HEMODYNAMIC AND RESPIRATORY EFFECTS OF PNEUMOPERITONEUM AND PEEP DURING LAPAROSCOPIC PELVIC LYMPHADENECTOMY IN DOGS

被引：23

作者：

LUZ, CM ^{[1
]}

POLARZ, H ^{[1
]}

BOHRER, H ^{[1
]}

HUNDT, G ^{[1
]}

DORSAM, J ^{[1
]}

MARTIN, E ^{[1
]}

机构：

[1] UNIV HEIDELBERG,DEPT ANESTHESIA,NEUENHEIMER FELD 110,D-69120 HEIDELBERG,GERMANY

来源：

SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 01期

关键词：

LAPAROSCOPY; PNEUMOPERITONEUM; CARBON DIOXIDE; HEMODYNAMIC; RESPIRATORY;

D O I：

10.1007/BF02909488

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Extended laparoscopic operations are being performed increasingly in high-risk patients. To assess the effects of increased intraabdominal pressure (IAP) and positive end-expiratory pressure (PEEP) on the hemodynamic and respiratory system during extended procedures a carbon dioxide pneumoperitoneum was artificially induced in 10 dogs undergoing laparoscopic pelvic lymphadenectomy. An increase in IAP up to 15 mmHg had no negative effect on the cardiovascular system. However, the combination of an increased IAP (10-15 mmHg) with PEEP (8 cmH2O) markedly depressed the hemodynamic variables. Measurement of arterial carbon dioxide and fractional end-tidal carbon dioxide revealed significant CO2 retention. We conclude from the results that laparoscopic pelvic lymphadenectomy should be performed in high-risk patients only under general anesthesia with expanded cardiopulmonary monitoring.

引用

页码：25 / 27

页数：3