Obesity is associated with decreased lung compliance and hypercapnia during robotic assisted surgery

Journal of Clinical Monitoring and Computing
Dana Rodica TomescuȘerban Bubenek-Turconi

Abstract

Robotic assisted surgery (RAS) represents a great challenge for anesthesiology due to the increased intraabdomial pressures required for surgical optimal approach. The changes in lung physiology are difficult to predict and require fast decision making in order to prevent altered gas exchange. The aim of this study was to document the combined effect of patient physical status, medical history and intraoperative position during RAS on lung physiology and to determine perioperative risk factors for hypercapnia. We prospectively analyzed 62 patients who underwent elective RAS. Age, co-morbidities and body mass index (BMI) were recorded before surgery. Ventilatory parameters and arterial blood gas analysis were determined before induction of anesthesia, after tracheal intubation and on an hourly basis until the end of surgery. In RAS, the induction of pneumoperitoneum was associated with a significant decrease in lung compliance from a mean of 42.5-26.7 ml cm H2O(-1) (p = 0.001) and an increase in plateau pressure from a mean of 16.1 mmHg to a mean of 23.6 mmHg (p = 0.001). Obesity, demonstrated by a BMI over 30, significantly correlates with a decrease in lung compliance after induction of anesthesia (p = 0.001). A significant hi...Continue Reading

References

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Citations

Jun 26, 2018·Current Opinion in Obstetrics & Gynecology·Cynthia ArvizoAmanda Yunker
Feb 27, 2018·Journal of Clinical Monitoring and Computing·D S KarbingM B Jaffe
Jul 3, 2019·Current Pain and Headache Reports·Gulden MenderesDan-Arin Silasi
Aug 18, 2020·Journal of Robotic Surgery·D AggarwalS K Singh
Jun 9, 2020·Archives of Gynecology and Obstetrics·Diego RaimondoRenato Seracchioli
Apr 18, 2018·Journal of Clinical Monitoring and Computing·Sebastian BlechaMichael T Pawlik
Jun 7, 2021·Advances in Therapy·Andrea P HarenPasquale Sansone

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