Alveolar recruitment strategy and high positive end-expiratory pressure levels do not affect hemodynamics in morbidly obese intravascular volume-loaded patients.
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Alveolar recruitment strategy and high positive end-expiratory pressure levels do not affect hemodynamics in morbidly obese intravascular volume-loaded patients. / Bohm, Stephan H.; Thamm, Oliver C.; Von Sandersleben, Alexandra; Bangert, Katrin; Langwieler, Thomas E.; Tusman, Gerardo; Strate, Tim; Standl, Thomas.
In: ANESTH ANALG, Vol. 109, No. 1, 1, 2009, p. 160-163.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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T1 - Alveolar recruitment strategy and high positive end-expiratory pressure levels do not affect hemodynamics in morbidly obese intravascular volume-loaded patients.
AU - Bohm, Stephan H.
AU - Thamm, Oliver C.
AU - Von Sandersleben, Alexandra
AU - Bangert, Katrin
AU - Langwieler, Thomas E.
AU - Tusman, Gerardo
AU - Strate, Tim
AU - Standl, Thomas
PY - 2009
Y1 - 2009
N2 - We evaluated the effect of the alveolar recruitment strategy and high positive end-expiratory pressure (PEEP) on hemodynamics in 20 morbidly obese (body mass index 50 +/- 9 kg/m2), intravascular volume-loaded patients undergoing laparoscopic surgery. The alveolar recruitment strategy was sequentially performed with and without capnoperitoneum and consisted of an upward PEEP trial, recruitment with 50-60 cm H2O of plateau pressure for 10 breaths, and a downward PEEP trial. Recruitment and high PEEP did not cause significant disturbances in any hemodynamic variable measured by systemic and pulmonary artery catheters. Transesophageal echocardiography revealed no differences in end-diastolic areas or evidence of segmental abnormalities in wall motion.
AB - We evaluated the effect of the alveolar recruitment strategy and high positive end-expiratory pressure (PEEP) on hemodynamics in 20 morbidly obese (body mass index 50 +/- 9 kg/m2), intravascular volume-loaded patients undergoing laparoscopic surgery. The alveolar recruitment strategy was sequentially performed with and without capnoperitoneum and consisted of an upward PEEP trial, recruitment with 50-60 cm H2O of plateau pressure for 10 breaths, and a downward PEEP trial. Recruitment and high PEEP did not cause significant disturbances in any hemodynamic variable measured by systemic and pulmonary artery catheters. Transesophageal echocardiography revealed no differences in end-diastolic areas or evidence of segmental abnormalities in wall motion.
M3 - SCORING: Zeitschriftenaufsatz
VL - 109
SP - 160
EP - 163
JO - ANESTH ANALG
JF - ANESTH ANALG
SN - 0003-2999
IS - 1
M1 - 1
ER -
