The effect of low flow anesthesia on hemodynamic and peripheral oxygenation parameters in obesity surgery

Mesut Öterkuş; İlksen Dönmez; Aysu H. Nadir; İbrahim Rencüzoğulları; Yavuz Karabağ; Kenan Binnetoğlu

doi:10.15537/smj.2021.42.3.20200575

References

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1. Doger C,
2. Kahveci K,
3. Ornek D,
4. But A,
5. Aksoy M,
6. Gokcinar D,
7. Katar D.
Effects of low-flow sevoflurane anesthesia on pulmonary functions in patients undergoing laparoscopic abdominal surgery. Biomed Res Int 2016; 2016: 3068467.
OpenUrl
2.↵
1. Upadya M,
2. Saneesh PJ.
Low-flow anaesthesia - underused mode towards “sustainable anaesthesia”. Indian J Anaesth 2018; 62: 166–172.
OpenUrl
3.↵
1. Cui Y,
2. Wang Y,
3. Cao R,
4. Li G,
5. Deng L,
6. Li J.
The low fresh gas flow anesthesia and hypothermia in neonates undergoing digestive surgeries: a retrospective before-after study. BMC Anesthesiol 2020; 20: 223.
OpenUrl
4.↵
1. Masa JD,
2. Pépin JL,
3. Borel JC,
4. Mokhlesi B
, PB, Sánchez-Quiroga MA. Obesity hypoventilation syndrome. Eur Respir Rev 2019; 28: 180097.
OpenUrl Abstract/FREE Full Text
5.
1. Bluth T,
2. Serpa Neto A,
3. Schultz MJ,
4. Pelosi P,
5. Gama de Abreu M et al
Writing Committee for the PROBESE Collaborative Group of the PROtective VEntilation Network (PROVEnet) for the Clinical Trial Network of the European Society of Anaesthesiology, Bluth T, Serpa Neto A, Schultz MJ, Pelosi P, Gama de Abreu M et al. Effect of Intraoperative High Positive End-Expiratory Pressure (PEEP) With Recruitment Maneuvers vs Low PEEP on Postoperative Pulmonary Complications in Obese Patients: A Randomized Clinical Trial. JAMA 2019; 321: 2292–2305.
OpenUrl
6.↵
1. Riad W,
2. Ansari T,
3. Shetty N.
Does neck circumference help to predict difficult intubation in obstetric patients? A prospective observational study. Saudi J Anaesth 2018; 12: 77–81.
OpenUrl
7.↵
1. Tezcan B,
2. Erdoğan NM,
3. Erdemli Ö.
The solution of the transfusion dilemma: Tissue oxygenation and critical hemoglobin. Acıbadem University Health Science Journal 2015; (1): 7–12.
8.↵
1. Toker MK,
2. Altıparmak B,
3. Uysal Aİ,
4. Demirbilek SG.
[Comparison of pressure-controlled volume-guaranteed ventilation and volume-controlled ventilation in obese patients during gynecologic laparoscopic surgery in the Trendelenburg position]. Rev Bras Anestesiol 2019; 69: 553–560. Portuguese.
OpenUrl
9.↵
1. Saxena D,
2. Singh P,
3. Dixit A,
4. Arya B,
5. Bhandari M,
6. Sanwatsarkar S.
Single minute of positive end-expiratory pressure at the time of induction: Effect on arterial blood gases and hemodynamics in morbidly obese patients undergoing laparoscopic bariatric surgery. Anesth Essays Res 2017; 11: 758–761.
OpenUrl
10.↵
1. Akbaş S,
2. Özkan AS.
Randomized controlled trial. Comparison of effects of low-flow and normal-flow anesthesia on cerebral oxygenation and bispectral index in morbidly obese patients undergoing laparoscopic sleeve gastrectomy: a prospective, randomized clinical trial. Videosurgery Miniinv 2019; 14: 19–26.
OpenUrl
11.↵
1. Fulton R,
2. Millar JE,
3. Merza M,
4. Johnston H,
5. Corley A,
6. Faulke D, et al.
High flow nasal oxygen after bariatric surgery (OXYBAR), prophylactic post-operative high flow nasal oxygen versus conventional oxygen therapy in obese patients undergoing bariatric surgery: study protocol for a randomised controlled pilot trial. Trials 2018; 19: 402.
OpenUrl
12.↵
