| Autor: |
Mazumdar, Arabinda, Mazumdar, Ashis, Halder, Abhijit, Nath, Mainak |
| Předmět: |
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| Zdroj: |
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2023, Vol. 14 Issue 6, p1417-1423, 7p |
| Abstrakt: |
Introduction: During laparoscopic surgery, Carbondioxide pneumoperitoneum is created resulting in hypercarbia which has complex effects on various systems of our body. Cholecystectomy, appendectomy, colectomy, Roux-en-Y gastric bypass, sleeve gastrectomy, and hysterectomy are some of the most common surgical procedures done using laparoscopic surgery each year in the United States. Laparoscopic surgery has a low overall mortality rate, 0.3% to 1.8%, however it's usual practise to evaluate the risk of perioperative cardiovascular events during preoperative consultation. Aims: To assess the effects of pneumoperitoneum on arterial and end tidal carbondioxide pressure gradient during laparoscopic surgery in adults. Materials and Methods: The present study was an Observational study. This Study was conducted from February 2021-March 2023 at Dept. of anesthesiologist. Total 60 patients were included in this study. Results: Our study demonstrates that the intra-abdominal pressure of 12 mmHg maintained for laparoscopic surgery induces hemodynamic changes characterized by increase in heart rate, mean arterial blood pressure, peripheral vascular resistance. Conclusion: We have shown that abdominal carbon dioxide insufflation during laparoscopic cholecystectomy or appendicectomy generates increases in ETCO2 and PaCO 2 that are considerably larger than preinsufflation values but still within physiological range. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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