Is protective lung ventilation safe in morbidly obese patients?

Controversies in the Anesthetic Management of the Obese Surgical Patient

Volumn , Issue , 2013, Pages 179-198

  Pelosi, Paolo ^a   Brusasco, Claudia ^a   Reinius, Henrik ^b  

^a UNIVERSITY OF GENOA   (Italy)

^b UPPSALA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84880191371     PISSN: None     EISSN: None     Source Type: Book    
DOI: 10.1007/978-88-470-2634-6_17     Document Type: Chapter

References (51)

1. Pelosi P, Croci M, Ravagnan I et al (1998) The effects of body mass on lung volumes, respiratory mechanics, and gas-exchange during general anaesthesia. Anesth Analg 87:645-660
2. Damia G, Mascheroni D, Croci M et al (1988) Perioperative changes in functional residual capacity in morbidly obese patients. Br J Anaesth 60:574-578
3. Brismar B, Hedenstierna G, Lundquist H et al (1985) Pulmonary densities during anaesthesia: A proposal of atelectasis. Anesthesiology 62:422-428
4. Hedenstierna G, Strandberg A, Brismar B et al (1985) Functional residual capacity, thoracoabdominal dimensions, and central blood volume during general anesthesia with muscle paralysis and mechanical ventilation. Anesthesiology 62:247-254
5. Krayer S, Rehder K, Beck KC et al (1987) Quantification of thoracic volumes by threedimensional imaging. J Appl Physiol 62:591-598
6. Reinius H, Jonsson L, Gustafsson S et al (2009) Prevention of atelectasis in morbidly obese patients during general anaesthesia and paralysis: A computerized tomography study. Anesthesiology 111:979-987
7. Pelosi P, Rocco PR (2007) Airway closure: The silent killer of peripheral airways. Crit Care 11(1):114
8. Pelosi P, Croci M, Ravagnan I et al (1996) Total respiratory system, lung and chest wall mechanics in anesthetized-paralyzed morbidly obese patients. Chest 109:144-151
9. Ferretti A, Giampiccolo P, Cavalli A et al (2001) Expiratory flow limitation and ortopnea in massively obese subjects. Chest 119:1401-1408
10. Protti A, Cressoni M, Santini A et al (2011) Lung stress and strain during mechanical ventilation: Any safe threshold? Am J Respir Crit Care Med 183:1354-1362
11. Michelet P, D'Journo XB, Roch A et al (2006) Protective ventilation influences systemic inflammation after esophagectomy: A randomized controlled study. Anesthesiology 105:911-919
12. Wolthuis EK, Choi G, Dessing MC et al (2008) Mechanical ventilation with lower tidal volumes and positive end-expiratory pressure prevents pulmonary inflammation in patients without preexisting lung injury. Anesthesiology 108:46-54
13. Tandon S, Batchelor A, Bullock R et al (2001) Peri-operative risk factors for acute lung injury after elective oesophagectomy. Br J Anaesth 86:633-638
14. Anzueto A, Frutos-Vivar F, Esteban A et al (2011) Influence of body mass index on outcome of the mechanically ventilated patients. Thorax 66(1):66-73
15. Determann RM, Royakkers A, Wolthuis EK et al (2010) Ventilation with lower tidal volumes as compared with conventional tidal volumes for patients without acute lung injury: A preventive randomized controlled trial. Crit Care 14(1):R1
16. Whalen FX, Gajic O, Thompson GB et al (2006) The effects of the alveolar recruitment maneuver and positive end-expiratory pressure on arterial oxygenation during laparoscopic bariatric surgery. Anesth Analg 102:298-305
17. Tusman G, Bohm SH, Vazquez De Anda GF et al (1999) 'Alveolar recruitment strategy' improves arterial oxygenation during general anaesthesia. Br J Anaesth 82(1):8-13
18. Reinius H, Jonsson L, Gustafsson S et al (2009) Prevention of atelectasis in morbidly obese patients during general anesthesia and paralysis: A computerized tomography study. Anesthesiology 111(5):979-987
19. Talab HF, Zabani IA, Abdelrahman HS et al (2009) Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese patients undergoing laparoscopic bariatric surgery. Anesth Analg 109(5):1511-1516
20. Hemmes SN, Severgnini P, Jaber S et al (2011) Rationale and study design of PROVHILO- a worldwide multicenter randomized controlled trial on protective ventilation during general anesthesia for open abdominal surgery. Trials 12:111
21. Almarakbi WA, Fawzi HM, Alhashemi JA (2009) Effects of four intraoperative ventilatory strategies on respiratory compliance and gas exchange during laparoscopic gastric banding in obese patients. Br J Anaesth 102(6):862-868
22. Chalhoub V, Yazigi A, Sleilaty G et al (2007) Effect of vital capacity manoeuvres on arterial oxygenation in morbidly obese patients undergoing open bariatric surgery. Eur J Anaesthesiol 24(3):283-288
23. Tusman G, Bohm SH, Melkun F et al (2002) Effects of the alveolar recruitment maneuver and PEEP on arterial oxygenation in anesthetized obese patients. Rev Esp Anaestesiol Reanim 49(4):177-183
24. The ARDS Network (2000) Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 342:1301-1308
25. Kregenow DA, Rubenfeld GD, Hudson LD et al (2006) Hypercapnic acidosis and mortality in acute lung injury. Crit Care Med 34:1-7
