The changes of ventilatory parameters in laparoscopic colecystectomy

Hong, Jeong Yeon; Chung, Keum Hee; Lee, Young Ju

doi:10.3349/ymj.1999.40.4.307

Cited by 11 publications

(7 citation statements)

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“…Propofol was used for induction after proper atropinization and anesthesia was maintained with oxygen, air, isoflurane (1.5%), fentanyl and controlled ventilation with vecuronium or atracurium. In the present study more than 95% patients maintained their SPO2 at normal level, similar was the findings of other previous workers like Jeonyean Hong et al [21] , Maha S. A Adbel Hadi et al [22] and Harris MNE et al [23] . In 4.34% of patients the SpO2 dropped temporarily and got corrected immediately with a proper measure.…”

Section: Discussionsupporting

confidence: 93%

Anesthesia for Laparoscopic Cholecystectomy: Experience with 5000 Cases

Bhattarai¹,

Sulaimankulov²,

Dangi³

et al. 2016

AIMDR

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Background: Since the introduction of laparoscopic cholecystectomy in 1987 by Philips Mouret its popularity has increased tremendously and very rapidly because of its several advantages. But reports of randomized large control seriesare not yet available so we plan to report our experience of 5000 cases of single incision laparoscopic cholecystectomies and their anesthetic management. Objective: The purpose of this retrospective study was to evaluate the general anesthetic technique for laparoscopic cholecystectomy keeping in mind the pathophysiological effect of laparoscopy, head up position and pneumoperitoneum. Methods: A retrospective study of 5000 cases of symptomatic gall bladder disease that underwent laparoscopic cholecystectomy at Nobel Medical College Teaching Hospital, Nepal from Jan 2010-Dec 2015 was done. Detail pre-anesthetic check up, investigation, preparation and anesthetic techniques were carried out as per hospital protocol. Strict vigil was made to maintain the vital parameters within normal limit particularly ETCO2 below 35 mmHg. All efforts were made to keep ETCO2 below 35mHg. At the end of surgery residual neuromuscular blockade was reversed with neostigmine and glycopyrrolate, before they were transferred to PACU. Results: The mean age of the patients was 48 years with a male:female of 1:2.26. 28.64 % of patients belonged to ASA III. More than 95 % patients maintained SPO2 between 98-100% and 91% maintained their ETCO2 below or around 35 mmHg. Intra-operative surgical and anesthetic complications were controlled with proper therapies. There was no intra-operative death. Conclusion: Single incision laparoscopic Cholecystectomy (SILC) is a safe, cost effective ideal for day care surgery and general anesthesia with controlled mechanical ventilation with oxygen, air, fentanyl, isoflurane, midazolam and vecuronium/atracurium is good choice.

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Section: Discussionsupporting

confidence: 93%

Anesthesia for Laparoscopic Cholecystectomy: Experience with 5000 Cases

Bhattarai¹,

Sulaimankulov²,

Dangi³

et al. 2016

AIMDR

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“…Laparoscopic cholecystectomy, because of factors such as the need for a small incision, the incidence of postoperative pain and analgesic need, early mobilization, shorter hospital stay, was replaced as an alternative to laparotomy . Pneumoperitoneum caused by insufflation of CO 2 and positioning of the patients were known to have adverse effects on haemodynamics and respiratory system . Intra‐abdominal pressure should be kept at the level to maintain minimal adverse effects on haemodynamic parameters (≤14 mmHg) .…”

Section: Discussionmentioning

confidence: 99%

“…Abdominal CO 2 insufflation causes upward displacement of diaphragm, increased risk of regurgitation, reduced lung volumes and compliance, and increased airway resistance, intrathoracic, peak inspiratory and partial arterial carbon dioxide pressures .…”

Section: Introductionmentioning

confidence: 99%

Comparison of pressure and volume‐controlled ventilation in laparoscopic cholecystectomy operations

Aydın

Kabukçu

Şahin

et al. 2014

Clinical Respiratory J

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“…Laparoscopic cholecystectomy has become a standard and less invasive technique for cholecystectomy surgeries in gall bladder diseases (1,2) . Although tracheal intubation is considered as an ideal approach, it has disadvantages like raised respiratory and hemodynamic responses during intubation, pneumoperitoneum and extubation (3)(4)(5)(6)(7)(8)(9) . However, supraglottic airway devices (SAD) with facility for gastric suction such as Proseal LMA and I gel have been successfully used in laparoscopic cholecystectomy (10)(11)(12)(13)(14)(15)(16) .…”

