Mechanical ventilation in laparoscopic cholecystectomy

Authors

  • Pedro Julio García Álvarez Hospital Militar Docente Dr. Octavio Concepción y Pedraja. Camagüey
  • Edel Cabreja Mola Hospital Militar Docente Dr. Octavio Concepción y Pedraja. Camagüey

Keywords:

Between PCV and VCV just pressure plateau had significant difference

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).

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Published

2015-09-10

How to Cite

1.
García Álvarez PJ, Cabreja Mola E. Mechanical ventilation in laparoscopic cholecystectomy. Rev Cub Anest Rean [Internet]. 2015 Sep. 10 [cited 2024 Dec. 27];14(3). Available from: https://revanestesia.sld.cu/index.php/anestRean/article/view/282

Issue

Vol. 14 No. 3 (2015): septiembre - diciembre

Section

Original articles

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