Pneumoperitoneum : Sailing in tsunami

Authors

  •   Madhusudan Upadya MD, Professor & Head, Dept of Anesthesia, Kasturba Medical College, Mangalore
  •   M. C. Mahesh Post graduate student, Dept of Anesthesia, Kasturba Medical College, Mangalore

Keywords:

Hypercarbia, Intra-abdominal pressure, Laparoscopy, Pneumoperitoneum

Abstract

Laparoscopic surgeries are the theme of today's surgical practice, which requires pneumoperitoneum. The complex patho-physiological changes following pneumoperitoneum is well tolerated in healthy adults in contrast to cardio-pulmonary compromised patients. This comprehensive review article helps in understanding the basis for changes in cardiopulmonary system.

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How to Cite

Upadya, M., & Mahesh, M. C. (2019). Pneumoperitoneum : Sailing in tsunami. Karnataka Anaesthesia Journal, 11(2), 27–34. Retrieved from http://karnatakaanesthesiajournal.in/index.php/kaj/article/view/143490

Issue

Section

Review Article

References

Girish.P.Joshi. Anesthesia for laparoscopic surgery. Canadian journal of anesthesia 2002/ 49:6/ pp RiR5

Anthony J Cunningham et al. Laparoscopic cholecystectomy: Anesthetic implications. Anesthesia Analgesia 1993:76:1120-33

E A. Hirvonen et al Hormonal responses and cardiac filling pressures in patients with head up or head down position and pneumoperitoneum in patients undergoing operative laparoscopy. British journal of anesthesia 1997;78:128-133

Pearce DJ. Respiratory acidosis and subcutaneous emphysema during laparoscopic cholecystectomy.Can J Anesth 1994;41:314-316

Rittenmeyer H. carbon dioxide toxicity related to a laparoscopic procedure Jou Post Anesth Cares 1994;9:157-161

Wahba RWM, Mamazza J. Ventilatory requirements during laparoscopic cholecystectomy .Can J Anesth 1993;40:206-210

Jayshree Sood, VP Kurma. Anesthesia for laparoscopic surgery. Ind J Surg 2003;65:232-240

Graff TD, Arbegast NR, Phillips OC et al. Gas embolism: A comparative study of air and CO2 as embolic agents in the systemic venous system. Am J obstet Gynecol 1959;78;259

Kahn MA, Alkalay I, Suetsugu S. Acute changes in lung mechanics following pulmonary embolus of various gases in dogs. Jou Appl Physiolo 1972; 33:774-777

Mc Kenzie R, Wadhwa RK, Badger RC. Non invasive measurement of cardiac output during laparoscopy.J reprod Med 1980; 24:247-250

Wolf JS Jr, Carrier S, StoUer MC. Gas embolism: Helium is more lethal than Carbon dioxide. Jou Laproendosco Sur 1994; 4:173-177

Bongard FS, Pianim N, Liu S -Yet al. using helium for insufflations during laparoscopy JAMA 1991; 266: 3131

Ciofolo MJ, Clergue F, Seebacher J. Ventilatory effects of laparoscopy under epidural anesthesia AnestAnalg 1990:70: 357-6i

Nunn J F. Applied respiratory physiology 3''' ed. 1987:288

Alexander GD, Brown EM. Physiologic alteration during pelvic laparoscopy Am J Obstet Gynecol 19691105: 1078-81

Hodgson C, Mc Clelland RM, Newton JR Some effects of peritoneal insufflations of Carbon dioxide at laparoscopy. Anaesth 1970; 25:382-90

Scott DB.Some effects of peritoneal insufflations of Carbon dioxide at laparoscopy(letter) Anesth.

