Effects of intraoperative protective lung ventilation on postoperative pulmonary complications in patients with laparoscopic surgery: prospective, randomized and controlled trial

Surgical Endoscopy

Volumn 30, Issue 10, 2016, Pages 4598-4606

  Park, S J ^a,b   Kim, B G ^a,b   Oh, A H ^a,b   Han, S H ^a,b   Han, H S ^b   Ryu, J H ^a,b  

^a Seoul National University College of Medicine   (South Korea)

^b Seoul National University Bundang Hospital   (South Korea)

Author keywords

Alveolar recruitment maneuver; Laparoscopic surgery; Pneumoperitoneum; Protective lung ventilation; Pulmonary complication

Indexed keywords

DESFLURANE; FENTANYL; MIDAZOLAM; PROPOFOL; REMIFENTANIL; ROCURONIUM;

ADULT; AGED; ALVEOLAR RECRUITMENT MANEUVER; ANESTHESIA INDUCTION; ARTICLE; ARTIFICIAL PNEUMOPERITONEUM; ATELECTASIS; BALANCED ANESTHESIA; BLOOD GAS ANALYSIS; CONTINUOUS INFUSION; CONTROLLED STUDY; FEMALE; HUMAN; LAPAROSCOPIC SURGERY; LENGTH OF STAY; LUNG DISEASE; LUNG EDEMA; LUNG VENTILATION; MAJOR CLINICAL STUDY; MALE; OXYGEN DESATURATION; PNEUMONIA; POSITIVE END EXPIRATORY PRESSURE; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; PROTECTION; PROTECTIVE LUNG VENTILATION; RANDOMIZED CONTROLLED TRIAL; RESPIRATORY TRACT PARAMETERS; THERAPY EFFECT; TIDAL VOLUME; VENTILATOR; ABDOMINAL SURGERY; ARTIFICIAL VENTILATION; HEMODYNAMICS; HYPOXIA; INCIDENCE; LAPAROSCOPY; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; PROCEDURES; PULMONARY ATELECTASIS;

ADULT; AGED; BLOOD GAS ANALYSIS; DIGESTIVE SYSTEM SURGICAL PROCEDURES; FEMALE; HEMODYNAMICS; HUMANS; HYPOXIA; INCIDENCE; LAPAROSCOPY; LENGTH OF STAY; MALE; MIDDLE AGED; PNEUMONIA; PNEUMOPERITONEUM, ARTIFICIAL; POSITIVE-PRESSURE RESPIRATION; POSTOPERATIVE COMPLICATIONS; PROSPECTIVE STUDIES; PULMONARY ATELECTASIS; RESPIRATION, ARTIFICIAL; TIDAL VOLUME;

EID: 84984904389     PISSN: 09302794     EISSN: 14322218     Source Type: Journal    
DOI: 10.1007/s00464-016-4797-x     Document Type: Article

References (22)