Section: Introductionmentioning

confidence: 99%

A Prospective Randomized Comparative Study between Baska Mask, Proseal LMA and I Gel during Positive Pressure Ventilation in Laparoscopic Cholecystectomy

Dhanasekaran¹,

Mehta²,

Parameswari³

2019

JARSS

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Objective: Supraglottic airway devices with facility for gastric suction such as Proseal LMA and I gel have been successfully used for positive pressure ventilation in laparoscopic surgeries. Baska mask, a novel device with many unique features such as self-sealing membranous cuff and effective sump drainage system was designed in such a way that the perilaryngeal seal increases incrementally with increasing airway pressures. But Baska mask was not extensively evaluated to validate its use in laparoscopic surgeries. The efficiency of Baska mask (B), Proseal LMA (P) and I Gel (I) are compared during positive pressure ventilation in laparoscopic cholecystectomy. Methods: Ninety patients of ASA physical status I-II planned for laparoscopic cholecystectomy were randomized into three groups (B, I, P) of 30 each. The study was proceeded with 88 (B-30, I-29, P-29) patients. Oropharyngeal leak pressure, insertion time, effective airway time and airway morbidity were assessed and compared between the three groups. Mean, standard deviation, paired sample t-test, one way ANOVA with Tukey's Post-Hoc test was used. Results: The oropharyngeal leak pressure at insertion time was 38.33±4.353 cm of H 2 O for group B, 30.57±2.174 cm of H 2 O for group I, 29.36±2.706 cm of H2O for group P. The leak pressure was statistically significant between group B and other groups. Conclusions: Baska mask provided higher oropharyngeal leak pressure in comparison to other two supraglottic devices. ÖZ Amaç: Proseal LMA ve I gel gibi gastrik aspirasyon avantajı olan supraglottik hava yolu araçları, laparoskopik ameliyatlarda pozitif basınçlı ventilasyonda başarıyla kullanılmaktadır. Kendiliğinden yerleşen membranöz cuff ve etkin sıvı drenaj sistemi gibi pek çok benzersiz özelliğe sahip yeni bir cihaz olan Baska mask, perilarengeal yerleşme basıncının, artan hava yolu basınçları ile aşamalı olarak artacağı şekilde tasarlanmıştır. Ancak, Baska maskın, laparoskopik ameliyatlarda kullanımı kapsamlı olarak araştırılmamıştır. Laparoskopik kolesistektomide pozitif basınçlı ventilasyon sırasında Baska mask (B), Proseal LMA (P) ve I Gel (I)'in etkinliği karşılaştırıldı. Yöntem: Laparoskopik kolesistektomi planlanan ASA I-II 90 hasta, üç gruba (B, I, P) randomize edildi. Çalışma 88 (B-30, I-29, P-29) hasta ile sürdürüldü. Orofarengeal kaçak basıncı, yerleştirme zamanı, etkin hava yolu zamanı ve hava yolu morbiditesi değerlendirildi ve üç grup karşılaştırıldı. İstatistiksel analizde; ortalama, standart sapma, paired sample t-testi, Tukey Post-Hoc testi ile tek yönlü ANOVA kullanıldı. Bulgular: Yerleştirme sırasında orofarengeal kaçak basıncı, B grubunda 38.33±4.353 cmH 2 0, I grubunda 30.57±2.174 cmH 2 0, P grubunda 29.36±2.706 cmH 2 0 idi. Kaçak basıncı, B grubu ve diğer gruplar arasında istatistiksel olarak anlamlıydı. Sonuç: Baska mask, diğer iki supraglottik araç ile karşılaştırıldığında daha yüksek orofaringeal kaçak basıncı sağladı. Bu çalışmada kullanılan üç farklı ikinci kuşak supraglottik hava yolu aracı arasında, Baska mask, yüksek orofarengeal ...

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The changes of ventilatory parameters in laparoscopic colecystectomy

Cited by 11 publications

References 0 publications

Anesthesia for Laparoscopic Cholecystectomy: Experience with 5000 Cases

Anesthesia for Laparoscopic Cholecystectomy: Experience with 5000 Cases

Comparison of pressure and volume‐controlled ventilation in laparoscopic cholecystectomy operations

A Prospective Randomized Comparative Study between Baska Mask, Proseal LMA and I Gel during Positive Pressure Ventilation in Laparoscopic Cholecystectomy

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