Impact Of Alveolar Recruitment Maneuver In The Postoperative Period Of Videolaparoscopic Bariatric Surgery.

dc.creatorRemístico, Paula Patelli Juliani
dc.creatorAraújo, Sebastião
dc.creatorde Figueiredo, Luciana Castilho
dc.creatorAquim, Esperidião Elias
dc.creatorGomes, Larissa Mottim
dc.creatorSombrio, Morgana Lima
dc.creatorAmbiel, Sabrina Donatti Ferreira
dc.date
dc.date2015-11-27T13:21:15Z
dc.date2015-11-27T13:21:15Z
dc.date.accessioned2018-03-29T01:12:51Z
dc.date.available2018-03-29T01:12:51Z
dc.identifierRevista Brasileira De Anestesiologia. v. 61, n. 2, p. 163-8, 169-76, 88-94
dc.identifier1806-907X
dc.identifier10.1016/S0034-7094(11)70021-6
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/21474024
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/199362
dc.identifier21474024
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1299595
dc.descriptionPulmonary complications in bariatric surgery are common and, therefore, alveolar recruitment maneuvers (ARM) have been used to prevent or reduce them in the postoperative period (POP). The aim of this study was to evaluate the impact of ARM performed intraoperatively in patients undergoing bariatric surgery by videolaparoscopy in the incidence of postoperative pulmonary complications. Randomized clinical trial with 30 patients divided into control group (CG) and experimental group (EG), with analysis of spirometric, ventilatory, hemodynamic, and radiographic variables. ARM was performed in EG with positive end expiratory pressure of 30 cmH₂O and inspiratory plateau pressure of 45 cmH₂O for 2 minutes after pneumoperitoneum deflation. We observed a significant decrease in spirometric values (p ≤ 0.001) and higher incidence of pulmonary complications on chest radiograph (p=0.02) in CG, as well as significant improvement in dyspnoea Borg scale (p ≤ 0.001) in EG. We conclude that ARM is a safe and effective technique when used for prevention of pulmonary complications in patients undergoing bariatric surgery, resulting in more favorable radiological and spirometric findings in the experimental group compared to the control group in the PO.
dc.description61
dc.description163-8, 169-76, 88-94
dc.languageeng
dc.languagepor
dc.languagespa
dc.relationRevista Brasileira De Anestesiologia
dc.relationRev Bras Anestesiol
dc.rightsfechado
dc.rightsCopyright © 2011 Elsevier Editora Ltda. All rights reserved.
dc.sourcePubMed
dc.subjectAdult
dc.subjectBariatric Surgery
dc.subjectFemale
dc.subjectHumans
dc.subjectIncidence
dc.subjectIntraoperative Care
dc.subjectLaparoscopy
dc.subjectLung Diseases
dc.subjectMale
dc.subjectPositive-pressure Respiration
dc.subjectPostoperative Complications
dc.subjectPostoperative Period
dc.subjectProspective Studies
dc.subjectVideo-assisted Surgery
dc.titleImpact Of Alveolar Recruitment Maneuver In The Postoperative Period Of Videolaparoscopic Bariatric Surgery.
dc.typeArtículos de revistas


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