The effects of a recruitment manoeuvre with positive end-expiratory pressure on lung compliance in patients undergoing robot-assisted laparoscopic radical prostatectomy
The effects of a recruitment manoeuvre (RM) with positive end-expiratory pressure (PEEP) on lung compliance (C ) are not well characterised in robot-assisted laparoscopic radical prostatectomy (RARP). Patients were allocated to group R (n = 10; with an RM) or C (n = 9; without an RM). An RM involved...
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| Veröffentlicht in: | Journal of clinical monitoring and computing 2020-04, Vol.34 (2), p.303-310 |
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| creator | Kudoh, Osamu Satoh, Daizoh Hori, Naosuke Kawagoe, Izumi Inada, Eiichi |
| description | The effects of a recruitment manoeuvre (RM) with positive end-expiratory pressure (PEEP) on lung compliance (C
) are not well characterised in robot-assisted laparoscopic radical prostatectomy (RARP). Patients were allocated to group R (n = 10; with an RM) or C (n = 9; without an RM). An RM involved sustained inflation of 30 cmH
O for 30 s. The lungs were ventilated with volume-controlled ventilation with tidal volume of 7 mL kg
of predicted body weight and fraction of inspired oxygen of 0.5. End-tidal carbon dioxide pressure was maintained at normocapnia. Patients were in the horizontal lithotomy position (pre-op). After pneumoperitoneum, patients underwent RARP in a steep Trendelenburg lithotomy position at a PEEP level of 0 cmH
O (RARP0). An RM was used in the R group but not in the C group. Patients were then ventilated with 5 cmH
O PEEP for 1 h after RARP0 (RARP5.1) and 2 h after RARP0 (RARP5.2). Oesophageal pressure and airway pressure were measured for calculating C
and chest wall compliance. C
significantly decreased from pre-op to RARP0 and did not significantly increase from RARP0 to RARP5.1 and RARP5.2 in either group. C
differed significantly between groups at RARP5.1 and RARP5.2 (103 ± 30 vs. 68 ± 11 mL cm
H
O and 106 ± 35 vs. 72 ± 9 mL cm
H
O; P |
| doi_str_mv | 10.1007/s10877-019-00306-y |
| format | Article |
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) are not well characterised in robot-assisted laparoscopic radical prostatectomy (RARP). Patients were allocated to group R (n = 10; with an RM) or C (n = 9; without an RM). An RM involved sustained inflation of 30 cmH
O for 30 s. The lungs were ventilated with volume-controlled ventilation with tidal volume of 7 mL kg
of predicted body weight and fraction of inspired oxygen of 0.5. End-tidal carbon dioxide pressure was maintained at normocapnia. Patients were in the horizontal lithotomy position (pre-op). After pneumoperitoneum, patients underwent RARP in a steep Trendelenburg lithotomy position at a PEEP level of 0 cmH
O (RARP0). An RM was used in the R group but not in the C group. Patients were then ventilated with 5 cmH
O PEEP for 1 h after RARP0 (RARP5.1) and 2 h after RARP0 (RARP5.2). Oesophageal pressure and airway pressure were measured for calculating C
and chest wall compliance. C
significantly decreased from pre-op to RARP0 and did not significantly increase from RARP0 to RARP5.1 and RARP5.2 in either group. C
differed significantly between groups at RARP5.1 and RARP5.2 (103 ± 30 vs. 68 ± 11 mL cm
H
O and 106 ± 35 vs. 72 ± 9 mL cm
H
O; P < 0.05). In patients undergoing RARP, with the addition of RM, the C
was effectively increased from the horizontal lithotomy position to the steep Trendelenburg lithotomy position under pneumoperitoneum.</description><identifier>ISSN: 1387-1307</identifier><identifier>EISSN: 1573-2614</identifier><identifier>DOI: 10.1007/s10877-019-00306-y</identifier><identifier>PMID: 30968327</identifier><language>eng</language><publisher>Netherlands: Springer Nature B.V</publisher><subject>Aged ; Blood Gas Analysis ; Body weight ; Cancer surgery ; Carbon dioxide ; Head-Down Tilt - adverse effects ; Head-Down Tilt - physiology ; Humans ; Laparoscopy ; Laparoscopy - methods ; Lung Compliance ; Lungs ; Male ; Middle Aged ; Monitoring, Intraoperative ; Original Research ; Patients ; Positive-Pressure Respiration ; Prospective Studies ; Prostate cancer ; Prostatectomy - methods ; Respiratory Mechanics ; Robotic Surgical Procedures - methods ; Robots ; Urological surgery ; Ventilation</subject><ispartof>Journal of clinical monitoring and computing, 2020-04, Vol.34 (2), p.303-310</ispartof><rights>Journal of Clinical Monitoring and Computing is a copyright of Springer, (2019). All Rights Reserved. