Effects of the Recruitment Manoeuvre on Arterial Oxygenation and Lung Compliance after Laparoscopy

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dc.contributor.authorKararmaz A.
dc.contributor.authorKaya S.
dc.contributor.authorTurhano?lu S.
dc.contributor.authorÖzyilmaz M.A.
dc.date.accessioned2024-04-24T17:58:37Z
dc.date.available2024-04-24T17:58:37Z
dc.date.issued2004
dc.departmentDicle Üniversitesien_US
dc.description.abstractThe aim of this study was to determine the effect of recruitment manoeuvre on arterial oxygen partial pressure and lung compliance in patients undergoing laparoscopic cholecystectomy. Thirty-six patients who were scheduled for elective laparoscopic cholecystectomy were included to the study. Anaesthesia was induced with propofol, cisatracurium and fentanyl and maintained by sevoflurane 2-4% in 100% oxygen, cisatracurium and fentanil, if necessary. In Group R, after removal of carbondioxide from the peritoneal cavity, a recruitment manoeuvre was performed with a peak airway pressure of 40 cmH 2O and a PEEP of 20 cmH2O for 10 breaths. PEEP was then reduced and kept at 5 cmH2O. In Group K, only PEEP (5 cmH 2O) was applied. Airway pressures and compliance were recorded after induction of anaesthesia, after CO2 insufflation, after removal of the CO2 and after recruitment manoeuvre. There was a significant reduction in arterial oxygen partial pressure and lung compliance after abdominal carbondioxide insufflation in both two groups (p<0.001). In Group R, recruitment manoeuvre improved arterial oxygenation and lung compliance (p<0.01). There was a positive correlation between arterial oxygen partial pressure and lung compliance (r=0.525, p<0.01). No complication was observed throughout the study. We concluded that recruitment manoeuvre is an effective intervention to correct abnormalities in gas exchange after laparoscopic cholecystectomy.en_US
dc.identifier.endpage119en_US
dc.identifier.issn1304-0871
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-2342570785en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage113en_US
dc.identifier.urihttps://hdl.handle.net/11468/24025
dc.identifier.volume32en_US
dc.indekslendigikaynakScopus
dc.language.isotren_US
dc.relation.ispartofTurk Anesteziyoloji ve Reanimasyon Dernegi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAtelectasisen_US
dc.subjectLaparoscopyen_US
dc.subjectLung Complianceen_US
dc.subjectOxygenationen_US
dc.titleEffects of the Recruitment Manoeuvre on Arterial Oxygenation and Lung Compliance after Laparoscopyen_US
dc.title.alternativeLaparoskopi Sonrasinda Uygulanan Rekruitment Manevrasinin Arteryel Oksijenasyon ve Akci?er Kompliyansina Etkilerien_US
dc.typeArticleen_US

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