9 research outputs found
The Effects of Different Pressure Pneumoperitoneum on the Pulmonary Mechanics and Surgical Satisfaction in the Laparoscopic Cholecystectomy
Objectives. Inspiratory, hemodynamic and metabolic changes occur in laparoscopic surgery depending on pneumoperitoneum and patient position. This study aims to evaluate the effects of intra-abdominal pressure increase based on CO2 pneumoperitoneum in laparoscopic operations on hemodynamic parameters and respiratory dynamics and satisfaction of surgeon and operative view.Materials and Methods. A total of 116 consecutive, prospective, ASA class IβIII cases aged 18β70 years undergoing laparoscopic cholecystectomy were enrolled in this study. Data of 104 patients were analysed. Patients were divided into two groups as the group Low Pressure (<12 mmHg) (Group LP) (n=53) and the group Standard Pressure (>13 mmHg) (Group SP) (n=51). In this study administration of general anesthesia used total intravenous anaesthesia in both groups. All groups had standard and TOF monitorization applied. The anaesthesia methods used in both groups were recorded. Before, during and after peritoneal insufflation, the peroperative ventilation parameters and hemodynamic parameters were recorded. The adequacy of pneumoperitoneum, gastric and the operative view were evaluated by the operating surgeon and recorded.Results. The peripheral oxygen saturation showed no significant difference between the low and standard pressure pneumoperitoneum in view of tidal volume, respiratory rate, end tidal CO2, mean and peak inspiratory pressure, and minute ventilation values. In terms of hemodynamics, when values just after intubation and before extubation were compared, it was observed that in the LP group systolic, diastolic and mean blood pressure values were higher. In terms of heart rate, no significant difference was observed in determined periods between groups. There was no significant difference between the groups in terms of surgical satisfaction and vision.Conclusion. Low pressure pneumoperitoneum provides effective respiratory mechanics and stable hemodynamics for laparoscopic cholecystectomy. It also provides the surgeon with sufficient space for hand manipulations. Anaesthetic method, TIVA and neuromuscular blockage provided good surgery vision with low pressure pneumoperitoneum
ΠΠ»ΠΈΡΠ½ΠΈΠ΅ ΠΏΠ½Π΅Π²ΠΌΠΎΠΏΠ΅ΡΠΈΡΠΎΠ½Π΅ΡΠΌΠ° ΠΏΠΎΠ΄ ΡΠ°Π·Π»ΠΈΡΠ½ΡΠΌ Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ΠΌ Π½Π° ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈ Π»Π΅Π³ΠΎΡΠ½ΠΎΠΉ ΠΌΠ΅Ρ Π°Π½ΠΈΠΊΠΈ ΠΈ ΡΠ΄ΠΎΠ²Π»Π΅ΡΠ²ΠΎΡΠ΅Π½Π½ΠΎΡΡΡ Ρ ΠΈΡΡΡΠ³Π° ΠΏΡΠΈ Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Ρ ΠΎΠ»Π΅ΡΠΈΡΡΡΠΊΡΠΎΠΌΠΈΠΈ
