Pulmonary recruitment maneuver reduces pain after laparoscopic bariatric surgery: a randomized controlled clinical trial Ebba Kihlstedt Pasquier, M.D.,

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Pulmonary recruitment maneuver reduces pain after laparoscopic bariatric surgery: a randomized controlled clinical trial Ebba Kihlstedt Pasquier, M.D., Ellen Andersson, M.D., Ph.D. Surgery for Obesity and Related Diseases Volume 14, Issue 3, Pages 386-392 (March 2018) DOI: 10.1016/j.soard.2017.11.017 Copyright © 2018 American Society for Bariatric Surgery Terms and Conditions

Surgery for Obesity and Related Diseases 2018 14, 386-392DOI: (10 Surgery for Obesity and Related Diseases 2018 14, 386-392DOI: (10.1016/j.soard.2017.11.017) Copyright © 2018 American Society for Bariatric Surgery Terms and Conditions

Fig. 1 Protocol for pulmonary recruitment maneuver (PRM) during anesthesia. O2 = oxygen; Fi = fraction of inspired; Sev = sevoflurane. Surgery for Obesity and Related Diseases 2018 14, 386-392DOI: (10.1016/j.soard.2017.11.017) Copyright © 2018 American Society for Bariatric Surgery Terms and Conditions

Fig. 2 Flow chart of inclusion, exclusion, and group allocation. PRM = pulmonary recruitment maneuver; ASA = American society of anesthesiologists physical status. Surgery for Obesity and Related Diseases 2018 14, 386-392DOI: (10.1016/j.soard.2017.11.017) Copyright © 2018 American Society for Bariatric Surgery Terms and Conditions

Fig. 3 Development of pain intensity over the first 48 hours after surgery. Mean NRS score differed significantly between the groups 24 hours after surgery (2.28 ± 1.65 in the PRM group versus 3.31 ± 2.09 in the control group; P = .002). PRM = pulmonary recruitment maneuver; NRS = numeric rating scale. Surgery for Obesity and Related Diseases 2018 14, 386-392DOI: (10.1016/j.soard.2017.11.017) Copyright © 2018 American Society for Bariatric Surgery Terms and Conditions