The effects of pneumoperitoneum on respiratory mechanics during general anesthesia for bariatric surgery.
BACKGROUND
The effects of pneumoperitoneum (PPM) on respiratory mechanics during bariatric surgery were investigated.


METHODS
10 patients with BMI 50.5+/-8 kg/m(2) (range 40.9- 66.8) who underwent laparoscopic adjustable gastric banding with the Swedish band under general anesthesia were studied. Besides routine monitoring of vital signs and lung volumes, respiratory mechanics (compliance and resistance) were measured during positive pressure ventilation using an anesthesia delivery unit (Datex Ohmeda type A_Elec). Data were recorded at the following stages: 1). before PPM, 2). during PPM, and 3). after gas deflation. One-way analysis of variance was used for analysis of data. P <0.05 was considered significant.


RESULTS
The airway, peak inspiratory and plateau pressures increased significantly during PPM. Dynamic lung compliances were 44.6+/-7.8 SD, 31.8+/-5.5 and 44.5+/-8.3 cm/H(2)O before, during and after PPM respectively with significant differences (P <0.05).


CONCLUSIONS
Although significant decrease in lung mechanics was found in the present study,these variations were well tolerated in morbidly obese patients with PPM pressure of 15 mmHg.
El-Dawlatly
Abdelazeem Ali
AA
Department of Anaesthesia, College of Medicine, King Saud University, King Khalid University Hospital, Riyadh, Saudia Arabia. dawlatly2@yahoo.com
Al-Dohayan
Abdullah
A
Abdel-Meguid
Mohamed Essam
ME
El-Bakry
Abdelkareem
A
Manaa
Essam M
EM
D000328:Adult; D000768:Anesthesia, General; D015992:Body Mass Index; D015391:Gastroplasty; D018475:Head-Down Tilt / Q000502:physiology; D006801:Humans; D010535:Laparoscopy; D008297:Male; D009767:Obesity, Morbid / Q000503:physiopathology* / Q000601:surgery; D011028:Pneumoperitoneum, Artificial; D015656:Respiratory Mechanics / Q000502:physiology*