About: Intraoperative ventilation strategies for obese patients undergoing bariatric surgery: systematic review and meta-analysis

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About: Intraoperative ventilation strategies for obese patients undergoing bariatric surgery: systematic review and meta-analysis Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Intraoperative ventilation strategies for obese patients undergoing bariatric surgery: systematic review and meta-analysis
Creator	Santos, Gianni, Mara Melnik, Tamara Márcio, George Souza, Costa Zimpel, Sandra
Source	PMC
abstract	BACKGROUND: Obesity is a global epidemic, and it is widely known that increased Body mass index (BMI) is associated with alterations in respiratory mechanics. Bariatric surgery is established as an effective treatment for this condition. OBJECTIVE: To assess the safety and effectiveness of different ventilation strategies in obese patients undergoing bariatric surgery. METHODS: A systematic review of randomized clinical trials aimed at evaluating ventilation strategies for obese patients was carried out. Primary outcomes: in-hospital mortality, adequacy of gas exchange, and respiration mechanics alterations. RESULTS: Fourteen clinical trials with 574 participants were included. When recruitment maneuvers (RM) vs Positive end-expiratory pressure (PEEP) were compared, RM resulted in better oxygenation p = 0.03 (MD 79.93), higher plateau pressure p < 0.00001 (MD 7.30), higher mean airway pressure p < 0.00001 (MD 6.61), and higher compliance p < 0.00001 (MD 21.00); when comparing RM + Zero end-expiratory pressure (ZEEP) vs RM + PEEP 5 or 10 cmH2O, RM associated with PEEP led to better oxygenation p = 0.001 (MD 167.00); when comparing Continuous Positive Airway Pressure (CPAP) 40 cmH2O + PEEP 10 cmH2O vs CPAP 40 cmH2O + PEEP 15 cmH2O, CPAP 40 + PEEP 15 achieved better gas exchange p = 0.003 (MD 36.00) and compliance p = 0.0003 (MD 3.00). CONCLUSION: There is some evidence that the alveolar recruitment maneuvers associated with PEEP lead to better oxygenation and higher compliance. There is no evidence of differences between pressure control ventilation (PCV) and Volume control ventilation (VCV).
has issue date	2020-02-04(xsd:dateTime)
bibo:doi	10.1186/s12871-020-0936-y
bibo:pmid	32019491
has license	cc-by
sha1sum (hex)	0b9738ffb84ed932178680c6384bbf0defa0ebad
schema:url	https://doi.org/10.1186/s12871-020-0936-y
resource representing a document's title	Intraoperative ventilation strategies for obese patients undergoing bariatric surgery: systematic review and meta-analysis
has PubMed Central identifier	PMC7001296
has PubMed identifier	32019491
schema:publication	BMC Anesthesiol
resource representing a document's body	covid:0b9738ffb84ed932178680c6384bbf0defa0ebad#body_text
is schema:about of	named entity 'ventilation' named entity 'effectiveness' named entity 'Background' named entity 'strategies' named entity 'higher' named entity 'gas exchange' named entity 'meta-' named entity 'patients' named entity 'END-EXPIRATORY PRESSURE' named entity 'CONCLUSION' named entity 'PLATEAU PRESSURE' named entity 'ASSOCIATED WITH' named entity 'KNOWN' named entity 'DIFFERENT' named entity 'PRESSURE' named entity 'CMH2O' named entity 'EPIDEMIC' named entity 'OBJECTIVE' named entity 'evaluating' named entity 'Objective' named entity 'When' named entity 'plateau' named entity 'cmH2O' named entity 'respiratory' named entity 'PCV' named entity 'Volume' named entity 'higher' named entity 'evidence' named entity 'comparing' named entity 'ventilation' named entity 'clinical trials' named entity 'oxygenation' named entity 'CPAP' named entity 'obese' named entity 'recruitment' named entity 'alveolar' named entity 'Primary' named entity 'ventilation' named entity 'obese' named entity 'MD 7' named entity 'airway' named entity 'randomized clinical trials' named entity 'bariatric surgery' named entity 'CPAP' named entity 'alveolar' named entity 'Obesity' named entity 'Bariatric surgery' named entity 'PEEP' named entity 'respiratory mechanics' named entity 'gas exchange' named entity 'MD 3' named entity 'CPAP' named entity 'Intraoperative' named entity 'pressure' named entity 'systematic review' named entity 'alveolar' named entity 'lung compliance' named entity 'ventilator support' named entity 'PEEP' named entity 'bariatric' named entity 'PEEP' named entity 'epidemic' named entity 'correlation' named entity 'adverse effects' named entity 'PACU' named entity 'ZEEP' named entity 'mechanical ventilation' named entity 'PCV' named entity 'PEEP' named entity 'São Paulo' named entity 'ZEEP' named entity 'PEEP' named entity 'follow-up' named entity 'life expectancy' named entity 'Bariatric surgery' named entity 'PEEP'

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