Objectives. Inspiratory, hemodynamic and metabolic changes occur in laparoscopic surgery depending on pneumoperitoneum and patient position. This study aims to evaluate the effects of intra-abdominal pressure increase based on CO2 pneumoperitoneum in laparoscopic operations on hemodynamic parameters and respiratory dynamics and satisfaction of surgeon and operative view.Materials and Methods. A total of 116 consecutive, prospective, ASA class IβIII cases aged 18β70 years undergoing laparoscopic cholecystectomy were enrolled in this study. Data of 104 patients were analysed. Patients were divided into two groups as the group Low Pressure (<12 mmHg) (Group LP) (n=53) and the group Standard Pressure (>13 mmHg) (Group SP) (n=51). In this study administration of general anesthesia used total intravenous anaesthesia in both groups. All groups had standard and TOF monitorization applied. The anaesthesia methods used in both groups were recorded. Before, during and after peritoneal insufflation, the peroperative ventilation parameters and hemodynamic parameters were recorded. The adequacy of pneumoperitoneum, gastric and the operative view were evaluated by the operating surgeon and recorded.Results. The peripheral oxygen saturation showed no significant difference between the low and standard pressure pneumoperitoneum in view of tidal volume, respiratory rate, end tidal CO2, mean and peak inspiratory pressure, and minute ventilation values. In terms of hemodynamics, when values just after intubation and before extubation were compared, it was observed that in the LP group systolic, diastolic and mean blood pressure values were higher. In terms of heart rate, no significant difference was observed in determined periods between groups. There was no significant difference between the groups in terms of surgical satisfaction and vision.Conclusion. Low pressure pneumoperitoneum provides effective respiratory mechanics and stable hemodynamics for laparoscopic cholecystectomy. It also provides the surgeon with sufficient space for hand manipulations. Anaesthetic method, TIVA and neuromuscular blockage provided good surgery vision with low pressure pneumoperitoneum.ΠΡΠΈ Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Ρ
ΠΈΡΡΡΠ³ΠΈΠΈ Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ ΠΎΠ±ΡΠ΅ΠΌΠ° ΠΏΠ½Π΅Π²ΠΌΠΎΠΏΠ΅ΡΠΈΡΠΎΠ½Π΅ΡΠΌΠ° ΠΈ ΠΏΠΎΠ»ΠΎΠΆΠ΅Π½ΠΈΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° ΠΏΡΠΎΠΈΡΡ
ΠΎΠ΄ΡΡ ΠΈΠ·ΠΌΠ΅Π½Π΅Π½ΠΈΡ Π΄ΡΡ
