Korean J Anesthesiol.
2000 Sep;39(3):352-356. 10.4097/kjae.2000.39.3.352.
The Effects of Intraperitoneal CO2 Insufflation and/or Reversed Trendelenburg Position on Airway Pressure and Compliance
- Affiliations
-
- 1Department of Anesthesiology, Hanil General Hospital, College of Medicine, Chung-Ang University, Seoul, Korea.
- 2Department of Anesthesiology, Hanil General Hospital, College of Medicine, Seoul National University, Seoul, Korea.
- KMID: 2237600
- DOI: http://doi.org/10.4097/kjae.2000.39.3.352
Abstract
-
BACKGROUND: We studied the effects of intraperitoneal CO2 insufflation and/or the
reversed Trendelenburg position on airway pressure and compliance of the total
respiratory system.
METHODS
We selected and randomly allocated eighty adults to a control group C or laparoscopy group L. Without premedication, propofol and vecuronium were injected for anesthesia. In the supine position we checked peak and plateau airway pressures, and calculated the dynamic and static compliance of the total respiratory system. We only used 10o reverse Trendelenburg position in group C, and used both 10o reverse Trendelenburg position and abdominal CO2 insufflation in group L. Afterwards, we checked airway pressure and compliance and compared them between groups.
RESULTS
In group C, there was no change in airway pressure and compliance. But in group L, peak airway pressure (13.9 +/- 2.4 vs 21.0 +/- 3.3 cmH2O) and plateau airway pressure (11.7 +/- 2.1 vs 18.9 +/- 3.2 cmH2O) were increased and dynamic compliance (47.7 +/- 9.1 vs 30.6 +/- 5.9 ml/cmH2O) and static compliance (58.4 +/- 12.4 vs 13.1 +/- 7.3 ml/cmH2O) of the total respiratory system were decreased.
CONCLUSION
In a laparoscopic cholecystectomy, intraabdominal insufflation of CO2 raises airway pressure and reduces compliance of the total respiratory system. Reverse Trendelenburg position itself does not affect airway pressure and compliance.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- The Effect of the Body Position and CO2 Gas Insufflation on Airway Pressure and Compliance in Normal Subjects during Laparoscopy or Pelviscopy
- The Effect of Cardiovascular and Arterial Blood Gas Changes during Laparoscope Assisted Vaginal Hysterectomy (LAVH)
- The Effect of CO2 Insufflation and Trendelenburg-lithotomy Position on Intraocular Pressure during Laparoscopy
- The effect of pneumoperitoneum and Trendelenburg position on respiratory mechanics during pelviscopic surgery
- The Effects of Intraperitoneal CO2 , Insufflation on the Blood pressure , pH and Blood Gases during Laparoscopy
