None listed
Conditions
Brief summary
– This study has evaluated the effect of noninvasive ventilation with bi-level positive airway pressure (BiPAP) on the lung function, incidence of post-operatory lung complications and development of post-operatory anastomotic disruption in morbid obese patients that underwent a Roux-en-Y gastric bypass procedure (RYGB). The BiPAP on the postoperatory of the gastroplasty was useful for the improving the oxygenation, do not increase the incidence of postoperative anastomotic disruption .
Interventions
Ventilation with intermittent positive pressure noninvasive (NIPPV) was conducted by non-invasive ventilator synchrony spontaneous-timed (ST) Bilevel pressure (BiPAP), marca registrada, (Respironics, Murrysville, Pennsylvania, USA), in spontaneous-timed mode (ST), with positive inspiratory pressure (IPAP) adjusted 12 cm water, expiratory positive pressure (EPAP ) on 8 cm water, inspiratory time of 0.8 seconds, the respiratory rate of 08 breaths per minute, the rise time of 1 second, the slope of 0.5 cm water and oxygen flow to 4 L / min. Used as patient-ventilator interface nasal mask with headgear. NIPPV was performed in the first four hours of post-operative period immediately after extubation in recovery room
Sponsors
Study design
Eligibility
Inclusion criteria
Patients with the body mass index of at least 40 kg/ m2, that underwent the RYGB
Exclusion criteria
Patients with severe or chronic lung diseases and those whom received invasive mechanical ventilation in the post-operatory