Pressure-Controlled vs Volume-Controlled Ventilation During Laparoscopic Gynecologic Surgery

Oğurlu, Mustafa; Küçük, Mert; Bilgin, Ferruh; Sızlan, Ali; Yanarateş, Ömer; Eksert, Sami; Karaşahin, Emre; Çoşar, Ahmet

doi:10.1016/j.jmig.2009.10.007

Cited by 56 publications

(51 citation statements)

References 17 publications

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“…These changes are similar to those in other published trials for non-bariatric laparoscopic surgery [2,8]. Reduction in peak airway pressure with PC ventilation is a previously well-documented finding in other conditions, including acute lung injury ⁄ acute respiratory distress syndrome [9][10][11], during one-lung anaesthesia [12,13], and in patients who are morbidly obese [14].…”

Section: Discussionsupporting

confidence: 85%

“…We did not find any significant differences in compliance after initiation of pneumoperitoneum; this is in contrast to the improved compliance seen with PC ventilation in other trials [2,8]. Our observations pertain to upper abdominal surgery conducted in the reverse Trendelenburg position, whereas BalickWeber et al [2] and Ogurlu et al [8] evaluated patients undergoing laparoscopic urological or gynaecological surgery, respectively, in the Trendelenburg position.…”

Section: Discussioncontrasting

confidence: 76%

“…Our observations pertain to upper abdominal surgery conducted in the reverse Trendelenburg position, whereas BalickWeber et al [2] and Ogurlu et al [8] evaluated patients undergoing laparoscopic urological or gynaecological surgery, respectively, in the Trendelenburg position. The Trendelenburg position causes an increase in lung resistance and elastance when 38 (10) 23 (5) 25 (5) 44 (11) 28 (7) 29 (7) 0.022 Resistance; cmH 2 O.l…”

Section: Discussionmentioning

confidence: 99%

“…However, there are mixed results with regard to non-obese patients [2,8]. We therefore decided to compare the effects of the two ventilation modes with respect to pulmonary mechanics and gas exchange in non-obese patients undergoing laparoscopic cholecystectomy, in a randomised controlled trial.…”

mentioning

confidence: 99%

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A comparison of pressure‐controlled and volume‐controlled ventilation for laparoscopic cholecystectomy*

et al. 2011

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SummaryThe potential advantages of pressure-controlled over volume-controlled ventilation during laparoscopic surgery have yet to be proven. We randomly assigned 42 patients with BMI < 30 kg.m )2 scheduled for laparoscopic cholecystectomy to receive either pressure-or volumecontrolled ventilation. Compared with volume-controlled ventilation, pressure-controlled ventilation resulted in a significant decrease in mean (SD) peak airway pressure at 10 min (20.4 (2.7) vs 24.0 (4.7) cmH 2 O, p = 0.004) and 30 min (20.7 (3.0) vs 23.9 (4.9) cmH 2 O, p = 0.015) and an increase in mean airway pressure at 10 min (10.5 (0.9) vs 9.6 (1.1) cmH 2 O, p = 0.007) and 30 min (10.5 (1.1) vs 9.6 (1.2) cmH 2 O, p = 0.016) after the start of surgery. Gas exchange and haemodynamic stability were similar. We conclude that pressure-controlled ventilation is a safe alternative and offers some advantages to volume-controlled ventilation during laparoscopic cholecystectomy in non-obese patients.

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Section: Discussionsupporting

confidence: 85%

Section: Discussioncontrasting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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A comparison of pressure‐controlled and volume‐controlled ventilation for laparoscopic cholecystectomy*

et al. 2011

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“…ventilation, VCV)를 적용한 군과 압력조절환기(pressure-controlled ventilation, PCV)를 적용한 군 간의 혈역학 변화와 환 기적 차이를 분석하는 방식으로 연구되어왔다 [6,7]. Values are expressed as mean ± SD.…”

Section: 기존의 연구들은 대부분의 용적조절환기(Volume-controlledunclassified

Comparison of volume-controlled and pressure-controlled ventilation in the Trendelenburg position for gynecological laparoscopic surgery

Kim¹,

Moon²,

Lee³

et al. 2015

Anesth Pain Med

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Background: Minimal invasive gynecologic surgery usually requires pneumoperitoneum and Trendelenburg positioning, which results in adverse effects on respiratory and hemodynamic parameters. The aim of this study was to investigate the effects of volume-controlled ventilation (VCV) and pressure-controlled ventilation (PCV) introduced sequentially in patients who underwent gynecological laparoscopy on respiratory mechanics, cardiovascular responses, and gas exchange. Methods: Forty patients who were scheduled for gynecologic laparoscopic surgery were enrolled. Baseline ventilation of their lungs was performed with VCV with a tidal volume (TV) of 8 ml/kg ideal body weight (IBW). Forty minutes after pneumoperitoneum and Trendelenburg positioning, the ventilation mode was changed to PCV, and airway pressure was set to provide a TV of 8 ml/kg IBW without exceeding 35 cmH2O. Respiratory mechanics and hemodynamic and gas exchange parameters were recorded at 10

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Anesthesia in Laparoscopic Colorectal Surgery

Douma

Nixon

Grigoriadou

2020

Laparoscopic Colon Surgery

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Pressure-Controlled vs Volume-Controlled Ventilation During Laparoscopic Gynecologic Surgery

Cited by 56 publications

References 17 publications

A comparison of pressure‐controlled and volume‐controlled ventilation for laparoscopic cholecystectomy*

A comparison of pressure‐controlled and volume‐controlled ventilation for laparoscopic cholecystectomy*

Comparison of volume-controlled and pressure-controlled ventilation in the Trendelenburg position for gynecological laparoscopic surgery

Anesthesia in Laparoscopic Colorectal Surgery

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