Acid-base alterations during laparoscopic abdominal surgery: A comparison with laparotomy

British Journal of Anaesthesia

Volumn 105, Issue 4, 2010, Pages 442-447

  Kwak, H J ^a   Jo, Y Y ^b   Lee, K C ^a   Kim, Y B ^a   Shinn, H K ^c   Kim, J Y ^b  

^a Gachon University   (South Korea)

^b Yonsei University College of Medicine   (South Korea)

^c Inha University School of Medicine   (South Korea)

Author keywords

chemistry, analytical; complications, acid base disorders; surgery, laparoscopy

Indexed keywords

CARBON DIOXIDE;

ABDOMEN; ACID-BASE IMBALANCE; ADULT; BLOOD; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; GASTROINTESTINAL RADIOGRAPHY; HEMODYNAMICS; HUMAN; LAPAROSCOPY; MALE; MIDDLE AGED; PEROPERATIVE COMPLICATION; PH; PRESSURE; PROSPECTIVE STUDY; SURGERY;

ABDOMEN; ACID-BASE IMBALANCE; ADULT; CARBON DIOXIDE; FEMALE; HEMODYNAMICS; HUMANS; HYDROGEN-ION CONCENTRATION; INTRAOPERATIVE COMPLICATIONS; LAPAROSCOPY; MALE; MIDDLE AGED; PARTIAL PRESSURE; PNEUMOPERITONEUM, ARTIFICIAL; PROSPECTIVE STUDIES;

EID: 77956943181     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aeq185     Document Type: Article

References (16)

1. Leighton TA, Liu SY, Bongard FS. Comparative cardiopulmonary effects of carbon dioxide versus helium pneumoperitoneum. Surgery 1993; 113: 527-531
2. Liu SY, Leighton T, Davis I, Klein S, Lippmann M, Bongard F. Prospective analysis of cardiopulmonary responses to laparoscopic cholecystectomy. J Laparoendosc Surg 1991; 1: 241-246
3. Gándara V, de Vega DS, Escriú N, Zorrilla IG. Acid-base balance alterations in laparoscopic cholecystectomy. Surg Endosc 1997; 11: 707-710
4. Shuto K, Kitano S, Yoshida T, Bandoh T, Mitarai Y, Kobayashi M. Hemodynamic and arterial blood gas changes during carbon dioxide and helium pneumoperitoneum in pigs. Surg Endosc 1995; 9: 1173-1178
5. Taura P, Lopez A, Lacy AM et al. Prolonged pneumoperitoneum at mmHg causes lactic acidosis. Surg Endosc 1998; 12: 198-201
6. Story DA, Kellum JA. New aspects of acid-base balance in intensive care. Curr Opin Anaesthesiol 2004; 17: 119-123
7. Scheingraber S, Rehm M, Sehmisch C, Finsterer U. Rapid saline infusion produces hyperchloremic acidosis in patients undergoing gynecologic surgery. Anesthesiology 1999; 90: 1265-1270
8. Sefr R, Puszkailer K, Jagos F. Randomized trial of different intraabdominal pressures and acid-base balance alterations during laparoscopic cholecystectomy. Surg Endosc 2003; 17: 947-950
9. Kaplan LJ, Kellum JA. Initial pH, base deficit, lactate, anion gap, strong ion difference, and strong ion gap predict outcome from major vascular injury. Crit Care Med 2004; 32: 1120-1124
10. Balasubramanyan N, Havens PL, Hoffman GM. Unmeasured anions identified by the Fencl-Stewart method predict mortality better than base excess, anion gap, and lactate in patients in the pediatric intensive care unit. Crit Care Med 1999; 27: 1577-1581
11. Kellum JA, Kramer DJ, Pinsky MR. Strong ion gap: a methodology for exploring unexplained anions. J Crit Care 1995; 10: 51-55
12. Rehm M, Finsterer U. Treating intraoperative hyperchloremic acidosis with sodium bicarbonate or tris-hydroxymethyl aminomethane: a randomized prospective study. Anesth Analg 2003; 96: 1201-1208
13. Scheingraber S, Heitmann L, Weber W, Finsterer U. Are there acid-base changes during transurethral resection of the prostate (TURP)? Anesth Analg 2000; 90: 946-950
14. Kim JY, Lee D, Lee KC, Choi JJ, Kwak HJ. Stewart's physicochemical approach in neurosurgical patients with hyperchloremic metabolic acidosis during propofol anesthesia. J Neurosurg Anesthesiol 2008; 20: 1-7
15. Story DA, Morimatsu H, Bellomo R. Strong ions, weak acids and base excess: a simplified Fencl-Stewart approach to clinical acid-base disorders. Br J Anaesth 2004; 92: 54-60
16. Lanzinger MJ, Moretti EW, Wilderman RF, El-Moalem HE, Toffaletti JG, Moon RE. The relationship between ionized and total serum magnesium concentrations during abdominal surgery. J Clin Anesth 2003; 15: 245-249