FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2073559507> ?p ?o ?g. }

• W2073559507 abstract "To the Editor, In a randomized controlled trial in morbidly obese patients undergoing bariatric surgery, Wong et al. compared the Boussignac continuous positive airway pressure (CPAP) mask with a venturi mask and showed that the Boussignac CPAP mask can improve early postoperative oxygenation as measured by the PaO2/FIO2 ratio. These results make a valuable contribution to the treatment of postoperative respiratory insufficiency following bariatric surgery, which is a major concern for morbidly obese patients. However, in our view, there are two issues related to this study that warrant cautious interpretation of the results. First, the patient position during the early postoperative period is not clearly documented. Considering the potentially deleterious effects of supine positioning on pulmonary function in morbidly obese patients, these patients are more optimally managed in a non-supine position. During the first 48 postoperative hours after abdominal surgery, it has been shown that arterial oxygenation in morbidly obese patients is better maintained in the semi-recumbent position rather than in the supine position. Furthermore, morbidly obese patients placed in a reverse Trendelenburg position have improved pulmonary compliance and increased functional residual capacity, which improves oxygenation relative to the supine position. In our view, an important variable to consider is whether Wong et al. maintained identical positioning in all patients when evaluating the effects of the two respiratory treatments on postoperative pulmonary function. Second, although pain scores were reported to have been similar in the two groups at all time points, the article did not specify the postoperative analgesic protocol used in the two groups. This makes it difficult to assess whether all patients were ensured adequate postoperative analgesia. Following bariatric surgery, pain is recognized as being the most frequent postoperative problem, even for surgery that is performed laparoscopically. Inadequate postoperative analgesia results in splinting with rapid and shallow breathing. Furthermore, in morbidly obese patients, intensity of postoperative pain influences the extent of postoperative atelectasis 24 hr after tracheal extubation. Thus, ensuring optimal analgesia for morbidly obese patients in the postoperative period is of great importance, not only for patient comfort but also for improvement of pulmonary function and a reduction in the risk of respiratory complications. We recognize that providing optimal postoperative pain relief for morbidly obese patients remains a major challenge for modern anesthetic practice. For example, use of opioids is often inevitable to achieve satisfactory postoperative pain control, especially when regional anesthetic techniques are either difficult or impossible for anatomical reasons. Morbidly obese patients are at a very high risk for postoperative exacerbation of respiratory depression, with further depression with the administration of opioids. For this reason, standardization of the postoperative analgesic protocol should be an important element of the study design when evaluating effects of different treatments on He Ping Liu and Fu Shan Xue contributed equally to this work." @default.
• W2073559507 created "2016-06-24" @default.
• W2073559507 creator A5001390624 @default.
• W2073559507 creator A5043314662 @default.
• W2073559507 creator A5044596028 @default.
• W2073559507 creator A5086105416 @default.
• W2073559507 creator A5086747395 @default.
• W2073559507 date "2011-07-12" @default.
• W2073559507 modified "2023-10-10" @default.
• W2073559507 title "Use of a BoussignacTM continuous positive airway pressure mask to improve postoperative pulmonary function in morbidly obese patients" @default.
• W2073559507 cites W2030756480 @default.
• W2073559507 cites W2080307279 @default.
• W2073559507 cites W2091837341 @default.
• W2073559507 cites W42316583 @default.
• W2073559507 doi "https://doi.org/10.1007/s12630-011-9553-z" @default.
• W2073559507 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/21748663" @default.
• W2073559507 hasPublicationYear "2011" @default.
• W2073559507 type Work @default.
• W2073559507 sameAs 2073559507 @default.
• W2073559507 citedByCount "0" @default.
• W2073559507 crossrefType "journal-article" @default.
• W2073559507 hasAuthorship W2073559507A5001390624 @default.
• W2073559507 hasAuthorship W2073559507A5043314662 @default.
• W2073559507 hasAuthorship W2073559507A5044596028 @default.
• W2073559507 hasAuthorship W2073559507A5086105416 @default.
• W2073559507 hasAuthorship W2073559507A5086747395 @default.
• W2073559507 hasBestOaLocation W20735595071 @default.
• W2073559507 hasConcept C125567185 @default.
• W2073559507 hasConcept C126322002 @default.
• W2073559507 hasConcept C141071460 @default.
• W2073559507 hasConcept C2776006263 @default.
• W2073559507 hasConcept C2779547634 @default.
• W2073559507 hasConcept C2910368630 @default.
• W2073559507 hasConcept C3019948525 @default.
• W2073559507 hasConcept C42219234 @default.
• W2073559507 hasConcept C511355011 @default.
• W2073559507 hasConcept C544821477 @default.
• W2073559507 hasConcept C70289976 @default.
• W2073559507 hasConcept C71924100 @default.
• W2073559507 hasConcept C75603125 @default.
• W2073559507 hasConceptScore W2073559507C125567185 @default.
• W2073559507 hasConceptScore W2073559507C126322002 @default.
• W2073559507 hasConceptScore W2073559507C141071460 @default.
• W2073559507 hasConceptScore W2073559507C2776006263 @default.
• W2073559507 hasConceptScore W2073559507C2779547634 @default.
• W2073559507 hasConceptScore W2073559507C2910368630 @default.
• W2073559507 hasConceptScore W2073559507C3019948525 @default.
• W2073559507 hasConceptScore W2073559507C42219234 @default.
• W2073559507 hasConceptScore W2073559507C511355011 @default.
• W2073559507 hasConceptScore W2073559507C544821477 @default.
• W2073559507 hasConceptScore W2073559507C70289976 @default.
• W2073559507 hasConceptScore W2073559507C71924100 @default.
• W2073559507 hasConceptScore W2073559507C75603125 @default.
• W2073559507 hasLocation W20735595071 @default.
• W2073559507 hasLocation W20735595072 @default.
• W2073559507 hasOpenAccess W2073559507 @default.
• W2073559507 hasPrimaryLocation W20735595071 @default.
• W2073559507 hasRelatedWork W1534448335 @default.
• W2073559507 hasRelatedWork W155154058 @default.
• W2073559507 hasRelatedWork W1596571103 @default.
• W2073559507 hasRelatedWork W1980876094 @default.
• W2073559507 hasRelatedWork W199890449 @default.
• W2073559507 hasRelatedWork W2022318893 @default.
• W2073559507 hasRelatedWork W2028557386 @default.
• W2073559507 hasRelatedWork W2032741004 @default.
• W2073559507 hasRelatedWork W2055340839 @default.
• W2073559507 hasRelatedWork W2304218306 @default.
• W2073559507 hasRelatedWork W2397043881 @default.
• W2073559507 hasRelatedWork W2586896504 @default.
• W2073559507 hasRelatedWork W2592649268 @default.
• W2073559507 hasRelatedWork W2780202380 @default.
• W2073559507 hasRelatedWork W2783938841 @default.
• W2073559507 hasRelatedWork W3005751425 @default.
• W2073559507 hasRelatedWork W3136519149 @default.
• W2073559507 hasRelatedWork W3165725126 @default.
• W2073559507 hasRelatedWork W1891145248 @default.
• W2073559507 hasRelatedWork W3120633136 @default.
• W2073559507 isParatext "false" @default.
• W2073559507 isRetracted "false" @default.
• W2073559507 magId "2073559507" @default.
• W2073559507 workType "article" @default.