Surveillance hémodynamique non invasive dans la cœlioscopie gynécologique

Muchada, R.; Lavandier, B.; Cathignol, D.; Lamazou, J; Lucchesi, G.; Roux, M; Haro, D; Palayer, C.

doi:10.1016/s0750-7658(86)80116-2

Cited by 19 publications

(1 citation statement)

References 7 publications

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“…Moreover, the findings provided by TOE or TTE are only discontinuous and widely operator-dependent, In contrast, oesophageal ABF echo-Doppler seems to be an easy, noninvasive and accurate method to monitor cardiac performance property and continuously in adults (11,17) as in infants and children (7,18). The correlation of the method was considered satisfactory as compared with electromagnetic flow in animals (18) and with thermodilution in humans (17,19). Moreover, this device allows measurement of the aortic diameter and velocity at the same anatomical level: the importance of this simultaneous measurement has been previously outlined in adults (20) and especially in children (21).…”

Section: Discussionmentioning

confidence: 99%

Comparison of the myocardial effects of desflurane and isoflurane in healthy patients: assessment by continuous oesophageal aortic blood flow echo-Doppler

Gueugniaud¹,

Vaudelin²,

Bertin‐Maghit³

et al. 1998

British Journal of Anaesthesia

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Experimentally, desflurane causes a moderate positive inotropic effect and a transient increase in arterial pressure with rapid increases in concentration compared with isoflurane. We used a continuous oesophageal aortic blood flow echo Doppler device to study the myocardial effects of equi-anaesthetic concentrations of isoflurane and desflurane in 32 healthy patients undergoing superficial surgery. After induction of anaesthesia with midazolam, etomidate and fentanyl general anaesthesia was maintained in 16 patients with 0.6% end-expired concentration of isoflurane and in 16 patients with 3% end expired concentration of desflurane. Isoflurane induced a rapid decrease in aortic blood flow (ABF) which remained almost stable whereas desflurane induced an early, moderate and transient increase in ABF (1 min after introduction of the halogenated agent, mean ABF was 107 (SD 3)% in the desflurane group vs 95 (9)% in isoflurane group compared with control values before introduction of the inhalation agent; P = 0.005), followed by a marked secondary decrease in ABF. The maximal decrease in ABF reached 71 (15)% of its initial value in the desflurane group compared with 80 (14)% in the isoflurane group (ns). Neither agent caused significant changes in other variables except for PE'CO2 which decreased in both groups. Continuous ABF echo-Doppler monitoring demonstrated an early transient positive inotropic effect of desflurane.

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Section: Discussionmentioning

confidence: 99%

Comparison of the myocardial effects of desflurane and isoflurane in healthy patients: assessment by continuous oesophageal aortic blood flow echo-Doppler

Gueugniaud¹,

Vaudelin²,

Bertin‐Maghit³

et al. 1998

British Journal of Anaesthesia

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Intermittent Sequential Pneumatic Compression in Prevention of Venous Stasis Associated With Pneumoperitoneum During Laparoscopic Cholecystectomy

Millard¹,

Hill²,

Cook³

et al. 1993

Arch Surg

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Modifications hemodynamiques durant la cœlioscopie: étude menée par bioimpédance électrique thoracique

et al. 1990

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In 18 women A.S.A. physical status 1, a noninvasive thoracic electrical bioimpedance method was used to evaluate haemodynamic changes during gynaecological laparoscopy. A significant decrease in cardiac index was observed after peritoneal insufflation, from 3.2 to 2.8 L.min-1.m-2 and returned to the initial values after ten minutes of Trendelenburg's position. Elevated intra-abdominal pressure was also associated with a significant increase in mean arterial pressure (from 68 to 88 mmHg) and systemic vascular resistance index (from 1620 to 2491 dyn.s.cm-5.m-2). However, values were not restored after peritoneal exsufflation: systemic vascular resistance index values remained 30 per cent higher than that before insufflation. Decreased venous return may account for the significant decrease in cardiac output but mechanical compression does not explain the persistent elevation of systemic vascular resistance.

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Surveillance hémodynamique non invasive dans la cœlioscopie gynécologique

Cited by 19 publications

References 7 publications

Comparison of the myocardial effects of desflurane and isoflurane in healthy patients: assessment by continuous oesophageal aortic blood flow echo-Doppler

Comparison of the myocardial effects of desflurane and isoflurane in healthy patients: assessment by continuous oesophageal aortic blood flow echo-Doppler

Intermittent Sequential Pneumatic Compression in Prevention of Venous Stasis Associated With Pneumoperitoneum During Laparoscopic Cholecystectomy

Modifications hemodynamiques durant la cœlioscopie: étude menée par bioimpédance électrique thoracique

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