2014
DOI: 10.1016/j.jcma.2014.04.007
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Abstract: The application of low tidal volume + PEEP + high respiratory rate during laparoscopic surgeries may be considered to improve good results of arterial blood gases.

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Cited by 12 publications
(12 citation statements)
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“…Pinheiro de Oliveira et al [ 21 ] showed that the ventilation mode of small tidal volume combined with proper positive end-expiratory pressure (PEEP) could improve mechanical stress, inhibit the production of pulmonary inflammatory mediators, and therefore, effectively reduce postoperative pulmonary complications. In addition, CPAP can be applied for the nonventilated lung to improve oxygenation by expanding the collapsed lung and improving the ventilation/perfusion ratio of the nonventilated lung [ 22 ]. Relevant studies have shown that, for patients with spontaneous breathing, CPAP can provide positive pressure in both the inspiratory phase and expiratory phase, which maintains airway dilation, increases lung compliance and gas exchange, and consequently, effectively improves the clinical symptoms and prognosis of patients [ 23 , 24 ].…”
Section: Discussionmentioning
confidence: 99%
“…Pinheiro de Oliveira et al [ 21 ] showed that the ventilation mode of small tidal volume combined with proper positive end-expiratory pressure (PEEP) could improve mechanical stress, inhibit the production of pulmonary inflammatory mediators, and therefore, effectively reduce postoperative pulmonary complications. In addition, CPAP can be applied for the nonventilated lung to improve oxygenation by expanding the collapsed lung and improving the ventilation/perfusion ratio of the nonventilated lung [ 22 ]. Relevant studies have shown that, for patients with spontaneous breathing, CPAP can provide positive pressure in both the inspiratory phase and expiratory phase, which maintains airway dilation, increases lung compliance and gas exchange, and consequently, effectively improves the clinical symptoms and prognosis of patients [ 23 , 24 ].…”
Section: Discussionmentioning
confidence: 99%
“…Several studies have suggested the benefits of LPV during surgery [ 8 , 9 ]. During laparoscopic surgery, LPV is associated with a relatively low incidence of pulmonary complications and better oxygenation [ 10 12 ]. The benefits of LPV have also been demonstrated in obese patients [ 13 , 14 ].…”
Section: Introductionmentioning
confidence: 99%
“…Specifically, the PNP leads to an elevated intra-abdominal pressure (IAP) with the consequent cranial displacement of the diaphragm, which induces changes in ventilatory and cardiovascular dynamics, such as decreased venous return, increased peripheral vascular resistance, decreased cardiac output, increased resistance to thoracic expansion, and decreased lung volume [ 17 , 18 , 19 ]. The compression of the pulmonary parenchyma has been related to the appearance of atelectasis and ventilation/perfusion alterations [ 17 , 20 ]. Another critical event is associated with the insufflation of CO 2 and its absorption through the abdominal cavity, which may produce acid-base and cardiorespiratory disturbances [ 21 ].…”
Section: Introductionmentioning
confidence: 99%
“…In relation to the pathophysiological changes that may occur during the laparoscopic surgery both in human [ 19 , 20 , 30 , 31 , 32 ] and in veterinary medicine [ 17 , 21 , 24 , 33 , 34 ], numerous publications have thoroughly examined these potential alterations. Some studies on animals recorded effects in terms of cardiovascular [ 24 , 29 , 33 , 35 ], respiratory [ 17 , 25 , 26 , 27 , 34 , 36 ] and metabolic parameters [ 21 , 29 , 37 ].…”
Section: Introductionmentioning
confidence: 99%