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[Effect of mechanical pressure-controled ventilation in patients with disturbed respiratory function during laparoscopic cholecystectomy].

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  • Additional Information
    • Source:
      Publisher: Military Medical Academy, INI Country of Publication: Serbia NLM ID: 21530700R Publication Model: Print Cited Medium: Print ISSN: 0042-8450 (Print) Linking ISSN: 00428450 NLM ISO Abbreviation: Vojnosanit Pregl Subsets: MEDLINE
    • Publication Information:
      Publication: <2013>- : Belgrade, Serbia : Military Medical Academy, INI
      Original Publication: Beograd : Institut Vojnomedicinski Dokumentaciju
    • Subject Terms:
      Cholecystectomy, Laparoscopic* ; Intermittent Positive-Pressure Ventilation*; Intraoperative Complications/*therapy ; Respiration Disorders/*therapy; Intraoperative Complications/etiology ; Respiration Disorders/etiology ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Respiration, Artificial
    • Abstract:
      Background/aim: Laparoscopic cholecystectomy is considered to be the gold standard for laparoscopic surgical procedures. In ASA III patients with concomitant respiratory diseases, however, creation of pneumoperitoneum and the position of patients during surgery exert additional negative effect on intraoperative respiratory function, thus making a higher challenge for the anesthesiologist than for the surgeon. The aim of this study was to compare the effect of intermittent positive pressure ventilation (IPPV) and pressure controlled ventilation (PCV) during general anesthesia on respiratory function in ASA III patients submitted to laparoscopic cholecystectomy.
      Methods: The study included 60 patients randomized into two groups depending on the mode of ventilation: IPPV or PCV. Respiratory volume (VT), peak inspiratory pressure (PIP), compliance (C), end-tidal CO2 pressure (PETCO2), oxygen saturation (SpO2), partial pressures of O2, CO2 (PaO2 and PaCO2) and pH of arterial blood were recorded within four time intervals.
      Results: There were no statistically significant differences in VT, SpO2, PaO2, PaCO2 and pH values neither within nor between the two groups. In time interval t1 there were no statistically significant differences in PIP, C, PETCO2 values between the IPPV and the PCV group. But, in the next three time intervals there was a difference in PIP, C, and PETCO2 values between the two groups which ranged from statistically significant to highly significant; PIP was lower, C and PETCO2 were higher in the PCV group.
      Conclusion: Pressure controlled ventilation better maintains stability regarding intraoperative ventilatory parameters in ASA III patients with concomitant respiratory diseases during laparoscopic cholecystectomy.
    • Publication Date:
      Date Created: 20130214 Date Completed: 20130402 Latest Revision: 20190918
    • Publication Date:
      20260130
    • Accession Number:
      10.2298/vsp1301009s
    • Accession Number:
      23401923