1. Duymaz G,
2. Yağar S,
3. Özgök A.
Comparison of effects of low-flow sevoflurane and low-flow desflurane anaesthesia on renal functions using cystatin C. Turk J Anaesthesiol Reanim 2017; 45: 93–97.
OpenUrl
13.↵
1. Carter LA,
2. Oyewole M,
3. Bates E,
4. Sherratt K.
Promoting low-flow anaesthesia and volatile anaesthetic agent choice. BMJ Open Qual 2019; 8: e000479.
OpenUrl Abstract/FREE Full Text
14.↵
1. Dixon AE,
2. Peters U.
The effect of obesity on lung function. Expert Rev Respir Med 2018; 12: 755–767.
OpenUrl CrossRef
15.↵
1. Forno E,
2. Han YY,
3. Mullen J,
4. Celedón JC
. Overweight, obesity, and lung function in children and adults-a meta-analysis. J Allergy Clin Immunol Pract 2018; 6: 570–581.e10.
OpenUrl
16.↵
1. Akbas S,
2. Ozkan AS.
Comparison of effects of low-flow and normal-flow anesthesia on cerebral oxygenation and bispectral index in morbidly obese patients undergoing laparoscopic sleeve gastrectomy: a prospective, randomized clinical trial. Wideochir Inne Tech Maloinwazyjne 2019; 14: 19–26.
OpenUrl
17.
1. Tassoudis V,
2. Ieropoulos H,
3. Karanikolas M,
4. Vretzakis G,
5. Bouzia A,
6. Mantoudis E,
7. Petsiti A.
Bronchospasm in obese patients undergoing elective laparoscopic surgery under general anesthesia. Springerplus 2016; 5: 435.
OpenUrl
18.↵
1. Alaparthi GK,
2. Augustine AJ,
3. Anand R,
4. Mahale A.
Comparison of diaphragmatic breathing exercise, volume and flow incentive spirometry, on diaphragm excursion and pulmonary function in patients undergoing laparoscopic surgery: A randomized controlled trial. Minim Invasive Surg 2016; 2016: 1967532.
OpenUrl
19.↵
1. Güldner A,
2. Kiss T,
3. Serpa Neto A,
4. Hemmes SN,
5. Canet J,
6. Spieth PM, et al.
Intraoperative protective mechanical ventilation for prevention of postoperative pulmonary complications: a comprehensive review of the role of tidal volume, positive end-expiratory pressure, and lung recruitment maneuvers. Anesthesiology 2015; 123: 692–713.
OpenUrl CrossRef PubMed
20.↵
1. Hasan MS,
2. Tan JK,
3. Chan CYW,
4. Kwan MK,
5. Karim FSA,
6. Goh KJ.
Comparison between effect of desflurane/remifentanil and propofol/remifentanil anesthesia on somatosensory evoked potential monitoring during scoliosis surgery-A randomized controlled trial. J Orthop Surg (Hong Kong) 2018; 26: 2309499018789529.
OpenUrl
21.
1. Williams DC,
2. Brosnan RJ,
3. Fletcher DJ,
4. Aleman M,
5. Holliday TA,
6. Tharp B, et al.
Qualitative and quantitative characteristics of the electroencephalogram in normal horses during administration of inhaled anesthesia. J Vet Intern Med 2016; 30: 289–303.
OpenUrl
22.↵
1. Ahmad T,
2. Sheikh NA,
3. Akhter N,
4. Dar BA,
5. Ahmad R.
Intraoperative awareness and recall: A comparative study of dexmedetomidine and propofol in cardiac surgery. Cureus 2017; 9: e1542.
OpenUrl
23.↵
1. Dwivedi MB,
2. Puri A,
3. Dwivedi S,
4. Deol H.
Role of opioids as coinduction agent with propofol and their effect on apnea time, recovery time, and sedation score. Int J Crit Illn Inj Sci 2018; 8: 4–8.
OpenUrl
24.↵
1. Lai HC,
2. Chan SM,
3. Lu CH,
4. Wong CS,
5. Cherng CH,
6. Wu ZF.
Planning for operating room efficiency and faster anesthesia wake-up time in open major upper abdominal surgery. Medicine (Baltimore) 2017; 96: e6148.
OpenUrl
25.↵
1. Chatrath V,
2. Khetarpal R,
3. Bansal D,
4. Kaur H.
Sevoflurane in low-flow anesthesia using “equilibration point”. Anesth Essays Res 2016; 10: 284–290.
OpenUrl

