Prolonged inspiratory time produces better gas exchange in patients undergoing laparoscopic surgery: A randomised trial

Acta Anaesthesiologica Scandinavica

Volumn 57, Issue 5, 2013, Pages 613-622

  Kim, W H ^a   Hahm, T S ^a   Kim, J A ^a   Sim, W S ^a   Choi, D H ^a   Lee, E K ^a   Lee, S M ^a  

^a Sungkyunkwan University School of Medicine   (South Korea)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AIRWAY PRESSURE; ANESTHESIA INDUCTION; ARTERIAL CARBON DIOXIDE TENSION; ARTERIAL GAS; ARTERIAL OXYGEN TENSION; ARTICLE; BLOOD GAS ANALYSIS; BREATHING MECHANICS; BREATHING RATE; CONTROLLED STUDY; GYNECOLOGIC SURGERY; HUMAN; LAPAROSCOPIC SURGERY; LUNG GAS EXCHANGE; MAJOR CLINICAL STUDY; PNEUMOPERITONEUM; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; TIDAL VOLUME;

ADULT; CARBON DIOXIDE; FEMALE; HUMANS; LAPAROSCOPY; OXYGEN; POSITIVE-PRESSURE RESPIRATION; PROSPECTIVE STUDIES; PULMONARY GAS EXCHANGE; RESPIRATION, ARTIFICIAL; RESPIRATORY MECHANICS; SINGLE-BLIND METHOD; TIDAL VOLUME; TIME FACTORS;

EID: 84876287312     PISSN: 00015172     EISSN: 13996576     Source Type: Journal    
DOI: 10.1111/aas.12104     Document Type: Article

References (39)

