Efeitos da insuflação de dióxido de carbono sobre a oxigenação cerebral regional durante cirurgia laparoscópica em crianças: um estudo prospectivo
| Autor: | Taş Tuna, Ayça, Ibrahim Akkoyun, Sevtap Darcin, Onur Palabiyik, Palabıyık, Onur |
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| Přispěvatelé: | Tuna, AT, Akkoyun, I, Darcin, S, Palabiyik, O, Sakarya Üniversitesi/Tıp Fakültesi/Cerrahi Tıp Bilimleri Bölümü, Taş Tuna, Ayça, Palabıyık, Onur |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
Laparoscopic surgery medicine.medical_specialty medicine.medical_treatment Carbon dioxide insufflation Laparoscopia lcsh:RD78.3-87.3 03 medical and health sciences 0302 clinical medicine Cerebral oxygenation Anesthesiology 030202 anesthesiology Insuflação de dióxido de carbono medicine Humans Pediatric anesthesia Prospective Studies Child Gynecology Spectroscopy Near-Infrared business.industry Brain Anestesia pediátrica Insufflation General Medicine Carbon Dioxide Surgery Oxigênio cerebral regional Oxygen Regional cerebral oxygen lcsh:Anesthesiology Female 030211 gastroenterology & hepatology Laparoscopy business Pneumoperitoneum Artificial |
| Zdroj: | Revista Brasileira de Anestesiologia, Vol 66, Iss 3, Pp 249-253 (2016) Revista Brasileira de Anestesiologia v.66 n.3 2016 Revista Brasileira de Anestesiologia Sociedade Brasileira de Anestesiologia (SBA) instacron:SBA Revista Brasileira de Anestesiologia, Volume: 66, Issue: 3, Pages: 249-253, Published: JUN 2016 Brazilian Journal of Anesthesiology, Vol 66, Iss 3, Pp 249-253 (2016) |
| Popis: | Background and objectives: Laparoscopic surgery has become a popular surgical tool when compared to traditional open surgery. There are limited data on pediatric patients regarding whether pneumoperitoneum affects cerebral oxygenation although end-tidal CO2 concentration remains normal. Therefore, this study was designed to evaluate the changes of cerebral oxygen saturation using near-infrared spectroscope during laparoscopic surgery in children. Methods: The study comprised forty children who were scheduled for laparoscopic (Group L, n = 20) or open (Group O, n = 20) appendectomy. Hemodynamic variables, right and left regional cerebral oxygen saturation (RrSO2 and LrSO2), fraction of inspired oxygen, end-tidal carbon dioxide pressure (PETCO2), peak inspiratory pressure (Ppeak), respiratory minute volume, inspiratory and end-tidal concentrations of sevoflurane and body temperature were recorded. All parameters were recorded after anesthesia induction and before start of surgery (T0, baseline), 15 min after start of surgery (T1), 30 min after start of surgery (T2), 45 min after start of surgery (T3), 60 min after start of surgery (T4) and end of the surgery (T5). Results: There were progressive decreases in both RrSO2 and LrSO2 levels in both groups, which were not statistically significant at T1, T2, T3, T4. The RrSO2 levels of Group L at T5 were significantly lower than that of Group O. One patient in Group L had an rSO2 value |
| Databáze: | OpenAIRE |
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