Π°Π½ΠΈΡ, Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΠΊΠΈ ΠΈ ΠΌΠ΅ΡΠ°Π±ΠΎΠ»ΠΈΠ·ΠΌΠ°.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ β ΠΎΡΠ΅Π½ΠΈΡΡ Π²Π»ΠΈΡΠ½ΠΈΠ΅ ΠΏΠΎΠ²ΡΡΠ΅Π½ΠΈΡ Π²Π½ΡΡΡΠΈΠ±ΡΡΡΠ½ΠΎΠ³ΠΎ Π΄Π°Π²Π»Π΅Π½ΠΈΡ Π½Π° ΠΎΡΠ½ΠΎΠ²Π΅ ΠΏΠ½Π΅Π²ΠΌΠΎΠΏΠ΅ΡΠΈΡΠΎΠ½Π΅ΡΠΌΠ° Ρ ΠΏΡΠΈΠΌΠ΅Π½Π΅Π½ΠΈΠ΅ΠΌ CO2 ΠΏΡΠΈ Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΎΠΏΠ΅ΡΠ°ΡΠΈΡΡ
Π½Π° Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΈ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΡΠ΅ ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΡ, Π° ΡΠ°ΠΊΠΆΠ΅ ΡΠ΄ΠΎΠ²Π»Π΅ΡΠ²ΠΎΡΠ΅Π½Π½ΠΎΡΡΡ Ρ
ΠΈΡΡΡΠ³Π° ΠΈ ΠΎΠ±Π·ΠΎΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΏΠΎΠ»Ρ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. Π Π΄Π°Π½Π½ΠΎΠ΅ ΠΏΡΠΎΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ Π²ΠΊΠ»ΡΡΠΈΠ»ΠΈ 116 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² IβIII ΠΊΠ»Π°ΡΡΠ° ASA Π² Π²ΠΎΠ·ΡΠ°ΡΡΠ΅ 18β70 Π»Π΅Ρ, ΠΏΠ΅ΡΠ΅Π½Π΅ΡΡΠΈΡ
Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΡΡ Ρ
ΠΎΠ»Π΅ΡΠΈΡΡΡΠΊΡΠΎΠΌΠΈΡ. ΠΡΠΎΠ°Π½Π°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π»ΠΈ Π΄Π°Π½Π½ΡΠ΅ 104 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ². ΠΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΡΠ°Π·Π΄Π΅Π»ΠΈΠ»ΠΈ Π½Π° Π΄Π²Π΅ Π³ΡΡΠΏΠΏΡ: Π³ΡΡΠΏΠΏΡ Π½ΠΈΠ·ΠΊΠΎΠ³ΠΎ Π΄Π°Π²Π»Π΅Π½ΠΈΡ (<12 ΠΌΠΌ ΡΡ. ΡΡ., ΠΠ), n=53, ΠΈ Π³ΡΡΠΏΠΏΡ ΡΡΠ°Π½Π΄Π°ΡΡΠ½ΠΎΠ³ΠΎ Π΄Π°Π²Π»Π΅Π½ΠΈΡ (>13 ΠΌΠΌ ΡΡ. ΡΡ., Π‘Π), n=51. Π ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ ΠΌΠ΅ΡΠΎΠ΄Π° ΠΎΠ±Π΅Π·Π±ΠΎΠ»ΠΈΠ²Π°Π½ΠΈΡ Π² ΠΎΠ±Π΅ΠΈΡ
Π³ΡΡΠΏΠΏΠ°Ρ
ΠΏΡΠΈΠΌΠ΅Π½ΡΠ»ΠΈ ΡΠΎΡΠ°Π»ΡΠ½ΡΡ Π²Π½ΡΡΡΠΈΠ²Π΅Π½Π½ΡΡ Π°Π½Π΅ΡΡΠ΅Π·ΠΈΡ. ΠΠΎ Π²ΡΠ΅Ρ
Π³ΡΡΠΏΠΏΠ°Ρ
ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π»ΠΈ ΡΡΠ°Π½Π΄Π°ΡΡΠ½ΡΠΉ ΠΈ TOF-ΠΌΠΎΠ½ΠΈΡΠΎΡΠΈΠ½Π³. ΠΡΠΏΠΎΠ»ΡΠ·ΡΠ΅ΠΌΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ Π°Π½Π΅ΡΡΠ΅Π·ΠΈΠΈ Π² ΠΎΠ±Π΅ΠΈΡ
Π³ΡΡΠΏΠΏΠ°Ρ
Π΄ΠΎΠΊΡΠΌΠ΅Π½ΡΠΈΡΠΎΠ²Π°Π»ΠΈ. ΠΠΎ, Π²ΠΎ Π²ΡΠ΅ΠΌΡ ΠΈ ΠΏΠΎΡΠ»Π΅ ΠΈΠ½ΡΡΡΡΠ»ΡΡΠΈΠΈ Π³Π°Π·Π° Π² Π±ΡΡΡΠ½ΡΡ ΠΏΠΎΠ»ΠΎΡΡΡ ΡΠ΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π»ΠΈ ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΡ Π²Π΅Π½ΡΠΈΠ»ΡΡΠΈΠΈ ΠΈ Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈ. ΠΠ΄Π΅ΠΊΠ²Π°ΡΠ½ΠΎΡΡΡ ΠΏΠ½Π΅Π²ΠΌΠΎΠΏΠ΅ΡΠΈΡΠΎΠ½Π΅ΡΠΌΠ°, ΠΎΠ±Π·ΠΎΡ ΠΎΡΠ³Π°Π½ΠΎΠ² ΠΠΠ’ ΠΈ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΏΠΎΠ»Ρ ΠΎΡΠ΅Π½ΠΈΠ²Π°Π» ΠΈ ΡΠ΅Π³ΠΈΡΡΡΠΈΡΠΎΠ²Π°Π» ΠΎΠΏΠ΅ΡΠΈΡΡΡΡΠΈΠΉ Ρ
ΠΈΡΡΡΠ³.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΠ½Π°ΡΠΈΠΌΡΡ
ΡΠ°Π·Π»ΠΈΡΠΈΠΉ Π² Π½Π°ΡΡΡΠ΅Π½ΠΈΠΈ ΠΊΠΈΡΠ»ΠΎΡΠΎΠ΄ΠΎΠΌ ΠΏΠ΅ΡΠΈΡΠ΅ΡΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΊΡΠΎΠ²ΠΈ ΠΌΠ΅ΠΆΠ΄Ρ Π³ΡΡΠΏΠΏΠ°ΠΌΠΈ ΠΠ ΠΈ Π‘Π Π½Π΅ Π²ΡΡΠ²ΠΈΠ»ΠΈ, Ρ ΡΡΠ΅ΡΠΎΠΌ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎ ΠΎΠ±ΡΠ΅ΠΌΠ°, ΡΠ°ΡΡΠΎΡΡ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΡΡ
Π΄Π²ΠΈΠΆΠ΅Π½ΠΈΠΉ, ΡΠΎΠ΄Π΅ΡΠΆΠ°Π½ΠΈΡ Π‘Π2 Π² ΠΊΠΎΠ½ΡΠ΅ Π²ΡΠ΄ΠΎΡ
