Using a Preoperative Exercise Test to Predict Postanesthesia Care Unit Admission in Patients Undergoing Bariatric Surgery


Akyol Beyoglu C., Ozdilek A., Erbabacan E., Ekici B., Zengin K., Taskin H. E., ...More

BARIATRIC SURGICAL PRACTICE AND PATIENT CARE, vol.15, pp.124-130, 2020 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 15
  • Publication Date: 2020
  • Doi Number: 10.1089/bari.2019.0034
  • Journal Name: BARIATRIC SURGICAL PRACTICE AND PATIENT CARE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, EMBASE
  • Page Numbers: pp.124-130
  • Istanbul University Affiliated: Yes

Abstract

Background: Morbidly obese patients are prone to postoperative respiratory complications, which may result in their admission to the postanesthesia care unit (PACU). In this study, we evaluated how well the 60 m in 60 s walk test predicted the extubation outcomes of morbidly obese patients undergoing laparoscopic bariatric surgery and their need for admission to the PACU. Methods: Two hundred morbidly obese patients undergoing bariatric surgery took the 60 m in 60 s walk test before surgery. Their forced expiratory volume (FEV) values, PaO2 levels, and hemodynamic parameters were measured before and after the walk test and after surgery. Results: Preoperative pre-exercise FEV values were significantly lower compared to postexercise values in patients who were not admitted to PACU (p < 0.001). Preoperative postexercise FEV values were significantly lower compared to pre-exercise values in patients who were admitted to PACU (p < 0.001). Conclusions: The 60 m in 60 s walk test can predict extubation outcomes of morbidly obese patients undergoing laparoscopic bariatric surgery and their need for admission to PACU.