Please use this identifier to cite or link to this item:
https://hdl.handle.net/11499/50518
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Yıldız, A. M. | - |
dc.contributor.author | Kılınç, G. | - |
dc.contributor.author | Sungürtekin, H. | - |
dc.contributor.author | Karaduman, S. | - |
dc.contributor.author | Birsen, O. | - |
dc.date.accessioned | 2023-04-08T10:01:58Z | - |
dc.date.available | 2023-04-08T10:01:58Z | - |
dc.date.issued | 2022 | - |
dc.identifier.issn | 1128-3602 | - |
dc.identifier.uri | https://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.iso | en | en_US |
dc.publisher | Verduci Publisher | en_US |
dc.relation.ispartof | European Review For Medical and Pharmacological Sciences | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Obesity | en_US |
dc.subject | Bariatric surgery | en_US |
dc.subject | Laparoscopy | en_US |
dc.subject | Positive end-expiratory pressure | en_US |
dc.subject | Alveolar recruitment | en_US |
dc.subject | Atel-ecTaşis | en_US |
dc.subject | Morbidly Obese-Patients | en_US |
dc.subject | General-Anesthesia | en_US |
dc.subject | Impedance Tomography | en_US |
dc.subject | Ventilation | en_US |
dc.subject | Trial | en_US |
dc.subject | AtelecTaşis | en_US |
dc.subject | Prevention | en_US |
dc.subject | Management | en_US |
dc.title | Impact of positive end-expiratory pressure with alveolar recruitment maneuver on respiratory and oxygenation parameters of patients during laparoscopic bariatric surgery | en_US |
dc.type | Article | en_US |
dc.identifier.volume | 26 | en_US |
dc.identifier.issue | 24 | en_US |
dc.identifier.startpage | 9170 | en_US |
dc.identifier.endpage | 9179 | en_US |
dc.department | Pamukkale University | en_US |
dc.authorid | KILINC, Gökhan/0000-0001-7979-6993 | - |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.authorwosid | KILINC, Gökhan/E-3228-2019 | - |
dc.identifier.pmid | 36591829 | en_US |
dc.identifier.scopus | 2-s2.0-85145344019 | en_US |
dc.identifier.wos | WOS:000914641100013 | en_US |
dc.institutionauthor | … | - |
dc.identifier.scopusquality | Q2 | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.openairetype | Article | - |
item.cerifentitytype | Publications | - |
item.fulltext | No Fulltext | - |
item.grantfulltext | none | - |
item.languageiso639-1 | en | - |
crisitem.author.dept | 14.01. Surgical Medicine | - |
crisitem.author.dept | 14.01. Surgical Medicine | - |
crisitem.author.dept | 14.01. 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 |
CORE Recommender
SCOPUSTM
Citations
3
checked on Nov 16, 2024
WEB OF SCIENCETM
Citations
3
checked on Nov 21, 2024
Page view(s)
46
checked on Aug 24, 2024
Google ScholarTM
Check
Items in GCRIS Repository are protected by copyright, with all rights reserved, unless otherwise indicated.