Why the study?
Does alveolar recruitment maneuver and high PEEP improve arterial oxygenation in morbidly obese patients undergoing laparoscopic bariatric surgery?
Population
Morbidly obese patients undergoing laparoscopic bariatric surgery
Comparison
Alveolar recruitment maneuver followed by… vs Standard ventilation with PEEP of 4 cm H2O
Design
Other
Follow-up
Intraoperative and soon after tracheal extubation
Authors
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May transiently improve oxygenation in obese bariatric patients but increases vasopressor use; leaves open net benefit pending randomized trials.
Does alveolar recruitment maneuver and high PEEP improve arterial oxygenation in morbidly obese patients undergoing laparoscopic bariatric surgery?
Alveolar recruitment improves intraoperative oxygenation in morbidly obese patients during bariatric surgery, but the effect is short-lived and requires more vasopressor support.
Whalen et al. (2005) studied this question.
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