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dc.contributor.authorSümer, İsmail
dc.contributor.authorTopuz, Ufuk
dc.contributor.authorAlver, Selçuk
dc.contributor.authorUmutoğlu, Tarık
dc.contributor.authorBakan, Mefkur
dc.contributor.authorÜlgen Zengin, Seniyye
dc.contributor.authorCoşkun, Halil
dc.contributor.authorSalihoğlu, Ziya
dc.date.accessioned2020-07-13T07:32:28Z
dc.date.available2020-07-13T07:32:28Z
dc.date.issued2020en_US
dc.identifier.citationSümer, İ., Topuz, U., Alver, S., Umutoğlu, T., Bakan, M., Ülgen Zengin, S. ... Salihoğlu, Z. (2020). Effect of the "Recruitment" maneuver on respiratory mechanics in laparoscopic sleeve gastrectomy surgery. Obesity Surgery, 30(7), 2684-2692. https://dx.doi.org/10.1007/s11695-020-04551-yen_US
dc.identifier.issn0960-8923
dc.identifier.issn1708-0428
dc.identifier.urihttps://dx.doi.org/10.1007/s11695-020-04551-y
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5461
dc.description.abstractPurpose LSG surgery is used for surgical treatment of morbid obesity. Obesity, anesthesia, and pneumoperitoneum cause reduced pulmoner functions and a tendency for atelectasis. The alveolar "recruitment" maneuver (RM) keeps airway pressure high, opening alveoli, and increasing arterial oxygenation. The aim of our study is to research the effect on respiratory mechanics and arterial blood gases of performing the RM in LSG surgery. Materials and Methods Sixty patients undergoing LSG surgery were divided into two groups (n = 30) Patients in group R had the RM performed 5 min after desufflation with 100% oxygen, 40 cmH(2)O pressure for 40 s. Group C had standard mechanical ventilation. Assessments of respiratory mechanics and arterial blood gases were made in the 10th min after induction (T1), 10th min after insufflation (T2), 5th min after desufflation (T3), and 15th min after desufflation (T4). Arterial blood gases were assessed in the 30th min (T5) in the postoperative recovery unit. Results In group R, values at T5, PaO2 were significantly high, while PaCO2 were significantly low compared with group C. Compliance in both groups reduced with pneumoperitoneum. At T4, the compliance in the recruitment group was higher. In both groups, there was an increase in PIP with pneumoperitoneum and after desufflation this was identified to reduce to levels before pneumoperitoneum. Conclusion Adding the RM to PEEP administration for morbidly obese patients undergoing LSG surgery is considered to be effective in improving respiratory mechanics and arterial blood gas values and can be used safely.en_US
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectLaparoscopic Sleeve Gastrectomyen_US
dc.subjectRecruitment Maneuveren_US
dc.subjectPEEPen_US
dc.titleEffect of the "Recruitment" maneuver on respiratory mechanics in laparoscopic sleeve gastrectomy surgeryen_US
dc.typearticleen_US
dc.relation.journalObesity Surgeryen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalıen_US
dc.identifier.volume30en_US
dc.identifier.issue7en_US
dc.identifier.startpage2684en_US
dc.identifier.endpage2692en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1007/s11695-020-04551-yen_US


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