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-2390-3662</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30968327$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kudoh, Osamu</creatorcontrib><creatorcontrib>Satoh, Daizoh</creatorcontrib><creatorcontrib>Hori, Naosuke</creatorcontrib><creatorcontrib>Kawagoe, Izumi</creatorcontrib><creatorcontrib>Inada, Eiichi</creatorcontrib><title>The effects of a recruitment manoeuvre with positive end-expiratory pressure on lung compliance in patients undergoing robot-assisted laparoscopic radical prostatectomy</title><title>Journal of clinical monitoring and computing</title><addtitle>J Clin Monit Comput</addtitle><description>The effects of a recruitment manoeuvre (RM) with positive end-expiratory pressure (PEEP) on lung compliance (C
) are not well characterised in robot-assisted laparoscopic radical prostatectomy (RARP). Patients were allocated to group R (n = 10; with an RM) or C (n = 9; without an RM). An RM involved sustained inflation of 30 cmH
O for 30 s. The lungs were ventilated with volume-controlled ventilation with tidal volume of 7 mL kg
of predicted body weight and fraction of inspired oxygen of 0.5. End-tidal carbon dioxide pressure was maintained at normocapnia. Patients were in the horizontal lithotomy position (pre-op). After pneumoperitoneum, patients underwent RARP in a steep Trendelenburg lithotomy position at a PEEP level of 0 cmH
O (RARP0). An RM was used in the R group but not in the C group. Patients were then ventilated with 5 cmH
O PEEP for 1 h after RARP0 (RARP5.1) and 2 h after RARP0 (RARP5.2). Oesophageal pressure and airway pressure were measured for calculating C
and chest wall compliance. C
significantly decreased from pre-op to RARP0 and did not significantly increase from RARP0 to RARP5.1 and RARP5.2 in either group. C
differed significantly between groups at RARP5.1 and RARP5.2 (103 ± 30 vs. 68 ± 11 mL cm
H
O and 106 ± 35 vs. 72 ± 9 mL cm
H
O; P < 0.05). In patients undergoing RARP, with the addition of RM, the C
was effectively increased from the horizontal lithotomy position to the steep Trendelenburg lithotomy position under pneumoperitoneum.</description><subject>Aged</subject><subject>Blood Gas Analysis</subject><subject>Body weight</subject><subject>Cancer surgery</subject><subject>Carbon dioxide</subject><subject>Head-Down Tilt - adverse effects</subject><subject>Head-Down Tilt - physiology</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Lung Compliance</subject><subject>Lungs</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Monitoring, Intraoperative</subject><subject>Original Research</subject><subject>Patients</subject><subject>Positive-Pressure Respiration</subject><subject>Prospective Studies</subject><subject>Prostate cancer</subject><subject>Prostatectomy - methods</subject><subject>Respiratory Mechanics</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Robots</subject><subject>Urological surgery</subject><subject>Ventilation</subject><issn>1387-1307</issn><issn>1573-2614</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkc2KFDEURoMoztj6Ai4k4MZN9CbpSqo2ggz-wYCbcV3cSlI9GaqSmKTa6TfyMc3gKOoiJJDvHs7lI-Q5h9ccQL8pHHqtGfCBAUhQ7PSAnPNOSyYU3z9sb9lrxiXoM_KklBsAGHrJH5MzCYPqpdDn5MfVtaNunp2phcaZIs3O5M3X1YVKVwzRbcfs6Hdfr2mKxVd_bAPBMnebfMYa84mm7ErZWioGumzhQE1c0-IxGEd9oAmrb7RCt2BdPkTfEjlOsTIsxZfqLF0wYY7FxOQNzWi9waVhY6lYm1pcT0_JoxmX4p7d3zvy9cP7q4tP7PLLx88X7y5ZEsO-sv2Ek-0mgdIobZXQouMdDBZUO91gwJpB9E5MSnLeT3yWe4FGK2Nnbp3Sckfe_uKmbVqdNU084zKm7FfMpzGiH__9Cf56PMTjqKEHpbsGeHUPyPHb5kodV1-MWxYMLm5lFAI0V1K2Anbk5X_Rm7jl0Na7S7UiBxB3Ri_-Nvqj8rtE-RPqUaWH</recordid><startdate>20200401</startdate><enddate>20200401</enddate><creator>Kudoh, Osamu</creator><creator>Satoh, Daizoh</creator><creator>Hori, Naosuke</creator><creator>Kawagoe, Izumi</creator><creator>Inada, Eiichi</creator><general>Springer Nature B.V</general><general>Springer Netherlands</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7SC</scope><scope>7SP</scope><scope>7U5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>JQ2</scope><scope>K7-</scope><scope>K9.