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ISSN 1726-6718 (Electronic)
Revista Cubana de Anestesiología y Reanimación

2015, Number 3

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Revista Cubana de Anestesiología y Reanimación 2015; 14 (3)

Mechanical ventilation in laparoscopic cholecystectomy

García ÁPJ, Cabreja ME

Language: Spanish
References: 35
Page:
PDF size: 128.35 Kb.


ABSTRACT

Background: the maintenance of oxygenation is a commonly encountered problem in patient undergoing laparoscopic cholecystectomy. There is no specific guideline on the ventilation modes for this surgery.
Objective: the aim of this study was to evaluate the ventilation manners.
Method: 18 adult patients of ASA physical status I and II, scheduled for laparoscopic cholecystectomy at "Dr. Octavio de la Concepcion´s" Hospital in october 2014- march 2015 were included in this prospective group study. To start with, all patients received VCV. Twenty minutes after creation of pneumoperitoneum, they were to receive PCV. The ventilator parameters were adjusted accordingly to maintain the end-tidal CO2 between 35 and 37 mmHg. Respiratory rate, peak airway pressure and plateau pressure were noted. All data were analyzed statistically. The stories of anesthesia were the information's source of obtaining.
Results: peak pressure were (VCV 26 ± 3) and (PCV 22 ± 3) without significant (t student 2,32). Plateau pressure were (VCV 21 ± 3) and (PCV 20 ± 3) showed a statistically significant (t student 0,01). Respiratory rate were higher in (PCV 14 ± 1) (t student 2,63) but without significant. Oxygenation parameters were similar in both group (VCV 97 ± 1) and (PCV 97 ± 1) (t student 0,54). Haemodynamic parameters were similar in both. Heart rate (VCV 68 ± 9) and (PCV 69 ± 5) (t student 0,82 ), middle blood pressure (VCV 89 ± 14) and (PCV 92 ± 7) both without statistically significant (t student 0,56).
Conclusions: between PCV and VCV just pressure plateau had significant difference.


REFERENCES

  1. López Caballero A. Ventilación mecánica. In Cheping Sánchez N, editor. Terapia Intensiva. La Habana: Ciencias Médicas; 2006. pp. 464.

  2. Dávila Cabo de Villa E. Ventilación Mecánica. In Calatayud JR, editor. Anestesiología Clínica. La Habana: Editorial Ciencias medicas.; 2006. pp. 233-254.

  3. Correa Borrell M. Rev. Cubana Anest y Reanimación. [En línea]; 2012 [citado Febrero 21.2015. URL disponible en: http://scielo.sld.cu/scielo.php?pid=S1726-67182012000300009&script=sci_arttext.

  4. Jain R, Swaminathan S. Anaesthesia ventilators. Indian J Anaesth. 2013; 57(5): 525- 532.

  5. Miller R. Fisiología y función respiratoria durante a anestesia. In Miller R, editor. Anestesia expert Consult. California: Elsevier; 2010. pp. 453- 493.

  6. Facultad de Medicina de donde 2013 Enero; 74(1). [En línea]; 2012 [citado Febrero 21.2015]. URL disponible en: http://www.scielo.org.pe/scieloOrg/php/articleXML.php?pid=S1025-55832013000100012&lang=es

  7. Poldermans D. Guías de práctica clínica para la valoración del riesgo cardiaco preoperatorio y el manejo cardiaco perioperatorio en la cirugía no cardiaca. Rev Esp Cardiol 2009; 62(12): e1-e56.

  8. De Armas Pedrosa G, Pias Solis S. Comportamiento hemodinámico y ventilatorio intraoperatorio de los pacientes colecistectomizados por cirugía mínima invasiva. Archivos Médicos de Camaguey 2013; 16(1). [En línea]; [citado Mayo 23, 2015]. URL disponible en: http://www.revistaamc.sld.cu/index.php/amc/article/view/109/0

  9. Joris J. Anesthesia for Laparoscopic Surgery. In Miller R, editor. Miller's Anesthesia. 7th ed. Philadelphia: Elsevier Churchill Livingstone; 2010. pp. 2285-2306.

  10. Koivusalo A, Lindgren L. Effects of carbon dioxide pneumoperitoneum for laparoscopic cholecystectomy. Acta Anaesthesiol Scand. 2000; 44(2):834-841.

  11. Seiberlich E, Alves Santana J, Carvalho Seiberlich RR. Ventilación Mecánica Protectora, ¿Por qué utilizarla? Rev Brasileña de Anestesiologia. 2011; 61(5): 361-365.

  12. Spieth PM. Logo Sprinter. [En línea]; 2012 [citado Febrero 21.2015]. URL disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4026052/.

  13. Damico N. Mechanical Ventilation of the Anesthetized Patient. Crit Care Nurs Clin North Am. 2015; 27(1):147-155.

  14. Lamsfus Prieto A. Ventilación pulmonar protectora durante la cirugía abdominal mayor: Estudio IMPROVE. Revista electrónica Anestesia R. 2014 Febrero[citado Febrero 21.2015]; VI(295). Disponible en: http://anestesiar.org/2014/ventilacion-pulmonar-protectora-durante-la-cirugia-abdominal-mayor-estudio-improve/

  15. Montes Rodriguez F, Fernandez Pardo D. Comparison of two protective lung ventilatory regimes on oxygenation during one-lung ventilation: a randomized controlled trial. J Cardiothorac Surg. 2010 Nov; 5(1): p. 99.

