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2016, Number 1

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AMC 2016; 20 (1)

Application of two modes of ventilation in laparoscopic cholecystectomy

García ÁPJ, Núñez CAM, Cabreja ME, Estrada BY

Language: Spanish
References: 35
Page: 15-24
PDF size: 441.88 Kb.


ABSTRACT

Background: the maintenance of oxygenation is a frequent problem in patients who undergo a laparoscopic cholecystectomy. There are not specific guides for applying the modes of ventilation in this type of surgery.
Objective: to compare two modes of ventilation, volume-controlled ventilation and pressure-controlled ventilation in patients who undergo a laparoscopic cholecystectomy.
Methods: an analytical, longitudinal study was conducted. The sample was composed of 18 patients of ASA physical status I and II, scheduled for a laparoscopic cholecystectomy in "Dr Octavio de la Concepción y de la Pedraja" Military Teaching Hospital, Camaguey. At first, all the patients received volume-controlled ventilation. Twenty minutes later, when the pneumoperitoneum was administered, all of them received pressure-controlled ventilation. The studied variables were O2 saturation, peak pressure, plateau pressure, respiration rate and hemodynamic parameters.
Results: there was not statistical significance regarding the peak pressure. Plateau pressure presented significant differences. Respiration rate increased more with pressure-controlled ventilation than with volume-controlled ventilation, without statistical significance. Oxygenation had the same values in both modes of ventilation. The hemodynamic parameters were similar, showing more dispersion with volume-controlled ventilation. Heart rate was similar in both modes of ventilation. There was not statistical significance regarding the mean arterial pressure.
Conclusion: there was difference between both modes of ventilation only regarding the plateau pressure.


REFERENCES

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

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

  3. Correa Borrel M, Pozo Romero JA, Fernandez Ramos H. Relación inspiración-espiración inversa en la colecistectomía laparoscópica. Rev Cubana Anest Rean [Internet]. Sep-Dic 2012 [citado 2015 Feb 21];3(11):[Internet]. Disponible en: http://scielo.sld.cu/scielo.php?pid=S1726-67182012000300009&script=sci_arttext

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

  5. Miller R. Fisiología y función respiratoria duran-te a anestesia. In Miller R, editor. Anestesia ex-pert Consult. California: Elsevier; 2010. p. 453- 493.

  6. Enciso Nano J. Anestesia en la cirugía laparos-cópica abdominal. Ana Fac Med [Internet]. 2013 Ene [citado 2015 May 21];74(1):[aprox. 9 p.]. Disponible en: http://www.scielo.org.pe/scielo.php?pid=S1025-55832013000100012&script=sci_arttext

  7. Poldermans D, Bax J, Boersma E. Guías de práctica clínica para la valoración del riesgo car-diaco preoperatorio y el manejo cardiaco periope-ratorio en la cirugía no cardiaca. Rev Esp Cardiol [Internet]. 2009 [citado 2015 May 21];62(12):[aprox. 7 p.]. Disponible en: http://www.escardio.org/guidelines-surveys/esc-guidelines/TranslatedGuidelinesDocuments/guidelines-Perioperative-Spanish.pdf

  8. De Armas Pedrosa G, Pias Solis S. Comporta-miento hemodinámico y ventilatorio intraopera-torio de los pacientes colecistectomizados por cirugía mínima invasiva. Arch Med Camaguey [Internet]. 2012 Ene-Feb [citado 2015 May 21];16(1):[aprox. 7 p.]. Disponible en: http://new.medigraphic.com/cgi-bin/resumenMain.cgi?IDARTICULO=36029

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

  10. Koivusalo A, Lindgren L. Effects of carbon dioxide pneumoperitoneum for laparoscopic cholecystec-tomy. Acta Anaesthesiol Scand [Internet]. 2000 Jan [citado 2015 May 21];44(2):[about 7 p.]. Available from: http://En líneal-ibrary.wiley.com/doi/10.1034/j.1399-6576.2000.440709.x/ab-stract;jsessionid=52C99924D60164B0A445D644AFB566C5.f04t01?userIsAuthenticat-ed=false&deniedAccessCustomisedMessage=