</scope><scope>KB0</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2390-3662</orcidid></search><sort><creationdate>20200401</creationdate><title>The effects of a recruitment manoeuvre with positive end-expiratory pressure on lung compliance in patients undergoing robot-assisted laparoscopic radical prostatectomy</title><author>Kudoh, Osamu ; Satoh, Daizoh ; Hori, Naosuke ; Kawagoe, Izumi ; Inada, Eiichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p294t-4babd5b2a3c67d627251509d069d059c0dc928e2b63118b1f342ac76cdf1de673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Blood Gas Analysis</topic><topic>Body weight</topic><topic>Cancer surgery</topic><topic>Carbon dioxide</topic><topic>Head-Down Tilt - adverse effects</topic><topic>Head-Down Tilt - physiology</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Lung Compliance</topic><topic>Lungs</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Monitoring, Intraoperative</topic><topic>Original Research</topic><topic>Patients</topic><topic>Positive-Pressure Respiration</topic><topic>Prospective Studies</topic><topic>Prostate cancer</topic><topic>Prostatectomy - methods</topic><topic>Respiratory Mechanics</topic><topic>Robotic Surgical Procedures - methods</topic><topic>Robots</topic><topic>Urological surgery</topic><topic>Ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kudoh, Osamu</creatorcontrib><creatorcontrib>Satoh, Daizoh</creatorcontrib><creatorcontrib>Hori, Naosuke</creatorcontrib><creatorcontrib>Kawagoe, Izumi</creatorcontrib><creatorcontrib>Inada, Eiichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Computer and Information Systems Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Solid State and Superconductivity Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Computer Science Collection</collection><collection>Computer Science Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Applied & Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical monitoring and computing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kudoh, Osamu</au><au>Satoh, Daizoh</au><au>Hori, Naosuke</au><au>Kawagoe, Izumi</au><au>Inada, Eiichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of a recruitment manoeuvre with positive end-expiratory pressure on lung compliance in patients undergoing robot-assisted laparoscopic radical prostatectomy</atitle><jtitle>Journal of clinical monitoring and computing</jtitle><addtitle>J Clin Monit Comput</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>34</volume><issue>2</issue><spage>303</spage><epage>310</epage><pages>303-310</pages><issn>1387-1307</issn><eissn>1573-2614</eissn><abstract>The effects of a recruitment manoeuvre (RM) with positive end-expiratory pressure (PEEP) on lung compliance (C
) are not well characterised in robot-assisted laparoscopic radical prostatectomy (RARP). Patients were allocated to group R (n = 10; with an RM) or C (n = 9; without an RM). An RM involved sustained inflation of 30 cmH
O for 30 s. The lungs were ventilated with volume-controlled ventilation with tidal volume of 7 mL kg
of predicted body weight and fraction of inspired oxygen of 0.5. End-tidal carbon dioxide pressure was maintained at normocapnia. Patients were in the horizontal lithotomy position (pre-op). After pneumoperitoneum, patients underwent RARP in a steep Trendelenburg lithotomy position at a PEEP level of 0 cmH
O (RARP0). An RM was used in the R group but not in the C group. Patients were then ventilated with 5 cmH
O PEEP for 1 h after RARP0 (RARP5.1) and 2 h after RARP0 (RARP5.2). Oesophageal pressure and airway pressure were measured for calculating C
and chest wall compliance. C
significantly decreased from pre-op to RARP0 and did not significantly increase from RARP0 to RARP5.1 and RARP5.2 in either group. C
differed significantly between groups at RARP5.1 and RARP5.2 (103 ± 30 vs. 68 ± 11 mL cm
H
O and 106 ± 35 vs. 72 ± 9 mL cm
H
O; P < 0.05). In patients undergoing RARP, with the addition of RM, the C
was effectively increased from the horizontal lithotomy position to the steep Trendelenburg lithotomy position under pneumoperitoneum.</abstract><cop>Netherlands</cop><pub>Springer Nature B.V</pub><pmid>30968327</pmid><doi>10.1007/s10877-019-00306-y</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2390-3662</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of clinical monitoring and computing, 2020-04, Vol.34 (2), p.303-310 |
| issn | 1387-1307 1573-2614 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Aged Blood Gas Analysis Body weight Cancer surgery Carbon dioxide Head-Down Tilt - adverse effects Head-Down Tilt - physiology Humans Laparoscopy Laparoscopy - methods Lung Compliance Lungs Male Middle Aged Monitoring, Intraoperative Original Research Patients Positive-Pressure Respiration Prospective Studies Prostate cancer Prostatectomy - methods Respiratory Mechanics Robotic Surgical Procedures - methods Robots Urological surgery Ventilation |
| title | The effects of a recruitment manoeuvre with positive end-expiratory pressure on lung compliance in patients undergoing robot-assisted laparoscopic radical prostatectomy |
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