  16. De Baerdemaeker L, Van der Herten C, Gillardin J, Pattyn P, Mortier E, Szegedi L. Obesity Surgery. [En línea]; 2008 [citado Febrero 21.2015]. URL disponible en: http://link.springer.com/article/10.1007%2Fs11695-007-9376-8

  17. Nichols D, Haranath S. Pressure control ventilation. Crit Care Clin. 2007; 23(1): 183-199.

  18. Gupta S, Kundu S, Ghose T, Maji S, Mitra K, Mukherjee M, et al. Indian J Anaesth. [En línea]; 2012 [citado Febrero 21.2015]. URL disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3425289/?report=reader

  19. Woo Jae J, Sang Yun C, Mi Rang B, So-Young K. Comparison of volume-controlled and pressure-controlled ventilation using a laryngeal mask airway during gynecological laparoscopy. Korean J Anesthesiol. 2011; 60(3): 167-172.

  20. Jo Y, Kim J, Kwak Y, Kim Y, Kwak H. J Neurosurg Anesthesiol [En línea]; 2012 [citado Febrero 21.2015]. URL disponible en: http://journals.lww.com/jnsa/pages/articleviewer.aspx?year=2012&issue=01000&article=00004&type=abstract

  21. Cadi P, Guenoun T, Journois D, Chevalliers M, Diehel L. Br J Anaesth. [En línea]; 2012 [citado Febrero 21.2015]. URL disponible en: http://bja.oxfordjournals.org/content/100/5/709.long

  22. Campbell R, Davis B. Respir Care. [En línea]; 2012 [citado Febrero 21.2015]. URL disponible en: http://www.researchgate.net/publication/11435137_Pressurecontrolled_versus_volume-controlled_ventilation_does_it_matter

  23. Balick Weber C, Nicolas HM, Blanchet P, Stéphan F. Respiratory and haemodynamic effects of volume-controlled vs pressure-controlled ventilation during laparoscopy: a cross-over study with echocardiographic assessment. Oxford Journals. 2015; 114(4): 429-435.

  24. Jaswal D, Leung J, Sun J, Cui X, Li Y, Kern S, et al. Tidal volume and plateau pressure use for acute lung injury from 2000 to present: a systematic literature review. Crit Care Med. 2014; 42(10): p. 2278-89.

  25. Montes F, Pardo D, Charrís H, Tellez L, Garzón J, Osorio C. J Cardiothorac Surg. [En línea]; 2010 [citado Febrero 21.2015]. URL disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2987929/

  26. Gao W, Liu DD, Li D, Cui G. Effect of Therapeutic Hypercapnia on Inflammatory Responses to One-lung Ventilation in Lobectomy Patients. Anesthesiology. 2015;(6): p. 89-94.

  27. Pannu S, Hubmayr R. Safe mechanical ventilation in patients without ARDS. Minerva Anestesiol. 2015; 19: 10-15.

  28. Prescott H, Brower R, Cooke C, Phillips G, O'Brien J. Crit Care Med. [En línea]; 2013 [citado Febrero 21.2015]. URL disponible en: http://journals.lww.com/ccmjournal/pages/articleviewer.aspx?year=2013&issue=03000&article=00007&type=fulltext

  29. Sprung J, Whalley D, Falcone T, Wilks W, Navratil J, Bourke D. The effects of tidal volume and respiratory rate on oxygenation and respiratory mechanics during laparoscopy in morbidly obese patients. Anesth Analg. 2003; 97(2): p. 268-274.

  30. Aldenkortt M, Lysakowski C, Elia N, Brochard L. Br J Anaesth. [En línea]; 2012 [citado Febrero 21.2015]. URL disponible en: http://bja.oxfordjournals.org/content/99/3/429.long.

  31. McKibbne A, Ravenscfraft S. Pressure-controlled and volume-cycled mechanical ventilation. Clinical Chest Medicine. 1996;(17): 395-410.

  32. Balick Weber C, Nicolas P, Hedreville Mountout M. Br. J. Anaesth[En línea]; 2012 [citado Febrero 21.2015]. URL disponible en: http://bja.oxfordjournals.org/content/99/3/429.long

  33. Vitacca M, Scalvini S, Volterrani M, Clini E, Paneroni M, Giordano A, et al. In COPD patients on prolonged mechanical ventilation heart rate variability during the T-piece trial is better after pressure support plus PEEP: a pilot physiological study. [En línea]; 2014 [citado Febrero 21.2015]. URL disponible en: http://dx.doi.org/10.1016/j.hrtlng.2014.04.003

  34. Wang C, Guo L, Chi C, Wang X, Guo L, Wang W, et al. Mechanical ventilation modes for respiratory distress syndrome in infants: a systematic review and network meta-analysis. Crit Care. 2014; 19(1): 843.

  35. Baltier L, Dos Santos L, Rasera Junior I, de Lima Montebelo M, Pazzianotto Forti E. Use of positive pressure in preoperative and intraoperative of bariatric surgery and its effect on the time of extubation. Braz J Anesthesiol. 2015; 65(2): p. 130-135.




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