Preoperative Continuous Positive Airway Pressure Versus Incentive Spirometer in Morbidly Obese Patients Undergoing Bariatric Surgeries: Randomized Comparative Study
Salama, D., El Sarraf, W., Hashish, M., Hegazy, M. (2022). Preoperative Continuous Positive Airway Pressure Versus Incentive Spirometer in Morbidly Obese Patients Undergoing Bariatric Surgeries: Randomized Comparative Study. EKB Journal Management System, 88(1), 3523-3530. doi: 10.21608/ejhm.2022.248832
Dema Alaa Salama; Waleed Mohammed El Sarraf; Mona Abdelgalil Hashish; Mohammed Adel Hegazy. "Preoperative Continuous Positive Airway Pressure Versus Incentive Spirometer in Morbidly Obese Patients Undergoing Bariatric Surgeries: Randomized Comparative Study". EKB Journal Management System, 88, 1, 2022, 3523-3530. doi: 10.21608/ejhm.2022.248832
Salama, D., El Sarraf, W., Hashish, M., Hegazy, M. (2022). 'Preoperative Continuous Positive Airway Pressure Versus Incentive Spirometer in Morbidly Obese Patients Undergoing Bariatric Surgeries: Randomized Comparative Study', EKB Journal Management System, 88(1), pp. 3523-3530. doi: 10.21608/ejhm.2022.248832
Salama, D., El Sarraf, W., Hashish, M., Hegazy, M. Preoperative Continuous Positive Airway Pressure Versus Incentive Spirometer in Morbidly Obese Patients Undergoing Bariatric Surgeries: Randomized Comparative Study. EKB Journal Management System, 2022; 88(1): 3523-3530. doi: 10.21608/ejhm.2022.248832

Preoperative Continuous Positive Airway Pressure Versus Incentive Spirometer in Morbidly Obese Patients Undergoing Bariatric Surgeries: Randomized Comparative Study

The Egyptian Journal of Hospital Medicine
Article 199, Volume 88, Issue 1, July 2022, Page 3523-3530  XML PDF (541.87 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2022.248832
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Authors
Dema Alaa Salama; Waleed Mohammed El Sarraf; Mona Abdelgalil Hashish; Mohammed Adel Hegazy email
Department of anesthesia and intensive care, faculty of medicine, Mansoura university
Abstract
Background: Morbidly obese patients have high risk to develop postoperative pulmonary complications, 80% of them have obstructive sleep apnea and obesity hypoventilation syndrome. Patients with sleep breathing issues often use continuous positive airway pressure (CPAP) machines, which employ mild air pressure to keep the airways open. Incentive spirometry encourages cases to take slow, deep breaths, triggering natural sighs.
Aim: to compare preoperative CPAP and incentive spirometer on postoperative pulmonary complications incidence in morbidly obese cases post laparoscopic bariatric surgeries.
Patients and method: 52 morbidly obese patients underwent general anesthesia for laparoscopic bariatric surgery were randomly allocated either received CPAP or incentive spirometry before the day of surgery, patients were assessed for postoperative pulmonary complications, changes in pulmonary function, lung mechanics and postoperative hypoxia incidence.
Results: there was no significant change among both groups in the context of postoperative respiratory complications: atelectasis was the most common complications (61.5% and 46.2% in CPAP and spirometry respectively). Better postoperative pulmonary function profile and lung mechanics was noted in spirometry group.
Conclusion: Preoperative application of CPAP and incentive spirometer have comparable result as regard incidence of postoperative pulmonary complications. However, incentive spirometer improves intraoperative lung mechanics and postoperative pulmonary functions.
 
Keywords
Bariatric; Continuous positive airway pressure; Incentive spirometry; Pulmonary complications
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