Abstract

Obesity and its related comorbidities reduce functional residual capacity (FRC) in surgical patients and lead to atelectasis and increased incidence of postoperative pulmonary complications (PPC). Surgical techniques used during robotic sleeve gastrectomy like pneumoperitoneum, mechanical ventilation, and muscle paralysis further restrict ventilation and increase atelectasis. Alveolar recruitment maneuvers (RM) and titration of positive end expiratory pressure (PEEP) and tidal volume (Vt) are elements of lung protective strategies used to minimize atelectasis and decrease PPC. Do obese patients undergoing laparoscopic sleeve gastrectomy surgery using abdominal insufflation who receive titrated PEEP compared with a static PEEP of 5 cmH20 develop less atelectasis and post-operative pulmonary complications in the first 24 hour post-operative period?

Glenn Ray

Author Details

Glenn Ray, BSN, RN

Sigma Membership

Unknown

Lead Author Affiliation

Samford University, Birmingham, Alabama, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Literature Review

Research Approach

Other

Keywords:

Gastric Bypass, Personalized Peep, Driving Pressure, Recruitment Maneuver

Advisor

Sanford, David

Degree

DNP

Degree Grantor

Samford University

Degree Year

2023

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Self-submission

Date of Issue

2023-03-27

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