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Original Article

Ultrasonographic evaluation of the effect of recruitment maneuvers and positive end-expiratory pressure on diaphragmatic functions in obese patients undergoing laparoscopic sleeve gastrectomy: A randomized controlled study

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Pages 69-77 | Received 25 Mar 2020, Accepted 26 Apr 2020, Published online: 08 Jun 2020

References

  • Felsenreich DM, Prager G, Kefurt R, et al. Quality of life 10 years after sleeve gastrectomy: a multicenter study. Obes Facts. 2019;12:157–166.
  • Guetta O, Vakhrushev A, Dukhno O, et al. New results on the safety of laparoscopic sleeve gastrectomy bariatric procedure for type 2 diabetes patients. World J Diabetes. 2019;10(2):78–86.
  • Sarandan M, Guragata-Balasa C, Papurica M, et al. Anesthesia in laparoscopic bariatric surgery (gastric sleeve) – preliminary experience. TMJ. 2011;61(1):26–31.
  • Staehr-Rye AK, Rasmussen LS, Rosenberg J, et al. Minimal impairment in pulmonary function following laparoscopic surgery. Acta Anaesthesiol Scand. 2014;58:198–205.
  • Hedenstierna G, Edmark L. The effects of anesthesia and muscle paralysis on the respiratory system. Intensive Care Med. 2005;10:1327–1335.
  • El-Dawlatly AA. Hemodynamic profile during laparoscopic cholecystectomy versus laparoscopic bariatric surgery: the impact of morbid obesity. Middle East J Anaesthesiol. 2006;18:733–742.
  • Talab HF, Zabani IA, Abdelrahman HS, et al. Intraoperative ventilatory strategies for prevention of pulmonary atelectasis in obese patients undergoing laparoscopic bariatric surgery. Anesth Analg. 2009;109:1511–1516.
  • El-Dawlatly AA, Al-Dohayan A, Abdel-Meguid ME, et al. The effects of pneumoperitoneum on respiratory mechanics during general anesthesia for bariatric surgery. Obes Surg. 2004;14:212–215.
  • Suh MK, Seong KW, Jung SH, et al. The effect of pneumoperitoneum and trendelenburg position on respiratory mechanics during pelviscopic surgery. Korean J Anesthesiol. 2010;59:329–334.
  • Reinius H, Jonsson L, Gustafsson S, et al. Prevention of atelectasis in morbidly obese patients during general anesthesia and paralysis: a computerized tomography study. Anesthesiology. 2009;111:979–987.
  • Reber A, Nylund U, Hedenstierna G. Position and shape of the diaphragm: implications for atelectasis formation. Anaesthesia. 1998;53:1054–1061.
  • Eichenberger A, Proietti S, Wicky S, et al. Morbid obesity and postoperative pulmonary atelectasis: an underestimated problem. Anesth Analg. 2002;6:1788–1792.
  • Las Vegas Investigators. Epidemiology, practice of ventilation and outcome for patients at increased risk of postoperative pulmonary complications: Las Vegas—an observational study in 29 countries. Eur J Anaesthesiol. 2017;34(8):492–507.
  • Milic-Emili J, Torchio R, D’Angelo E. Closing volume: a reappraisal (1967–2007). Eur J Appl Physiol. 2007;6:567–583.
  • Normando VMF, Brito MVH, de Araújo Júnior FAD, et al. Effects of pneumoperitoneum on the amplitude of diaphragmatic excursion in pigs. J Bras Pneumol. 2006;32(1):16–22.
  • Kim K, Jang D-M, Park J-Y, et al. Changes of diaphragmatic excursion and lung compliance during major laparoscopic pelvic surgery: A prospective observational study. plos ONE. 2018;13(11):e0207841.
  • Dixon BJ, Dixon JB, Carden JR, et al. Preoxygenation is more effective in the 25 degrees head-up position than in the supine position in severely obese patients: a randomized controlled study. Anesthesiology. 2005;6:1110–1115.
  • Coussa M, Proietti S, Schnyder P, et al. Prevention of atelectasis formation during the induction of general anesthesia in morbidly obese patients. Anesth Analg. 2004;5:1491–1495.
  • Jo YY, Lee JY, Lee MG, et al. Effects of high positive endexpiratory pressure on haemodynamics and cerebral oxygenation during pneumoperitoneum in the Trendelenburg position. Anaesthesia. 2013;68:938–943.
