Are alveolar recruitment maneuvers and peep ventilation effective in the intraoperative period of laparoscopic bariatric surgery? A systematic review

Authors

DOI:

https://doi.org/10.33448/rsd-v11i5.28406

Keywords:

Obesity; Electrical impedance; Respiration artificial; Positive pressure respiration.

Abstract

The purpose of the study is to systematically review about alveolar recruitment maneuvers followed by mechanical ventilation with PEEP guided by electrical impedance tomography (EIT) in laparoscopic bariatric surgery. Metodology: The primary outcomes were: regional pulmonary ventilation (regional impedance variation), end-expiratory lung impedance, and end-expiratory lung volume. Results: The survey identified three eligible studies. The sample consisted of 136 participants of both genders. The alveolar recruitment maneuver (ARM) was performed through the mechanical ventilator and using the EIT in the patient’s chest. The studies showed moderate to high risk of bias, and the quality of the evidence was classified as very low quality due to the methodological limitations found and absence of directionality. Conclusion: ARM with PEEP guided by EIT does not significantly improve the respiratory system mechanics in the intraoperative period in obese patients undergoing laparoscopic bariatric surgery.

Author Biographies

Gustavo Henrique Correia, Universidade Federal de Pernambuco

Name: Gustavo Henrique Correia, MSc., Physiotherapist, Department of Physical Therapy/Federal University of Pernambuco.

Contribution: This author helped search the literature, collect the data, study the design, analyze the data, and prepare and review the manuscript.

Helen Kerlen Bastos Fuzari, Universidade Federal de Pernambuco

Name: Helen Kerlen Bastos Fuzari, Ph.D. Physiotherapist, Department of Physical Therapy/Federal University of Pernambuco

Contribution: This author helped search the literature, collect the data, study the design, analyze the data, and prepare and review the manuscript.

Antônio Christian Evangelista Gonçalves , Universidade Estadual Paulista

Name: Antônio C. E. Gonçalves, Ph.D. student. Doctor.

Contribution: This author helped conceive the study, and prepare and review the manuscript.

Juliana Andrade Ferreira de Souza, Universidade Federal de Pernambuco

Name: Juliana A. F. Souza, MSc. Physiotherapist, Department of Physiotherapy/Federal University of Pernambuco.

Contribution: This author helped conceive the study, and prepare and review the manuscript.

 

 

 

Maria Inês Remídio Aguiar, Universidade Federal de Pernambuco

Name: Maria I. R. Aguiar, Ph.D. Doctor at the Clinics Hospital in Recife/Pernambuco

Contribution: This author helped conceive the study, and prepare and review the manuscript.

Norma Sueli Pinheiro Módolo, Universidade Estadual Paulista

Name: Norma S. P. Módolo, Ph.D. Professor, Department of Surgical Specialties and Anesthesiology, Faculty of Medicine of Botucatu, Universidade Estadual Paulista Júlio de Mesquita Filho, Unesp.

Contribution: This author helped conceive the study, and prepare and review the manuscript.

 

Armèle Dornelas de Andrade, Universidade Federal de Pernambuco

Name: Armèle D. Andrade, Ph.D. Full professor - Federal University of Pernambuco, Recife, Brazil

Contribution: This author helped conceive the study, and prepare and review the manuscript.

Shirley Lima Campos, Universidade Federal de Pernambuco

Name: Shirley L. Campos, Ph.D. Full professor/Federal University of Pernambuco, Recife, Brazil

Contribution: This author helped conceive the study, and prepare and review the manuscript.

 

Daniella Cunha Brandão, Universidade Federal de Pernambuco

Name: Daniella Cunha Brandão, Ph.D. Full professor/Federal University of Pernambuco, Recife, Brazil

Contribution: This author helped conceive the study, study the design, analyze the data, and prepare and review the manuscript.

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Published

09/04/2022

How to Cite

CORREIA, G. H. .; FUZARI, H. K. B.; GONÇALVES , A. C. E.; SOUZA, J. A. F. de .; AGUIAR, M. I. R.; MÓDOLO, N. S. P.; ANDRADE, A. D. de; CAMPOS, S. L.; BRANDÃO, D. C. Are alveolar recruitment maneuvers and peep ventilation effective in the intraoperative period of laparoscopic bariatric surgery? A systematic review. Research, Society and Development, [S. l.], v. 11, n. 5, p. e36611528406, 2022. DOI: 10.33448/rsd-v11i5.28406. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/28406. Acesso em: 25 apr. 2024.

Issue

Vol. 11 No. 5

Section

Health Sciences

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Copyright (c) 2022 Gustavo Henrique Correia; Helen Kerlen Bastos Fuzari; Antônio Christian Evangelista Gonçalves ; Juliana Andrade Ferreira de Souza; Maria Inês Remídio Aguiar; Norma Sueli Pinheiro Módolo; Armèle Dornelas de Andrade; Shirley Lima Campos; Daniella Cunha Brandão

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