Research Article
Laparoskopik Kolesistektomi Operasyonlarinda PEEP Uygulamasının Arteriyel Oksijenasyon ve Dakika Ventilasyonu Üzerine Etkileri
Abstract
Laporoskopik kolesistektomi tekniğine bağlı olarak, CO2
pnömoperitonyumu ve artmış intraarteryal basinç (İAB); mekanik,
hemodinamik ve respiratuar yan etkileri ortaya çıkarmakta, bu da
hipoksemi, hiperkapni, hemodinamik instabilite ve oksijenasyonda
bozulmaya neden olabilmektedir. Temel problemler; fonksiyonel rezidüel
kapasitenin azalması, ventilasyon/perfüzyon dengesinin bozulması ve
peritondan emilen CO2 nin sempatik stümülasyona yol açmasıdır. Bu
fizyopatolojik mekanizmalar perioperatif dönemde mekanik ventilasyon
uygulamasının ve uygulanacak anestezik yöntemin gözden geçirilmesini
gerektirir.
Keywords
References
- [1] Bosch F, Wehrman U, Saeger HD, Kirch W. Laparoscopic or open conventional cholecystectomy: clinical and economic considerations. Eur J Surg 2002; 168:270-277. [2] McDermott JP, Regan MC, Page R, et al. Cardiorespiratory effects of laparoscopy with and without gas insufflation. Arch Surg 1995; 130:984-988. [3] Mutoh T, Lamm WJ, Embree LJ, Hildebrandt J, Albert RK. Abdominal distension alters regional pleural pressures and chest wall mechanics in pigs in vivo. J Appl Physiol 1991; 70:2611-2618. [4] Wittgen CM, Charles HA, Stephen DF. Analysis of the hemodynamic and ventilatory effects of laparoscopic cholecystectomy. Arch. Surg. 1991;126:997-1001. [5] Weisman İM, Rinaldo JE, Rogers RM. Positive end-expiratory pressure in adult respiratory failure. The New England Journal of Medicine. 1982;307:1381-1384. [6] Tekant Y. Laparoskopik cerrahi. Sayek İ. (ed). Temel Cerrahi. Ankara Güneş Kitabevi. 1996; 1609-1617. [7] Langenbuch C. Ein Fall Von Exterpation der Gallenblase wegen chronischer cholelthiasis. Heilung, Klin Wachenschr 1882; 19:725-727. [8] Litynski G. Mouret, Dubois an Perissat. The French connection. In: Highlights in the history of laparoscopy Frankfurt: Bernert, 1996. [9] Bora S,Saydam S,Özman İ,Füzün M,Gülay H,Soylu M. Laparoskopik kolesistektominin ilk 6 aylık sonuçları. Klin Den Cer Derg. 1993;1:213-215. [10] Maclntyre P. General principles for laparoscopic surgery. Allman K.G, Wilson I. H.(ed.) Oxford Handbook of Anaesthesia 2002;289-294. [11] Avcı C. Videolaparoskopik kolesistektomi. Kalaycı G ( ed ). Genel Cerrahi, İstanbul, Nobel Tıp Kitapevi. 2002: 763-773. [12] Dion YM, Morin J. Laparoscopic cholecystectomy. A review of 258 patients. Can. J. Of Surgery 1992; 35 (3):317-320. [13] Cunningham AJ, Brull SJ. Laparoscopic cholecystectomy: anesthetic implications. Anesth Analg. 1993;76:1120-1133. [14] Frazee RC, Roberts JW, Okeson GC, et al. Open versus laparoscopic cholecystectomy--a comparison of postoperative pulmonary function. Ann Surg. 1991;213:651-653. [15] Puri GD, Singh H. Ventilatory effects of laparoscopy under general anesthesia. Br J Anesth. 