  • Rothen HU, Sporre B, Engberg G, et al. Re-expansion of atelectasis during general anaesthesia: a computed tomography study. Br J Anaesth. 1993;6:788–795.
  • Futier E, Constantin J, Pelosi P, et al. Intraoperative recruitment maneuver reverses detrimental pneumoperitoneum-induced respiratory effects in healthy weight and obese patients undergoing laparoscopy. Anesthesiology. 2010;6:1310–1319.
  • Whalen FX, Gajic O, Thompson GB, et al. The effects of the alveolar recruitment maneuver and positive end-expiratory pressure on arterial oxygenation during laparoscopic bariatric surgery. Anesth Analg. 2006;1:298–305.
  • Rashwan DAE, Mahmoud HE, Nofal WH, et al. Ultrasonographic evaluation of the effect of positive end-expiratory pressure on diaphragmatic functions in patients undergoing laparoscopic colorectal surgery: a prospective randomized comparative study. J Anesth Clin Res. 2018;9(7):843–851.
  • Grosu HB, Lee YI, Lee J, et al. Diaphragm muscle thinning in patients who are mechanically ventilated. Chest. 2012;142:1455–1460.
  • Summerhill EM, El-Sameed YA, Glidden TJ, et al. Monitoring recovery from diaphragm paralysis with ultrasound. Chest. 2008;133:737–743.
  • Matamis D, Soilemezi E, Tsagourias M, et al. Sonographic evaluation of the diaphragm in critically ill patients. Technique and clinical applications. Intensive Care Med. 2013;39:801–810.
  • Chung F, Abdullah HR, Liao P. STOP-bang questionnaire: a practical approach to screen for obstructive sleep apnea. Chest. 2016;149(3):631–638.
  • Soummer S, Perbet H, Brisson H, et al. The lung ultrasound study group: ultrasound assessment of lung aeration loss during a successful weaning trial predicts postextubation distress. Crit Care Med. 2012;40:2064–2072.
  • Strang CM, Hachenberg T, Fredén F, et al. Development of atelectasis and arterial to end-tidal PCO2-difference in a porcine model of pneumoperitoneum. Br J Anaesth. 2009;103:298–303.
  • Hayden P, Cowman S. Anaesthesia for laparoscopic surgery. Continuing Educ Anaesth Crit Care Pain. 2011;11:177–180.
  • Sprung J, Whalley DG, Falcone T, et al. The effects of tidal volume and respiratory rate on oxygenation and respiratory mechanics during laparoscopy in morbidly obese patients. Anesth Analg. 2003;97:268–274.
  • Andersson LE, Baath M, Thorne A, et al. Effect of carbon dioxide pneumoperitoneum on development of atelectasis during anesthesia, examined by spiral computed tomography. Anesthesiology. 2005;102:293–299.
  • Writing Committee for the PROBESE Collaborative Group of the PROtective VEntilation Network (PROVEnet) for the Clinical Trial Network of the European Society of Anaesthesiology, Bluth T, Neto AS, Schultz MJ, et al. Effect of intraoperative high positive end-expiratory pressure (PEEP) with recruitment maneuvers vs low peep on postoperative pulmonary complications in obese patients: a randomized clinical trial. JAMA. 2019;321(23):2292–2305.
  • Acosta CM, Sara T, Carpinella M, et al. Lung recruitment prevents collapse during laparoscopy in children. Eur J Anaesthesiol. 2018;35:573–580.
  • Cinnella G, Grasso S, Spadaro S, et al. Effects of recruitment maneuver and positive end-expiratory pressure on respiratory mechanics and transpulmonary pressure during laparoscopic surgery. Anesthesiology. 2013;118:114–122.
  • Severgnini P, Selmo G, Lanza C, et al. Protectivemechanicalventilation during general anesthesia for open abdominal surgery improves postoperative pulmonary function. Anesthesiology. 2013;6:1307–1321.
  • Defresne AA, Hans GA, Goffin PJ, et al. Recruitment of lung volume during surgery neither affects the postoperative spirometry nor the risk of hypoxaemia after laparoscopic gastric bypass in morbidly obese patients: a randomized controlled study. Br J Anaesth. 2014;113(3):501–507.