The Effects of Positive End-Expiratory Pressure at Different Levels on Postoperative Respiration Parameters in Patients Undergoing Laparoscopic Cholecystectomy

Çiftçi, Bahadır; Aksoy, Mehmet; İnce, İlker; Ahişkalıoğlu, Ali; Uçar, Elif Yılmazel

doi:10.1080/08941939.2017.1296984

Cited by 4 publications

(5 citation statements)

References 18 publications

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“…A total of 19 articles were evaluated and after full-text review 6 articles were omitted. Thirteen studies involving 679 subjects fulfilled the inclusion criteria and were included in the final analysis [26][27][28][29][30][31][32][33][34][35][36][37][38]. The median number of patients was 50 (IQR, 40 to 60).…”

Section: Resultsmentioning

confidence: 99%

“…The pooled effect of twelve studies [26][27][28][29][30][32][33][34][35][36][37][38] examining the effect of erector spinae plane block on postoperative opioid consumption compared to control at 24 h after surgery revealed a significant effect, weighted mean difference (WMD) of − 8.84 (95% CI: − 12.54 to − 5.14), (P < 0.001) mg IV morEq (Fig. 2).…”

Section: Postoperative Opioid Consumption Reported Up To 24 H Followimentioning

confidence: 99%

“…The pooled effect of three studies evaluating the effect of erector spinae plane block on postoperative surgical pain during activity compared to control did not show a significant effect, weighted mean difference of − 0.65 (95% CI: − 1.40 to 0.11), P = 0.09. Heterogeneity was I 2 = 89% [28,37,38].…”

Section: Postoperative Pain At Activity 24 H After Surgerymentioning

confidence: 99%

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The effect of ultrasound-guided erector spinae plane block on postsurgical pain: a meta-analysis of randomized controlled trials

et al. 2020

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Background: The effect of erector spinae plane block has been evaluated by clinical trials leading to a diversity of results. The main objective of the current investigation is to compare the analgesic efficacy of erector spinae plane block to no block intervention in patients undergoing surgical procedures. Methods: We performed a quantitative systematic review of randomized controlled trials in PubMed, Embase, Cochrane Library, and Google Scholar electronic databases from their inception through July 2019. Included trials reported either on opioid consumption or pain scores as postoperative pain outcomes. Methodological quality of included studies was evaluated using Cochrane Collaboration's tool. Results: Thirteen randomized controlled trials evaluating 679 patients across different surgical procedures were included. The aggregated effect of erector spinae plane block on postoperative opioid consumption revealed a significant effect, weighted mean difference of − 8.84 (95% CI: − 12.54 to − 5.14), (P < 0.001) IV mg morphine equivalents. The effect of erector spinae plane block on post surgical pain at 6 h compared to control revealed a significant effect weighted mean difference of − 1.31 (95% CI: − 2.40 to − 0.23), P < 0.02. At 12 h, the weighted mean difference was of − 0.46 (95% CI: − 1.01 to 0.09), P = 0.10. No block related complications were reported. Conclusions: Our results provide moderate quality evidence that erector spinae plane block is an effective strategy to improve postsurgical analgesia.

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Section: Resultsmentioning

confidence: 99%

Section: Postoperative Opioid Consumption Reported Up To 24 H Followimentioning

confidence: 99%

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The effect of ultrasound-guided erector spinae plane block on postsurgical pain: a meta-analysis of randomized controlled trials

et al. 2020

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“…Postoperative pulmonary function compromise in laparoscopic surgery is lower than in conventional surgery, suggesting a lower predisposition of these patients to the complication development [16]. But, laparoscopy can produce small changes, but they have pulmonary function impact [17].…”

