Anesthesiology June 2021 PMID 33843980

Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patients: A Secondary Analysis.

Philipp Simon, Felix Girrbach, David Petroff, Nadja Schliewe, Gunther Hempel, Mirko Lange, Thomas Bluth, Marcelo Gama de Abreu, Alessandro Beda, Marcus J Schultz, Paolo Pelosi, Andreas W Reske, Hermann Wrigge

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Mentions

24
Peak: 10 in May 2021
across 3 sources since Apr 2021

Extended reach

87,672
potential audience

Total likes

47

Video views

492

Mentions per month

Apr 2021 – Feb 2024

Where it's discussed

  • X / Twitter20 posts
  • Facebook3 posts
  • YouTube1 videos

AI synopsis

What people are saying

The analysis reveals a generally positive reception, with remarks on better oxygenation and lung function, such as mentions of 'lower driving pressures' and 'redistribution of ventilation,' indicating an appreciation for the study's clinical relevance. The tone bridges technical detail and practical significance, reflecting moderate enthusiasm for the potential shift toward individualized PEEP in surgical care.

AgreementStrong agreement

Most discussions strongly support the study’s findings, highlighting improved oxygenation and ventilation with individualized PEEP.

InterestModerate interest

Participants demonstrate moderate interest, discussing technical aspects like lower driving pressures and lung redistribution.

EngagementModerate engagement

The responses show a reasonable level of engagement, referencing specific measures and implications, but don't delve into detailed critiques.

ImpactModerate impact

The posts suggest the research could influence clinical practices by emphasizing personalized ventilation strategies.

Abstract in brief

  • The study compares individualized PEEP, tailored to each patient, with fixed PEEP levels (4 and 12 cm H2O) in improving oxygenation and ventilation in obese patients under general anesthesia, especially during laparoscopic surgery.
  • Results showed that patients with individualized PEEP had significantly better oxygenation (higher Pao2) before extubation compared to those with fixed PEEP levels, indicating that customizing PEEP improves intraoperative lung function.
  • Secondary measures, such as how air was distributed in the lungs and the pressures needed for ventilation, also favored individualized PEEP, suggesting it could be more effective in managing atelectasis and optimizing ventilation in obese surgical patients.]

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Anesthesiology Journals
@_Anesthesiology · X

Secondary analysis of obese patients undergoing laparoscopic surgery found better oxygenation, lower driving pressures, and redistribution of ventilation toward dependent lung areas measured by electrical impedance tomography using individualized PEEP. https://t.co/fS21E8JHt4 https://t.co/GvHgcvPSDq

Apr 13, 2021 · 20 likes · 8 shares · 38,242 followers View post →
Anesthesiology Journals
@_Anesthesiology · X

Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patients: A Secondary Analysis https://t.co/9eV2SFDrEX https://t.co/lHrA5Aymc1

May 20, 2021 · 20 likes · 14 shares · 38,242 followers View post →
Vladimir Bagin
@bagin_vladimir · X

Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patients: A Secondary Analysis | Anesthesiology | American Society of Anesthesiologists https://t.co/b5BjDOdbwh

Apr 26, 2021 · 1 like · 145 followers View post →
Rita “Proudly Vaccinated” Agarwal MD
@Ritaagarwal6 · X

RT @_Anesthesiology: Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patien…

Jun 25, 2021 · 14 shares · 2,475 followers View post →
Alfredo Abad Gurumeta
@AbadGurumeta · X

RT @_Anesthesiology: Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patien…

Jun 1, 2021 · 14 shares · 1,362 followers View post →
Allan F. Simpao, MD, MBI
@asimpao · X

RT @_Anesthesiology: Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patien…

May 20, 2021 · 14 shares · 1,262 followers View post →

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Feb 25, 2024 · 113 followers View post →
Rita “Proudly Vaccinated” Agarwal MD
@Ritaagarwal6 · X

RT @_Anesthesiology: Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patien…

Jun 25, 2021 · 14 shares · 2,475 followers View post →
Alfredo Abad Gurumeta
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RT @_Anesthesiology: Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patien…

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Rosario Nayleth Zambrano P
@RosarioNayleth · X

RT @_Anesthesiology: Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patien…

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Adrover Alejo
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RT @_Anesthesiology: Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patien…

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Besnier Emmanuel -MD PhD
@BesnierEmmanue3 · X

RT @_Anesthesiology: Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patien…

May 21, 2021 · 14 shares · 121 followers View post →
Giovanni Agudelo Cortes
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RT @_Anesthesiology: Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patien…

May 21, 2021 · 14 shares · 39 followers View post →
Marcelo Ramalho
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May 20, 2021 · 14 shares · 351 followers View post →
DASAIM
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RT @_Anesthesiology: Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patien…

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ana bernardino
@ana_bernardino · X

RT @_Anesthesiology: Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patien…

May 20, 2021 · 14 shares · 9 followers View post →
Allan F. Simpao, MD, MBI
@asimpao · X

RT @_Anesthesiology: Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patien…

May 20, 2021 · 14 shares · 1,262 followers View post →
Anesthesiology Journals
@_Anesthesiology · X

Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patients: A Secondary Analysis https://t.co/9eV2SFDrEX https://t.co/lHrA5Aymc1

May 20, 2021 · 20 likes · 14 shares · 38,242 followers View post →
Vladimir Bagin
@bagin_vladimir · X

Individualized versus Fixed Positive End-expiratory Pressure for Intraoperative Mechanical Ventilation in Obese Patients: A Secondary Analysis | Anesthesiology | American Society of Anesthesiologists https://t.co/b5BjDOdbwh

Apr 26, 2021 · 1 like · 145 followers View post →
CINDOLORJVTorres
@CINDOLORJV · X

RT @_Anesthesiology: Secondary analysis of obese patients undergoing laparoscopic surgery found better oxygenation, lower driving pressures…

Apr 14, 2021 · 8 shares · 82 followers View post →
ICU Charts - Prof Maria Vargas
@ICUCharts · X

RT @_Anesthesiology: Secondary analysis of obese patients undergoing laparoscopic surgery found better oxygenation, lower driving pressures…

Apr 14, 2021 · 8 shares · 1,156 followers View post →
Allan F. Simpao, MD, MBI
@asimpao · X

RT @_Anesthesiology: Secondary analysis of obese patients undergoing laparoscopic surgery found better oxygenation, lower driving pressures…

Apr 13, 2021 · 8 shares · 1,262 followers View post →
Crystian Borrero Cortés
@crystian_bc · X

RT @_Anesthesiology: Secondary analysis of obese patients undergoing laparoscopic surgery found better oxygenation, lower driving pressures…

Apr 13, 2021 · 8 shares · 62 followers View post →
Libert Nicolas
@dr_Libert_N · X

RT @_Anesthesiology: Secondary analysis of obese patients undergoing laparoscopic surgery found better oxygenation, lower driving pressures…

Apr 13, 2021 · 8 shares · 55 followers View post →
Matteo Parotto, MD PhD
@MatteoParotto · X

RT @_Anesthesiology: Secondary analysis of obese patients undergoing laparoscopic surgery found better oxygenation, lower driving pressures…

Apr 13, 2021 · 8 shares · 642 followers View post →
Anesthesiology Journals
@_Anesthesiology · X

Secondary analysis of obese patients undergoing laparoscopic surgery found better oxygenation, lower driving pressures, and redistribution of ventilation toward dependent lung areas measured by electrical impedance tomography using individualized PEEP. https://t.co/fS21E8JHt4 https://t.co/GvHgcvPSDq

Apr 13, 2021 · 20 likes · 8 shares · 38,242 followers View post →