:25:590

Tan PL,Lee TL, TweedWA. Carbondioxide absorption and gas exchange during pelvic laparoscopy. Can J Anesth 1992:39:677-81

Muelett CE, Viale JP, Sagnard PE. Pulmonary carbon dioxide elimination during surgical procedure using intra or extra peritoneal CO2 insufflation. Anesth Analg 1993:76:622-26

Puri GD, Singh H. Ventilatory effects of laparoscopy under general anesthesia. Br J Anesth. 1992:68:2ii13

Seed RF, Shakespeare TF, Muldoom M J. CO2 homeostasis during anesthesia for laparoscopy. Anesthesia 1970:25:223-231

Richard M .Wahba et al. Cardiopulmonary function and laparoscopic cholecystectomy, review article. Canadian journal of anesthesia i995/45:i/PP5i-63

Wittgen CM,Andras CH, Fitzgerald SD. Analysis of hemodynamic and ventilator effects of laparoscopic and cholecystectomy. Arch Surg: 126:997-1000

Leighton T Pianim N, Liu S Y effectors of hypercarbia during experimental pneumoperitoneum. Am Surg 1992:58:717-721

Benzamin E, Paluch TA, Berger SR. Venous hypercarbia in Canine hemorrhagic shock Crit Care Med 1987:15:516-18

Williams MD,Sulentich SM, Murr PC. Laparoscopic cholecystectomy produces less postoperative restrictions on pulmonary functions than open cholecystectomy .Surg Endos 1993;7:489-92

Ford GT, Grant DA, Rideour KS. Inhibition of breathing associated with gallbladder stimulation JAppl Physio 1987;65:72-9

Shannon R. Intercostal and abdominal muscle afferent influence on medullary dorsal respiratory group neurons. Resp Physiol 1980;39:73-94

Baratz RA and Karis JH. Blood gas studies during laparoscopy under general anesthesia. Anesthesiology 1969;30:463-64

Schauer PR, Luna J, Ghiatas AA. Pulmonary function after laparoscopic cholecystectomy. Surg 1993;114:389-99

Latimer RG, Dickman M, Day WC. Ventilatory patterns and pulmonary complications after upper abdominal surgery determined by preoperative and post operative computerized spirometry and blood gas analysis. Am J Surg 1971:122:622-32

Heneghan CPH, Bergman NA, Jones JG Changes in lung volume and (Pa O2-PAO2) during anesthesia. Br JAnesth 1984;56:437-445

Safran DB, Orlando R III. Physiologic effects of pneumoperitoneum. Am J Surg 1994;167:281-86

Ramussen JP, Dauchot PJ, DePalma RG. Cardiac function and hypercarbia. Arch Surg 1978;113:281-86

Sharma K.C, Robert DB, Jeffery MB, Lance DJ. Cardiopulmonary physiology and pathophysiology as a consequence of laparoscopic surgery. CHEST 1996;110:810-815

Kelman GR, Swap GH, Smith I et al. Cardiac output and arterial blood gas tension during laparoscopy. Br J A103. Kelman GR, Swap GH , Smith I et al. Cardiac output and arterial blood gas tension during laparoscopy. Br J Anesth 1972;44:1155-61

Caldwell CB, Ricotta JJ. Changes in the vicsceral blood flow with elevated intra-abdominal pressure. J surg Res 1987 ; 43:14-20

Liu S-Y, Leighton TA, Davies I .Prospective analysis of cardiopulmonary response to laparoscopic cholecystectomy J Laparoendosc Surg 1991;5:241-46

Kashtan J ,Green JF Parsons EQ . Hemodynamic effects of increased abdominal pressure.J Surg Res 1981;3:249-55

Heijke SAM, Smith G, Key A. The effect of the trendelenberg position on the lower oesophageal sphincter tone. Anaesth ia9i;46:i85-7

Jones MJ, Mitchell RW, Hindocha N. Effect of the increased intra-abdominal pressure during laparoscopy on the lower oesophageal sphincter Anesth Analg 1989;68:63-5

Lt Col G Kumar MajAK Singh. Pneumothroax during laparoscopic cholecystectomy.MJAFI 2007;63:277278

Jean L Joris et al. Hemod3mamic changes during laparoscopic cholecystectomy.Anesf/iesia Analgesia 1993;76 :io67-7l

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