腹腔鏡下胃スリーブ状切除術中の低酸素血症に関する検討

Ryohei Miyazaki, Masumi Kawashima, Kenzo Araki, Midoriko Higashi, Sumio Hoka

研究成果: Contribution to journalArticle査読

抄録

BACKGROUND: The proportion of obese people is gradually increasing. In recent years, laparoscopic sleeve gastrectomy has been performed as a weight loss surgery. We reported the extent of respiratory complications and the keys of anesthetic management in this procedure.

METHODS: Forty consecutive morbidly obese patients received laparoscopic sleeve gastrectomy. A sample for arterial blood gas analysis was taken after intubation and at the end of the operation. Moreover, to examine the risk of silent aspiration, 16 patients were subjected to measuring the gastric juice volume and pH of the pharynx.

RESULTS: Oxygenation index (P/F ratio) after intuba- tion was markedly reduced, but there was no correla- tion with the BMI On the other hand, P/F ratio at the end of surgery improved in patients with low BMI Hypercapnia was rare after extubation, but respiratory rate was increased in the patients with high BMI Gas- tric secretion after induction was increased, but there was no overt sign of silent regurgitation of gastric juice.

CONCLUSIONS: Oxygenation was extremely deterio- rated immediately after intubation in the morbidly obese patients. There is a need for aggressive respira- tory management because intraoperative oxygenation was not improved in the patients with high BMI.

寄稿の翻訳タイトルRetrospective Evaluation of Hypoxia and Silent Regurgitation during Laparoscopic Sleeve Gastrectomy
本文言語日本語
ページ(範囲)118-121
ページ数4
ジャーナルMasui. The Japanese journal of anesthesiology
66
2
出版ステータス出版済み - 2 2017

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