Araştırma Makalesi
Yıl 2022,
Cilt: 39 Sayı: 3, 770 - 775, 30.08.2022
Öz
Kaynakça
- Himal HS. Minimally invasive (laparoscopic) surgery. Surg Endosc 2002;8:265-270. doi:10.1007/s00464-001-8275-7
- Freise H, Van Aken HK. Risks and benefits of thoracic epidural anaesthesia. BJA 2011; 107: 859-68. doi:10.1093/bja/aer339
- Liu F, Zhu S, Ji Q, Li W, Liu J. The impact of intra-abdominal pressure on the stroke volume variation and plethysmographic variability index in patients undergoing laparoscopic cholecystectomy. BioScience Trends. 2015; 9(2):129-133. doi:10.5582/bst.2015.01029
- Aykac ZZ, Arslantas MK. Fluid therapy and management (II) monitoring and prediction of fluid responsiveness. GKD Anest Yoğ Bak Dern Derg. 2018; 24(1): 1-10, doi: 10.5222/GKDAD.2018.001
- Cannesson M, Desebbe O, Rosamel P, Delannoy B, Robin J, Bastien O, et al. Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness in the operating theatre. Br J Anaesth. 2008;101(2):200–6. doi: 10.1093/bja/aen133.
- Pişkin Ö, Öz İİ. Accuracy of pleth variability index compared with inferior vena cava diameter to predict fluid responsiveness in mechanically ventilated patients. Medicine (Baltimore). 2017;96(47):e8889. doi: 10.1097/MD.0000000000008889.,
- Gamal M, Abdelhamid B, Zakaria D, Dayem OAE, Rady A, Fawzy M, et all. Evaluation of Noninvasive Hemoglobin Monitoring in Trauma Patients with Low Hemoglobin Levels. Shock. 2018;49(2):150-153. doi: 10.1097/SHK.0000000000000949.
- Chu H, Wang Y, Sun Y, Wang G. Accuracy of pleth variability index to predict fluid responsiveness in mechanically ventilated patients: a systematic review and meta-analysis. J Clin Monit Comput 2015. Doi: 10.1007/s10877-015-9742-3
- Pinsky MR. Functional hemodynamic monitoring. Crit Care Clin. 2015;31(1):89-111. doi: 10.1016/j.ccc.2014.08.005
- Henny CP, Hofland J. Laparoscopic surgery: pitfalls due to anesthesia, positioning, and pneumoperitoneum. Surg Endosc. 2005;19(9): 1163–71. doi:10.1007/s00464-004-2250-z
- Marik PE, Baram M, Vahid B. Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest. 2008;134(1):172–8. doi: 10.1378/chest.07-2331.
- Marik PE, Cavallazzi R, Vasu T, Hirani A. Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: a systematic review of the literature. Crit Care Med. 2009;37(9):2642–7. doi: 10.1097/CCM.0b013e3181a590da.
- DeBarros M, Causey MW, Chesley P, Martin M. Reliability of Continuous Non-Invasive Assessment of Hemoglobin and Fluid Responsiveness: Impact of Obesity and Abdominal Insufflation Pressures. Obes Surg. 2015;25(7):1142–1148. doi:10.1007/s11695-014-1505-6
- Gustafsson UO, Hausel J, Thorell A, Ljungqvist O, Soop M, Nygren J; Enhanced Recovery After Surgery Study Group. Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery. Arch Surg. 2011;146:571–7. doi: 10.1001/archsurg.2010.309.
- Zimmermann M, Feibicke T, Keyl C, Prasser C, Moritz S, Graf BM, et al. Accuracy of stroke volume variation compared with pleth variability index to predict fluid responsiveness inmechanically ventilated patients undergoing major surgery. Eur J Anaesthesiol. 2010;27:555–61. doi: 10.1097/EJA.0b013e328335fbd1.
- Corcoran T, Rhodes JE, Clarke S, Myles PS, Ho KM. Perioperative fluid management strategies in major surgery: a stratified meta-analysis. Anesth Analg. 2012;114:640–51. doi: 10.1213/ANE.0b013e318240d6eb.
- Lopes MR, Oliveira MA, Pereira VO, Lemos IP, Auler JO Jr, Michard F. Goal-directed fluid management based on pulse pressure variation monitoring during high-risk surgery: a pilot randomized controlled trial. Crit Care. 2007;11:R100. doi: 10.1186/cc6117
- Gupta N, Kulkarni A, Bhargava AK, Prakash A, Gupta N. Utility of non-invasive haemoglobin monitoring in oncosurgery patients. Indian J Anaesth. 2017;61(7):543–548. doi:10.4103/ija.IJA_707_16
- Causey MW, Miller S, Foster A, Beekley A, Zenger D, Martin M. Validation of noninvasive hemoglobin measurements using the masimo radical-7 SpHb station. Am J Surg. 2011;201(5):592–8. doi: 10.1016/j.amjsurg.2011.01.020.
