Document Detail

Lung compliance during laparoscopic surgery in paediatric patients.
MedLine Citation:
PMID:  9483594     Owner:  NLM     Status:  MEDLINE    
Insufflation of CO2 and positioning of patients induces changes in cardiovascular and respiratory function during laparoscopic procedures. This study was initiated to assess respiratory mechanics such as lung compliance and peak airway pressure (PIP) during laparoscopic surgery in paediatric patients. Ten consecutive patients (age 1-15 years) scheduled for laparoscopic procedure were included in this open prospective single-group study. Anaesthesia was induced and maintained with intravenous infusions of propofol and alfentanil. Vecuronium was administered to maintain muscle relaxation. Head down tilt induced a mean decrease of 17% in lung compliance, which was further decreased by 27% from the baseline during insufflation of intraabdominal CO2 (intraabdominal pressure 12 mmHg). Coincidently, PIP increased by 19% and 32% from the baseline during Trendelenburg position and peritoneal insufflation. Lung compliance and PIP returned to their respective baseline values after removal of CO2 from the peritoneal cavity. Endtidal CO2 increased from a baseline value of 4.3 kPa to 5.4 kPa (33-42 mmHg) during surgery when ventilator settings were not altered. We conclude that insufflation of CO2 induces significant increases in peak airway pressure with simultaneous decreases in lung compliance.
T Manner; R Aantaa; M Alanen
Related Documents :
11727154 - Totally endoscopic nissen fundoplication with a robotic system in a child.
19266234 - The association between central venous pressure, pneumoperitoneum, and venous carbon di...
14598194 - Maximal lactate steady state does not correspond to a complete physiological steady state.
9197304 - Influences of morphine on the ventilatory response to isocapnic hypoxia.
15300554 - Management of ventral hernia after giant exomphalos with external pressure compression ...
18458874 - Helmet ventilation and carbon dioxide rebreathing: effects of adding a leak at the helm...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  8     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  1998  
Date Detail:
Created Date:  1998-04-09     Completed Date:  1998-04-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  FRANCE    
Other Details:
Languages:  eng     Pagination:  25-9     Citation Subset:  IM    
Department of Anaesthesiology, Turku University Hospital, Finland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Airway Resistance
Carbon Dioxide / administration & dosage
Child, Preschool
Head-Down Tilt
Lung Compliance*
Pneumoperitoneum, Artificial
Prospective Studies
Pulmonary Ventilation
Reg. No./Substance:
124-38-9/Carbon Dioxide

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

Previous Document:  Paediatric preoperative teaching: effects at induction and postoperatively.
Next Document:  The effect of nitrous oxide diffusion on laryngeal mask airway cuff inflation in children.