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Pulmonary consequences of carbon dioxide insufflation for laparoscopic cholecystectomies
Author(s) -
KENDALL A. P.,
BHATT S.,
OH T. E.
Publication year - 1995
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1995.tb04600.x
Subject(s) - medicine , insufflation , carbon dioxide , anesthesia , compliance (psychology) , lung , psychology , social psychology , ecology , biology
Summary Twenty patients having laparoscopic cholecystectomies were studied for changes in thoracic and lung compliance at 5, 10 and 15mmHg of intra‐abdominal pressure. Fifteen mmHg of intra‐abdominal pressure decreased the thoracic and the lung static compliance by 49 and 39% respectively. This was unaffected by the degree of head elevation. During the procedure the end‐tidal carbon dioxide increased by a mean of 1.6kPa at 1 h and 2.0kPa at 2h. This did not appear to be related to either the mean intra‐abdominal pressure or the total volume of carbon dioxide insufflated. The physiological changes and implications for anaesthetic practice are considered.