| Comparison of the effects of carbon dioxide and helium pneumoperitoneum on renal function. | |
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MedLine Citation:
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PMID: 18419332 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND PURPOSE: Carbon dioxide pneumoperitoneum is associated with significant hypercarbia and acidosis. The aim of this study is to evaluate the effects of carbon dioxide and helium pneumoperitoneum on renal function. MATERIALS AND METHODS: Thirty adult dogs were put randomly into one of three groups (n=10 animals each): group A--pneumoperitoneum not performed; group B--CO(2) pneumoperitoneum; and group C--helium pneumoperitoneum. The groups were analyzed with consideration given to body weight, hematologic values, hemodynamic parameters (heart rate, mean arterial pressure, central venous pressure, cardiac output, stroke volume, systemic vascular resistance, pulmonary vascular resistance, left cardiac work index, cardiac index, mean pulmonary artery pressure, and pulmonary capillary wedge pressure), and renal function (plasma renin activity, urinary output, creatinine clearance, and sodium excretory fraction). RESULTS: An accentuated decrease in urinary output was observed during pneumoperitoneum in groups B and C compared to the control group. In groups B and C, creatinine clearance declined significantly during pneumoperitoneum in comparison to group A, but after deflation a faster recovery of glomerular filtration was noticed for group C, and a significant increase in sodium excretory fraction was seen for group B. On the other hand, in comparison to the control group, group B had a significant increase in plasma renin activity, with late recovery of glomerular function. CONCLUSION: Helium ameliorates renal alterations when used for pneumoperitoneum, and it might be used for patients with compromised renal function who have to undergo laparoscopic surgery. |
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Authors:
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Murilo Carmona; Roberto Iglesias Lopes; Marcelo Borba; Maurício Omokawa; Rafael Naufal; Karina Miyaji; Norio Matsumura; Newton Vieira; Paulo Roberto Bueno Pereira |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of endourology / Endourological Society Volume: 22 ISSN: 0892-7790 ISO Abbreviation: J. Endourol. Publication Date: 2008 May |
Date Detail:
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Created Date: 2008-07-22 Completed Date: 2008-08-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8807503 Medline TA: J Endourol Country: United States |
Other Details:
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Languages: eng Pagination: 1077-82 Citation Subset: IM |
Affiliation:
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Department of Surgery, University of São Paulo Medical School, São Paulo, Brazil. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Animals Blood Pressure Carbon Dioxide* Cardiac Output Creatinine / urine Dogs Glomerular Filtration Rate Helium* Hydrogen-Ion Concentration Pneumoperitoneum, Artificial* Random Allocation Renin / blood Sodium / urine Urine |
| Chemical | |
Reg. No./Substance:
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124-38-9/Carbon Dioxide; 60-27-5/Creatinine; 7440-23-5/Sodium; 7440-59-7/Helium; EC 3.4.23.15/Renin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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