Función pulmonar pre y post operatoria en bypass gástrico laparotómico y laparoscópico por obesidad mórbida

L, Ana María Burgos; J, Attila Csendes; Burdiles, Patricio; S, Juan Altuve; S, Yaira López

doi:10.4067/s0718-40262008000600006

Cited by 2 publications

(1 citation statement)

References 24 publications

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“…Two studies that evaluate the usefulness of spirometry in predicting postoperative events show weak predictive power and have serious methodological biases (Burgos et al, 2008;Celli et al, 2004). A review with the creation of an evidence-based clinical guide proposed by the American College of Chest Physicians (ACCP) (Brunelli et al, 2013) indicates that the prognostic value as a clinical factor of perioperative risk of forced expiratory volume in the first second (FEV1) preoperative is controversial.…”

Section: Resultsmentioning

confidence: 99%

Untitled

2021

AMCR

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Introduction:The obese patient who is treated with laparoscopic bariatric surgery is complex for the anesthesiologist because of its anatomofunctional characteristics and associated diseases. Objective: To identify the presence of perioperative complications and their relationship with preoperative factors and intraoperative anesthetic behavior that may constitute indicators of prediction of complications. Materials and Methods: An analytical, observational, longitudinal, retrospective study was carried out in 476 obese patients surgically operated by laparoscopic vertical gastroplication. Immediate intraoperative and postoperative clinical complications and their relationship with demographic, clinical, anthropometric and anestheticdependent variables were identified, which constituted risk factors. With the risk factors identified, a prognostic index was constructed and subsequently validated. Results: The immediate intraoperative and postoperative complications were few. It was possible to identify three independent risk factors, given by the previous respiratory functional status, the anesthetic technique used and the surgical time. A prognostic index of complications was constructed that grouped patients at low, intermediate and high risk of presenting complications. Conclusions: The grouping of risk factors as a predictive index of complications was effective because the complication prediction capacity could be estimated and validated.

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Section: Resultsmentioning

confidence: 99%