The Effects of BMI on Respiratory and Hemodynamic Parameters in Laparoscopic Bariatric Surgery: An Observational Study

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dc.authoridSAHIN, TEVFIK TOLGA/0000-0002-9132-6115
dc.authoridozmen, mehmet mahir/0000-0003-0649-0111
dc.authoridYilbas, Aysun/0000-0001-6196-3191;
dc.authorwosidSAHIN, TEVFIK TOLGA/AAA-9648-2021
dc.authorwosidozmen, mehmet mahir/AAO-2321-2020
dc.authorwosidayyıldız, ayşe/GXF-0143-2022
dc.authorwosidYilbas, Aysun/AAB-8351-2020
dc.authorwosidAkça, Başak/HKE-6132-2023
dc.contributor.authorAyyildiz, Ayse
dc.contributor.authorPamuk, Gulsun A.
dc.contributor.authorUzumcugil, Filiz
dc.contributor.authorAkca, Basak
dc.contributor.authorYilbas, Aysun A.
dc.contributor.authorSahin, Tolga
dc.contributor.authorOzmen, Mahir
dc.date.accessioned2024-08-04T20:45:51Z
dc.date.available2024-08-04T20:45:51Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: Previous reports addressing morbidly obese patients grouped body mass indexes (BMIs) within wide ranges, such as >40 or 40-60 kg/m(2). We aimed to investigate whether the effects of pneumoperitoneum differ in narrow ranged subgroups of BMI in morbidly obese patients. Materials and Methods: Eighteen to 65 year-old, ASA I-II 75 patients were included. The subgroups of BMI were 40 <= x < 45, 45 <= x < 50, and >= 50 kg/m(2). Plato pressure (Pp), peak inspiratory pressure, and etCO(2) were recorded beside vital parameters. Dynamic compliances (C-dyn = Vt/PIP-PEEP) were calculated. Arterial blood gases were obtained before pneumoperitoneum (t(1)), at the end of pneumoperitoneum before desufflation (t(2)), and after desufflation (t(3)). Results: Pneumoperitoneum caused similar alterations in hemodynamic parameters and respiratory mechanics in Group I (n = 24), II (n = 28) and III (n = 23). Pp at t(1) and t(2) was significantly higher in Group II and III (p < 0.017). Cdyn were significantly lower at t(1) and t(2) in Group III (p < 0.01). The number of patients who required adjustments during pneumoperitoneum was significantly higher in Group III (p < 0.01). Conclusion: The Cdyn and airway pressures in laparoscopic bariatric surgery revealed statistically significant difference between BMI >= 50 kg/m(2) and BMI of 40 <= x < 45 kg/m(2). We suggest that BMIs of 40 <= x < 45 and >= 50 kg/m(2) should not be described in one group, but grouped separately in future studies addressing respiratory mechanics.en_US
dc.identifier.doi10.1089/bari.2018.0043
dc.identifier.endpage40en_US
dc.identifier.issn2168-023X
dc.identifier.issn2168-0248
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85063282944en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage34en_US
dc.identifier.urihttps://doi.org/10.1089/bari.2018.0043
dc.identifier.urihttps://hdl.handle.net/11616/98733
dc.identifier.volume14en_US
dc.identifier.wosWOS:000461671000007en_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.subjectbariatric surgeryen_US
dc.subjectbody mass indexen_US
dc.subjecthemodynamicsen_US
dc.subjectmorbidly obeseen_US
dc.subjectrespiratory mechanicsen_US
dc.titleThe Effects of BMI on Respiratory and Hemodynamic Parameters in Laparoscopic Bariatric Surgery: An Observational Studyen_US
dc.typeArticleen_US

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