• Rev Bras Anestesiol · Mar 2011

    Randomized Controlled Trial

    Impact of alveolar recruitment maneuver in the postoperative period of videolaparoscopic bariatric surgery.

    • Paula Patelli Juliani Remístico, Sebastião Araújo, Luciana Castilho de Figueiredo, Esperidião Elias Aquim, Larissa Mottim Gomes, Morgana Lima Sombrio, and Sabrina Donatti Ferreira Ambiel.
    • Faculty of Medical Sciences, Universidade Estadual de Campinas Rua Tessália Vieira de Camargo, 126 Cidade Universitária "Zeferino Vaz" 13083-887, PO Box 6111-Campinas, SP, Brazil. paulapatelli@hotmail.com
    • Rev Bras Anestesiol. 2011 Mar 1;61(2):163-8, 169-76, 88-94.

    Background And ObjectivesPulmonary 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.MethodsRandomized 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.ResultsWe 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.ConclusionsWe 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.Copyright © 2011 Elsevier Editora Ltda. All rights reserved.

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