Effect of PEEP, Zero PEEP and intraabdominal pressure levels on cerebral oxygenation in the morbidly obese undergoing sleeve gastrectomy

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dc.authorid0000-0003-0811-4945
dc.contributor.authorYorulmaz, İlknur Suidiye
dc.contributor.authorDemiraran, Yavuz
dc.contributor.authorSalihoğlu, Ziya
dc.contributor.authorUmutoğlu, Tarık
dc.contributor.authorÖzaydın, İsmet
dc.contributor.authorDoğan, Sami
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:37:47Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:37:47Z
dc.date.issued2017
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.description.abstractThe study is designed to determine the effect of zero end expiratory pressure (ZEEP) and 5 mmHg positive end expiratory pressure (5PEEP) on cerebral oxymeter (CO) levels in morbidly obese (MO) patients. Study was performed on 60 morbidly obese patients between 18-60 years old, American Society of Anesthesiology 2-3 status, scheduled to undergo laparoscopic sleeve gastrectomy under general anesthesia. The patients were divided into two groups: those ventilated with no PEEP (group ZEEP, n = 30) and those ventilated with 5 cmH2O PEEP levels (group 5PEEP, n = 28). rSO2 values were measured. Data were recorded as basal, after the induction (A ind) of anesthesia, 5 min before insufflation (BI), 5 min after insufflation (AI), 15, 30, 45, and 60 min after induction, 5 min before desufflation, and 5 min after desufflation (AD). Invasive arterial pressures, CO values, peripheral oxygen saturation, end tidal carbondioxide, and intraabdominal pressure (IAP) were recorded in these time periods in all groups. Arterial blood samples were analyzed in terms of the 5BI, 5AI, and 5AD periods. There was a negative correlation between IAP and left CO on pneumoperitoneum time in group 5PEEP. Correlation was observed between bilateral CO values and ideal body weight (IBW), lean body weight (LBW), body surface area BSA, in group ZEEP. Correlation was observed between IBW, LBW, and right CO values in group 5PEEP. PEEP application may have a protective effect on cerebral oxygenation.
dc.identifier.citationYorulmaz, İ. S., Demraran, Y., Salihoğlu, Z., Umutoğlu, T., Özaydın, İ. ve Doğan, S. (2017). Effect of PEEP, Zero PEEP and intraabdominal pressure levels on cerebral oxygenation in the morbidly obese undergoing sleeve gastrectomy. Bariatric Surgical Practice and Patient Care, 12(3), 123-129. https://dx.doi.org/10.1089/bari.2017.0006
dc.identifier.doi10.1089/bari.2017.0006
dc.identifier.endpage129
dc.identifier.issn2168-023X
dc.identifier.issn2168-0248
dc.identifier.issue3
dc.identifier.scopusqualityN/A
dc.identifier.startpage123
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1472
dc.identifier.urihttps://dx.doi.org/10.1089/bari.2017.0006
dc.identifier.volume12
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherMary Ann Liebert Inc.
dc.relation.ispartofBariatric Surgical Practice and Patient Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAnesthesia
dc.subjectCerebral Oximeter
dc.subjectMorbid Obese
dc.subjectPositive end Expiratory Pressure
dc.titleEffect of PEEP, Zero PEEP and intraabdominal pressure levels on cerebral oxygenation in the morbidly obese undergoing sleeve gastrectomy
dc.typeArticle

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