Diaphragmatic Function before and after Laparoscopic Cholecystectomy

Erice, Filippo; Fox, Gordon S.; Salib, Y.; Romano, Elena; Meakins, Jonathan L.; Magder, Sheldon

doi:10.1097/00000542-199311000-00015

Cited by 89 publications

(40 citation statements)

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“…Clinically, a temporary drop in tidal volumes and in SpO 2 may develop (37,38,40,41). In our cohort, supplemental oxygen demand for 1 h or more was observed in one-third, was unrelated to duration of surgery but seemed related to the opioids given.…”

Section: Oxygen Requirementsmentioning

confidence: 58%

“…Positive pressure ventilation and increased intraabdominal pressure by CO 2 insufflation cause a mechanical respiratory dysfunction with microatelectases (37), reduced respiratory muscle function (38) and reductions in FVC, FEV 1 and FEF25-75% (37-39). Clinically, a temporary drop in tidal volumes and in SpO 2 may develop (37,38,40,41).…”

Section: Oxygen Requirementsmentioning

confidence: 99%

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Post‐operative recovery profile after laparoscopic cholecystectomy: a prospective, observational study of a multimodal anaesthetic regime

Jensen

Kehlet

Lund

2007

Acta Anaesthesiol Scand

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Background: Laparoscopic cholecystectomy is now often an ambulatory procedure, but dependent on short-term postoperative complaints of pain and post-operative nausea and vomiting (PONV). The efficacy of post-anaesthesia care units (PACUs) is therefore important to facilitate return to normal functions. We investigated the feasibility and efficacy of a standardized, evidence-based anaesthesia/analgesic regime to identify residual problems in the early post-operative phase. Methods: One hundred and thirty-four consecutive patients admitted for elective laparoscopic cholecystectomy at Hvidovre University Hospital between 15 March and 30 September 2005 were included in the study. The standardized, evidence-based regime consisted of total intravenous (i.v.) anaesthesia (propofolremifentanil), well-defined fluid therapy, dexamethasone, ketorolac, ondansetron, sufentanil and incisional bupivacaine intraoperatively, and in the PACU on demand (prn) administration of sufentanil, morphine, paracetamol, ondansetron, droperidol, oral fluids and oxygen (if SpO 2 < 93%) with PACU discharge using a modified Aldrete score. Results: Protocol violations were moderate and occurred unsystematically, 8% had medical violations and 10% did not receive the pre-planned fluid amount. Severe PONV was seen in 2%.

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Section: Oxygen Requirementsmentioning

confidence: 58%

Section: Oxygen Requirementsmentioning

confidence: 99%

Post‐operative recovery profile after laparoscopic cholecystectomy: a prospective, observational study of a multimodal anaesthetic regime

Jensen

Kehlet

Lund

2007

Acta Anaesthesiol Scand

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“…During the initial 90 min following LC, the diaphragmatic contribution to tidal volume was found to be unchanged.6~ However, three hours after surgery, breathing was more rapid and shallow with an increased PETCO2 . 61 The data are given graphically in Figure 4 which shows mean standardized tidal volume (L. m -z) and mean frequency (Fb. min -~) before and after LC with the 0.38 L-rain -t-m -2 isopleth to indicate no change in minute volume.…”

Section: Postoperative Lung Functionmentioning

confidence: 99%

Cardiopulmonary function and laparoscopic cholecystectomy

1995

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“…Erice et al 27 , comparing laparoscopic and conventional cholecystectomy, showed that surgical trauma to the abdominal wall can increase the incidence of ventilatory defects by reducing diaphragmatic excursion. Diaphragmatic dysfunction, in turn, decreases ventilation of the lower lobe of the lung on the affected side and causes a reduction in tidal volume, vital capacity and PImax.…”

Section: ■ Discussionmentioning

confidence: 99%

Comparative study of respiratory muscle strength in women undergoing conventional and single-port laparoscopic cholecystectomy

et al. 2017

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Purpose: To evaluate respiratory muscle strength (PImax and PEmax) before and 24 and 48 h after conventional and single-port laparoscopic cholecystectomy. Methods: Forty women with symptomatic cholelithiasis (18 to 70 years) participated in the study. The patients were divided into two groups: 21 patients undergoing conventional laparoscopic cholecystectomy and 19 patients undergoing single-port laparoscopic cholecystectomy. Differences were considered to be significant when p<0.05. Results:The results showed a greater decline in PImax after 24 h in the group submitted to conventional laparoscopic cholecystectomy, with a significant difference between groups (p=0.0308). Conclusion: Recovery of the parameters studied was more satisfactory and respiratory muscle strength was less compromised in the group submitted to single-port laparoscopic cholecystectomy.

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Diaphragmatic Function before and after Laparoscopic Cholecystectomy

Cited by 89 publications

References 0 publications

Post‐operative recovery profile after laparoscopic cholecystectomy: a prospective, observational study of a multimodal anaesthetic regime

Post‐operative recovery profile after laparoscopic cholecystectomy: a prospective, observational study of a multimodal anaesthetic regime

Cardiopulmonary function and laparoscopic cholecystectomy

Comparative study of respiratory muscle strength in women undergoing conventional and single-port laparoscopic cholecystectomy

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