Abstract
Two different papers published recently suggested the use of a comprehensive strategy providing low tidal volumes, peep and recruiting maneuvers in patients undergoing open abdominal surgery (1,2). It is unknown whether such ventilatory approach may be feasible in patients undergoing laparoscopy, as pneumoperitoneum and Trendelenburg position may alter lung volumes and chest-wall elastance.
Highlights
Two different papers published recently suggested the use of a comprehensive strategy providing low tidal volumes, peep and recruiting maneuvers in patients undergoing open abdominal surgery (1,2)
We designed an open-label randomized, controlled trial to assess the effect of a lung-protective ventilation strategy in obese patients undergoing laparoscopic surgery
Comparison of pulmonary function tests at day 2 showed similar FEV1 and FEV1/FVC ratio, while a higher percentage of predicted forced vital capacity was detected in patients of SV group(100%[83-110]vs.78% [71-88];p = 0.04)
Summary
Two different papers published recently suggested the use of a comprehensive strategy providing low tidal volumes, peep and recruiting maneuvers in patients undergoing open abdominal surgery (1,2). Objectives We designed an open-label randomized, controlled trial to assess the effect of a lung-protective ventilation strategy in obese patients undergoing laparoscopic surgery.
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