Arterial to end-tidal carbon dioxide pressure gradient increases with age in the steep Trendelenburg position with pneumoperitoneum

Korean Journal of Anesthesiology

Volumn 63, Issue 3, 2012, Pages 209-215

  Choi, Dae Kee ^a   Lee, In Gyu ^a   Hwang, Jai Hyun ^a  

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

Author keywords

Age; Carbon dioxide; Pneumoperitoneum; Trendelenburg position

Indexed keywords

FENTANYL; SEVOFLURANE; THIOPENTAL; VECURONIUM;

ADULT; AGED; ARTICLE; BODY POSITION; CONTROLLED STUDY; END TIDAL CARBON DIOXIDE TENSION; ENDOTRACHEAL INTUBATION; GASTROINTESTINAL RADIOGRAPHY; GENERAL ANESTHESIA; GROUPS BY AGE; HEART RATE; HUMAN; LAPAROSCOPIC SURGERY; LUNG COMPLIANCE; MAJOR CLINICAL STUDY; MALE; MEAN ARTERIAL PRESSURE; PRESSURE GRADIENT; PROSTATECTOMY; RESPIRATORY TRACT PARAMETERS; ROBOT ASSISTED LAPAROSCOPIC PROSTATECTOMY; ROBOTICS; STEEP TRENDELENBURG POSITION; SUPINE POSITION;

EID: 84866939715     PISSN: 20056419     EISSN: 20057563     Source Type: Journal    
DOI: 10.4097/kjae.2012.63.3.209     Document Type: Article

References (23)

1. Bhavani-Shankar K, Moseley H, Kumar AY, Delph Y. Capnometry and anaesthesia. Can J Anaesth 1992; 39: 617-32.
2. Casati A, Salvo I, Torri G, Calderini E. Arterial to end-tidal carbon dioxide gradient and physiological dead space monitoring during general anaesthesia: effects of patients' position. Minerva Anestesiol 1997; 63: 177-82.
3. Hirvonen EA, Nuutinen LS, Kauko M. Ventilatory effects, blood gas changes, and oxygen consumption during laparoscopic hysterectomy. Anesth Analg 1995; 80: 961-6.
4. Kalmar AF, Foubert L, Hendrickx JF, Mottrie A, Absalom A, Mortier EP, et al. Influence of steep Trendelenburg position and CO2 pneumoperitoneum on cardiovascular, cerebrovascular, and respiratory homeostasis during robotic prostatectomy. Br J Anaesth 2010; 104: 433-9.
5. Menon M, Shrivastava A, Tewari A. Laparoscopic radical pro statectomy: conventional and robotic. Urology 2005; 66(5 Suppl): 101-4.
6. Hegarty NJ, Kaouk JH. Radical prostatectomy: a comparison of open, laparoscopic and robot-assisted laparoscopic techniques. Can J Urol 2006; 13 Suppl 1: 56-61.
7. Klopfenstein CE, Schiffer E, Pastor CM, Beaussier M, Francis K, Soravia C, et al. Laparoscopic colon surgery: unreliability of endtidal CO2 monitoring. Acta Anaesthesiol Scand 2008; 52: 700-7.
8. Takahata O, Kunisawa T, Nagashima M, Mamiya K, Sakurai K, Fujita S, et al. Effect of age on pulmonary gas exchange during laparoscopy in the Trendelenburg lithotomy position. Acta Anaesthesiol Scand 2007; 51: 687-92.
9. Buffi N, Mottrie A, Lughezzani G, Koliakos N, Schatteman P, Carpentier P, et al. Surgery illustrated--Surgical Atlas. Robotic radical cystectomy in the male. BJU Int 2009; 104: 726-45.
10. Andersson LE, Baath M, Thorne A, Aspelin P, Odeberg-Wernerman S. Effect of carbon dioxide pneumoperitoneum on development of atelectasis during anesthesia, examined by spiral computed tomography. Anesthesiology 2005; 102: 293-9.
11. Strang CM, Freden F, Maripuu E, Hachenberg T, Hedenstierna G. Ventilation-perfusion distributions and gas exchange during carbon dioxide-pneumoperitoneum in a porcine model. Br J Anaesth 2010; 105: 691-7.
12. Suh MK, Seong KW, Jung SH, Kim SS. The effect of pneumoperi toneum and Trendelenburg position on respiratory mechanics during pelviscopic surgery. Korean J Anesthesiol 2010; 59: 329-34.
13. Strang CM, Hachenberg T, Freden F, Hedenstierna G. Development of atelectasis and arterial to end-tidal PCO2-difference in a porcine model of pneumoperitoneum. Br J Anaesth 2009; 103: 298-303.
14. Rossi A, Ganassini A, Tantucci C, Grassi V. Aging and the respiratory system. Aging (Milano) 1996; 8: 143-61.
15. Gunnarsson L, Tokics L, Gustavsson H, Hedenstierna G. Influence of age on atelectasis formation and gas exchange impairment during general anaesthesia. Br J Anaesth 1991; 66: 423-32.
16. Rothen HU, Sporre B, Engberg G, Wegenius G, Hedenstierna G. Airway closure, atelectasis and gas exchange during general anaesthesia. Br J Anaesth 1998; 81: 681-6.
17. Whitesell R, Asiddao C, Gollman D, Jablonski J. Relationship between arterial and peak expired carbon dioxide pressure during anesthesia and factors influencing the difference. Anesth Analg 1981; 60: 508-12.
18. Shibutani K, Muraoka M, Shirasaki S, Kubal K, Sanchala VT, Gupte P. Do changes in end-tidal PCO2 quantitatively reflect changes in cardiac output? Anesth Analg 1994; 79: 829-33.
19. Wahba RW, Tessler MJ, Beique F, Kleiman SJ. Changes in PCO2 with acute changes in cardiac index. Can J Anaesth 1996; 43: 243-5.
20. Sharma SK, McGuire GP, Cruise CJ. Stability of the arterial to endtidal carbon dioxide difference during anaesthesia for prolonged neurosurgical procedures. Can J Anaesth 1995; 42: 498-503.
21. Falabella A, Moore-Jeffries E, Sullivan MJ, Nelson R, Lew M. Cardiac function during steep Trendelenburg position and CO2 pneumoperitoneum for robotic-assisted prostatectomy: a transoesophageal Doppler probe study. Int J Med Robot 2007; 3: 312-5.
22. Meininger D, Westphal K, Bremerich DH, Runkel H, Probst M, Zwissler B, et al. Effects of posture and prolonged pneumoperi toneum on hemodynamic parameters during laparoscopy. World J Surg 2008; 32: 1400-5.
23. VanderWalde A, Hurria A. Aging and osteoporosis in breast and prostate cancer. CA Cancer J Clin 2011; 61: 139-56.