The optimal combination of mechanical ventilator parameters under general anesthesia in obese patients undergoing laparoscopic surgery

Abstract Objective Pulmonary dysfunction after laparoscopic surgery is commonly seen in the high-risk group of obese patients. To reduce or avoid this complication caused by an improper combination of mechanical ventilation parameters, we conducted the following trial of 3 factors with 3 levels of mechanical ventilation, aimed to obtain the low airway pressure with good ventilator effects. Methods Patients were randomly allocated as a sample of cases according to the "30≤weight/height 2 4 ) K=3 repeat, the orthogonal experimental design and analysis table for statistics, testing, and analysis of the factors that affect the respiratory and change at the end of the level of carbon dioxide (P ET CO 2 ), peak airway pressure (PIP), mean airway pressure (Pmean), and the end of endogenous airway pressure (PEEPi) are of statistical significance. SPSS 13.0 analysis of variance was used for statistically significant test, with P P Results In this study, a total of 27 cases of laparoscopic surgery were allocated in 9 experimental groups under general anesthesia. Patients' vital signs are stable; SPO 2 is 100%. There are different combinations among 3 factors and 3 levels of parameters: (1) the impact on the P ET CO 2 , respiratory frequency (f), and/or VT, choose either level, P P >.05, not statistically significant; (2) the impact of PIP: respiratory frequency (f) change, P P P Conclusion The best combination of respiratory parameters is A3B1C2, that is, f=9beats per minute, VT=8mL/kg, and I:E=1:2.0. That is, neither small tidal volume and faster frequency nor slow frequency large tidal volume is a good choice. To let obese patients under general anesthesia can obtain a lung protective effect of low airway pressure with good ventilation; it is noteworthy that (1) I:E of airway pressure (PIP, Pmean) is the important impact factor for the protection of the lung and (2) I:E of airway pressure (PIP, Pmean) is the factor with opposite properties.