1992;68:211-213. [16] Taskın M, Zengin K. Laparoskopik cerrahinin tarihçesi. Laparoskopik cerrahi. Alemdaroglu K, Taskın M, A [17] Peters JH, Ellison CE. Safety and efficacy of laparoscopic cholecystectomy. Ann Surg 1991;1: 3-12. [18] Rademaker BM, Ringers J, Odoom JA, Dewit LT, Kalkman CJ, Oosting J: Pulmonary function and stres response after laparoscopic cholecystectomy: comparison with subcostal incision and influence of thorasic epidural analgesia. Anesth Analg 1992, 75: 381- 385. [19] Blobner M, Felber AR, Gogler S, et al. Zur Resorption von Kohlendioxid aus dem Pneumoperitoneum bei laparoskopisthen Cholezystektomien. Anaesthesist 1993;42:288-94. [20] Meeks GR. Advanced laparoscopic gynecologic surgery. Surg Clin North Amer 2000:1443-64. [21] Paw P, Sackier JM. Complications of laparoscopy and thoracoscopy. J Intensive Care Med 1994;9:290-304. [22] Sharma KC, Kabinoff G, Ducheine Y, Tierney J, Brandstetter RD. Laparoscopic surgery and its potential for medical complications. Heart Lung 1997;26:52-64. [23] Kehlet H, Rosenberg J, Ottesen BS. Laparoscopic surgery: An update of current status. Ugeskr Laeger 2001;163:757-62. [24] Cunningham AJ. Anesthetic implications of laparoscopic surgery. Yale J Biol Med 1998;71:551-78. [25] Nathanson LK, Shimi S, Cuschieri A. Laparoscopic cholecysectomy: the Dundee tecnique. Br.J. Surgery 1991;78:155-159. [26] Flowers JL, Bailey RW, Scovill WA. et al. The Baltimore experience with laparoscopic management of acut cholecystitis. The American J. of Surgery. 1991;161:388-392 [27] Sharma KC, Brandstetter RD, Brensilver JM, Jung LD. Cardiopulmoner physiolojy and pathophysiology consequence of laparoscopic surgery. Chest 1996;110:810-815. [28] Odeberg S, Ljungqvist O, Svenberg Tluence, et al: Haemodynamic effects of pneumoperitoneum and the influence of posture during anesthesia dor laparoscopic surgery. Acta Anesthesiol Scand 1994; 38:276. [29] Lentschener C, Axler O, Fernandez H, et al: Haemodynamic changes and vazopressin release are not consistently associated with carbon dioxide pneumoperitoneum in humans. Acta Anesthesiol Scand 2001; 45:527. [30] Rosmussen JP, Douchot PJ, De Palma RG, et al. Cardiac function and hipercarbia. Arch Surg 1978;10: 1196-1200. [31] Joris JL, Chiche JD, Canivet JL, et al: Hemodynamic changes during laparoscopic cholecystectomy. Br J Anaesth 1997;78:264. [32] Diebel L, Wilson R, Dulchavsky S, Saxe J. Effect of increased intra-abdominal pressure on hepatic arterial, portal venous and hepatic microcirculatory blood flow. J Trauma 1992;33:279-282. [33] Eric J. K, John T. ., Amira S. Impairment of Cardiac Performance by Laparoscopy in Patients Receiving Positive End-Expiratory Pressure. Arch Surg. 1999;134:76-80. [34] Kraut EJ, Amira S, Ronald B, Bruce MW. Impairment of cardiac performance by laparoscopy in patients receiving positive endexpiratory pressure. Arch Surg. 1990;134(1):76-80. [35] Ulukaya S, Ayanoğlu HÖ, Demir F, Anadol Ö. Laparoskopik kolesistektomi sırasında 5 cmH2O PEEP uygulanmasının solunum mekanikleri ve ölü boşluk ventilasyonu üzerine etkisi. TARK 2000; s:408. [36] Pelosi P, Ravagnan I, Giurati G, Panigada M, Bottino N, Tredici S, Eccher LG, Gattinoni L. Positive end-expiratory pressure improves respiratory function in obese but not in normal subjects during anesthesia and paralysis. Anesthesiology 1999:91:1221-1231. [37] Cunnigham AJ, Brull