Effects of intraabdominal high pressure application on perfusion and hemodynamics in bariatric surgery BARIATRIK CERRAHIDE YÜKSEK INTRAABDOMINAL BASINÇ UYGULAMASININ SEREBRAL PERFÜZYON VE HEMODINAMI ÜZERINE ETKILERI

Adigüzel S. C., Kefeli Çelik H., Yilmaz Z., Kinas V.

Anestezi Dergisi, cilt.26, sa.4, ss.261-266, 2018 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 4
  • Basım Tarihi: 2018
  • Dergi Adı: Anestezi Dergisi
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.261-266
  • Anahtar Kelimeler: Bariatric surgery, Cerebral oximeter, Hemodynamics, High intraabdominal pressure
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective: In this study the effects of intraabdominal high pressure application on perfusion and hemodynamics in bariatric surgery was planned to investigate. Method: Fifty-one patients which are planned for obesity surgery were included to the study. Patients were monitorized with cerebral-oximetry (NIRS) to follow cerebral oxygenation (rSO 2 ) and bispectral index (BIS) to follow depth of anesthesia near the standard monitorization in operating room. Measurements were performed in seven different times and 'before induction' named as T1 time, and 'extubation' as T 7 time. Results: Evaluation with T 1 , when the carbondioxide (ETCO 2 ) and BIS values at the end of inspiration were constant, heart rate was found significantly low in T 2 , T 4 , T 5 , T 6 when high in T 7 ; mean arterial pressure (MAP) was found significantly low in T 2 , T 3 , T 4 , T 5 , T 6 ; NIRS right values was found significantly low in T 3 , T 4 , T 5 and NIRS left values was found significantly low in T 2 , T 3 , T 4 , T 5 , T 6 . In a correlation with T1 based total 64 measurement 20% decreases in NIRS values were found. Conclusion: Application of intraabdominal high pressure in bariatric surgery effects cerebral oxygenation and hemodynamics significantly. For a safe anesthetic process in patients which were applied high intraabdominal pressure it is useful to follow the cerebral oxygenation and close monitoring for hemodynamic parameters.