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Keywords

[1] 1.↵
Doger C,
Kahveci K,
Ornek D,
But A,
Aksoy M,
Gokcinar D,
Katar D.
Effects of low-flow sevoflurane anesthesia on pulmonary functions in patients undergoing laparoscopic abdominal surgery. Biomed Res Int 2016; 2016: 3068467.
OpenUrl

[2] Doger C,

[3] Kahveci K,

[4] Ornek D,

[5] But A,

[6] Aksoy M,

[7] Gokcinar D,

[8] Katar D.

[9] 2.↵
Upadya M,
Saneesh PJ.
Low-flow anaesthesia - underused mode towards “sustainable anaesthesia”. Indian J Anaesth 2018; 62: 166–172.
OpenUrl

[10] Upadya M,

[11] Saneesh PJ.

[12] 3.↵
Cui Y,
Wang Y,
Cao R,
Li G,
Deng L,
Li J.
The low fresh gas flow anesthesia and hypothermia in neonates undergoing digestive surgeries: a retrospective before-after study. BMC Anesthesiol 2020; 20: 223.
OpenUrl

[13] Cui Y,

[14] Wang Y,

[15] Cao R,

[16] Li G,

[17] Deng L,

[18] Li J.

[19] 4.↵
Masa JD,
Pépin JL,
Borel JC,
Mokhlesi B
, PB, Sánchez-Quiroga MA. Obesity hypoventilation syndrome. Eur Respir Rev 2019; 28: 180097.
OpenUrl Abstract/FREE Full Text

[20] Masa JD,

[21] Pépin JL,

[22] Borel JC,

[23] Mokhlesi B

[24] 5.
Bluth T,
Serpa Neto A,
Schultz MJ,
Pelosi P,
Gama de Abreu M et al
Writing Committee for the PROBESE Collaborative Group of the PROtective VEntilation Network (PROVEnet) for the Clinical Trial Network of the European Society of Anaesthesiology, Bluth T, Serpa Neto A, Schultz MJ, Pelosi P, Gama de Abreu M et al. Effect of Intraoperative High Positive End-Expiratory Pressure (PEEP) With Recruitment Maneuvers vs Low PEEP on Postoperative Pulmonary Complications in Obese Patients: A Randomized Clinical Trial. JAMA 2019; 321: 2292–2305.
OpenUrl

[25] Bluth T,

[26] Serpa Neto A,

[27] Schultz MJ,

[28] Pelosi P,

[29] Gama de Abreu M et al

[30] 6.↵
Riad W,
Ansari T,
Shetty N.
Does neck circumference help to predict difficult intubation in obstetric patients? A prospective observational study. Saudi J Anaesth 2018; 12: 77–81.
OpenUrl

[31] Riad W,

[32] Ansari T,

[33] Shetty N.

[34] 7.↵
Tezcan B,
Erdoğan NM,
Erdemli Ö.
The solution of the transfusion dilemma: Tissue oxygenation and critical hemoglobin. Acıbadem University Health Science Journal 2015; (1): 7–12.

[35] Tezcan B,

[36] Erdoğan NM,

[37] Erdemli Ö.