1. 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.
2. 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.
3. Duggan M, Kavanagh BP. Atelectasis in the perioperative patient. Curr Opin Anaesthesiol 2007; 20: 37-42.
4. Gutt CN, Oniu T, Mehrabi A, Schemmer P, Kashfi A, Kraus T, Buchler MW. Circulatory and respiratory complications of carbon dioxide insufflation. Dig Surg 2004; 21: 95-105.
5. McDermott JP, Regan MC, Page R, Stokes MA, Barry K, Moriarty DC, Caushaj PF, Fitzpatrick JM, Gorey TF. Cardiorespiratory effects of laparoscopy with and without gas insufflation. Arch Surg 1995; 130: 984-8.
6. Shen JC, Ji MH, Yang C, Wang X, Yang JJ. Severe carbon dioxide embolism during laparoscopic kidney resection. Acta Anaesthesiol Scand 2011; 55: 505.
7. Park EY, Koo BN, Min KT, Nam SH. The effect of pneu-moperitoneum in the steep Trendelenburg position on cerebral oxygenation. Acta Anaesthesiol Scand 2009; 53: 895-9.
8. Nguyen NT, Wolfe BM. The physiologic effects of pneu-moperitoneum in the morbidly obese. Ann Surg 2005; 241: 219-26.
9. Mercat A, Graini L, Teboul JL, Lenique F, Richard C. Cardi-orespiratory effects of pressure-controlled ventilation with and without inverse ratio in the adult respiratory distress syndrome. Chest 1993; 104: 871-5.
10. Marcy TW, Marini JJ. Inverse ratio ventilation in ARDS. Rationale and implementation. Chest 1991; 100: 494-504.
11. Tweed WA, Lee TL. Time-cycled inverse ratio ventilation does not improve gas exchange during anaesthesia. Can J Anaesth 1991; 38: 311-7.
12. Tweed WA, Tan PL. Pressure controlled-inverse ratio ventilation and pulmonary gas exchange during lower abdominal surgery. Can J Anaesth 1992; 39: 1036-40.
13. Clarke JP, Schuitemaker MN, Sleigh JW. The effect of intra-operative ventilation strategies on perioperative atelectasis. Anaesth Intensive Care 1998; 26: 262-6.
14. Cinnella G, Grasso S, Spadaro S, Rauseo M, Mirabella L, Salatto P, Capraris AD, Nappi L, Greco P, Dambrosio M. Effects of recruitment maneuver and positive end-expiratory pressureonrespiratory mechanicsand transpulmonary pressure during laparoscopic surgery. Anesthesiology 2013; 118: 114-22.
15. Rothen HU, Sporre B, Engberg G, Wegenius G, Hedensti-erna G. Re-expansion of atelectasis during general anaesthesia: a computed tomography study. Br J Anaesth 1993; 71: 788-95.
16. Rothen HU, Neumann P, Berglund JE, Valtysson J, Magnus-sonA, HedenstiernaG. Dynamicsof re-expansion of atelecta-sis during general anaesthesia. Br J Anaesth 1999; 82: 551-6.
17. Boros SJ. Variations in inspiratory: expiratory ratio and airway pressure wave form during mechanical ventilation: the significance of mean airway pressure. J Pediatr 1979; 94: 114-7.
18. Pesenti A, Marcolin R, Prato P, Borelli M, Riboni A, Gatti-noni L. Mean airway pressure vs. positive end-expiratory pressure during mechanical ventilation. Crit Care Med 1985; 13: 34-7.
19. Uttman L, Jonson B. A prolonged postinspiratory pause enhances CO2 elimination by reducing airway dead space. Clin Physiol Funct Imaging 2003; 23: 252-6.
20. Maracaja-Neto LF, Vercosa N, Roncally AC, Giannella A, Bozza FA, Lessa MA. Beneficial effects of high positive end-expiratory pressure in lung respiratory mechanics during laparoscopic surgery. Acta Anaesthesiol Scand 2009; 53: 210-7.
21. Karsten J, Luepschen H, Grossherr M, Bruch HP, Leonhardt S, Gehring H, Meier T. Effect of PEEP on regional ventilation during laparoscopic surgery monitored by electrical impedance tomography. Acta Anaesthesiol Scand 2011; 55: 878-86.
22. Deane AM, Reid DA, Tobin AE. Predicted body weight during mechanical ventilation: using arm demispan to aid clinical assessment. Crit Care Resusc 2008; 10: 9-14.
23. Bardoczky GI, d'Hollander AA, Cappello M, Yernault JC. Interrupted expiratory flow on automatically constructed flow-volume curves may determine the presence of intrinsic positive end-expiratory pressure during one-lung ventilation. Anesth Analg 1998; 86: 880-4.
24. Wilson WC, Benumof JL. Respiratory physiology and respiratory function during anesthesia. In: Miller RD ed. Miller's anesthesia, 6th edn. New York: Churchill Livingstone, 2005: 697.
25. Berman LS, Downs JB, Van Eeden A, Delhagen D. Inspiration: expiration ratio. Is mean airway pressure the difference? Crit Care Med 1981; 9: 775-7.
26. Pepe PE, Marini JJ. Occult positive end-expiratory pressure in mechanically ventilated patients with airflow obstruction: the auto-PEEP effect. Am Rev Respir Dis 1982; 126: 166-70.
27. Melo e Silva CA, Ventura CE. A simple model illustrating the respiratory system's time constant concept. Adv Physiol Educ 2006; 30: 129-30.
28. Futier E, Constantin JM, Pelosi P, Chanques G, Kwiatkoskwi F, Jaber S, Bazin JE. Intraoperative recruitment maneuver reverses detrimental pneumoperitoneum-induced respiratory effects in healthy weight and obese patients undergoing laparoscopy. Anesthesiology 2010; 113: 1310-9.
29. Cakmakkaya OS, Kaya G, Altintas F, Hayirlioglu M, Ekici B. Restoration of pulmonary compliance after laparoscopic surgery using a simple alveolar recruitment maneuver. J Clin Anesth 2009; 21: 422-6.
30. Pang CK, Yap J, Chen PP. The effect of an alveolar recruitment strategy on oxygenation during laparascopic cholecys-tectomy. Anaesth Intensive Care 2003; 31: 176-80.
31. Moffa SM, Quinn JV, Slotman GJ. Hemodynamic effects of carbon dioxide pneumoperitoneum during mechanical ventilation and positive end-expiratory pressure. J Trauma 1993; 35: 613-7. discussion 7-8.
32. Kraut EJ, Anderson JT, Safwat A, Barbosa R, Wolfe BM. Impairment of cardiac performance by laparoscopy in patients receiving positive end-expiratory pressure. Arch Surg 1999; 134: 76-80.
33. Breen PH, Mazumdar B. How does positive end-expiratory pressure decrease CO2 elimination from the lung? Respir Physiol 1996; 103: 233-42.
34. Abraham E, Yoshihara G. Cardiorespiratory effects of pressure controlled inverse ratio ventilation in severe respiratory failure. Chest 1989; 96: 1356-9.
35. Lain DC, DiBenedetto R, Morris SL, Van Nguyen A, Saulters R, Causey D. Pressure control inverse ratio ventilation as a method to reduce peak inspiratory pressure and provide adequate ventilation and oxygenation. Chest 1989; 95: 1081-8.
36. Chan K, Abraham E. Effects of inverse ratio ventilation on cardiorespiratory parameters in severe respiratory failure. Chest 1992; 102: 1556-61.
37. Lessard MR, Guerot E, Lorino H, Lemaire F, Brochard L. Effects of pressure-controlled with different I:E ratios versus volume-controlled ventilation on respiratory mechanics, gas exchange, and hemodynamics in patients with adult respiratory distress syndrome. Anesthesiology 1994; 80: 983-91.
38. Cole AG, Weller SF, Sykes MK. Inverse ratio ventilation compared with PEEP in adult respiratory failure. Intensive Care Med 1984; 10: 227-32.
39. Tharratt RS, Allen RP, Albertson TE. Pressure controlled inverse ratio ventilation in severe adult respiratory failure. Chest 1988; 94: 755-62.