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Revista Cubana de Anestesiología y Reanimación

2015, Number 3

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.


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