1. Rockall TA, Demartines N (2014) Laparoscopy in the era of enhanced recovery. Best Pract Res Clin Gastroenterol 28:133–142
2. Hedenstierna G, Edmark L (2005) The effects of anesthesia and muscle paralysis on the respiratory system. Intensive Care Med 31:1327–1335
3. Hedenstierna G, Rothen HU (2000) Atelectasis formation during anesthesia: causes and measures to prevent it. J Clin Monit Comput 16:329–335
4. Meininger D, Byhahn C, Mierdl S, Westphal K, Zwissler B (2005) Positive end-expiratory pressure improves arterial oxygenation during prolonged pneumoperitoneum. Acta Anaesthesiol Scand 49:778–783
5. Hazebroek EJ, Haitsma JJ, Lachmann B, Bonjer HJ (2002) Mechanical ventilation with positive end-expiratory pressure preserves arterial oxygenation during prolonged pneumoperitoneum. Surg Endosc 16:685–689
6. Takahata O, Kunisawa T, Nagashima M, Mamiya K, Sakurai K, Fujita S, Fujimoto K, Iwasaki H (2007) Effect of age on pulmonary gas exchange during laparoscopy in the Trendelenburg lithotomy position. Acta Anaesthesiol Scand 51:687–692
7. Futier E, Constantin JM, Jaber S (2014) Protective lung ventilation in operating room: a systematic review. Minerva Anestesiol 80:726–735
8. Park HP, Hwang JW, Kim YB, Jeon YT, Park SH, Yun MJ, Do SH (2009) Effect of pre-emptive alveolar recruitment strategy before pneumoperitoneum on arterial oxygenation during laparoscopic hysterectomy. Anaesth Intensive Care 37:593–597
9. Pang CK, Yap J, Chen PP (2003) The effect of an alveolar recruitment strategy on oxygenation during laparascopic cholecystectomy. Anaesth Intensive Care 31:176–180
10. Eisner MD, Thompson BT, Schoenfeld D, Anzueto A, Matthay MA, Acute Respiratory Distress Syndrome N (2002) Airway pressures and early barotrauma in patients with acute lung injury and acute respiratory distress syndrome. Am J Respir Crit Care Med 165:978–982
11. Lee HY, Lu CH, Lu HF, Chen CL, Wang CH, Cheng KW, Wu SC, Jawan B, Huang CJ (2012) Relationship between postoperative lung atelectasis and position of the endotracheal tube in pediatric living-donor liver transplantation. Transpl Proc 44:875–877
12. Abdullah HR, Chung F (2014) Postoperative issues: discharge criteria. Anesthesiol Clin 32:487–493
13. Karayiannakis AJ, Makri GG, Mantzioka A, Karousos D, Karatzas G (1996) Postoperative pulmonary function after laparoscopic and open cholecystectomy. Br J Anaesth 77:448–452
14. Nguyen NT, Anderson JT, Budd M, Fleming NW, Ho HS, Jahr J, Stevens CM, Wolfe BM (2004) Effects of pneumoperitoneum on intraoperative pulmonary mechanics and gas exchange during laparoscopic gastric bypass. Surg Endosc 18:64–71
15. Reinius H, Jonsson L, Gustafsson S, Sundbom M, Duvernoy O, Pelosi P, Hedenstierna G, Freden F (2009) Prevention of atelectasis in morbidly obese patients during general anesthesia and paralysis: a computerized tomography study. Anesthesiology 111:979–987
16. Eichenberger A, Proietti S, Wicky S, Frascarolo P, Suter M, Spahn DR, Magnusson L (2002) Morbid obesity and postoperative pulmonary atelectasis: an underestimated problem. Anesth Analg 95:1788–1792 table of contents
17. Kim JY, Shin CS, Kim HS, Jung WS, Kwak HJ (2010) Positive end-expiratory pressure in pressure-controlled ventilation improves ventilatory and oxygenation parameters during laparoscopic cholecystectomy. Surg Endosc 24:1099–1103
18. Maracaja-Neto LF, Vercosa N, Roncally AC, Giannella A, Bozza FA, Lessa MA (2009) Beneficial effects of high positive end-expiratory pressure in lung respiratory mechanics during laparoscopic surgery. Acta Anaesthesiol Scand 53:210–217
19. Tusman G, Bohm SH, Warner DO, Sprung J (2012) Atelectasis and perioperative pulmonary complications in high-risk patients. Curr Opin Anaesthesiol 25:1–10
20. Cheng SP, Chang YC, Liu CL, Yang TL, Jeng KS, Lee JJ, Liu TP (2008) Factors associated with prolonged stay after laparoscopic cholecystectomy in elderly patients. Surg Endosc 22:1283–1289
21. Futier E, Constantin JM, Pelosi P, Chanques G, Kwiatkoskwi F, Jaber S, Bazin JE (2010) Intraoperative recruitment maneuver reverses detrimental pneumoperitoneum-induced respiratory effects in healthy weight and obese patients undergoing laparoscopy. Anesthesiology 113:1310–1319
22. Talab HF, Zabani IA, Abdelrahman HS, Bukhari WL, Mamoun I, Ashour MA, Sadeq BB, El Sayed SI (2009) Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese patients undergoing laparoscopic bariatric surgery. Anesth Analg 109:1511–1516