Impact of two methods of pulmonary re-expansion in patients undergoing bariatric surgery by videolaparoscopy
DOI:
https://doi.org/10.33233/fb.v22i1.4432Keywords:
bariatric surgery, pulmonary atelectasis, Physical TherapyAbstract
Evaluating the impact of lung re-expansion methods on the postoperative pulmonary function and respiratory complications such as atelectasis, pneumonia and hypoxemia in videolaparoscopy-based bariatric surgery. Prospective clinical study conducted with 105 patients randomly divided into three groups: control (conventional postoperative physical therapy), recruitment (intraoperative alveolar recruitment) and decompression (postoperative chest compression and decompression maneuver). Spirometry, respiratory and hemodynamic variables were analyzed. All groups have presented worsened values in spirometry measurements within the postoperative period (p < 0.00) and there was significant decrease in respiratory rates in comparison to the immediate preoperative period (p = 0,01). Mean end-expiratory carbon dioxide pressure in the recruitment group was higher than in the control in all assessed time intervals (p = 0.03). Chest compression and decompression maneuver and alveolar recruitment were beneficial to pulmonary function recovery. There were no differences in postoperative pulmonary complications and function in the three assessed groups, except for significant decrease in respiratory rates and in the end-expiratory carbon dioxide pressure level in the recruitment group.
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Copyright (c) 2021 Fabiana Della Via, Admar Concon Filho, Carolina Kosour, Carlos Eduardo Ferraresi Andrade, Emanuel Guedes, Desanka Dragosavac
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