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Publication Name World Journal of Gastrointestinal Surgery
Manuscript ID 83405
Country China
Category Anesthesiology
Manuscript Type Observational Study
Article Title Incidence, characteristics and risk factors for alveolar recruitment maneuver-related hypotension in patients undergoing laparoscopic colorectal cancer resection
Manuscript Source Unsolicited Manuscript
All Author List Nan-Rong Zhang, Zhi-Nan Zheng, Kai Wang and Hong Li
Funding Agency and Grant Number
Funding Agency Grant Number
the Medical Scientific Research Foundation of Guangdong Province A2017045
Corresponding Author Hong Li, MD, PhD, Doctor, Researcher, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, The Sixth Affiliated Hospital, Sun Yat-sen University, No. 26 Yuancun Erheng Road, Guangzhou 510655, Guangdong Province, China. lihong36@mail.sysu.edu.cn
Key Words Alveolar recruitment maneuvers; Hypotension; Laparoscopic colorectal cancer resection
Core Tip Alveolar recruitment maneuvers (ARMs) may lead to transient hypotension, but clinical characteristics of this hypotension are poorly understood. In the present study, we investigated characteristics of ARM-related hypotension in 140 patients undergoing laparoscopic colorectal cancer resection. The primary endpoint was an ARM-related hypotension. Risk factors for the hypotension were identified. When ARM was repeated intraoperatively, a quarter of subjects developed ARM-related hypotension, but only 3.61% of all the ARMs induced hypotension. ARM-related hypotension events most occurred at a hemodynamic instability or hypovolemic state,and in elderly subjects. Encouragingly, ARMs under pneumoperitoneum conditions had less impact on blood pressure.
Citation Zhang NR, Zheng ZN, Wang K, Li H. Incidence, characteristics and risk factors for alveolar recruitment maneuver-related hypotension in patients undergoing laparoscopic colorectal cancer resection. World J Gastrointest Surg 2023; 15(7): 1454-1464
Received
2023-01-30 10:42
Peer-Review Started
2023-01-30 10:44
To Make the First Decision
Return for Revision
2023-04-20 01:08
Revised
2023-05-09 10:33
Second Decision
2023-05-31 03:07
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief
2023-05-31 20:06
Articles in Press
2023-05-31 20:06
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript
2023-06-29 02:39
ISSN 1948-9366 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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