  11. Seiberlich E, Alves Santana J, Carvalho Seiberlich RR. Ventilación Mecánica Protectora, ¿Por Qué Utilizarla? Rev Brasileña de Anestesiologia [Internet]. 2011 Jun [citado 2015 May 21];61(5):[aprox. 7 p.]. Disponible en: http://www.scielo.br/pdf/rba/v61n5/es_v61n5a15.pdf

  12. Spieth PM. Variable versus conventional lung pro-tective mechanical ventilation during open ab-dominal surgery: study protocol for a randomized controlled trial. Logo Sprinter [Internet]. 2014 May [citado 2015 May 21];15(155):[about 7 p.]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4026052/.

  13. Damico N. Mechanical Ventilation of the Anesthe-tized Patient. Crit Care Nurs Clin North Am [Internet]. 2015 Mar [citado 2015 May 21];27(1):[about 9 p.]. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0899588514000835?via=sd

  14. Lamsfus Prieto A. Ventilación pulmonar protecto-ra durante la cirugía abdominal mayor: Estudio IMPROVE. Rev Electr Anes [Internet]. Feb 2014 [citado 2015 May 21];6(295):[aprox. 7 p.]. Dis-ponible en: http://anestesiar.org/2014/ventilacion-pulmonar-protectora-durante-la-cirugia-abdominal-mayor-estudio-improve/.

  15. Montes Rodriguez F, Fernandez Pardo D. Compar-ison of two protective lung ventilatory regimes on oxygenation during one-lung ventilation: a ran-domized controlled trial. J Cardiothorac Surg [Internet]. 2010 Nov [citado 2015 May 21];5(1):[about 7 p.]. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2987929/.

  16. De Baerdemaeker L, Van der Herten C, Gillardin J, Pattyn P, Mortier E, Szegedi L. Comparison of volume-controlled and pressure-controlled venti-lation during laparoscopic gastric banding in mor-bidly obese patients. Obes Surg [Internet]. 2008 [citado 2015 May 21];1(18):[about 12 p.]. Avail-able from: article/10.1007%2Fs11695-007-9376-8

  17. Nichols D, Haranath S. Pressure control ventila-tion. Crit Care Clin [Internet]. 2007 May [citado 2015 May 21];23(1):[about 6 p.]. Available from: http://www.criticalcare.theclinics.com/article/S0749-0704%2806%2900085-6/abstract

  18. Gupta S, Kundu S, Ghose T, Maji S, Mitra K, Mukherjee M, et al. A comparison between vol-ume-controlled ventilation and pressure-controlled ventilation in providing better oxygena-tion in obese patients undergoing laparoscopic cholecystectomy. Indian J Anaesth [Internet]. 2012 May [citado 2015 May 21];56(3):[about 7 p.]. Available from: 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 air-way during gynecological laparoscopy. Korean J Anesthesiol [Internet]. 2011 Mar [citado 2015 May 21];60(3):[about 9 p.]. Available from: http://synapse.koreamed.org/DOIx.php?id=10.4097/kjae.2011.60.3.167&vmode=FULL

  20. Jo Y, Kim J, Kwak Y, Kim Y, Kwak H. The effect of pressure-controlled ventilation on pulmonary me-chanics in the prone position during posterior lumbar spine surgery: a comparison with volume-controlled ventilation. J Neurosurg Anesthesiol [Internet]. 2012 Jan [citado 2015 May 21];24(1):[about 9 p.]. Available from: 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. Pressure-controlled ventilation improves oxygenation during laparoscopic obesity surgery compared with volume-controlled ventilation. Br J Anaesth [Internet]. 2008 Feb [citado 2015 May 21];100(5):[about 10 p.]. Available from: http://bja.oxfordjournals.org/content/100/5/709.long

  22. Campbell R, Davis B. Pressure-controlled versus volume-controlled ventilation: does it matter? Respir Care [Internet]. 2012 Apr [citado 2015 May 21];47(4):[about 8 p.]. Available from: http://www.researchgate.net/publication/11435137_Pressure-controlled_versus_volume-controlled_ventilation_does_it_matter

