Scopus Eşleşmesi Bulundu
7
Atıf
30
Cilt
971-978
Sayfa
Scopus Yazarları: Perihan Uçar Kemerci, Çiğdem Yıldırım Güçlü, Ayşegül Özgök, Aslı Demir, Ümit Karadeniz, Ömer Faruk Çiçek, Bahar Aydınlı, İrfan Taşoğlu
Özet
Introduction: In the present study, changes in hemodynamic parameters and cerebral oxygen saturation (rSO2) associated with 10 cm H2O PEEP application were investigated, which is assumed beneficial for the respiratory functions and oxygenation during laparoscopic cholecystectomy (LC) applied at 30° head-up left side position. Data gathered via two devices, namely INVOS and FORESIGHT, were compared. Methods: After both the ethics committee approval from the hospital and patients’ written consents were obtained, patients undergoing elective laparoscopic surgery (only ASA I–II) were randomly divided into two groups (Clinical trials protocol NCT02071550). Sensors of INVOS and FORESIGHT devices were placed on the right side at the forehead region. In total, 11 evaluation periods were formed, namely pre-induction (1st period), post-induction (2nd period), abdominal insufflation outset (3rd period), post-insufflation at 5-min intervals (4th, 5th, 6th, 7th, and 8th period), at the end of insufflation (9th period), at the end of operation (10th period), and at the end of anesthesia (11th period). While one of the groups did not receive PEEP (ZEEP group), the other group received 10 cm H2O along with abdominal insufflation (PEEP group). Demographic data, hemodynamic values, and rSO2 values were recorded for both groups at all 11 periods. Results: A total of 44 patients in two groups, each group containing 22 individuals, were included in the study. Systolic, diastolic, and mean arterial pressures, etCO2 and SO2 values, and demographic data were found to be similar in both groups. Heart rate was observed to be higher in the PEEP group starting with the PEEP administration. INVOS rSO2 values were found similar in both groups. However, FORESIGHT rSO2 values were found to be higher in the PEEP group compared to the ZEEP group. No patient had cerebral desaturation in both groups throughout the study. Discussion: Application of PEEP with 10 cm H2O during abdominal insufflation could increase the rSO2 value and heart rate in patients undergoing laparoscopic cholecystectomy. However, all changes observed were within normal limits. FORESIGHT device yielded more compatible results with hemodynamic data compared to INVOS.
Anahtar Kelimeler (Scopus)
Anesthesia
Cerebral oximeter
Laparoscopic cholecystectomy
Near-infrared spectroscopy
Cerebral oxygen saturation
Positive end-expiratory pressure
Scimago Dergi Bilgisi
Otomatik ISSN Eşleştirmesi
2016 yılı verileri
Surgical Endoscopy
Q1
SJR Quartile
1,720
SJR Skoru
178
H-Index
Kategoriler: Surgery (Q1)
Alanlar: Medicine
Ülke: United States
· Springer
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Anahtar Kelimeler
Anesthesia
Cerebral oximeter
Laparoscopic cholecystectomy
Near-infrared spectroscopy
Cerebral oxygen saturation
Positive end-expiratory pressure
Makale Bilgileri
Dergi
Surgical Endoscopy
ISSN
0930-2794
Yıl
2016
/ 3. ay
Cilt / Sayı
30
/ 3
Sayfalar
971 – 978
Makale Türü
Özgün Makale
Hakemlik
Hakemli
Endeks
SCI-Expanded
JCR Quartile
Q1
TEŞV Puanı
9,00
Yayın Dili
İngilizce
Kapsam
Uluslararası
Toplam Yazar
8 kişi
Erişim Türü
Basılı+Elektronik
Erişim Linki
Makaleye Git
Alan
Sağlık Bilimleri Temel Alanı-
Kalp ve Damar Cerrahisi
YÖKSİS Yazar Kaydı
Yazar Adı
Uçar Kemerci Perihan,Demir Aslı,Aydınlı Bahar,YILDIRIM GÜÇLÜ ÇİĞDEM,KARADENİZ ÜMİT,ÇİÇEK ÖMER FARUK,Taşoğlu İrfan,ÖZGÖK AYŞEGÜL
YÖKSİS ID
2300069
Hızlı Erişim
Metrikler
Scopus Atıf
7
JCR Quartile
Q1
TEŞV Puanı
9,00
Yazar Sayısı
8