- Loupec T, Nanadoumgar H, Frasca D, Petitpas F, Laksiri L, Baudouin D, et al. Pleth variability index predicts fluid responsiveness in critically ill patients. Crit Care Med. 2011;39(2):294–9. doi: 10.1097/CCM.0b013e3181ffde1c
- Hoiseth LO, Hoff IE, Myre K, Landsverk SA, Kirkeboen KA. Dynamic variables of fluid responsiveness during pneumoperitoneum and laparoscopic surgery. Acta Anaesthesiol Scand. 2012;56(6):777-86. doi: 10.1111/j.1399-6576.2011.02641.x
- Sanchez NC, Tenofsky PL, Dort JM, Shen LY, Helmer SD, Smith RS. What is normal intraabdominal pressure? Am Surg. 2001;67:243–248.
- Nguyen NT, Lee SL, Anderson JT, Palmer LS, Canet B, Wolfe BM. Evaluation of intraabdominal pressure after open and laparoscopic gastric bypass. Obes Surg. 2001; 11:40–45. doi: 10.1381/096089201321454097
- Nguyen NT, Wolfe BM. The physiologic effects of pneumoperitoneum in the morbidly obese. Ann Surg. 2005;241:219–26. doi: 10.1097/01.sla.0000151791.93571.70
The Effects of Body Weight and Pneumoperitoneum on Pleth Variability Index and Total Haemoglobin in Patients Undergoing Laparoscopic Cholecystectomy: a Prospective Observational Study
Öz
Objective: It is not clear if there is an inaccurate effect of obesity and pneumoperitoneum on non-invasive monitoring parameters.The aim of this study is to determine the effects of CO2 pneumoperitoneum and desufflation on non-invasive monitoring variables between obese and non-obese patients undergoing laparoscopic surgery.
Material and Methods: Sixty patients were included in the study that underwent laparoscopic cholecystectomy between February 2019 and November 2019. After induction of anaesthesia, systolic and diastolic blood pressures, heart rate, duration of operation and pneumoperitoneum, pleth variability index (PVI) and total haemoglobin (SpHb) data were recorded.
Results: The patients were divided into two groups. There was no significant difference between the groups in terms of chronic diseases and duration of operation and pneumoperitoneum. No significant difference was found between the groups in PVI and SpHb values. In comparison of PVI measurement values with T0, a significant difference was found in T3, T4 and T5 in Group 2 (p = 0.010, 0.012 and 0.041, respectively). In comparison of SpHb measurement values with T0, a significant difference was found in T1, T2 and T3 in Group 2 (p = 0.008, 0.010 and 0.037, respectively). In comparison with T5, a significant difference was found in T1, T2 and T3 in Group 2 (p = 0.023, 0.005 and 0.006, respectively).
Conclusion: In obese people, pneumoperitoneum can lead to errors in PVI and SpHb monitoring. Although these two parameters are very valuable in intraoperative follow-up, they should be used carefully during laparoscopic procedures in obese patients. If these parameters (PVI and SpHb) are considered to be used in bariatric surgeries, this information should be considered.
Anahtar Kelimeler
laparoscopic cholecyctectomy pneumoperitoneum Pleth variability index total haemoglobin
Kaynakça
- Himal HS. Minimally invasive (laparoscopic) surgery. Surg Endosc 2002;8:265-270. doi:10.1007/s00464-001-8275-7
- Freise H, Van Aken HK. Risks and benefits of thoracic epidural anaesthesia. BJA 2011; 107: 859-68. doi:10.1093/bja/aer339
- Liu F, Zhu S, Ji Q, Li W, Liu J. The impact of intra-abdominal pressure on the stroke volume variation and plethysmographic variability index in patients undergoing laparoscopic cholecystectomy. BioScience Trends. 2015; 9(2):129-133. doi:10.5582/bst.2015.01029
- Aykac ZZ, Arslantas MK. Fluid therapy and management (II) monitoring and prediction of fluid responsiveness. GKD Anest Yoğ Bak Dern Derg. 2018; 24(1): 1-10, doi: 10.5222/GKDAD.2018.001
- Cannesson M, Desebbe O, Rosamel P, Delannoy B, Robin J, Bastien O, et al. Pleth variability index to monitor the respiratory variations in the pulse oximeter plethysmographic waveform amplitude and predict fluid responsiveness in the operating theatre. Br J Anaesth. 2008;101(2):200–6. doi: 10.1093/bja/aen133.
- Pişkin Ö, Öz İİ. Accuracy of pleth variability index compared with inferior vena cava diameter to predict fluid responsiveness in mechanically ventilated patients. Medicine (Baltimore). 2017;96(47):e8889. doi: 10.1097/MD.0000000000008889.,
- Gamal M, Abdelhamid B, Zakaria D, Dayem OAE, Rady A, Fawzy M, et all. Evaluation of Noninvasive Hemoglobin Monitoring in Trauma Patients with Low Hemoglobin Levels. Shock. 2018;49(2):150-153. doi: 10.1097/SHK.0000000000000949.