  23. Balick Weber C, Nicolas HM, Blanchet P, Stéphan F. Respiratory and haemodynamic effects of vol-ume-controlled vs pressure-controlled ventilation during laparoscopy: a cross-over study with echocardiographic assessment. Oxford J [Internet]. 2015 Apr [citado 2015 May 21];114(4):[about 10 p.]. Available from: http://bja.oxfordjournals.org/content/99/3/429.short

  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 sys-tematic literature review. Crit Care Med [Internet]. 2014 Oct [citado 2015 May 21];42(10):[about 10 p.]. Available from: http://journals.lww.com/ccmjournal/Abstract/2014/10000/Tid-al_Volume_and_Plateau_Pressure_Use_for_Acute.16.aspx

  25. Montes Rodríguez F, Fernández Pardo D. Com-parison of two protective lung ventilatory re-gimes on oxygenation during one-lung ventila-tion: a randomized controlled trial. J Cardiotho-rac Surg Nov [Internet]. 2010 [citado 2015 May 21];2(5):[about 10 p.]. Available from: 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. Anesthe-siology [Internet]. 2015 Mar [citado 2015 May 21];1(6):[about 10 p.]. Available from: http://europepmc.org/abstract/med/25751232

  27. Pannu S, Hubmayr R. Safe mechanical ventila-tion in patients without ARDS. Minerva Anestesiol [Internet]. 2015 Jan [citado 2015 May 21];19(1):[about 10 p.]. Available from: http://europepmc.org/abstract/med/25598293

  28. Prescott H, Brower R, Cooke C, Phillips G, O'Bri-en J. Factors associated with elevated plateau pressure in patients with acute lung injury re-ceiving lower tidal volume ventilation. Crit Care Med [Internet]. 2013 Mar [citado 2015 May 21];41(3):[about 10 p.]. Available from: 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, Navrat-il J, Bourke D. The effects of tidal volume and respiratory rate on oxygenation and respiratory mechanics during laparoscopy in morbidly obese patients. Anesth Analg [Internet]. 2003 Dec [citado 2015 May 21];97(2):[about 10 p.]. Avail-able from: http://journals.lww.com/anesthesia-analgesia/Abstract/2003/07000/The_Effects_of_Tidal_Volume_and_Respiratory_Rate.49.aspx

  30. Aldenkortt M, Lysakowski C, Elia N, Brochard L. Ventilation strategies in obese patients undergo-ing surgery: a quantitative systematic review and meta-analysis. Br J Anaesth [Internet]. 2012 May [citado 2015 May 21];109(4):[about 10 p.]. Available from: http://bja.oxfordjournals.org/content/99/3/429.long

  31. McKibbne A, Ravenscfraft S. Pressure-controlled and volume-cycled mechanical ventilation. Clini-cal Chest Medicine [Internet]. 1996 Feb [citado 2015 May 21];(17):[about 10 p.]. Available from: http://www.sciencedirect.com/science/article/pii/S0272523105703233

  32. Balick Weber C, Nicolas P, Hedreville Mountout M. Respiratory and haemodynamic effects of volume-controlled vs pressure-controlled venti-lation during laparoscopy: a cross-over study with echocardiographic assessment. Br J Anaesth [Internet]. 2007 Apr [citado 2015 May 21];99(3):[about 10 p.]. Available from: 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.Heart Lung [Internet]. 2014 Sep-Oct [citado 2015 May 21];43(5):[about 9 p.]. Avail-able from: j.hrtlng.2014.04.003

  34. Wang C, Guo L, Chi C, Wang X, Guo L, Wang W, et al. Mechanical ventilation modes for res-piratory distress syndrome in infants: a sys-tematic review and network meta-analysis. Crit Care [Internet]. 2014 Dec [citado 2015 May 21];19(1):[about 10 p.]. Available from: http://www.biomedcentral.com/content/pdf/s13054-015-0843-7.pdf

  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 [Internet]. 2015 Mar-Apr [citado 2015 May 21];65(2):[about 12 p.]. Available from: http://www.scielo.br/scielo.php?pid=S0034-70942015000200130&script=sci_arttext&tlng=es




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