Open AccessComparison of the effects of different positive end-expiratory pressure levels on respiratory mechanics and oxygenation in laparoscopic surgery
Author(s) -
Min Wang,
Nan Geng,
Ya Gao,
Yan Zhang,
Yingbin Wang,
Xiping Shen,
Jinhui Tian,
Bo Wang
Publication year - 2018
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000013396
Subject(s) - medicine , atelectasis , positive end expiratory pressure , cochrane library , randomized controlled trial , respiratory physiology , meta analysis , medline , publication bias , systematic review , anesthesia , intensive care medicine , surgery , mechanical ventilation , respiratory system , lung , political science , law
Background: Several studies have observed the good effects of positive end-expiratory pressure (PEEP) application in laparoscopic surgeries, such as counteracted intraoperative atelectasis, improved respiratory mechanics, and gas exchange. However, evidence of systematic comparisons of different PEEP levels is short, and the optimal level of PEEP during laparoscopy remains unknown and controversial. The study aims to compare the effects of different PEEP levels on respiratory mechanics and oxygenation in laparoscopic surgery using network meta-analyses. Methods: To identify relevant studies, a systematic search will be conducted among electronic databases, including PubMed, Cochrane Library, EMBASE, and Web of Science. We will include randomized controlled trials (RCTs). The risk of bias in the included RCTs will be assessed using the Cochrane bias risk tool. Network meta-analysis will be performed using STATA 15.0, and R 3.4.1 software. Results: This study is ongoing and the results will be published in a peer-reviewed journal. Conclusion: The results of this study will be sent to clinicians and healthcare providers in the National Health Service, which is expected to help clinicians make more informed treatment decisions and facilitate further research on the use of PEEP during surgery. PROSPERO registration number: CRD42018093537.