Using a Preoperative Exercise Test to Predict Postanesthesia Care Unit Admission in Patients Undergoing Bariatric Surgery

被引:0
作者
Akyol Beyoglu, Cigdem [1 ]
Ozdilek, Aylin [1 ]
Erbabacan, Emre [1 ]
Ekici, Birsel [1 ]
Zengin, Kagan [2 ]
Taskin, Halit Eren [2 ]
Altindas, Fatis [1 ]
Koksal, Guniz [1 ]
机构
[1] Istanbul Univ, Cerrahpasa Med Sch, Dept Anesthesiol & Reanimat, TR-34098 Istanbul, Turkey
[2] Istanbul Univ, Cerrahpasa Med Sch, Dept Gen Surg, Istanbul, Turkey
关键词
bariatric surgery; exercise test; postanesthesia care unit; 6-MINUTE WALK TEST; INTENSIVE-CARE; LUNG-VOLUMES; GAS-EXCHANGE; BODY-MASS; ATELECTASIS; OBESITY; CAPACITY;
D O I
10.1089/bari.2019.0034
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Morbidly obese patients are prone to postoperative respiratory complications, which may result in their admission to the postanesthesia care unit (PACU). In this study, we evaluated how well the 60 m in 60 s walk test predicted the extubation outcomes of morbidly obese patients undergoing laparoscopic bariatric surgery and their need for admission to the PACU. Methods: Two hundred morbidly obese patients undergoing bariatric surgery took the 60 m in 60 s walk test before surgery. Their forced expiratory volume (FEV) values, PaO2 levels, and hemodynamic parameters were measured before and after the walk test and after surgery. Results: Preoperative pre-exercise FEV values were significantly lower compared to postexercise values in patients who were not admitted to PACU (p < 0.001). Preoperative postexercise FEV values were significantly lower compared to pre-exercise values in patients who were admitted to PACU (p < 0.001). Conclusions: The 60 m in 60 s walk test can predict extubation outcomes of morbidly obese patients undergoing laparoscopic bariatric surgery and their need for admission to PACU.
引用
收藏
页码:124 / 130
页数:7
相关论文
共 27 条
  • [1] Association of Anaesthetists of Great Britain and Ireland, 2007, PER OP MAN MORB OBS
  • [2] Brucek PJ, 2003, HEART SURG FORUM, V6, pE107
  • [3] Utilization of intensive care resources in bariatric surgery
    Cendán, JC
    Abu-aouf, D
    Gabrielli, A
    Caruso, LJ
    Rout, WR
    Hocking, MP
    Layon, AJ
    [J]. OBESITY SURGERY, 2005, 15 (09) : 1247 - 1251
  • [4] Reference values for the 6-min walk test in healthy subjects 20-50 years old
    Chetta, Alfredo
    Zanini, Andrea
    Pisi, Giovanna
    Aiello, Marina
    Tzani, Panagiota
    Neri, Margherita
    Olivieri, Dario
    [J]. RESPIRATORY MEDICINE, 2006, 100 (09) : 1573 - 1578
  • [5] Improvement in lung function and functional capacity in morbidly obese women subjected to bariatric surgery
    de Campos, Elaine Cristina
    Peixoto-Souza, Fabiana Sobral
    Alves, Viviane Cristina
    Basso-Vanelli, Renata
    Barbalho-Moulim, Marcela
    Laurino-Neto, Rafael Melillo
    Costa, Dirceu
    [J]. CLINICS, 2018, 73
  • [6] Effect of Weight Loss on Aerobic Capacity in Patients with Severe Obesity Before and After Bariatric Surgery
    Fabris de Souza, Shirley Aparecida
    Faintuch, Joel
    Sant'Anna, Antonio Fernando
    [J]. OBESITY SURGERY, 2010, 20 (07) : 871 - 875
  • [7] Determinants of the need for intensive care and prolonged mechanical ventilation in patients undergoing badatft surgery
    Helling, TS
    Willoughby, TL
    Maxfield, DM
    Ryan, P
    [J]. OBESITY SURGERY, 2004, 14 (08) : 1036 - 1041
  • [8] Predictors of 6-minute walk test results in lean, obese and morbidly obese women
    Hulens, M
    Vansant, G
    Claessens, AL
    Lysens, R
    Muls, E
    [J]. SCANDINAVIAN JOURNAL OF MEDICINE & SCIENCE IN SPORTS, 2003, 13 (02) : 98 - 105
  • [9] The effects of body mass index on lung volumes
    Jones, Richard L.
    Nzekwu, Mary-Magdalene U.
    [J]. CHEST, 2006, 130 (03) : 827 - 833
  • [10] Incidence, Indications, and Predictive Factors for ICU Admission in Elderly, High-Risk Patients Undergoing Laparoscopic Sleeve Gastrectomy
    Khidir, Nesreen
    EL-Matbouly, Moamena
    Al Kuwari, Mohammed
    Gagner, Michel
    Bashah, Moataz
    [J]. OBESITY SURGERY, 2018, 28 (09) : 2603 - 2608