Intraabdominal Pressure Targeted Positive End-expiratory Pressure during Laparoscopic Surgery: An Open-label, Nonrandomized, Crossover, Clinical Trial.

Fecha de publicación: 01/04/2020 Fecha Ahead of Print: 30/01/2020

Autores de IIS La Fe

Guido Mazzinari

Autor
Óscar Díaz Cambronero

Autor

Participantes ajenos a IIS La Fe

Alonso-Iñigo JM
Garcia-Gregorio N
Ayas-Montero B
Ibañez JL
Serpa Neto A
Ball L
Gama de Abreu M
Pelosi P
Maupoey J
Argente Navarro MP
Schultz MJ

Grupos

Medicina Perioperatoria, Anestesiología y Reanimación

Leader

Óscar Díaz Cambronero

Abstract

Transpulmonary driving pressure (ratio of tidal volume to respiratory system compliance) increases with increased intraabdominal pressure during laparoscopic surgery. High transpulmonary driving pressure during laparoscopic surgery is associated with increased risk of postoperative pulmonary complications.Intraoperative positive end-expiratory pressure prevents atelectasis, but may also cause overdistension.

Datos de la publicación

ISSN/ISSNe:: 0003-3022, 1528-1175
Tipo:: Article
Páginas:: 667-677
DOI:: 10.1097/ALN.0000000000003146
Factor de Impacto:: 1,874 SCImago ℠
Cuartil:: Q1 SCImago ℠

Documentos

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Métricas

Filiaciones

Mazzinari G:: From the Research Group in Perioperative Medicine (G.M., O.D-C., N.G-G., B.A-M., M.P.A.N.) the Department of Anaesthesiology (G.M., O.D-C., J.M.A.-I., N.G-G., B.A-M., M.P.A.N.) the Department of Hepatobiliopancreatic Surgery (J.L.I., J.M.), Hospital Universitario y Politécnico la Fe, Valencia, Spain the Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil (A.S.N.) the Cardio-Pulmonary Department, Pulmonary Division, Instituto do Coração, Hospital das Clinic