26. Kessler R, Chaouat A, Schinkewitch P et al (2001) The obesity-hypoventilation syndrome revisited: A prospective study of 34 consecutive cases. Chest 120(2):369-376
27. Ijland MM, Heunks LM, Van der Hoeven JG (2010) Bench-to-bedside review: hypercapnic acidosis in lung injury-from 'permissive' to 'therapeutic'. Crit Care 14(6):237
28. Chuang IC, Yang RC, Chou SH et al (2011) Effect of carbon dioxide inhalation on pulmonary hypertension induced by increased blood flow and hypoxia. Kaohsiung J Med Sci 27(8):336-343
29. Akca O, Doufas AG, Morioka N et al (2002) Hypercapnia improves tissue oxygenation. Anesthesiology 97:801-806
30. Gnaegi A, Feihl F, Boulat O et al (2009) Moderate hypercapnia exerts beneficial effects on splanchnic energy metabolism during endotoxemia. Intensive Care Med 35(7):1297-1304
31. Curley G, Hayes M, Laffey JG (2011) Can 'permissive' hypercapnia modulate the severity of sepsis-induced ALI/ARDS? Crit Care 15(2):212
32. Pugin J, Dunn-Siegrist I, Dufour J et al (2008) Cyclic stretch of human lung cells induces an acidifi cation and promotes bacterial growth. Am J Respir Cell Mol Biol 38:362-370
33. Doerr CH, Gajic O, Berrios JC et al (2005) Hypercapnic acidosis impairs plasma membrane wound resealing in ventilator-injured lungs. Am J Respir Crit Care Med 171:1371-1377
34. Martini WZ, Pusateri AE, Uscilowicz JM et al (2005) Independent contributions of hypothermia and acidosis to coagulopathy in swine. J Trauma 58(5):1002-1009; discussion 1009-1010
35. Petridis AK, Doukas A, Kienke S et al (2010) The effect of lung-protective permissive hypercapnia in intracerebral pressure in patients with subarachnoid haemorrhage and ARDS. A retrospective study. Acta Neurochir (Wien) 152(12):2143-2145
36. Chiu AW, Chang LS, Birkett DH et al (1995) The impact of pneumoperitoneum, pneumoretroeritoneum, and gasless laparoscopy on the systemic and renal hemodynamics. J Am Coll Surg 181:397-406
37. Fried M, Krska Z, Danzig V (2001) Does the laparoscopic approach significantly affect cardiac functions in laparoscopic surgery? Pilot study in non-obese and morbidly obese patients. Obes Surg 11:293-296
38. Dumont L, Mattys M, Mardirosoff C et al (1997) Hemodynamic changes during laparoscopic gastroplasty in morbidly obese patients. Obes Surg 7(4):326-331
39. Valenza F, Chevallard G, Fossali T et al (2010) Management of mechanical ventilation during laparoscopic surgery. Best Pract Res Clin Anaesthesiol 24:227-241
40. Lindgren L, Koivusalo AM, Kellokumpu I (1995) Conventional pneumoperitoneum compared with abdominal wall lift for laparoscopic cholecystectomy. Br J Anaesth 75:567-572
41. Nguyen NT, Anderson J, Fleming NW et al (2004) Effects of pneumoperitoneum on intraoperative respiratory mechanics and gas exchange during laparoscopic gastric bypass. Surg Endosc 18(1):64-71
42. Pelosi P, Croci M, Ravagnan I et al (1998) The effects of body mass on lung volumes, respiratory mechanics, and gas exchange during general anesthesia. Anaesth Analg 87:654-660
43. Valenza F, Vagginelli F, Tiby A et al (2007) Effects of the beach chair position, positive endexpiratory pressure, and pneumoperitoneum on respiratory function in morbidly obese patients during anesthesia and paralysis. Anesthesiology 107:725-732
44. Sprung J, Whalley DG, Falcone T et al (2003) The effect of tidal volume and respiratory rate on oxygenation and respiratory mechanics during laparoscopy in morbidly obese patients. Anesth Analg 97(1):268-274
45. Perilli V, Vitale F, Modesti C et al (2011) Carbon dioxide elimination pattern in morbidly obese patients undergoing laparoscopic surgery. Surg Obes Relat Dis. July 14. [Epub ahead of print]
46. Futier E, Constantin JM, Pelosi P et al (2010) Intraoperative recruitment maneuver reverses detrimental pneumoperitoneum-induced respiratory effects in healthy weight and obese patients undergoing laparoscopy. Anesthesiology 113(6):1310-1319
47. Whalen FX, Gajic O, Thompson GB et al (2006) The effects of the alveolar recruitment maneuver and positive end-expiratory pressure on arterial oxygenation during laparoscopic bariatric surgery. Anesth Analg 102(1):298-305
48. Almarakbi WA, Fawzi HM, Alhashemi JA (2009) Effects of four intraoperative ventilatory strategies on respiratory compliance and gas exchange during laparoscopic gastric banding in obese patients. Br J Anaesth 102(6):862-868
49. Talab HF, Zabani IA, Abdelrahman HS et al (2009) Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese patients undergoing laparoscopic bariatric surgery. Anesth Analg 109(5):1511-1516
50. Cadi P, Guenoun T, Journois D et al (2008) Pressure-controlled ventilation improves oxygenation during laparoscopic obesity surgery compared with volume-controlled ventilation. Br J Anaesth 100(5):709-716
51. De Baerdemaeker LE, Van der Herten C, Gillardin JM et al (2008) Comparison of volumecontrolled and pressure-controlled ventilation during laparoscopic gastric banding in morbidly obese patients. Obes Surg 18(6):680-685