SJ. Laparoscopic cholecystectomy: Anesthetic implications. Anesth. Analg 1993;76:1120-33. [38] Baraka A, Jabbour S, Hammoud R, Aoud M, Najjar F, Khoury G et al. End-tidal Carbon dioxide tension during laparoscopic cholecystectomy. Anaesthesia 1994:49;304-306. [39] Rauh R, Hemmerling T.M, Rist M., Jacobi K. E. Influence of Pneumoperitoneum and Patient Positioning on Resiratory System Compliance. Journal of Clinical anesthesia 2001;13:361-365. [40] R. L. Marshall, J. R. Jebson, I. T. Davıe. Cırculatory Effects Of Carbon Dıoxıde Insufflatıon Of The Perıtoneal Cavıty For Laparoscopy. British Journal of Anaesthesia, 1972, Vol. 44, No. 7:680-684. [41] Haris SN, Ballantyne GH, Luther MA, Perrino mc. Alterations of cardiovascular performance during laparoscopic colectomy: a combined hemodynamic and echocardiographic analysis. anesth analg 1996;83(3):482-87. [42] Fallot R, Snow M. Cardiopulmonary bedside monitoring. Principles and applications of cardiorespiratory care equipment. Missouri, Mosby İnc.1994:283-331 [43] Köprülü Ş, Esen F, Tütüncü A ve ark. Laparoskopik cerrahinin akciğer mekaniğine etkileri. Türk Anest Rean Cem Mecmuası 1995; 23:427-430. [44] Oikkonen M, Tallgren M. Changes in respiratory compliance at laparoscopy: measurements using side stream spirometry. Can J Anaesth 1995; 42:495-497. [45] Wahba RW, Beique F, Kleiman SJ. Cardiopulmonary function and laparoscopic cholecystectomy. Can J Anaesth 1995; 42:51-63. [46] Hirvonen EA, Nuutinen LS, Kauko M. Ventilatory effects, blood gas changes, and oxygen consumption during laparoscopic hysterectomy. Anesth Analg 1995; 80:961-966. [47] Kendall AP, Bhatt S, Oh TE. Pulmonary consequences of carbon dioxide insufflation for laparoscopic cholecystectomies. Anaesthesia 1995; 50:286-289.
Year 2016,
Volume: 2 Issue: 1, 37 - 57, 01.04.2016
Abstract
References
- [1] Bosch F, Wehrman U, Saeger HD, Kirch W. Laparoscopic or open conventional cholecystectomy: clinical and economic considerations. Eur J Surg 2002; 168:270-277. [2] McDermott JP, Regan MC, Page R, et al. Cardiorespiratory effects of laparoscopy with and without gas insufflation. Arch Surg 1995; 130:984-988. [3] Mutoh T, Lamm WJ, Embree LJ, Hildebrandt J, Albert RK. Abdominal distension alters regional pleural pressures and chest wall mechanics in pigs in vivo. J Appl Physiol 1991; 70:2611-2618. [4] Wittgen CM, Charles HA, Stephen DF. Analysis of the hemodynamic and ventilatory effects of laparoscopic cholecystectomy. Arch. Surg. 1991;126:997-1001. [5] Weisman İM, Rinaldo JE, Rogers RM. Positive end-expiratory pressure in adult respiratory failure. The New England Journal of Medicine. 1982;307:1381-1384. [6] Tekant Y. Laparoskopik cerrahi. Sayek İ. (ed). Temel Cerrahi. Ankara Güneş Kitabevi. 1996; 1609-1617. [7] Langenbuch C. Ein Fall Von Exterpation der Gallenblase wegen chronischer cholelthiasis. Heilung, Klin Wachenschr 1882; 19:725-727. [8] Litynski G. Mouret, Dubois an Perissat. The French connection. In: Highlights in the history of laparoscopy Frankfurt: Bernert, 1996. [9] Bora S,Saydam S,Özman İ,Füzün M,Gülay H,Soylu M. Laparoskopik kolesistektominin ilk 6 aylık sonuçları. Klin Den Cer Derg. 1993;1:213-215. [10] Maclntyre P. General principles for laparoscopic surgery. Allman K.G, Wilson I. H.