Effect of PEEP, Zero PEEP and Intraabdominal Pressure Levels on Cerebral Oxygenation in the Morbidly Obese Undergoing Sleeve Gastrectomy

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dc.contributor.authorYorulmaz, İlknur Suidiye
dc.contributor.authorDemiraran, Yavuz
dc.contributor.authorSalihoğlu, Ziya
dc.contributor.authorUmutoğlu, Tarık
dc.contributor.authorÖzaydın, İsmet
dc.contributor.authorDoğan, Sami
dc.date.accessioned2020-05-01T09:11:45Z
dc.date.available2020-05-01T09:11:45Z
dc.date.issued2017
dc.departmentDÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.descriptionSalihoglu, Ziya/0000-0002-6905-2664; Yorulmaz, Ilknur Suidiye/0000-0002-1441-6360en_US
dc.descriptionWOS: 000411388600006en_US
dc.description.abstractThe study is designed to determine the effect of zero end expiratory pressure (ZEEP) and 5mmHg positive end expiratory pressure (5PEEP) on cerebral oxymeter (CO) levels in morbidly obese (MO) patients. Study was performed on 60 morbidly obese patients between 18-60 years old, American Society of Anesthesiology 2-3 status, scheduled to undergo laparoscopic sleeve gastrectomy under general anesthesia. The patients were divided into two groups: those ventilated with no PEEP (group ZEEP, n = 30) and those ventilated with 5 cmH(2)O PEEP levels (group 5PEEP, n = 28). rSO(2) values were measured. Data were recorded as basal, after the induction (A ind) of anesthesia, 5 min before insufflation (BI), 5 min after insufflation (AI), 15, 30, 45, and 60 min after induction, 5 min before desufflation, and 5 min after desufflation (AD). Invasive arterial pressures, CO values, peripheral oxygen saturation, end tidal carbondioxide, and intraabdominal pressure (IAP) were recorded in these time periods in all groups. Arterial blood samples were analyzed in terms of the 5BI, 5AI, and 5AD periods. There was a negative correlation between IAP and left CO on pneumoperitoneum time in group 5PEEP. Correlation was observed between bilateral CO values and ideal body weight (IBW), lean body weight (LBW), body surface area BSA, in group ZEEP. Correlation was observed between IBW, LBW, and right CO values in group 5PEEP. PEEP application may have a protective effect on cerebral oxygenation.en_US
dc.identifier.doi10.1089/bari.2017.0006en_US
dc.identifier.endpage129en_US
dc.identifier.issn2168-023X
dc.identifier.issn2168-0248
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage123en_US
dc.identifier.urihttps://doi.org/10.1089/bari.2017.0006
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5747
dc.identifier.volume12en_US
dc.identifier.wosWOS:000411388600006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofBariatric Surgical Practice And Patient Careen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectanesthesiaen_US
dc.subjectcerebral oximeteren_US
dc.subjectmorbid obeseen_US
dc.subjectpositive end expiratory pressureen_US
dc.titleEffect of PEEP, Zero PEEP and Intraabdominal Pressure Levels on Cerebral Oxygenation in the Morbidly Obese Undergoing Sleeve Gastrectomyen_US
dc.typeArticleen_US

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