Anesthesiology and Pain Medicine

Published by: Kowsar

Impact of Extraperitoneal Dioxyde Carbon Insufflation on Respiratory Function in Anesthetized Adults: A Preliminary Study Using Electrical Impedance Tomography and Wash-out/Wash-in Technic

Julien Bordes 1 , * , Cecilia Mazzeo 1 , Philippe Gourtobe 1 , Pierre Julien Cungi 1 , Francois Antonini 2 , Stephane Bourgoin 3 and Eric Kaiser 1
Authors Information
1 Department of Anesthesia and intensive care, Sainte Anne Military Teaching Hospital, Toulon, France
2 Department of Anesthesia and intensive care, Nord Hospital, Aix Marseille University Marseille, France
3 Department of Visceral Surgery, Sainte Anne Military Teaching Hospital, Toulon, France
Article information
  • Anesthesiology and Pain Medicine: February 01, 2015, 5 (1); e22845
  • Published Online: February 1, 2015
  • Article Type: Research Article
  • Received: August 17, 2014
  • Revised: September 15, 2014
  • Accepted: November 17, 2014
  • DOI: 10.5812/aapm.22845

To Cite: Bordes J, Mazzeo C, Gourtobe P, Cungi P J, Antonini F, et al. Impact of Extraperitoneal Dioxyde Carbon Insufflation on Respiratory Function in Anesthetized Adults: A Preliminary Study Using Electrical Impedance Tomography and Wash-out/Wash-in Technic, Anesth Pain Med. 2015 ; 5(1):e22845. doi: 10.5812/aapm.22845.

Abstract
Copyright © 2015, Iranian Society of Regional Anesthesia and Pain Medicine (ISRAPM). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
Acknowledgements
References
  • 1. Cavazzola LT, Rosen MJ. Laparoscopic versus open inguinal hernia repair. Surg Clin North Am. 2013; 93(5): 1269-79[DOI][PubMed]
  • 2. Wright DM, Serpell MG, Baxter JN, O'Dwyer PJ. Effect of extraperitoneal carbon dioxide insufflation on intraoperative blood gas and hemodynamic changes. Surg Endosc. 1995; 9(11): 1169-72[PubMed]
  • 3. Mullett CE, Viale JP, Sagnard PE, Miellet CC, Ruynat LG, Counioux HC, et al. Pulmonary CO2 elimination during surgical procedures using intra- or extraperitoneal CO2 insufflation. Anesth Analg. 1993; 76(3): 622-6[PubMed]
  • 4. Meininger D, Byhahn C, Wolfram M, Mierdl S, Kessler P, Westphal K. Prolonged intraperitoneal versus extraperitoneal insufflation of carbon dioxide in patients undergoing totally endoscopic robot-assisted radical prostatectomy. Surg Endosc. 2004; 18(5): 829-33[DOI][PubMed]
  • 5. Maracaja-Neto LF, Vercosa N, Roncally AC, Giannella A, Bozza FA, Lessa MA. Beneficial effects of high positive end-expiratory pressure in lung respiratory mechanics during laparoscopic surgery. Acta Anaesthesiol Scand. 2009; 53(2): 210-7[DOI][PubMed]
  • 6. Pelosi P, Foti G, Cereda M, Vicardi P, Gattinoni L. Effects of carbon dioxide insufflation for laparoscopic cholecystectomy on the respiratory system. Anaesthesia. 1996; 51(8): 744-9[PubMed]
  • 7. Andersson LE, Baath M, Thorne A, Aspelin P, Odeberg-Wernerman S. Effect of carbon dioxide pneumoperitoneum on development of atelectasis during anesthesia, examined by spiral computed tomography. Anesthesiology. 2005; 102(2): 293-9[PubMed]
  • 8. Heinze H, Eichler W. Measurements of functional residual capacity during intensive care treatment: the technical aspects and its possible clinical applications. Acta Anaesthesiol Scand. 2009; 53(9): 1121-30[DOI][PubMed]
  • 9. Bikker IG, Scohy TV, Ad J, Bakker J, Gommers D. Measurement of end-expiratory lung volume in intubated children without interruption of mechanical ventilation. Intensive Care Med. 2009; 35(10): 1749-53[DOI][PubMed]
  • 10. Gunnarsson L, Strandberg A, Brismar B, Tokics L, Lundquist H, Hedenstierna G. Atelectasis and gas exchange impairment during enflurane/nitrous oxide anaesthesia. Acta Anaesthesiol Scand. 1989; 33(8): 629-37[PubMed]
  • 11. Brismar B, Hedenstierna G, Lundquist H, Strandberg A, Svensson L, Tokics L. Pulmonary densities during anesthesia with muscular relaxation--a proposal of atelectasis. Anesthesiology. 1985; 62(4): 422-8[PubMed]
  • 12. Hedenstierna G, Strandberg A, Brismar B, Lundquist H, Svensson L, Tokics L. Functional residual capacity, thoracoabdominal dimensions, and central blood volume during general anesthesia with muscle paralysis and mechanical ventilation. Anesthesiology. 1985; 62(3): 247-54[PubMed]
  • 13. Futier E, Constantin JM, Pelosi P, Chanques G, Kwiatkoskwi F, Jaber S, et al. Intraoperative recruitment maneuver reverses detrimental pneumoperitoneum-induced respiratory effects in healthy weight and obese patients undergoing laparoscopy. Anesthesiology. 2010; 113(6): 1310-9[DOI][PubMed]
  • 14. Karsten J, Luepschen H, Grossherr M, Bruch HP, Leonhardt S, Gehring H, et al. Effect of PEEP on regional ventilation during laparoscopic surgery monitored by electrical impedance tomography. Acta Anaesthesiol Scand. 2011; 55(7): 878-86[DOI][PubMed]
  • 15. Bendixen HH, Hedley-Whyte J, Laver MB. Impaired Oxygenation in Surgical Patients during General Anesthesia with Controlled Ventilation. A Concept of Atelectasis. N Engl J Med. 1963; 269: 991-6[DOI][PubMed]
  • 16. Frerichs I, Hahn G, Golisch W, Kurpitz M, Burchardi H, Hellige G. Monitoring perioperative changes in distribution of pulmonary ventilation by functional electrical impedance tomography. Acta Anaesthesiol Scand. 1998; 42(6): 721-6[PubMed]
  • 17. Meier T, Luepschen H, Karsten J, Leibecke T, Grossherr M, Gehring H, et al. Assessment of regional lung recruitment and derecruitment during a PEEP trial based on electrical impedance tomography. Intensive Care Med. 2008; 34(3): 543-50[DOI][PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:

Author(s):

Article(s):

Create Citiation Alert
via Google Reader

Readers' Comments