[38] 8.↵
Toker MK,
Altıparmak B,
Uysal Aİ,
Demirbilek SG.
[Comparison of pressure-controlled volume-guaranteed ventilation and volume-controlled ventilation in obese patients during gynecologic laparoscopic surgery in the Trendelenburg position]. Rev Bras Anestesiol 2019; 69: 553–560. Portuguese.
OpenUrl

[39] Toker MK,

[40] Altıparmak B,

[41] Uysal Aİ,

[42] Demirbilek SG.

[43] 9.↵
Saxena D,
Singh P,
Dixit A,
Arya B,
Bhandari M,
Sanwatsarkar S.
Single minute of positive end-expiratory pressure at the time of induction: Effect on arterial blood gases and hemodynamics in morbidly obese patients undergoing laparoscopic bariatric surgery. Anesth Essays Res 2017; 11: 758–761.
OpenUrl

[44] Saxena D,

[45] Singh P,

[46] Dixit A,

[47] Arya B,

[48] Bhandari M,

[49] Sanwatsarkar S.

[50] 10.↵
Akbaş S,
Özkan AS.
Randomized controlled trial. Comparison of effects of low-flow and normal-flow anesthesia on cerebral oxygenation and bispectral index in morbidly obese patients undergoing laparoscopic sleeve gastrectomy: a prospective, randomized clinical trial. Videosurgery Miniinv 2019; 14: 19–26.
OpenUrl

[51] Akbaş S,

[52] Özkan AS.

[53] 11.↵
Fulton R,
Millar JE,
Merza M,
Johnston H,
Corley A,
Faulke D, et al.
High flow nasal oxygen after bariatric surgery (OXYBAR), prophylactic post-operative high flow nasal oxygen versus conventional oxygen therapy in obese patients undergoing bariatric surgery: study protocol for a randomised controlled pilot trial. Trials 2018; 19: 402.
OpenUrl

[54] Fulton R,

[55] Millar JE,

[56] Merza M,

[57] Johnston H,

[58] Corley A,

[59] Faulke D, et al.

[60] 12.↵
Duymaz G,
Yağar S,
Özgök A.
Comparison of effects of low-flow sevoflurane and low-flow desflurane anaesthesia on renal functions using cystatin C. Turk J Anaesthesiol Reanim 2017; 45: 93–97.
OpenUrl

[61] Duymaz G,

[62] Yağar S,

[63] Özgök A.

[64] 13.↵
Carter LA,
Oyewole M,
Bates E,
Sherratt K.
Promoting low-flow anaesthesia and volatile anaesthetic agent choice. BMJ Open Qual 2019; 8: e000479.
OpenUrl Abstract/FREE Full Text

[65] Carter LA,

[66] Oyewole M,

[67] Bates E,

[68] Sherratt K.

[69] 14.↵
Dixon AE,
Peters U.
The effect of obesity on lung function. Expert Rev Respir Med 2018; 12: 755–767.
OpenUrl CrossRef

[70] Dixon AE,

[71] Peters U.

[72] 15.↵
Forno E,
Han YY,
Mullen J,
Celedón JC
. Overweight, obesity, and lung function in children and adults-a meta-analysis. J Allergy Clin Immunol Pract 2018; 6: 570–581.e10.
OpenUrl

[73] Forno E,

[74] Han YY,

[75] Mullen J,

[76] Celedón JC

[77] 16.↵
Akbas S,
Ozkan AS.
Comparison of effects of low-flow and normal-flow anesthesia on cerebral oxygenation and bispectral index in morbidly obese patients undergoing laparoscopic sleeve gastrectomy: a prospective, randomized clinical trial. Wideochir Inne Tech Maloinwazyjne 2019; 14: 19–26.
OpenUrl

[78] Akbas S,

[79] Ozkan AS.

[80] 17.
Tassoudis V,
Ieropoulos H,
Karanikolas M,
Vretzakis G,
Bouzia A,
Mantoudis E,
Petsiti A.
Bronchospasm in obese patients undergoing elective laparoscopic surgery under general anesthesia. Springerplus 2016; 5: 435.
OpenUrl

[81] Tassoudis V,

[82] Ieropoulos H,

[83] Karanikolas M,

[84] Vretzakis G,

[85] Bouzia A,

[86] Mantoudis E,

[87] Petsiti A.

