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Journals / Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi / 2022 / Cilt: 28 - Sayı: 1

Evaluation of the Frequency of Atelectasis by Transthoracic Lung Ultrasound in Patients Undergoing Laparoscopic Bariatric Surgery Under General Anesthesia

Genel Anestezi Altında Laparoskopik Bariyatrik Cerrahi Geçiren Hastalarda Atelektazi Sıklığının Transtorasik Akciğer Ultrasonu ile Gösterilmesi

Mustafa Kemal ARSLANTAŞ
Gülbin Töre ALTUN
Pelin Çorman DİNÇER
Derya EROL
Elif Aslı KARADENİZ
Hilmi Ömer AYANOĞLU
Pages
70–80
Publication Date
2022-10-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Results: When the pre-operative and post-operative LUS scores were compared, we observed an increase in the LUS score in all areas except for both anterior upper areas (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: Both obesity and laparoscopic surgical methods are predisposing factors for atelectasis.
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Key Findings & Data:Methods: Patients (n=143) between the ages of 18 and 65, BMI ≥30, and ASA 2-3 who underwent laparoscopic bariatric surgery were included in our prospective observational study.
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Conclusion & Impact:Results: When the pre-operative and post-operative LUS scores were compared, we observed an increase in the LUS score in all areas except for both anterior upper areas (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: Both obesity and laparoscopic surgical methods are predisposing factors for atelectasis. We aimed to evaluate with lung ultrasound (US), the incidence and location of atelectasis in patients undergoing laparoscopic bariatric surgery. Methods: Patients (n=143) between the ages of 18 and 65, BMI ≥30, and ASA 2-3 who underwent laparoscopic bariatric surgery were included in our prospective observational study. According to the lung US protocol, a total of 12 areas (anterior, lateral, and posterior areas divided into upper and lower regions) were scanned in both hemithorax preoperatively and in the 1st h after surgery. In the perioperative period, vital parameters and mechanical ventilation parameters were recorded. The images were evaluated blindly by two anesthesiologists experienced in lung US according to the modified lung US scoring system (LUS). Results: When the pre-operative and post-operative LUS scores were compared, we observed an increase in the LUS score in all areas except for both anterior upper areas (p

Özet

Amaç: Hem obezite hem de laparoskopik cerrahi yöntemler atelektazi için predispozan faktörlerdir. Bu nedenle çalışmada, laparoskopik bariyatrik cerrahi geçiren hastalarda akciğer ultrasonu ile atelektazi gelişiminin ve insidansının değerlendirilmesi amaçlandı. Yöntem: Prospektif gözlemsel bu çalışmaya, laparoskopik bariyatrik cerrahi uygulanan, 18-65 yaş arası, beden kitle indeksi ≥30 kg/m2 , ASA II-III olan 143 hasta dahil edildi. Akciğer ultrasonu protokolüne göre ameliyat öncesi ve ameliyat sonrası birinci saatte her iki hemitoraksta toplam 12 alan (üst ve alt bölgelere ayrılan ön, yan ve arka alanlar) tarandı. Perioperatif dönemde vital değerler ve mekanik ventilasyon değerleri kaydedildi. Görüntüler akciğer ultrasonu kullanımında deneyimli iki anestezi uzmanı tarafından modifiye akciğer ultrasonu skorlama sistemine (LUS) göre kör olarak değerlendirildi. Bulgular: Ameliyat öncesi ve sonrası LUS skorları karşılaştırıldığında her iki ön üst alan hariç tüm alanlarda LUS skorunda artış gözlendi (p

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Cite This Article

ARSLANTAŞ, M. K., ALTUN, G. T., DİNÇER, P. Ç., EROL, D., KARADENİZ, E. A., AYANOĞLU, H. Ö. (2022). Evaluation of the Frequency of Atelectasis by Transthoracic Lung Ultrasound in Patients Undergoing Laparoscopic Bariatric Surgery Under General Anesthesia. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, Cilt: 28 - Sayı: 1, 70–80. https://ajindex.com/articles/525923

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