Section: Discussionmentioning

confidence: 98%

Pulmonary function evaluation in type 2 diabetes mellitus patients submitted to metabolic surgery

et al. 2018

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Introduction: Diabetes Mellitus (DM) is a multifactorial metabolic disorder. As considered a public health problem needing additional treatment options. Objective: This prospective study aimed at evaluating pulmonary function through spirometry, before and after metabolic surgery without gastric resection in type 2 DM patients. Methods: Sample was composed by 17 type 2 DM females. They were analyzed in pre (24 hours before surgical procedure), immediate post-operative period POST1 (24 hours after surgical procedure) and in the late postoperative period POST2 (two years after surgical procedure). Besides statistical analysis, it was evaluated the following spirometric parameters: forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and the FEV1 / FVC ratio (%). Results: Spirometric parameters showed a value increase when compared PRE and POS2 values, except for FVC and FEV1, which was not statistically significant. Conclusion: Type 2 DM women submitted to metabolic surgery without gastric resection showed spirometric value increased after two-year surgical procedure, when compared to preoperative period values. It is important additional studies about pulmonary function, diabetic patients and metabolic surgery without gastric resection.

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“…After fulltext review, non-randomized design (n = 4), non-English full text (n = 1), without clinical outcomes (n = 5), and unrelated ventilation strategies (n = 21) were further eliminated. Fifteen RCTs (n = 3634) met our selection criteria [6,8,[11][12][13][21][22][23][24][25][26][27][28][29][30]. The screening and inclusion process is presented in Fig.…”

Section: Baseline Characteristics Of Included Studiesmentioning

confidence: 99%

Effects of individualized positive end-expiratory pressure combined with recruitment maneuver on intraoperative ventilation during abdominal surgery: a systematic review and network meta-analysis of randomized controlled trials

Wang

et al. 2021

J Anesth

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Low tidal volume ventilation strategy may lead to atelectasis without proper positive end-expiratory pressure (PEEP) and recruitment maneuver (RM) settings. RM followed by individualized PEEP was a new method to optimize the intraoperative pulmonary function. We conducted a systematic review and network meta-analysis of randomized clinical trials to compare the effects of individualized PEEP + RM on intraoperative pulmonary function and hemodynamic with other PEEP and RM settings. The primary outcomes were intraoperative oxygenation index and dynamic compliance, while the secondary outcomes were intraoperative heart rate and mean arterial pressure. In total, we identified 15 clinical trials containing 36 randomized groups with 3634 participants. Ventilation strategies were divided into eight groups by four PEEP (L: low, M: moderate, H: high, and I: individualized) and two RM (yes or no) settings. The main results showed that IPEEP + RM group was superior to all other groups regarding to both oxygenation index and dynamic compliance. LPEEP group was inferior to LPEEP + RM, MPEEP, MPEEP + RM, and IPEEP + RM in terms of oxygenation index and LPEEP + RM, MPEEP, MPEEP + RM, HPEEP + RM, IPEEP, and IPEEP + RM in terms of dynamic compliance. All comparisons were similar for secondary outcomes. Our analysis suggested that individualized PEEP and RM may be the optimal low tidal volume ventilation strategy at present, while low PEEP without RM is not suggested.

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The Effects of Positive End-Expiratory Pressure at Different Levels on Postoperative Respiration Parameters in Patients Undergoing Laparoscopic Cholecystectomy

Abstract: We concluded that PEEP with 5 or 8 cmHO has negative effects on lung function tests measured with spirometer during postoperative 1, 6, and 24 hours in patients underwent elective laparoscopic cholecystectomy.

Cited by 4 publications

References 18 publications

The effect of ultrasound-guided erector spinae plane block on postsurgical pain: a meta-analysis of randomized controlled trials

The effect of ultrasound-guided erector spinae plane block on postsurgical pain: a meta-analysis of randomized controlled trials

Pulmonary function evaluation in type 2 diabetes mellitus patients submitted to metabolic surgery

Effects of individualized positive end-expiratory pressure combined with recruitment maneuver on intraoperative ventilation during abdominal surgery: a systematic review and network meta-analysis of randomized controlled trials

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