[88] 18.↵
Alaparthi GK,
Augustine AJ,
Anand R,
Mahale A.
Comparison of diaphragmatic breathing exercise, volume and flow incentive spirometry, on diaphragm excursion and pulmonary function in patients undergoing laparoscopic surgery: A randomized controlled trial. Minim Invasive Surg 2016; 2016: 1967532.
OpenUrl

[89] Alaparthi GK,

[90] Augustine AJ,

[91] Anand R,

[92] Mahale A.

[93] 19.↵
Güldner A,
Kiss T,
Serpa Neto A,
Hemmes SN,
Canet J,
Spieth PM, et al.
Intraoperative protective mechanical ventilation for prevention of postoperative pulmonary complications: a comprehensive review of the role of tidal volume, positive end-expiratory pressure, and lung recruitment maneuvers. Anesthesiology 2015; 123: 692–713.
OpenUrl CrossRef PubMed

[94] Güldner A,

[95] Kiss T,

[96] Serpa Neto A,

[97] Hemmes SN,

[98] Canet J,

[99] Spieth PM, et al.

[100] 20.↵
Hasan MS,
Tan JK,
Chan CYW,
Kwan MK,
Karim FSA,
Goh KJ.
Comparison between effect of desflurane/remifentanil and propofol/remifentanil anesthesia on somatosensory evoked potential monitoring during scoliosis surgery-A randomized controlled trial. J Orthop Surg (Hong Kong) 2018; 26: 2309499018789529.
OpenUrl

[101] Hasan MS,

[102] Tan JK,

[103] Chan CYW,

[104] Kwan MK,

[105] Karim FSA,

[106] Goh KJ.

[107] 21.
Williams DC,
Brosnan RJ,
Fletcher DJ,
Aleman M,
Holliday TA,
Tharp B, et al.
Qualitative and quantitative characteristics of the electroencephalogram in normal horses during administration of inhaled anesthesia. J Vet Intern Med 2016; 30: 289–303.
OpenUrl

[108] Williams DC,

[109] Brosnan RJ,

[110] Fletcher DJ,

[111] Aleman M,

[112] Holliday TA,

[113] Tharp B, et al.

[114] 22.↵
Ahmad T,
Sheikh NA,
Akhter N,
Dar BA,
Ahmad R.
Intraoperative awareness and recall: A comparative study of dexmedetomidine and propofol in cardiac surgery. Cureus 2017; 9: e1542.
OpenUrl

[115] Ahmad T,

[116] Sheikh NA,

[117] Akhter N,

[118] Dar BA,

[119] Ahmad R.

[120] 23.↵
Dwivedi MB,
Puri A,
Dwivedi S,
Deol H.
Role of opioids as coinduction agent with propofol and their effect on apnea time, recovery time, and sedation score. Int J Crit Illn Inj Sci 2018; 8: 4–8.
OpenUrl

[121] Dwivedi MB,

[122] Puri A,

[123] Dwivedi S,

[124] Deol H.

[125] 24.↵
Lai HC,
Chan SM,
Lu CH,
Wong CS,
Cherng CH,
Wu ZF.
Planning for operating room efficiency and faster anesthesia wake-up time in open major upper abdominal surgery. Medicine (Baltimore) 2017; 96: e6148.
OpenUrl

[126] Lai HC,

[127] Chan SM,

[128] Lu CH,

[129] Wong CS,

[130] Cherng CH,

[131] Wu ZF.

[132] 25.↵
Chatrath V,
Khetarpal R,
Bansal D,
Kaur H.
Sevoflurane in low-flow anesthesia using “equilibration point”. Anesth Essays Res 2016; 10: 284–290.
OpenUrl

[133] Chatrath V,

[134] Khetarpal R,

[135] Bansal D,

[136] Kaur H.

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The effect of low flow anesthesia on hemodynamic and peripheral oxygenation parameters in obesity surgery

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The effect of low flow anesthesia on hemodynamic and peripheral oxygenation parameters in obesity surgery

References

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CONTENT

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