| Effects of Pelviscopy on the PaCO2 and Hemodynamics. |
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Jin Yun Kim, Sun Gyoo Park, Jong In Oh |
1Department of Anesthesiology, College of Medicine, Chung-Ang University, Seoul, Korea.
2Department of Anethesiology, Dongin General Hospital, Kangnung, Korea.
3Department of General Surgery, Ajou University of School of Medicine, Suwon, Korea. |
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| Abstract |
BACKGROUND
Pelviscopy has become popular because of the advantage of which less painful, less scarring, and shortening the hospitalizing stays, so to reduce the cost.
This procedure require lithotomy- Trendelenburg position and pneumoperitoneum with carbon dioxide(CO2) gas insufflation, that affect arterial blood gas and hemodynamics. We studied the effects of pelviscopy on the PaCO2 and hemodynamics.
METHODS
Twenty patients scheduled for pelviscopic hysterectomy were studied. All patients anesthetized with enflurane (2.0 vol%) - nitrous oxide (1.5 L/min) and oxygen (1.5 L/min), and controlled ventilation(tidal volume 10 ml/kg, respiratory rate 12 /min). Central venous pressure, blood pressure, heart rate and PaCO2 measured at postinduction(control), position change with CO2 gas insufflation, and every 15 minutes after pneumoperitoneum.
RESULTS
Central venous pressure increased (P<0.05) through the procedure after position change and CO2 gas insufflation. Systolic blood pressure and heart rate decreased at 45min after pneumoperitoneum(P<0.05). Mean arterial pressure decreased at 75 min after pneumoperitoneum. PaCO2 increased at 15 min after position change and pneumoperitoneum(P<0.05).
CONCLUSION
In our study, because central venous pressure and PaCO2 increased, we should attend to patients with hypertension, increased intracranial pressure, and increased PaCO2. |
| Key Words:
Monitoring; carbon dioxide; central venous pressure; Position; lithotomy- Trendelenburg; Surgery; pelviscopy |
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