- Chu H, Wang Y, Sun Y, Wang G. Accuracy of pleth variability index to predict fluid responsiveness in mechanically ventilated patients: a systematic review and meta-analysis. J Clin Monit Comput 2015. Doi: 10.1007/s10877-015-9742-3
- Pinsky MR. Functional hemodynamic monitoring. Crit Care Clin. 2015;31(1):89-111. doi: 10.1016/j.ccc.2014.08.005
- Henny CP, Hofland J. Laparoscopic surgery: pitfalls due to anesthesia, positioning, and pneumoperitoneum. Surg Endosc. 2005;19(9): 1163–71. doi:10.1007/s00464-004-2250-z
- Marik PE, Baram M, Vahid B. Does central venous pressure predict fluid responsiveness? A systematic review of the literature and the tale of seven mares. Chest. 2008;134(1):172–8. doi: 10.1378/chest.07-2331.
- Marik PE, Cavallazzi R, Vasu T, Hirani A. Dynamic changes in arterial waveform derived variables and fluid responsiveness in mechanically ventilated patients: a systematic review of the literature. Crit Care Med. 2009;37(9):2642–7. doi: 10.1097/CCM.0b013e3181a590da.
- DeBarros M, Causey MW, Chesley P, Martin M. Reliability of Continuous Non-Invasive Assessment of Hemoglobin and Fluid Responsiveness: Impact of Obesity and Abdominal Insufflation Pressures. Obes Surg. 2015;25(7):1142–1148. doi:10.1007/s11695-014-1505-6
- Gustafsson UO, Hausel J, Thorell A, Ljungqvist O, Soop M, Nygren J; Enhanced Recovery After Surgery Study Group. Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery. Arch Surg. 2011;146:571–7. doi: 10.1001/archsurg.2010.309.
- Zimmermann M, Feibicke T, Keyl C, Prasser C, Moritz S, Graf BM, et al. Accuracy of stroke volume variation compared with pleth variability index to predict fluid responsiveness inmechanically ventilated patients undergoing major surgery. Eur J Anaesthesiol. 2010;27:555–61. doi: 10.1097/EJA.0b013e328335fbd1.
- Corcoran T, Rhodes JE, Clarke S, Myles PS, Ho KM. Perioperative fluid management strategies in major surgery: a stratified meta-analysis. Anesth Analg. 2012;114:640–51. doi: 10.1213/ANE.0b013e318240d6eb.
- Lopes MR, Oliveira MA, Pereira VO, Lemos IP, Auler JO Jr, Michard F. Goal-directed fluid management based on pulse pressure variation monitoring during high-risk surgery: a pilot randomized controlled trial. Crit Care. 2007;11:R100. doi: 10.1186/cc6117
- Gupta N, Kulkarni A, Bhargava AK, Prakash A, Gupta N. Utility of non-invasive haemoglobin monitoring in oncosurgery patients. Indian J Anaesth. 2017;61(7):543–548. doi:10.4103/ija.IJA_707_16
- Causey MW, Miller S, Foster A, Beekley A, Zenger D, Martin M. Validation of noninvasive hemoglobin measurements using the masimo radical-7 SpHb station. Am J Surg. 2011;201(5):592–8. doi: 10.1016/j.amjsurg.2011.01.020.
- Loupec T, Nanadoumgar H, Frasca D, Petitpas F, Laksiri L, Baudouin D, et al. Pleth variability index predicts fluid responsiveness in critically ill patients. Crit Care Med. 2011;39(2):294–9. doi: 10.1097/CCM.0b013e3181ffde1c
- Hoiseth LO, Hoff IE, Myre K, Landsverk SA, Kirkeboen KA. Dynamic variables of fluid responsiveness during pneumoperitoneum and laparoscopic surgery. Acta Anaesthesiol Scand. 2012;56(6):777-86. doi: 10.1111/j.1399-6576.2011.02641.x
- Sanchez NC, Tenofsky PL, Dort JM, Shen LY, Helmer SD, Smith RS. What is normal intraabdominal pressure? Am Surg. 2001;67:243–248.
- Nguyen NT, Lee SL, Anderson JT, Palmer LS, Canet B, Wolfe BM. Evaluation of intraabdominal pressure after open and laparoscopic gastric bypass. Obes Surg. 2001; 11:40–45. doi: 10.1381/096089201321454097
- Nguyen NT, Wolfe BM. The physiologic effects of pneumoperitoneum in the morbidly obese. Ann Surg. 2005;241:219–26. doi: 10.1097/01.sla.0000151791.93571.70
Toplam 24 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Clinical Research |
| Yazarlar | |
| Erken Görünüm Tarihi | 30 Ağustos 2022 |
| Yayımlanma Tarihi | 30 Ağustos 2022 |
| Gönderilme Tarihi | 4 Nisan 2022 |
| Kabul Tarihi | 30 Haziran 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 39 Sayı: 3 |
Kaynak Göster
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