The effect of pneumoperitoneum and Trendelenburg position on respiratory mechanics during pelviscopic surgery

Korean Journal of Anesthesiology

Volumn 59, Issue 5, 2010, Pages 329-334

  Suh, Min Kyo ^a   Seong, Kyu Wan ^a   Jung, Sung Hwan ^a   Kim, Seong Su ^a  

^a University of Ulsan College of Medicine   (South Korea)

Author keywords

Airway pressure; Head down tilt; Lung compliance; Pelviscopy; Pneumoperitoneum

Indexed keywords

CARBON DIOXIDE; GLYCOPYRRONIUM BROMIDE; LIDOCAINE; MIDAZOLAM; ROCURONIUM; SEVOFLURANE; THIOPENTAL;

ABDOMINAL PRESSURE; ADULT; ARTICLE; BODY POSITION; BREATHING MECHANICS; CLINICAL ARTICLE; END TIDAL CARBON DIOXIDE TENSION; FEMALE; HUMAN; LAPAROSCOPIC SURGERY; LITHOTOMY POSITION; LUNG COMPLIANCE; PARAMETER; PNEUMOPERITONEUM; TRENDELENBURG POSITION;

EID: 78650223362     PISSN: 20056419     EISSN: 20057563     Source Type: Journal    
DOI: 10.4097/kjae.2010.59.5.329     Document Type: Article

References (16)

1. Broach AN, Mansuria SM, Sanfilippo JS. Pediatric and adolescent gynecologic laparoscopy. Clin Obstet Gynecol 2009; 52: 380-9.
2. Jakimowicz J, Stultiens G, Smulders F. Laparoscopic insufflation of the abdomen reduces portal venous flow. Surg Endosc 1998; 12: 129-32.
3. Beebe DS, McNevin MP, Crain JM, Letourneau JG, Belani KG, Abrams JA, et al. Evidence of venous stasis after abdominal insufflation for laparoscopic cholecystectomy. Surg Gynecol Obstet 1993; 176: 443-7.
4. Chiu AW, Chang LS, Birkett DH, Babayan RK. The impact of pneumo peritoneum, pneumoretroperitoneum, and gasless laparoscopy on the systemic and renal hemodynamics. J Am Coll Surg 1995; 181: 397-406.
5. Hirvonen EA, Poikolainen EO, Pääkkönen ME, Nuutinen LS. The adverse hemodynamic effects of anesthesia, head-up tilt, and carbon dioxide pneumoperitoneum during laparoscopic cholecystectomy. Surg Endosc 2000; 14: 272-7.
6. Rauh R, Hemmerling TM, Rist M, Jacobi KE. Influence of pneumoperitoneum and patient positioning on respiratory system compliance. J Clin Anesth 2001; 13: 361-5.
7. O'Malley C, Cunningham AJ. Physiologic changes during laparoscopy. Anesthesiol Clin North America 2001; 19: 1-19.
8. Foroughi V, Krucylak PE, Baudendistel LJ. Anesthesia for laparoscopy. In: Minimally Invasive Surgery: Principles and Outcomes. Edited by Andrus CH, Cosgrove JM, Longo WE: Amsterdam, Harwood Academic Publishers. 1998, pp 20-2.
9. 2 and tidal volume during laparoscopic surgery under general anesthesia. Korean J Anesthesiol 1992; 25: 935-40.
10. Fahy BG, Barnas GM, Nagle SE, Flowers JL, Njoku MJ, Agarwal M. Effects of Trendelenburg and reverse Trendelenburg postures on lung and chest wall mechanics. J Clin Anesth 1996; 8: 236-44. (Pubitemid 26139031)
11. Kim SY, Park SJ. The effect of the lithotomy-trendelenburg position on respiratory and hemodynamic changes during general anesthesia. Korean J Anesthesiol 2002; 42: 722-9.
12. Salihoglu Z, Demiroluk S, Cakmakkaya S, Gorgun E, Kose Y. Influence of the patient positioning on respiratory mechanics during pneumoperitoneum. Middle East J Anesthesiol 2002; 16: 521-8.
13. Mäkinen MT, Yli-Hankala A. The effect of laparoscopic cholecystectomy on respiratory compliance as determined by continuous spirometry. J Clin Anesth 1996; 8: 119-22. (Pubitemid 26073975)
14. Kim YB, Chang CH, Kim SY, Nam YT. Effect of BMI and patient positioning on airway pressures and respiratory compliance during laparoscopic surgery. Korean J Anesthesiol 2006; 50: 302-7.
15. Sprung J, Whalley DG, Falcone T, Warner DO, Hubmayr RD, Hammel J. The impact of morbid obesity, pneumoperitoneum, and posture on respiratory system mechanics and oxygenation during laparoscopy. Anesth Analg 2002; 94: 1345-50.
16. Kendall AP, Bhatt S, Oh TE. Pulmonary consequences of carbon dioxide insufflation for laparoscopic cholecystectomies. Anaesthesia 1995; 50: 286-9.