Does Lung Compliance Optimization Through PEEP Manipulations Reduce the Incidence of Postoperative Hypoxemia in Laparoscopic Bariatric Surgery? A Randomized Trial

Does Lung Compliance Optimization Through PEEP Manipulations Reduce the Incidence of Postoperative Hypoxemia in Laparoscopic Bariatric Surgery? A Randomized Trial

Background In obese patients (OP), the best intraoperative ventilation strategy remains to be defined. Dynamic lung compliance ( C dyn ) and dead space fraction are indicators of efficient ventilation at an optimal positive end-expiratory pressure (PEEP). Herein, we investigated whether intraoperati...

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Veröffentlicht in:Obesity surgery 2019-04, Vol.29 (4), p.1268-1275
Hauptverfasser: Van Hecke, Delphine, Bidgoli, Javad S., Van der Linden, Philippe
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Bariatric Surgery - adverse effects
Bariatric Surgery - methods
Female
Gastrointestinal surgery
Humans
Hypoxemia
Hypoxia - epidemiology
Hypoxia - etiology
Hypoxia - prevention & control
Incidence
Laparoscopy
Laparoscopy - adverse effects
Lung - physiology
Lung Compliance - physiology
Male
Medicine
Medicine & Public Health
Middle Aged
Obesity, Morbid - epidemiology
Obesity, Morbid - physiopathology
Obesity, Morbid - surgery
Original Contributions
Positive-Pressure Respiration - methods
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Postoperative Period
Prospective Studies
Respiration
Surgery
Tidal Volume
Ventilation
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Zusammenfassung:Background In obese patients (OP), the best intraoperative ventilation strategy remains to be defined. Dynamic lung compliance ( C dyn ) and dead space fraction are indicators of efficient ventilation at an optimal positive end-expiratory pressure (PEEP). Herein, we investigated whether intraoperative dynamic lung compliance optimization through PEEP manipulations affects the incidence of postoperative hypoxemia (SpO 2  
ISSN:0960-8923
1708-0428
DOI:10.1007/s11695-018-03662-x