(ed.) Oxford Handbook of Anaesthesia 2002;289-294. [11] Avcı C. Videolaparoskopik kolesistektomi. Kalaycı G ( ed ). Genel Cerrahi, İstanbul, Nobel Tıp Kitapevi. 2002: 763-773. [12] Dion YM, Morin J. Laparoscopic cholecystectomy. A review of 258 patients. Can. J. Of Surgery 1992; 35 (3):317-320. [13] Cunningham AJ, Brull SJ. Laparoscopic cholecystectomy: anesthetic implications. Anesth Analg. 1993;76:1120-1133. [14] Frazee RC, Roberts JW, Okeson GC, et al. Open versus laparoscopic cholecystectomy--a comparison of postoperative pulmonary function. Ann Surg. 1991;213:651-653. [15] Puri GD, Singh H. Ventilatory effects of laparoscopy under general anesthesia. Br J Anesth. 1992;68:211-213. [16] Taskın M, Zengin K. Laparoskopik cerrahinin tarihçesi. Laparoskopik cerrahi. Alemdaroglu K, Taskın M, A [17] Peters JH, Ellison CE. Safety and efficacy of laparoscopic cholecystectomy. Ann Surg 1991;1: 3-12. [18] Rademaker BM, Ringers J, Odoom JA, Dewit LT, Kalkman CJ, Oosting J: Pulmonary function and stres response after laparoscopic cholecystectomy: comparison with subcostal incision and influence of thorasic epidural analgesia. Anesth Analg 1992, 75: 381- 385. [19] Blobner M, Felber AR, Gogler S, et al. Zur Resorption von Kohlendioxid aus dem Pneumoperitoneum bei laparoskopisthen Cholezystektomien. Anaesthesist 1993;42:288-94. [20] Meeks GR. Advanced laparoscopic gynecologic surgery. Surg Clin North Amer 2000:1443-64. [21] Paw P, Sackier JM. Complications of laparoscopy and thoracoscopy. J Intensive Care Med 1994;9:290-304. [22] Sharma KC, Kabinoff G, Ducheine Y, Tierney J, Brandstetter RD. Laparoscopic surgery and its potential for medical complications. Heart Lung 1997;26:52-64. [23] Kehlet H, Rosenberg J, Ottesen BS. Laparoscopic surgery: An update of current status. Ugeskr Laeger 2001;163:757-62. [24] Cunningham AJ. Anesthetic implications of laparoscopic surgery. Yale J Biol Med 1998;71:551-78. [25] Nathanson LK, Shimi S, Cuschieri A. Laparoscopic cholecysectomy: the Dundee tecnique. Br.J. Surgery 1991;78:155-159. [26] Flowers JL, Bailey RW, Scovill WA. et al. The Baltimore experience with laparoscopic management of acut cholecystitis. The American J. of Surgery. 1991;161:388-392 [27] Sharma KC, Brandstetter RD, Brensilver JM, Jung LD. Cardiopulmoner physiolojy and pathophysiology consequence of laparoscopic surgery. Chest 1996;110:810-815. [28] Odeberg S, Ljungqvist O, Svenberg Tluence, et al: Haemodynamic effects of pneumoperitoneum and the influence of posture during anesthesia dor laparoscopic surgery. Acta Anesthesiol Scand 1994; 38:276. [29] Lentschener C, Axler O, Fernandez H, et al: Haemodynamic changes and vazopressin release are not consistently associated with carbon dioxide pneumoperitoneum in humans. Acta Anesthesiol Scand 2001; 45:527. [30] Rosmussen JP, Douchot PJ, De Palma RG, et al. Cardiac function and hipercarbia. Arch Surg 1978;10: 1196-1200. [31] Joris JL, Chiche JD, Canivet JL, et al: Hemodynamic changes during laparoscopic