Intra-abdominal pressure effects on porcine thoracic compliance in weightlessness: Implications for physiologic tolerance of laparoscopic surgery in space

Critical Care Medicine

Volumn 37, Issue 2, 2009, Pages 591-597

  Kirkpatrick, Andrew W ^a,b,c   Keaney, Marilyn ^e   Hemmelgarn, Brenda ^d   Zhang, Jianguo ^d   Ball, Chad G ^a   Groleau, Michelle ^e   Tyssen, Michelle ^e   Keyte, Jennifer ^e   Campbell, Mark R ^f   Kmet, Leanne ^c   McBeth, Paul ^a   Broderick, Timothy J ^g  

^a Departments of Surgery   (Canada)

^b UNIVERSITY OF CALGARY   (Canada)

^c Regional Trauma Services   (Canada)

^d FOOTHILLS HOSPITAL   (Canada)

^e UNIVERSITY OF OTTAWA   (Canada)

^f Paris Regional Medical Center   (United States)

^g UNIVERSITY OF CINCINNATI   (United States)

Author keywords

Intra abdominal hypertension; Minimally invasive surgery; Pulmonary compl; Space medicine; Weightlessness

Indexed keywords

ABDOMINAL PRESSURE; ABDOMINAL WALL; AIRWAY PRESSURE; ANIMAL CARE; ANIMAL EXPERIMENT; ARTICLE; ARTIFICIAL VENTILATION; BODY WEIGHT; BREATHING RATE; EXPERIMENTAL PIG; FEMALE; GRAVITY; INTRAABDOMINAL HYPERTENSION; LAPAROSCOPIC SURGERY; LUNG COMPLIANCE; MALE; NONHUMAN; PNEUMOPERITONEUM; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; RESPIRATORY AIRFLOW; SPACE FLIGHT; TIDAL VOLUME; VENTILATOR; WEIGHTLESSNESS;

ABDOMEN; ADAPTATION, PHYSIOLOGICAL; AEROSPACE MEDICINE; ANIMALS; EXTRATERRESTRIAL ENVIRONMENT; FEMALE; LAPAROSCOPY; LUNG COMPLIANCE; MALE; SWINE; THORAX; WEIGHTLESSNESS; WEIGHTLESSNESS SIMULATION;

EID: 67650410447     PISSN: 00903493     EISSN: 15300293     Source Type: Journal    
DOI: 10.1097/CCM.0b013e3181954491     Document Type: Article

References (63)

