| Cardiorespiratory effects of laparoscopy with and without gas insufflation. | |
| | |
MedLine Citation:
|
PMID: 7661685 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Patients who are undergoing laparoscopic procedures can present with a number of ventilatory and circulatory problems. The use of a gasless technique for performing a laparoscopy by using a mechanical lifting device may potentially avoid such problems. OBJECTIVE: To compare the cardiorespiratory effects of laparoscopy with and without gas insufflation. METHODS: Twelve adult pigs were randomized to undergo a laparoscopy by using either carbon dioxide insufflation or mechanical elevation. Full invasive monitoring was performed preoperatively and at 10-minute intervals throughout the operative period. Parameters that were measured included blood gas determinations, mean arterial pressure, pulmonary arterial pressure, pulmonary capillary wedge pressure, central venous pressure, cardiac output, stroke volume, and total peripheral resistance. RESULTS: Carbon dioxide insufflation unlike mechanical elevation led to a fall in PO2 and absorption of a significant quantity of CO2, resulting in hypercapnia, acidosis, and a consequent hyperdynamic circulation. CONCLUSION: These findings have significant implications for the use of CO2 insufflation for laparoscopy in patients with a compromised respiratory or cardiac status. |
| | |
Authors:
|
J P McDermott; M C Regan; R Page; M A Stokes; K Barry; D C Moriarty; P F Caushaj; J M Fitzpatrick; T F Gorey |
Related Documents
:
|
7111865 - Ventilatory response of humans to chronic contraceptive pill administration. 670035 - Carbon dioxide--a major determinant of collateral ventilation. 11043915 - Gastric tonometry and intramucosal ph--theoretical principles and clinical application. 7044185 - The role of conducting airways in gas exchange during high-frequency ventilation--a cli... 16791665 - Cardiac response is greater for colloid than saline fluid loading after cardiac or vasc... 619705 - Hemodynamics of increased intra-abdominal pressure: interaction with hypovolemia and ha... |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Archives of surgery (Chicago, Ill. : 1960) Volume: 130 ISSN: 0004-0010 ISO Abbreviation: Arch Surg Publication Date: 1995 Sep |
Date Detail:
|
Created Date: 1995-10-05 Completed Date: 1995-10-05 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 9716528 Medline TA: Arch Surg Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 984-8 Citation Subset: AIM; IM |
Affiliation:
|
Medical Center of Central Massachusetts, Worcester, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Animals Hemodynamics* Laparoscopy / methods* Pneumoperitoneum, Artificial* Pulmonary Gas Exchange* Random Allocation Swine Ventilation-Perfusion Ratio |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Abnormal rectal mucosa of the anal transitional zone in ulcerative colitis.
Next Document: Surgical antibiotic prophylaxis and Clostridium difficile toxin positivity.