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The effects of pneumoperitoneum and patient position on the perfusion index and pleth variability index during laparoscopic bariatric surgery

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dc.contributor.authorARSLANTAŞ, MUSTAFA KEMAL
dc.contributor.authorsArslantas, Reyhan; Arslantas, Mustafa Kemal; Tore Altun, Gulbin; Corman Dincer, Pelin
dc.date.accessioned2022-03-14T10:14:12Z
dc.date.available2022-03-14T10:14:12Z
dc.date.issued2020-03-31
dc.description.abstractObjective: Limited data are available on the use of the perfusion index (PI) and the pleth variability index (PVI) during laparoscopic bariatric suigery. We investigated the effects of pneumoperitoneum and the reverse Trendelenburg position on these indices. Materials and Methods: PI, PVI, heart rate (HR), blood pressure, SpO(2) and ventilation parameters were recorded before anaesthesia induction (T0), 5 min after endotracheal intubation (T1), immediately before surgery, after the patient had been in the reverse Trendelenburg position for 5 min (T2), after inflating the abdomen with CO2 in reverse Trendelenburg (T3), after the abdomen had been deflated (T4) and 5 min after extubation (T5). Results: General anaesthesia induced an increase in the PI (P<.001), and a decrease in the PVI (P=.002). The PI and PVI values were not affected during T2 or T3. Pneumoperitoneum caused an increase in mean arterial pressure (MAP) and a decrease in HR. PVI and MAP decreased during 14, but the PI and IHR remained unchanged. PVI, HR and MAP increased during T5. Conclusion: Our data suggest that the reverse Trendelenburg position and pneumoperitoneum did not affect the PI or PVI values, whereas deflation decreased the PVI in morbidly obese patients under general anaesthesia.
dc.identifier.doi10.5472/marumj.711735
dc.identifier.issn1309-9469
dc.identifier.urihttps://hdl.handle.net/11424/244240
dc.identifier.wosWOS:000550988700003
dc.language.isoeng
dc.publisherMARMARA UNIV, FAC MEDICINE
dc.relation.ispartofMARMARA MEDICAL JOURNAL
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAnaesthesia
dc.subjectMorbid obesity
dc.subjectPleth variability index
dc.subjectPerfusion index
dc.subjectBariatric surgery
dc.subjectSTROKE VOLUME VARIATION
dc.subjectDIRECTED FLUID THERAPY
dc.subjectY GASTRIC BYPASS
dc.subjectDYNAMIC VARIABLES
dc.subjectINTRAABDOMINAL PRESSURE
dc.subjectGENERAL-ANESTHESIA
dc.subjectRESPONSIVENESS
dc.subjectOBESITY
dc.titleThe effects of pneumoperitoneum and patient position on the perfusion index and pleth variability index during laparoscopic bariatric surgery
dc.typearticle
dspace.entity.typePublication
local.avesis.id287df19d-0102-4264-9a6d-035055cb7771
local.import.packageSS16
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atTRDIZIN
local.journal.numberofpages7
oaire.citation.endPage60
oaire.citation.issue2
oaire.citation.startPage54
oaire.citation.titleMARMARA MEDICAL JOURNAL
oaire.citation.volume33
relation.isAuthorOfPublicationd2d97ee4-c61d-495c-bc94-ed1d309f2a23
relation.isAuthorOfPublication.latestForDiscoveryd2d97ee4-c61d-495c-bc94-ed1d309f2a23

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