Document Detail


Cardiorespiratory changes in children during laparoscopy.
MedLine Citation:
PMID:  7722824     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors prospectively examined the cardiorespiratory changes during brief laparoscopy (less than 15 minutes) in children. Intraoperative ventilatory management included a tidal volume of 12 mL/kg, with the rate adjusted to achieve an end-tidal CO2 (PETCO2) of 30 to 35 mm Hg. The initial rate and tidal volume were not changed during the procedure. Baseline measurements of heart rate, blood pressure, peak inflating pressure (PIP), PETCO2, and oxygen saturation were recorded every minute for 5 minutes before the start of the laparoscopic procedure, and every minute during the laparoscopic procedure. Fifty-five patients were enrolled in the study (age range, 1 month to 7 years; weight range, 5.2 to 31 kg). PIP increased from the baseline value of 20 +/- 2.5 to 23 +/- 3.2 cm H2O (P < .01) during laparoscopy. The increase in PIP was 5 or more in six patients, with a maximum of 7. PETCO2 increased from the baseline value of 32 +/- 3.1 to 35 +/- 4.8 mm Hg (P < .01). The PETCO2 returned to baseline within 10 minutes after completion of the laparoscopy. No increase in ventilatory parameters was required during the brief laparoscopic procedure.
Authors:
J D Tobias; G W Holcomb; J W Brock; J K Deshpande; S Lowe; W M Morgan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  30     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1995 Jan 
Date Detail:
Created Date:  1995-05-22     Completed Date:  1995-05-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  33-6     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Vanderbilt University, Medical Center N T-0118, Nashville, TN 37232.
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MeSH Terms
Descriptor/Qualifier:
Blood Pressure / physiology
Child
Child, Preschool
Heart Rate / physiology
Hernia, Inguinal / metabolism,  physiopathology,  surgery*
Humans
Infant
Laparoscopy*
Monitoring, Intraoperative*
Oxygen Consumption / physiology
Prospective Studies
Pulmonary Gas Exchange / physiology
Tidal Volume / physiology
Time Factors
Comments/Corrections
Comment In:
J Pediatr Surg. 1996 Oct;31(10):1465-6   [PMID:  8906695 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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