Π°, ΡΡΠ΅Π΄Π½Π΅Π³ΠΎ ΠΈ ΠΏΠΈΠΊΠΎΠ²ΠΎΠ³ΠΎ ΠΈΠ½ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΠΎΠ³ΠΎ Π΄Π°Π²Π»Π΅Π½ΠΈΡ, Π° ΡΠ°ΠΊΠΆΠ΅ ΠΌΠΈΠ½ΡΡΠ½ΠΎΠΉ Π²Π΅Π½ΡΠΈΠ»ΡΡΠΈΠΈ. ΠΡΠΈ ΡΡΠ°Π²Π½Π΅Π½ΠΈΠΈ Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Π΅ΠΉ, ΡΡΠ°Π·Ρ ΠΏΠΎΡΠ»Π΅ ΠΈΠ½ΡΡΠ±Π°ΡΠΈΠΈ ΠΈ ΠΏΠ΅ΡΠ΅Π΄ ΡΠΊΡΡΡΠ±Π°ΡΠΈΠ΅ΠΉ ΡΡΠ°Ρ
Π΅ΠΈ ΠΎΡΠΌΠ΅ΡΠΈΠ»ΠΈ, ΡΡΠΎ Π² Π³ΡΡΠΏΠΏΠ΅ ΠΠ Π·Π½Π°ΡΠ΅Π½ΠΈΡ ΡΠΈΡΡΠΎΠ»ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ, Π΄ΠΈΠ°ΡΡΠΎΠ»ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈ ΡΡΠ΅Π΄Π½Π΅Π³ΠΎ Π°ΡΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠ³ΠΎ Π΄Π°Π²Π»Π΅Π½ΠΈΡ Π±ΡΠ»ΠΈ Π²ΡΡΠ΅. ΠΠ½Π°ΡΠΈΠΌΡΡ
ΡΠ°Π·Π»ΠΈΡΠΈΠΉ Π² ΡΠ°ΡΡΠΎΡΠ΅ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΡΡ
ΡΠΎΠΊΡΠ°ΡΠ΅Π½ΠΈΠΉ Π² ΠΈΡΡΠ»Π΅Π΄ΡΠ΅ΠΌΡΠ΅ ΠΏΠ΅ΡΠΈΠΎΠ΄Ρ ΠΌΠ΅ΠΆΠ΄Ρ Π³ΡΡΠΏΠΏΠ°ΠΌΠΈ Π½Π΅ Π½Π°Π±Π»ΡΠ΄Π°Π»ΠΈ. ΠΠ΅ ΠΎΡΠΌΠ΅ΡΠ°Π»ΠΈ ΠΈ Π·Π½Π°ΡΠΈΠΌΡΡ
ΡΠ°Π·Π»ΠΈΡΠΈΠΉ ΠΌΠ΅ΠΆΠ΄Ρ Π³ΡΡΠΏΠΏΠ°ΠΌΠΈ Ρ ΡΠΎΡΠΊΠΈ Π·ΡΠ΅Π½ΠΈΡ ΡΠ΄ΠΎΠ²Π»Π΅ΡΠ²ΠΎΡΠ΅Π½Π½ΠΎΡΡΠΈ Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΈΠΌ Π²ΠΌΠ΅ΡΠ°ΡΠ΅Π»ΡΡΡΠ²ΠΎΠΌ ΠΈ ΠΎΠ±Π·ΠΎΡΠΎΠΌ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΏΠΎΠ»Ρ.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. ΠΠ½Π΅Π²ΠΌΠΎΠΏΠ΅ΡΠΈΡΠΎΠ½Π΅ΡΠΌ Ρ Π½ΠΈΠ·ΠΊΠΈΠΌ Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ΠΌ ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠ²Π°Π΅Ρ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΡΡ ΠΌΠ΅Ρ
Π°Π½ΠΈΠΊΡ Π΄ΡΡ
Π°Π½ΠΈΡ ΠΈ ΡΡΠ°Π±ΠΈΠ»ΡΠ½ΡΡ Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΠΊΡ ΠΏΡΠΈ Π»Π°ΠΏΠ°ΡΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΉ Ρ
ΠΎΠ»Π΅ΡΠΈΡΡΡΠΊΡΠΎΠΌΠΈΠΈ. ΠΡΠΎΠΌΠ΅ ΡΠΎΠ³ΠΎ, ΠΏΠΎΠ΄ΠΎΠ±Π½ΡΠΉ ΠΏΠ½Π΅Π²ΠΌΠΎΠΏΠ΅ΡΠΈΡΠΎΠ½Π΅ΡΠΌ ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠ²Π°Π΅Ρ Ρ
ΠΈΡΡΡΠ³Ρ Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΠ΅ ΠΏΡΠΎΡΡΡΠ°Π½ΡΡΠ²ΠΎ Π΄Π»Ρ ΠΌΠ°Π½ΠΈΠΏΡΠ»ΡΡΠΈΠΉ. ΠΠ½Π΅ΡΡΠ΅Π·ΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΏΠΎΡΠΎΠ±ΠΈΠ΅ (ΠΎΠ±ΡΠ°Ρ Π²Π½ΡΡΡΠΈΠ²Π΅Π½Π½Π°Ρ Π°Π½Π΅ΡΡΠ΅Π·ΠΈΡ Π² ΡΠΎΡΠ΅ΡΠ°Π½ΠΈΠΈ Ρ Π½Π΅ΡΠ²Π½ΠΎ-ΠΌΡΡΠ΅ΡΠ½ΠΎΠΉ Π±Π»ΠΎΠΊΠ°Π΄ΠΎΠΉ) ΠΏΡΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠΈ ΠΏΠ½Π΅Π²ΠΌΠΎΠΏΠ΅ΡΠΈΡΠΎΠ½Π΅ΡΠΌΠ° Ρ Π½ΠΈΠ·ΠΊΠΈΠΌ Π΄Π°Π²Π»Π΅Π½ΠΈΠ΅ΠΌ ΠΎΠ±Π΅ΡΠΏΠ΅ΡΠΈΠ²Π°Π΅Ρ Ρ
ΠΎΡΠΎΡΡΡ Π²ΠΈΠ·ΡΠ°Π»ΠΈΠ·Π°ΡΠΈΡ ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΏΠΎΠ»Ρ
The Effects of Different Pressure Pneumoperitoneum on the Pulmonary Mechanics and Surgical Satisfaction in the Laparoscopic Cholecystectomy
