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2012, Number 1

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AMC 2012; 16 (1)

Intraoperative hemodynamic and ventilatory behavior of patients cholecystectomized by minimal invasive surgery

Armas PG; Pías SS

Language: Spanish
References: 25
Page: 23-34
PDF size: 298.94 Kb.


ABSTRACT

Background: laparoscopic cholecystectomy offers new challenges to the anesthesiologist, that´s why it must know well changes that occur at the hemodynamic and respiratory level.
Objective: to describe the intraoperative hemodynamic and ventilatory behavior of patients cholecystectomized by minimal invasive surgery at the Teaching Military Hospital Dr. Octavio de la Concepción y de la Pedraja from January to December 2009.
Methods: a descriptive and observational study was conducted. The universe of work was constituted by 250 patients with preoperative diagnosis of vesicular lithiasis. The non probabilistic sample coincided with the universe.
Results: the age group between 50-59 years and the female sex prevailed. The ASA II physical state with regular surgical risk highlighted. Hypertension was the most frequent associate disease and smoking the most relevant risk factor. During and after pneumoperitoneum insufflation, tension figures were elevated while cardiac frequency decreased during the said procedure and later increased in the anesthetic recovery. Patients showed stable minute volume numbers. Exhaled C02 was elevated during and after pneumoperitoneum insufflation. The maximum inspiratory pressure increased, patients presented excellent partial oxygen saturation during surgery. Pain increased after surgery. Conclusions: advantages that offer cholecystectomies by minimal invasive surgery are a great challenge for anesthesiologists.


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