Hospital Universitario y Politécnico la Fe, Valencia, Spain the Department of Critical Care Medicine
Diaz-Cambronero O:: Hospital Universitario y Politécnico la Fe, Valencia, Spain the Department of Critical Care Medicine
Alonso-Iñigo JM:: From the Research Group in Perioperative Medicine (G.M., O.D-C., N.G-G., B.A-M., M.P.A.N.) the Department of Anaesthesiology (G.M., O.D-C., J.M.A.-I., N.G-G., B.A-M., M.P.A.N.) the Department of Hepatobiliopancreatic Surgery (J.L.I., J.M.), Hospital Universitario y Politécnico la Fe, Valencia, Spain the Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil (A.S.N.) the Cardio-Pulmonary Department, Pulmonary Division, Instituto do Coração, Hospital das Clinic
Garcia-Gregorio N:: From the Research Group in Perioperative Medicine (G.M., O.D-C., N.G-G., B.A-M., M.P.A.N.) the Department of Anaesthesiology (G.M., O.D-C., J.M.A.-I., N.G-G., B.A-M., M.P.A.N.) the Department of Hepatobiliopancreatic Surgery (J.L.I., J.M.), Hospital Universitario y Politécnico la Fe, Valencia, Spain the Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil (A.S.N.) the Cardio-Pulmonary Department, Pulmonary Division, Instituto do Coração, Hospital das Clinic
Ayas-Montero B:: From the Research Group in Perioperative Medicine (G.M., O.D-C., N.G-G., B.A-M., M.P.A.N.) the Department of Anaesthesiology (G.M., O.D-C., J.M.A.-I., N.G-G., B.A-M., M.P.A.N.) the Department of Hepatobiliopancreatic Surgery (J.L.I., J.M.), Hospital Universitario y Politécnico la Fe, Valencia, Spain the Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil (A.S.N.) the Cardio-Pulmonary Department, Pulmonary Division, Instituto do Coração, Hospital das Clinic
Ibañez JL:: From the Research Group in Perioperative Medicine (G.M., O.D-C., N.G-G., B.A-M., M.P.A.N.) the Department of Anaesthesiology (G.M., O.D-C., J.M.A.-I., N.G-G., B.A-M., M.P.A.N.) the Department of Hepatobiliopancreatic Surgery (J.L.I., J.M.), Hospital Universitario y Politécnico la Fe, Valencia, Spain the Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil (A.S.N.) the Cardio-Pulmonary Department, Pulmonary Division, Instituto do Coração, Hospital das Clinic
Serpa Neto A:: From the Research Group in Perioperative Medicine (G.M., O.D-C., N.G-G., B.A-M., M.P.A.N.) the Department of Anaesthesiology (G.M., O.D-C., J.M.A.-I., N.G-G., B.A-M., M.P.A.N.) the Department of Hepatobiliopancreatic Surgery (J.L.I., J.M.), Hospital Universitario y Politécnico la Fe, Valencia, Spain the Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil (A.S.N.) the Cardio-Pulmonary Department, Pulmonary Division, Instituto do Coração, Hospital das Clinic
Ball L:: From the Research Group in Perioperative Medicine (G.M., O.D-C., N.G-G., B.A-M., M.P.A.N.) the Department of Anaesthesiology (G.M., O.D-C., J.M.A.-I., N.G-G., B.A-M., M.P.A.N.) the Department of Hepatobiliopancreatic Surgery (J.L.I., J.M.), Hospital Universitario y Politécnico la Fe, Valencia, Spain the Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil (A.S.N.) the Cardio-Pulmonary Department, Pulmonary Division, Instituto do Coração, Hospital das Clinic
Gama de Abreu M:: From the Research Group in Perioperative Medicine (G.M., O.D-C., N.G-G., B.A-M., M.P.A.N.) the Department of Anaesthesiology (G.M., O.D-C., J.M.A.-I., N.G-G., B.A-M., M.P.A.N.) the Department of Hepatobiliopancreatic Surgery (J.L.I., J.M.), Hospital Universitario y Politécnico la Fe, Valencia, Spain the Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil (A.S.N.) the Cardio-Pulmonary Department, Pulmonary Division, Instituto do Coração, Hospital das Clinic
Pelosi P:: From the Research Group in Perioperative Medicine (G.M., O.D-C., N.G-G., B.A-M., M.P.A.N.) the Department of Anaesthesiology (G.M., O.D-C., J.M.A.-I., N.G-G., B.A-M., M.P.A.N.) the Department of Hepatobiliopancreatic Surgery (J.L.I., J.M.), Hospital Universitario y Politécnico la Fe, Valencia, Spain the Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil (A.S.N.) the Cardio-Pulmonary Department, Pulmonary Division, Instituto do Coração, Hospital das Clinic
Maupoey J:: From the Research Group in Perioperative Medicine (G.M., O.D-C., N.G-G., B.A-M., M.P.A.N.) the Department of Anaesthesiology (G.M., O.D-C., J.M.A.-I., N.G-G., B.A-M., M.P.A.N.) the Department of Hepatobiliopancreatic Surgery (J.L.I., J.M.), Hospital Universitario y Politécnico la Fe, Valencia, Spain the Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil (A.S.N.) the Cardio-Pulmonary Department, Pulmonary Division, Instituto do Coração, Hospital das Clinic
Argente Navarro MP:: From the Research Group in Perioperative Medicine (G.M., O.D-C., N.G-G., B.A-M., M.P.A.N.) the Department of Anaesthesiology (G.M., O.D-C., J.M.A.-I., N.G-G., B.A-M., M.P.A.N.) the Department of Hepatobiliopancreatic Surgery (J.L.I., J.M.), Hospital Universitario y Politécnico la Fe, Valencia, Spain the Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil (A.S.N.) the Cardio-Pulmonary Department, Pulmonary Division, Instituto do Coração, Hospital das Clinic
Schultz MJ:: From the Research Group in Perioperative Medicine (G.M., O.D-C., N.G-G., B.A-M., M.P.A.N.) the Department of Anaesthesiology (G.M., O.D-C., J.M.A.-I., N.G-G., B.A-M., M.P.A.N.) the Department of Hepatobiliopancreatic Surgery (J.L.I., J.M.), Hospital Universitario y Politécnico la Fe, Valencia, Spain the Department of Critical Care Medicine, Hospital Israelita Albert Einstein, São Paulo, Brazil (A.S.N.) the Cardio-Pulmonary Department, Pulmonary Division, Instituto do Coração, Hospital das Clinic