Effects of recruitment manoeuvre on perioperative pulmonary complications in patients undergoing robotic assisted radical prostatectomy: A randomised single-blinded trial
Open Access
- 6 September 2017
- journal article
- research article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 12 (9), e0183311
- https://doi.org/10.1371/journal.pone.0183311
Abstract
Robotic-assisted laparoscopic radical prostatectomy (RARP) needs a steep Trendelenburg position and a relatively high CO2 insufflation pressure, and patients undergoing RARP are usually elderly. These factors make intraoperative ventilatory care difficult and increase the risk of perioperative pulmonary complications. The aim was to determine the efficacy of recruitment manoeuvre (RM) on perioperative pulmonary complications in elderly patients undergoing RARP. A total of 60 elderly patients scheduled for elective RARP were randomly allocated to two groups after induction of anaesthesia; positive end expiratory pressure (PEEP) was applied during the operation without RM in the control group (group C) and after RM in the recruitment group (group R). The total number of patients who developed intraoperative desaturation or postoperative atelectasis was significantly higher in group C compared to group R (43.3% vs. 17.8%, P = 0.034). Intraoperative respiratory mechanics, perioperative blood gas analysis, and pulmonary function testing did not show differences between the groups. Adding RM to PEEP compared to PEEP alone significantly reduced perioperative pulmonary complications in elderly patients undergoing RARP.Keywords
This publication has 38 references indexed in Scilit:
- Optimal positive end-expiratory pressure during robot-assisted laparoscopic radical prostatectomyKorean Journal of Anesthesiology, 2013
- Comparison of volume-controlled and pressure-controlled ventilation in steep Trendelenburg position for robot-assisted laparoscopic radical prostatectomyJournal of Clinical Anesthesia, 2011
- Intraoperative Recruitment Maneuver Reverses Detrimental Pneumoperitoneum-induced Respiratory Effects in Healthy Weight and Obese Patients Undergoing LaparoscopyAnesthesiology, 2010
- The Pulmonary and Hemodynamic Effects of Two Different Recruitment Maneuvers After Cardiac SurgeryAnesthesia & Analgesia, 2007
- The Effects of the Alveolar Recruitment Maneuver and Positive End-Expiratory Pressure on Arterial Oxygenation During Laparoscopic Bariatric SurgeryAnesthesia & Analgesia, 2006
- Laparoscopic radical prostatectomy: Conventional and roboticUrology, 2005
- Ventilation with Lower Tidal Volumes as Compared with Traditional Tidal Volumes for Acute Lung Injury and the Acute Respiratory Distress SyndromeThe New England Journal of Medicine, 2000
- Influence of Age on Atelectasis Formation and Gas Exchange Impairment During General AnaesthesiaSurvey of Anesthesiology, 1992
- Lung Collapse and Gas Exchange during General AnesthesiaAnesthesiology, 1987
- Pulmonary Densities during Anesthesia with Muscular Relaxation—A Proposal of AtelectasisAnesthesiology, 1985