What is it about?
Effects of Hypercarbia on Spontaneous Ventilation in Short Laparoscopic Procedures
Featured Image
Photo by Kajetan Powolny on Unsplash
Why is it important?
Context: Carbon dioxide is most commonly used to insufflate the abdominal cavity to facilitate short laparoscopic surgeries, where the real challenge lies in management of pathophysiological changes due to hypercarbia. Aim: To study the effects of hypercarbia on respiration in short laparoscopic procedures such on diagnostic laparoscopy and laparoscopic sterilization. Settings and Design: An observational study on 60 female subjects aged between 25-45 years presenting for diagnostic laparoscopy forinfertility, laparoscopic sterilization of ASA I & II category. Methods and Material: Anaesthesia was given by ketofol Intravenous induction and sevoflurane 1% with CO 2/N2O insufflation of abdomen. The pre, intra, postoperative pulse, BP, O2 saturation, Respiratory rate, EtCO2 were noted with special reference to preinsufflation, during insufflation & deflation of abdomen. Statistical analysis used: Descriptive analysis was carried out by mean and standard deviation and presented in trend line diagram, error bar diagram for quantitative variables, frequency and proportion for categorical variables. Results: Pre anesthesia Respiratory rate was 13.13±1.09. A1.75 time rise was noted in Respiratory rate (24.43±3.42) to maintainnormocarbia during insufflation. Conclusions: Spontaneous Ventilation is effective in maintaining normocarbia during short laparoscopic procedures. Endotrachal intubation and paralysis to maintain normocarbia could be avoided.
Perspectives
Context: Carbon dioxide is most commonly used to insufflate the abdominal cavity to facilitate short laparoscopic surgeries, where the real challenge lies in management of pathophysiological changes due to hypercarbia. Aim: To study the effects of hypercarbia on respiration in short laparoscopic procedures such on diagnostic laparoscopy and laparoscopic sterilization. Settings and Design: An observational study on 60 female subjects aged between 25-45 years presenting for diagnostic laparoscopy forinfertility, laparoscopic sterilization of ASA I & II category. Methods and Material: Anaesthesia was given by ketofol Intravenous induction and sevoflurane 1% with CO 2/N2O insufflation of abdomen. The pre, intra, postoperative pulse, BP, O2 saturation, Respiratory rate, EtCO2 were noted with special reference to preinsufflation, during insufflation & deflation of abdomen. Statistical analysis used: Descriptive analysis was carried out by mean and standard deviation and presented in trend line diagram, error bar diagram for quantitative variables, frequency and proportion for categorical variables. Results: Pre anesthesia Respiratory rate was 13.13±1.09. A1.75 time rise was noted in Respiratory rate (24.43±3.42) to maintainnormocarbia during insufflation. Conclusions: Spontaneous Ventilation is effective in maintaining normocarbia during short laparoscopic procedures. Endotrachal intubation and paralysis to maintain normocarbia could be avoided.
Red Flower Publication Publications
Red Flower Publication Pvt Ltd
Read the Original
This page is a summary of: Effects of Hypercarbia on Spontaneous Ventilation in Short Laparoscopic Procedures, Indian Journal of Anaesthesia and Analgesia, January 2018, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.5618.9.
You can read the full text:
Contributors
The following have contributed to this page
