The effects of different oxygen concentrations on recruitment maneuver during general anesthesia for laparoscopic surgery

Basit Öğe Kaydı
dc.contributor.authorTopuz, Ufuk
dc.contributor.authorSalihoğlu, Ziya
dc.contributor.authorGökay, Banu V.
dc.contributor.authorUmutoğlu, Tarık
dc.contributor.authorBakan, Mefkur
dc.contributor.authorİdin, Kadir
dc.date.accessioned2021-05-15T12:40:42Z
dc.date.available2021-05-15T12:40:42Z
dc.date.issued2014
dc.departmentTıp Fakültesi, Anesteziyoloji Anabilim Dalıen_US
dc.descriptionBakan, Mefkur/0000-0002-9917-8225; iDiN, Kadir/0000-0002-1936-9153; Salihoglu, Ziya/0000-0002-6905-2664; Vural gokay, Banu/0000-0002-3147-1572
dc.description.abstractIntroduction and Purpose: Recruitment maneuvers (RMs), which aim to ventilate the collaborated alveolus by temporarily increasing the transpulmonary pressure, have positive effects in relation to respiration, mainly oxygenation. Although many studies have defined the pressure values used during RM and the application period, our knowledge of the effects of different oxygen concentrations is limited. In this study, we aimed to determine the effects of different oxygen concentrations during RM on the arterial oxygenation and respiration mechanics in laparoscopic cases. Materials and Methods: Thirty-two patients undergoing laparoscopic cholecystectomy were recruited into the study. The patients were randomly divided into 2 groups. RM with a 30% oxygen concentration was performed in patients within the first group (group I, n = 16), whereas patients in the second group (group II, n = 16) received RM with 100% oxygen. To study respiratory mechanics, dynamic compliance (Cdyn), airway resistance (Raw), and peak inspiratory pressure were measured at 3 different times: 5 minutes after anesthesia induction, 5 minutes after the abdomen was insufflated, and 5 minutes after the abdomen was desufflated. Arterial blood gases were measured during surgery and 30 minutes after surgery (postoperative). Results: The average postoperative partial arterial oxygen pressure values of the patients in groups I and II were 121 and 98mm Hg, respectively. The difference between the groups was statistically significant. In addition, the decrease in compliance from induction values after desufflation in group II was statistically significant. Discussion: On the basis of our results, maintaining oxygen concentrations below 100% during RM may be more beneficial in terms of respiratory mechanics and gas exchange.en_US
dc.identifier.endpage413en_US
dc.identifier.issn1530-4515
dc.identifier.issn1534-4908
dc.identifier.issue5en_US
dc.identifier.pmid24752162
dc.identifier.scopus2-s2.0-84930042928
dc.identifier.scopusqualityQ2
dc.identifier.startpage410en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12939/657
dc.identifier.volume24en_US
dc.identifier.wosWOS:000343299600013
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGökay, Banu V.
dc.language.isoen
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofSurgical Laparoscopy Endoscopy & Percutaneous Techniques
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGeneral Anesthesiaen_US
dc.subjectLaparoscopic Surgeryen_US
dc.subjectPneumoperitoneumen_US
dc.subjectRespiratory Mechanicsen_US
dc.subjectArterial Blood Gasesen_US
dc.subjectRecruitment Maneuveren_US
dc.titleThe effects of different oxygen concentrations on recruitment maneuver during general anesthesia for laparoscopic surgery
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
Cerrahi Tıp Bilimleri Bölümü Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu