Effects of Pneumoperitoneum and Positioning on Respiratory Mechanics in Chronic Obstructive Pulmonary Disease Patients During Nissen Fundoplication

Abstract

In COPD patients, Trendelenburg position has negative effect on respiratory mechanics. Pneumoperitoneum and other positions have similar effect on respiratory mechanics in COPD and control patients.

Effects of the pneumoperitoneum and Trendelenburg position on respiratory mechanics in the rats by the end-inflation occlusion method

“…These results confirm those previously obtained in humans,[117] and the finding, although not significant, of a trend of airway resistance and respiratory system elastance increments described by Sprung et al . [16]…”

“…Moreover, most previously published reports described the effects on respiratory mechanics of Pnp per se ,[210–16] or of Tnd per se ,[11617] with respect to controls. The addictive consequences of Tnd superimposed on an existing Pnp with respect to Pnp alone have also been studied,[1214–16] while a systematic analysis of results that compare the effects of Pnp + Tnd with Tnd alone is lacking.…”

Anesthetic considerations for robotic prostatectomy: a review of the literature

“…The steep Trendelenburg position also has a negative effect on respiratory mechanics, decreasing pulmonary compliance and functional residual capacity [56,57]. Arterial oxygenation is also significantly decreased during Trendelenburg positioning [58]. The effects of lithotomy, steep Trendelenburg positioning, and pneumoperitoneum associated with RALP seem to be additive; however, they are generally well tolerated.…”

Anesthetic management of robot-assisted radical prostatectomy

“…Глу-бокое положение Тренделенбурга также оказывает сходное с ожирением негативное воздействие на ме-ханизмы вентиляции и уменьшает функциональную остаточную емкость [20,28]. Также в позиции Трен-деленбурга значительно снижается насыщение ар-териальной крови кислородом [32]. Приводятся данные о том, что длительное пребывание в глубо-ком положении Тренделенбурга может способство-вать возникновению отека дыхательных путей и ре-спираторного дистресс-синдрома примерно у 0,7% больных, перенесших РРП [9].…”