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2021, Number 2

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Acta Med 2021; 19 (2)

Impact of alveolar recruitment maneuvers on optic nerve sheath diameter in laparoscopic surgery

Labra NA, Marí ZDD, Álvarez RGE, Ángeles TRA, Hernández EL, García EC, Cajiga LA

Language: Spanish
References: 42
Page: 172-179
PDF size: 192.61 Kb.


ABSTRACT

Alveolar recruitment maneuvers can increase intracranial pressure and decrease cerebral perfusion pressure, however, their use is recommended as they reduce postoperative pulmonary complications in laparoscopic surgery in Trendelenburg position. Objective: To know the impact of pulmonary recruitment maneuvers on the diameter of the optic nerve sheath, in laparoscopic surgery in Trendelenburg position. Material and methods: Experimental, prospective randomized, comparative study. Thirty patients were randomized into two groups, group A: control group and group B: alveolar recruitment maneuver. Patients in laparoscopic surgery in Trendelenburg position, the diameter of the optic nerve was measured at different times. Result: The diameter of the optic nerve sheath did not show statistically significant difference between the control group and maneuver group during the measurements, however, we had a significant difference between the baseline value and the pre-emersion value in both groups (p = 0.001). Conclusion: The use of an alveolar recruitment maneuver by increasing PEEP in a scaled way can be applied safely, however, more studies with a larger sample number are required.


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