cholecystectomy. Br J Anaesth 1997;78:264. [32] Diebel L, Wilson R, Dulchavsky S, Saxe J. Effect of increased intra-abdominal pressure on hepatic arterial, portal venous and hepatic microcirculatory blood flow. J Trauma 1992;33:279-282. [33] Eric J. K, John T. ., Amira S. Impairment of Cardiac Performance by Laparoscopy in Patients Receiving Positive End-Expiratory Pressure. Arch Surg. 1999;134:76-80. [34] Kraut EJ, Amira S, Ronald B, Bruce MW. Impairment of cardiac performance by laparoscopy in patients receiving positive endexpiratory pressure. Arch Surg. 1990;134(1):76-80. [35] Ulukaya S, Ayanoğlu HÖ, Demir F, Anadol Ö. Laparoskopik kolesistektomi sırasında 5 cmH2O PEEP uygulanmasının solunum mekanikleri ve ölü boşluk ventilasyonu üzerine etkisi. TARK 2000; s:408. [36] Pelosi P, Ravagnan I, Giurati G, Panigada M, Bottino N, Tredici S, Eccher LG, Gattinoni L. Positive end-expiratory pressure improves respiratory function in obese but not in normal subjects during anesthesia and paralysis. Anesthesiology 1999:91:1221-1231. [37] Cunnigham AJ, Brull SJ. Laparoscopic cholecystectomy: Anesthetic implications. Anesth. Analg 1993;76:1120-33. [38] Baraka A, Jabbour S, Hammoud R, Aoud M, Najjar F, Khoury G et al. End-tidal Carbon dioxide tension during laparoscopic cholecystectomy. Anaesthesia 1994:49;304-306. [39] Rauh R, Hemmerling T.M, Rist M., Jacobi K. E. Influence of Pneumoperitoneum and Patient Positioning on Resiratory System Compliance. Journal of Clinical anesthesia 2001;13:361-365. [40] R. L. Marshall, J. R. Jebson, I. T. Davıe. Cırculatory Effects Of Carbon Dıoxıde Insufflatıon Of The Perıtoneal Cavıty For Laparoscopy. British Journal of Anaesthesia, 1972, Vol. 44, No. 7:680-684. [41] Haris SN, Ballantyne GH, Luther MA, Perrino mc. Alterations of cardiovascular performance during laparoscopic colectomy: a combined hemodynamic and echocardiographic analysis. anesth analg 1996;83(3):482-87. [42] Fallot R, Snow M. Cardiopulmonary bedside monitoring. Principles and applications of cardiorespiratory care equipment. Missouri, Mosby İnc.1994:283-331 [43] Köprülü Ş, Esen F, Tütüncü A ve ark. Laparoskopik cerrahinin akciğer mekaniğine etkileri. Türk Anest Rean Cem Mecmuası 1995; 23:427-430. [44] Oikkonen M, Tallgren M. Changes in respiratory compliance at laparoscopy: measurements using side stream spirometry. Can J Anaesth 1995; 42:495-497. [45] Wahba RW, Beique F, Kleiman SJ. Cardiopulmonary function and laparoscopic cholecystectomy. Can J Anaesth 1995; 42:51-63. [46] Hirvonen EA, Nuutinen LS, Kauko M. Ventilatory effects, blood gas changes, and oxygen consumption during laparoscopic hysterectomy. Anesth Analg 1995; 80:961-966. [47] Kendall AP, Bhatt S, Oh TE. Pulmonary consequences of carbon dioxide insufflation for laparoscopic cholecystectomies. Anaesthesia 1995; 50:286-289.
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Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | April 1, 2016 |
| Submission Date | January 18, 2016 |
| Acceptance Date | March 22, 2016 |
| Published in Issue | Year 2016 Volume: 2 Issue: 1 |
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