1. Executive summary. In: Safe Passage: Astronaut care for Exploration Missions. Ball JR, Evans CH (Eds). Washington, DC, National Academy Press, 2001, pp 1-22
2. Kirkpatrick AW, Campbell MR, Broderick T, et al: Extraterrestrial hemorrhage control: Terrestrial developments in technique, technology, and philosophy with applicability to traumatic hemorrhage control during long duration spaceflight. J Am Coll Surg 2005; 200:64-76
3. Charles JB: Bioastronautics critical path roadmap. [Web Page] Feb 2005; Available at: http://bioastroroadmap.nasa.gov/index.jsp. Accessed 21, Jun 2007
4. Emergency and continuing care. In: Safe Passage: Astronaut Care for Exploration Missions. Ball JR, Evans CH, (Eds). Washington, DC, National Academy Press, 2001, pp 117-136
5. Kirkpatrick AW, Nicolaou S, Campbell MR, et al: Percutaneous aspiration of fluid for management of peritonitis in space. Aviat Space Environ Med 2002; 73:925-930
6. Kirkpatrick AW, Campbell MR, Novinkov OL, et al: Blunt trauma and operative care in microgravity: A review of microgravity physiology and surgical investigations with implications for critical care and operative treatment in space. J Am Coll Surg 1997; 184: 441-453
7. Campbell MR: Surgical care in space. Aviat Space Environ Med 1999; 70:181-184
8. Campbell MR: A review of surgical care in space. J Am Coll Surg 2002; 194:802-812
9. Nguyen NT, Goldman CD, Ho HS, et al: Systemic stress response after laparoscopic and open gastric bypass. J Am Coll Surg 2002; 194:557-567
10. Karayiannakis AJ, Makri GG, Mantzioka A, et al: Systemic stress response after laparo-scopic or open cholecystectomy: A randomized trial. Br J Surg 1997; 84:467-471
11. Ball CG, Kortbeek JB, Kirkpatrick AW, et al: Laparoscopic appendectomy for complicated appendicitis: An evaluation of postoperative factors. Surg Endosc 2004; 18:969-973
12. Kirkpatrick AW, Campbell MR, Williams D, et al: Trauma laparotomy in space: A discussion of the potential indications, conduct of operation, and technical support for treatment of abdominal trauma during long duration space exploration. Society of Automobile Engineers 28th International Conference on Environmental Systems. Danvers, Massachusetts, 1998. Report No.: SAE Technical Paper 981601
13. Campbell MR, Billica RD, Jennings R, et al: Laparoscopic surgery in weightlessness. Surg Endosc 1996; 10:111-117
14. Campbell MR, Kirkpatrick AW, Billica RD, et al: Endoscopic surgery in weightlessness: The investigation of basic principles for surgery in space. Surg Endosc 2001; 15: 1413-1418
15. Malbrain MLNG, Cheatham ML, Kirkpatrick A, et al: Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. I. Definitions. Int Care Med 2006; 32:1722-1732
16. Burch JM, Moore EE, Moore FA, et al: The abdominal compartment syndrome. Surg Clin North Am 1996; 76:833-842
17. Schein M, Wittman DH, Aprahamian CC, et al: The abdominal compartment syndrome: The physiological and clinical consequences of elevated intra-abdominal pressure. J Am Coll Surg 1995; 180:745-752
18. Kirkpatrick AW, Brenneman FD, McLean RF, et al: Is clinical examination an accurate indicator of raised intra-abdominal pressure in critically injured patients. Can J Surg 2000; 43:207-211
19. Kirkpatrick AW, Balogh Z, Ball CG, et al: The secondary abdominal compartment syndrome: Iatrogenic or unavoidable? J Am Coll Surg 2006; 202:668-679
20. Diebel LN, Wilson RF, Dulchavsky SA, et al: Effect of increased intra-abdominal pressure on hepatic arterial, portal venous, and hepatic microcirculatory blood flow. J Trauma 1992; 33:279-283
21. Diebel LN, Dulchavsky SA, Wilson RF: Effect of increased intra-abdominal pressure on mesenteric arterial and intestinal mucosal blood flow. J Trauma 1992; 33:45-49
22. Quintel M, Pelosi P, Caironi P, et al: An increase of abdominal pressure increases pulmonary edema in oleic acid-induced lung injury. Am J Respir Crit Care Med 2004; 169:534-541
23. Joseph DK, Dutton RP, Aarabi B, et al: De-compressive laparotomy to treat intractable intracranial hypertension after traumatic brain injury. J Trauma 2004; 57:687-695
24. Kirkpatrick AW, Colistro R, Fox DL, et al: Renal arterial resistive index response to intra-abdominal hypertension in a porcine model. Crit Care Med 2007; 35:207-213
25. Canadian Space Agency. Falcon 20 User's Guide. Saint-Hubert, Quebec, Canadian Space Agency, 2001
26. Balick-Weber CC, Nicolas P, Hedreville-Montout M, et al: Respiratory and haemo-dynamic effects of volume-controlled vs pressure-controlled ventilation during laparoscopy: A cross over study with echo-cardiographic assessment. Br J Anaesth 2007; 99:429-435
27. Bettinelli D, Kays C, Bailliart O, et al: Effect of gravity and posture on lung mechanics. J Appl Physiol 2002; 93:2044-2052
28. Kirkpatrick AW, Dulchavsky SA, Boulanger BR, et al: Extraterrestrial resuscitation of hemorrhagic shock: Fluids. J Trauma 2001; 50:162-168
29. West JB: Physiology in microgravity. J Appl Physiol 2000; 89:379-384
