTERIAL PRESSURE; BLOOD GAS ANALYSIS; BODY MASS; BRONCHOSPASM; CLINICAL TRIAL; CONFERENCE PAPER; CONTINUOUS INFUSION; CONTROLLED STUDY; EXTUBATION; HUMAN; INTRAOPERATIVE PERIOD; LUNG FUNCTION; MAJOR CLINICAL STUDY; MINOR SURGERY; OBESITY; OXYGENATION; POSTOPERATIVE NAUSEA; POSTOPERATIVE PAIN; PREOPERATIVE EVALUATION; PRESSURE CONTROLLED VENTILATION; PRESSURE SUPPORT VENTILATION; PULSE OXIMETRY; SHIVERING; SPIROMETRY; THERAPY EFFECT;

ADULT; ANESTHESIA, GENERAL; BODY MASS INDEX; HUMANS; INTRAOPERATIVE CARE; LUNG; MIDDLE AGED; OBESITY; OXYGEN; PARTIAL PRESSURE; POSITIVE-PRESSURE RESPIRATION; POSTOPERATIVE PERIOD; RESPIRATION, ARTIFICIAL; SURGICAL PROCEDURES, MINOR;

EID: 73449137924     PISSN: 00032409     EISSN: 13652044     Source Type: Journal    
DOI: 10.1111/j.1365-2044.2009.06187.x     Document Type: Conference Paper

References (25)

1. Von Ungern-Sternberg BS, Regli A, Reber A, Schneider MC. Comparison of perioperative spirometric data following spinal or general anaesthesia in normal-weight and overweight gynaecological patients. Acta Anaesthesiologica Scandinavica 2005 49: 940 948.
2. Von Ungern-Sternberg BS, Regli A, Schneider MC, Kunz F, Reber A. Effect of obesity and site of surgery on perioperative lung volumes. British Journal of Anaesthesia 2004 92: 202 207.
3. Damia G, Mascheroni D, Croci M, Tarenzi L. Perioperative changes in functional residual capacity in morbidly obese patients. British Journal of Anaesthesia 1988 60: 574 578.
4. 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: 144 151.
5. Eichenberger A, Proietti S, Wicky S, et al. Morbid obesity and postoperative pulmonary atelectasis: an underestimated problem. Anesthesia and Analgesia 2002 95: 1788 1792.
6. Thomas EJ, Goldman L, Mangione CM, et al. Body mass index as a correlate of postoperative complications and resource utilization. American Journal of Medicine 1997 102: 277 283.
7. Zerah F, Harf A, Perlemuter L, et al. Effects of obesity on respiratory resistance. Chest 1993 103: 1470 1476.
8. Rothen HU, Sporre B, Engberg G, Wegenius G, Hedenstierna G. Airway closure, atelectasis and gas exchange during general anaesthesia. British Journal of Anaesthesia 1998 81: 681 686.
9. Hedenstierna G. Alveolar collapse and closure of airways: regular effects of anaesthesia. Clinical Physiology and Functional Imaging 2003 23: 123 129.
10. Rothen HU, Sporre B, Engberg G, Wegenius G, Reber A, Hedenstierna G. Atelectasis and pulmonary shunting during induction of general anaesthesia-can they be avoided? Acta Anaesthesiologica Scandinavica 1996 40: 524 529.
11. Glass PS, Bloom M, Kearse L, Rosow C, Sebel P, Manberg P. Bispectral analysis measures sedation and memory effects of propofol, midazolam, isoflurane, and alfentanil in healthy volunteers. Anesthesiology 1997 86: 836 847.
12. Gudmundson G, Cerveny M, Shasby DM. Spirometric values in obese individuals, effect on body position. American Journal of Respiratory and Critical Care Medicine 1997 155: 998 999.
13. Standardized lung function testing. Offcial statement of the European Respiratory Society. European Respiratory Journal Supplemental 1993 16: 1 100
14. White PF, Song D. New criteria for fast-tracking after outpatient anesthesia: a comparison with the modified Aldrete's scoring system. Anesthesia and Analgesia. 1999 88: 1069 1072.
15. Froese AB, Bryan AC. Effects of anesthesia and paralysis on diaphragmatic mechanics in man. Anesthesiology 1974 41: 242 255.
16. Tweed WA, Phua WT, Chong KY, Lim E, Lee TL. Tidal volume, lung hyperinflation and arterial oxygenation during general anaesthesia. Anaesthesia Intensive Care 1993 21: 806 810.
17. Kleinman BS, Frey K, VanDrunen M, et al. Motion of the diaphragm in patients with chronic obstructive pulmonary disease while spontaneously breathing versus during positive pressure breathing after anesthesia and neuromuscular blockade. Anesthesiology 2002 97: 298 305.
18. Neumann P, Wrigge H, Zinserling J, et al. Spontaneous breathing affects the spatial ventilation and perfusion distribution during mechanical ventilator support. Critical Care Medicine 2005 33: 1090 1095.
19. Hedenstierna G, Tokics L, Lundquist H, et al. Phrenic nerve stimulation during halothane anesthesia: effects of atelectasis. Anesthesiology 1994 80: 751 760.
20. Leone N, Courdon D, Thomas F, et al. Lung function impairment and metabolic syndrome: the critical role of abdominal obesity. American Journal of Respiratory and Critical Care Medicine 2009 179: 509 516.
21. Sprung J, Whalley DG, Falcone T, Wilks W, Navratil JE, Bourke DL. The effects of tidal volume and respirator rate on oxygenation and respiratory mechanics during laparoscopy in morbidly obese patients. Anesthesia and Analgesia 2003 97: 268 274.
22. 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. Anesthesia and Analgesia 2000 91: 1520 1525.
23. Verghese C, Brimacombe J. Survey of laryngeal mask usage in 11910 patients: safety and efficacy for conventional and nonconventional usage. Anesthesia and Analgesia 1996 82: 129 133.
24. Brimacombe J, Berry A. The incidence of aspiration associated with the laryngeal mask airway-a meta-analysis of published literature. Journal of Clinical Anesthesia 1995 7: 297 293.
25. Heinrichs W, Weiler N, Latorre F, Eberie B. Respiratory mechanics, gastric insufflations pressure and air leckage of the laryngeal mask airway. Anesthesiology 1995 83: 1227.