Please use this identifier to cite or link to this item: https://hdl.handle.net/11499/50518
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dc.contributor.authorYıldız, A. M.-
dc.contributor.authorKılınç, G.-
dc.contributor.authorSungürtekin, H.-
dc.contributor.authorKaraduman, S.-
dc.contributor.authorBirsen, O.-
dc.date.accessioned2023-04-08T10:01:58Z-
dc.date.available2023-04-08T10:01:58Z-
dc.date.issued2022-
dc.identifier.issn1128-3602-
dc.identifier.urihttps://hdl.handle.net/11499/50518-
dc.description.abstract- OBJECTIVE: Laparoscopic bar-iatric surgery is frequently associated with dis-turbances in respiratory mechanics. An alveo-lar recruitment maneuver (ARM) with positive end-expiratory pressure (PEEP) is a strategy to overcome such respiratory conditions. This study aimed to evaluate the effect of ARM+PEEP on intraoperative and postoperative respiratory and hemodynamic parameters of patients with laparoscopic bariatric surgery. PATIENTS AND METHODS: Patients who underwent laparoscopic bariatric surgery be-tween 2009 and 2016 were retrospectively eval-uated. The study sample was divided into four groups based on PEEP values and the preŞence of ARM: Group PEEP 5 (5 cm H2O PEEP only), Group PEEP 5/RM (5 cm H2O PEEP plus ARM), Group PEEP 10 (10 cm H2O PEEP only), Group PEEP 10/RM (10 cm H2O PEEP plus ARM). Pa-tients' demographic characteristics, ventilatory, respiratory, and oxygenation parameters were recorded. Oxygenation index (PaO2/FiO2) was the study's primary outcome. RESULTS: There were 156, 158, 299, and 210 patients in Groups PEEP 5, PEEF 5/RM, PEEP 10, and PEEP 10/RM, respectively. Tidal volume, driv-ing tidal volume/compliance, PaO2, PaO2/FiO2, and PaCO2 were significantly lower in Groups PEEP 5 and PEEP 5/RM, whereas SpO2 and FiO2 were significantly higher in Groups PEEP 5 and PEEP 5/RM (p<0.05). Patients in Group PEEP 5 had significantly higher end-tidal carbon diox-ide (EtCO2) values than those of other groups (p<0.001). Patients in Group PEEP 5/RM had sig-nificantly higher SpO2 values than those in Group PEEP 5 (p<0.001). Rate of postoperative atelecta-sis was significantly higher in Group PEEP 5/RM compared to the other groups (p=0.011). CONCLUSIONS: A PEEP level of at least 10 cm H2O with ARM improved intraoperative respi-ratory parameters and caused a significant re-duction in postoperative atelecTaşis.en_US
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical and Pharmacological Sciencesen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectObesityen_US
dc.subjectBariatric surgeryen_US
dc.subjectLaparoscopyen_US
dc.subjectPositive end-expiratory pressureen_US
dc.subjectAlveolar recruitmenten_US
dc.subjectAtel-ecTaşisen_US
dc.subjectMorbidly Obese-Patientsen_US
dc.subjectGeneral-Anesthesiaen_US
dc.subjectImpedance Tomographyen_US
dc.subjectVentilationen_US
dc.subjectTrialen_US
dc.subjectAtelecTaşisen_US
dc.subjectPreventionen_US
dc.subjectManagementen_US
dc.titleImpact of positive end-expiratory pressure with alveolar recruitment maneuver on respiratory and oxygenation parameters of patients during laparoscopic bariatric surgeryen_US
dc.typeArticleen_US
dc.identifier.volume26en_US
dc.identifier.issue24en_US
dc.identifier.startpage9170en_US
dc.identifier.endpage9179en_US
dc.departmentPamukkale Universityen_US
dc.authoridKILINC, Gökhan/0000-0001-7979-6993-
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.authorwosidKILINC, Gökhan/E-3228-2019-
dc.identifier.pmid36591829en_US
dc.identifier.scopus2-s2.0-85145344019en_US
dc.identifier.wosWOS:000914641100013en_US
dc.institutionauthor-
dc.identifier.scopusqualityQ2-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.openairetypeArticle-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
crisitem.author.dept14.01. Surgical Medicine-
crisitem.author.dept14.01. Surgical Medicine-
crisitem.author.dept14.01. Surgical Medicine-
Appears in Collections:PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection
Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection
Tıp Fakültesi Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection
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