30. Perhonen MA, Franco F, Lane LD, et al: Cardiac atrophy after bed rest and spaceflight. J Appl Physiol 2001; 91:645-653
31. Pantalos GM, Sharp MK, Woodruff SJ, et al: Influence of gravity on cardiac performance. Ann Biomed Eng 1998; 26:931-943
32. Operation space medicine. Clement G (Ed). Fundamentals of Space Medicine. Dordrecht, The Netherlands, Kluwer, 2003, pp 245-312
33. Kloosterman T, von Blomberg ME, Borgstein P, et al: Unimpaired immune functions after laparoscopic cholecystectomy. Surgery 1994; 115:424-428
34. 2 pneumoperitoneum and gasless abdominal lift laparoscopy. JSLS 2002; 6:11-15
35. Mealy K, Gallagher H, Barry M, et al: Physiologic and metabolic responses to open and laparoscopic cholecystectomy. Brit J Surg 1992; 79:1061-1064
36. Kuntz C, Wunsch A, Bodeker C, et al: Effect of pressure and gas type on intraabdominal, subcutaneous, and blood pH in laparoscopy. Surg Endosc 2000; 14:367-371
37. Brackman MR, Finelli FC, Light T, et al: Helium pneumoperitoneum ameliorates hypercarbia and acidosis associated with carbon dioxide insufflation during laparoscopic gastric bypass in pigs. Obes Surg 2003; 13: 768-771
38. Junghans T, Bohm B, Grundel K, et al: Does pneumoperitoneum with different gases, body positions, and intraperitoneal pressures influence renal and hepatic blood flow? Surgery 1997; 121:206-211
39. Holthausen UH, Nagelschmidt M, Troidl H: CO2 pneumoperitoneum: What we know and what we need to know. World J Surg 1999; 23:794-800
40. Uen YH, Chen Y, Kuo CY, et al: Randomized trial of low-pressure carbon dioxide-elicited pneumoperitoneum versus abdominal wall lifting for laparoscopic cholecystectomy. J Chin Med Assoc 2007; 70:324-330
41. Malbrain MLNG, Deeren D, De Potter TJR: Intra-abdominal hypertension in the critically ill: It is time to pay attention. Curr Opin Crit Care 2005; 11:156-171
42. Cheatham ML: It is time to pay attention-Now more than ever! Crit Care Med 2007; 35:1629-1630
43. Caldwell CB, Ricotta JJ: Changes in visceral blood flow with elevated intra-abdominal pressure. J Surg Res 1987; 43:14-20
44. Diebel LN, Dulchavsky SA, Brown WJ: Splanchnic ischemia and bacterial translocation in the abdominal compartment syndrome. J Trauma 1997; 43:852-855
45. Frielander MH, Simon RJ, Ivatury R, et al: Effect of hemorrhage on superior mesenteric artery flow during increased intra-abdominal pressures. J Trauma 1998; 45:433-439
46. McCuaig KE, Houtchens BA: Management of trauma and emergency surgery in space. J Trauma 1992; 33:610-625
47. Nicogossian AE, Sawin CF, Huntoon CL: Overall physiologic response to spaceflight. In: Space Physiology and Medicine. Third Edition. Nicogossian AE, Huntoon CL, Pool SL (Eds). Baltimore, Williams & Wilkins, 1993, pp 213-227
48. Fowler JF: Physiological changes during space flight. Cutis 1991; 48:291-295
49. Bungo MW, Charles JB, Johnson PC: Cardiovascular deconditioning during spaceflight and use of saline as a countermeasure to orthostatic intolerance. Aviat Space Environ Med 1985; 56:985-990
50. Buckey JC, Gaffney FA, Lane LD, et al: Central venous pressure in space. J Appl Physiol 1996; 81:19-25
51. Prisk GK: The lung in space. Clin Chest Med 2005; 26:415-438
52. Guy HJ, Prisk GK, West JB: Pulmonary function in microgravity. Physiologist 1992; 35: S99-S102
53. Elliott AR, Prisk GK, Guy HJB, et al: Lung volumes during sustained microgravity on Spacelab SLS-1. J Appl Physiol 1994; 77: 2005-2014
54. Guy HJ, Prisk GK, Elliot AR, et al: Inhomogeneity of pulmonary perfusion during sustained microgravity on SLS-1. J Appl Physiol 1994; 76:1730-1738
55. Nunn JF: Nunn's Applied Respiratory Physiology. Oxford, UK, Butterworth-Heinemann, 1994
56. Prisk GK, Fine JM, Cooper TK, et al: Vital capacity, respiratory muscle strength, and pulmonary gas exchange during long-duration exposure to microgravity. J Appl Physiol 2006; 101:439-447
57. Paiva M, Estenne M, Engel LA: Lung volumes, chest wall configuration, and patterns of breathing in microgravity. J Appl Physiol 1989; 67:1542-1550
58. Edyvean J, Estenne M, Paiva M, et al: Lung and chest wall mechanics in microgravity. J Appl Physiol 1991; 71:1956-1966
59. Nunn JF: Elastic forces and lung volumes. In: Nunn's Applied Respiratory Physiology. Fourth Edition. Oxford, Butterworth-Heinemann, 1994, pp 36-60
60. McBeth PB, Zygun DA, Widder S, et al: Effect of patient positioning on intra-abdominal pressure monitoring. Am J Surg 2007; 193: 644-647
61. Ali J: Perioperative respiratory failure. In: Principles of Critical Care. Hall JB, Schmidt GA, Wood LDH (Eds). New York, McGraw-Hill, 1992, pp 980-989
62. Fry DE: Prevention, diagnosis, and management of infection. In: Trauma. Fifth edition. Moore EE, Feliciano DV, Mattox KL (Eds). New York, McGraw-Hill, 2004, pp 355-381
63. Broccard A, Shapiro RS, Schmitz LL, et al: Prone positioning attenuates and redistributes ventilator-induced lung injury in dogs. Crit Care Med 2000; 28:295-303