Objectives. Inspiratory, hemodynamic and metabolic changes occur in laparoscopic surgery depending on pneumoperitoneum and patient position. This study aims to evaluate the effects of intra-abdominal pressure increase based on CO2 pneumoperitoneum in laparoscopic operations on hemodynamic parameters and respiratory dynamics and satisfaction of surgeon and operative view. Materials and Methods. A total of 116 consecutive, prospective, ASA class IβIII cases aged 18β70 years undergoing laparoscopic cholecystectomy were enrolled in this study. Data of 104 patients were analysed. Patients were divided into two groups as the group Low Pressure (<12 mmHg) (Group LP) (n=53) and the group Standard Pressure (>13 mmHg) (Group SP) (n=51). In this study administration of general anesthesia used total intravenous anaesthesia in both groups. All groups had standard and TOF monitorization applied. The anaesthesia methods used in both groups were recorded. Before, during and after peritoneal insufflation, the peroperative ventilation parameters and hemodynamic parameters were recorded. The adequacy of pneumoperitoneum, gastric and the operative view were evaluated by the operating surgeon and recorded. Results. The peripheral oxygen saturation showed no significant difference between the low and standard pressure pneumoperitoneum in view of tidal volume, respiratory rate, end tidal CO2, mean and peak inspiratory pressure, and minute ventilation values. In terms of hemodynamics, when values just after intubation and before extubation were compared, it was observed that in the LP group systolic, diastolic and mean blood pressure values were higher. In terms of heart rate, no significant difference was observed in determined periods between groups. There was no significant difference between the groups in terms of surgical satisfaction and vision. Conclusion. Low pressure pneumoperitoneum provides effective respiratory mechanics and stable hemodynamics for laparoscopic cholecystectomy. It also provides the surgeon with sufficient space for hand manipulations. Anaesthetic method, TIVA and neuromuscular blockage provided good surgery vision with low pressure pneumoperitoneum. Β© 2021, V.A. Negovsky Research Institute of General Reanimatology. All rights reserved
Comparison of sedation requirements for cataract surgery under topical anesthesia or retrobulbar block
PURPOSE. Topical anesthesia is increasingly being used for cataract surgery. However, it is believed that topical anesthesia causes an increased risk of intraoperative complications from unrestricted eye movement and insufficient pain control and more need for sedation. It is difficult to compare pain and anxiety experienced by individual patients; therefore, the authors used the method of patient-controlled sedation to determine whether there is a difference in sedation requirements under topical or retrobulbar anesthesia