Functional residual capacity increase during laparoscopic surgery with abdominal wall lift
Background and objectives: The number of laparoscopic surgeries performed is increasing every year and in most cases the pneumoperitoneum method is used. One alternative is the abdominal wall lifting method and this study was undertaken to evaluate changes of functional residual capacity during the...
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| Format: | Article |
| Language: | English |
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Elsevier
2017-05-01
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| Series: | Brazilian Journal of Anesthesiology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001416300501 |
| _version_ | 1797998187657560064 |
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| author | Hiroshi Ueda Takuo Hoshi |
| author_facet | Hiroshi Ueda Takuo Hoshi |
| author_sort | Hiroshi Ueda |
| collection | DOAJ |
| description | Background and objectives: The number of laparoscopic surgeries performed is increasing every year and in most cases the pneumoperitoneum method is used. One alternative is the abdominal wall lifting method and this study was undertaken to evaluate changes of functional residual capacity during the abdominal wall lift procedure. Methods: From January to April 2013, 20 patients underwent laparoscopic cholecystectomy at a single institution. All patients were anesthetized using propofol, remifentanil and rocuronium. FRC was measured automatically by Engstrom Carestation before the abdominal wall lift and again 15 minutes after the start of the procedure. Results: After abdominal wall lift, there was a significant increase in functional residual capacity values (before abdominal wall lift 1.48 × 103 mL, after abdominal wall lift 1.64 × 103 mL) (p < 0.0001). No complications such as desaturation were observed in any patient during this study. Conclusions: Laparoscopic surgery with abdominal wall lift may be appropriate for patients who have risk factors such as obesity and respiratory disease. Resumo: Justificativa e objetivos: O número de cirurgias laparoscópicas realizadas está aumentando a cada ano e, na maioria dos casos, o método com pneumoperitônio é o escolhido. Uma opção é o método de elevação da parede abdominal. Este estudo foi feito para avaliar as alterações da capacidade residual funcional durante o procedimento de elevação da parede abdominal. Métodos: De janeiro a abril de 2013, 20 pacientes foram submetidos à colecistectomia laparoscópica em uma única instituição. Todos os pacientes foram anestesiados com propofol, remifentanil e rocurônio. A CRF foi medida automaticamente usando o Engström Carestation antes da elevação da parede abdominal e, novamente, 15 minutos após o início do procedimento. Resultados: Após elevar a parede abdominal, um aumento significativo foi observado nos valores da capacidade residual funcional (antes da elevação da parede abdominal: 1,48 × 103 mL: após a elevação da parede abdominal: 1,64 × 103 mL) (p <0,0001). Não houve complicações, como dessaturação, em nenhum paciente durante este estudo. Conclusões: A cirurgia laparoscópica com elevador da parede abdominal pode ser apropriada para pacientes com fatores de risco como obesidade e doenças respiratórias. Keywords: Abdominal wall lift, Functional residual capacity, Laparoscopic surgery, Palavras-chave: Elevador da parede abdominal, Capacidade residual funcional, Cirurgia laparoscópica |
| first_indexed | 2024-04-11T10:44:42Z |
| format | Article |
| id | doaj.art-a6193e533702494794e31f872dbdb470 |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-04-11T10:44:42Z |
| publishDate | 2017-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-a6193e533702494794e31f872dbdb4702022-12-22T04:29:06ZengElsevierBrazilian Journal of Anesthesiology0104-00142017-05-01673284287Functional residual capacity increase during laparoscopic surgery with abdominal wall liftHiroshi Ueda0Takuo Hoshi1Ibaraki Prefectural Central, Department of Anesthesiology and Critical Care Medicine, Ibaraki, JapanIbaraki Clinical and Training Center, Department of Anesthesiology and Critical Care Medicine, Tsukuba University Hospital, Ibaraki, Japan; Corresponding author.Background and objectives: The number of laparoscopic surgeries performed is increasing every year and in most cases the pneumoperitoneum method is used. One alternative is the abdominal wall lifting method and this study was undertaken to evaluate changes of functional residual capacity during the abdominal wall lift procedure. Methods: From January to April 2013, 20 patients underwent laparoscopic cholecystectomy at a single institution. All patients were anesthetized using propofol, remifentanil and rocuronium. FRC was measured automatically by Engstrom Carestation before the abdominal wall lift and again 15 minutes after the start of the procedure. Results: After abdominal wall lift, there was a significant increase in functional residual capacity values (before abdominal wall lift 1.48 × 103 mL, after abdominal wall lift 1.64 × 103 mL) (p < 0.0001). No complications such as desaturation were observed in any patient during this study. Conclusions: Laparoscopic surgery with abdominal wall lift may be appropriate for patients who have risk factors such as obesity and respiratory disease. Resumo: Justificativa e objetivos: O número de cirurgias laparoscópicas realizadas está aumentando a cada ano e, na maioria dos casos, o método com pneumoperitônio é o escolhido. Uma opção é o método de elevação da parede abdominal. Este estudo foi feito para avaliar as alterações da capacidade residual funcional durante o procedimento de elevação da parede abdominal. Métodos: De janeiro a abril de 2013, 20 pacientes foram submetidos à colecistectomia laparoscópica em uma única instituição. Todos os pacientes foram anestesiados com propofol, remifentanil e rocurônio. A CRF foi medida automaticamente usando o Engström Carestation antes da elevação da parede abdominal e, novamente, 15 minutos após o início do procedimento. Resultados: Após elevar a parede abdominal, um aumento significativo foi observado nos valores da capacidade residual funcional (antes da elevação da parede abdominal: 1,48 × 103 mL: após a elevação da parede abdominal: 1,64 × 103 mL) (p <0,0001). Não houve complicações, como dessaturação, em nenhum paciente durante este estudo. Conclusões: A cirurgia laparoscópica com elevador da parede abdominal pode ser apropriada para pacientes com fatores de risco como obesidade e doenças respiratórias. Keywords: Abdominal wall lift, Functional residual capacity, Laparoscopic surgery, Palavras-chave: Elevador da parede abdominal, Capacidade residual funcional, Cirurgia laparoscópicahttp://www.sciencedirect.com/science/article/pii/S0104001416300501 |
| spellingShingle | Hiroshi Ueda Takuo Hoshi Functional residual capacity increase during laparoscopic surgery with abdominal wall lift Brazilian Journal of Anesthesiology |
| title | Functional residual capacity increase during laparoscopic surgery with abdominal wall lift |
| title_full | Functional residual capacity increase during laparoscopic surgery with abdominal wall lift |
| title_fullStr | Functional residual capacity increase during laparoscopic surgery with abdominal wall lift |
| title_full_unstemmed | Functional residual capacity increase during laparoscopic surgery with abdominal wall lift |
| title_short | Functional residual capacity increase during laparoscopic surgery with abdominal wall lift |
| title_sort | functional residual capacity increase during laparoscopic surgery with abdominal wall lift |
| url | http://www.sciencedirect.com/science/article/pii/S0104001416300501 |
| work_keys_str_mv | AT hiroshiueda functionalresidualcapacityincreaseduringlaparoscopicsurgerywithabdominalwalllift AT takuohoshi functionalresidualcapacityincreaseduringlaparoscopicsurgerywithabdominalwalllift |