POSTOPERATIVE LUNG FUNCTION AND STRESS RESPONSE AFTER LAPAROSCOPIC CHOLECYSTECTOMY

BackgroundUndergoing general anesthesia and pneumoperitoneum could affect the lung function and comprise oxygenation in laparoscopic cholecystectomy patients. Position of patients after surgery may affect lung function of these patients.AimTo observe the effect of semi-recumbent position on blood oxygen saturation (SpO2) in postanesthetic patients after laparoscopic cholecystectomy.MethodsA number of 225 patients who admitted to postanesthetic care unit after laparoscopic cholecystectomy from September 2016 to May 2017 were randomly assigned into the intervention group and the control group. The intervention group adopted a semi-recumbent position with head bed elevation by 10 to 20°, while the control received a supine position without lying on a pillow. Both groups received routine postanesthesia care. Data on SpO2 before and after extubation were collected. Independent t-test was used for data analysis.ResultsThere was no vomiting and cough reactions before and after extubation in both groups. Intervention group reported a significantly higher level of SpO2 at 1 minute and 30 minutes after extubation, compared to the control group (both ps < 0.05).ConclusionSemi-recumbent position with the head bed elevation could significantly increase the SpO2 level of postanesthetic patients, thus ensuring the safety of patients when removing the endotracheal tube.

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BTOG-116PREDICTED POSTOPERATIVE LUNG FUNCTION IS ASSOCIATED WITH ALL-CAUSE LONG-TERM MORTALITY AFTER MAJOR LUNG RESECTION FOR CANCER

Interactive CardioVascular and Thoracic Surgery ◽

10.1093/icvts/ivt288.116 ◽

2013 ◽

Vol 17 (suppl_1) ◽

pp. S31-S31

Author(s):

Mark Ferguson ◽

S. Watson ◽

E. Johnson ◽

W. Vigneswaran

Keyword(s):

Lung Function ◽

Lung Resection ◽

Postoperative Lung Function ◽

Long Term Mortality

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Comparison of pneumoperitoneum and abdominal wall lifting as to hemodynamics and surgical stress response during laparoscopic cholecystectomy

Surgical Endoscopy ◽

10.1007/s004649900611 ◽

1998 ◽

Vol 12 (2) ◽

pp. 124-128 ◽

Cited By ~ 40

Author(s):

K. Ninomiya ◽

S. Kitano ◽

T. Yoshida ◽

T. Bandoh ◽

D. Baatar ◽

...

Keyword(s):

Laparoscopic Cholecystectomy ◽

Stress Response ◽

Abdominal Wall ◽

Surgical Stress ◽

Surgical Stress Response ◽

Abdominal Wall Lifting

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A randomized trial to evaluate a modified tracheal catheter with upper and lower balloons for anesthetic administration: effect on the cardiovascular, stress response, and comfort in patients undergoing laparoscopic cholecystectomy

BMC Anesthesiology ◽

10.1186/s12871-019-0883-7 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

Yuenong Zhang ◽

Zhiwen Zeng ◽

Guangwen Xiao ◽

Weiqiang Zhang ◽

Weixiong Lin ◽

...

Keyword(s):

Blood Pressure ◽

Clinical Trial ◽

Heart Rate ◽

Laparoscopic Cholecystectomy ◽

Stress Response ◽

Angiotensin Ii ◽

Tracheal Intubation ◽

Systolic Blood Pressure ◽

Group A ◽

Endotracheal Anesthesia

Abstract Background We aimed to evaluate a modified endotracheal tube containing upper and lower balloons for anesthetic administration among patients undergoing laparoscopic cholecystectomy. Methods Ninety patients scheduled to undergo laparoscopic cholecystectomy were randomly allocated to 3 equal groups: group A (conventional tracheal intubation without endotracheal anesthesia); B (conventional tracheal intubation with endotracheal anesthesia); and C (tracheal intubation using a modified catheter under study). Blood pressure, heart rate, angiotensin II level, blood glucose level, airway pressure before anesthesia (T1) were measured immediately after intubation (T2), 5 min after intubation (T3), and immediately after extubation (T4). The post-extubation pain experienced was evaluated using the Wong-Baker Face Pain scale. Adverse reactions within 30 min after extubation were recorded. Results Systolic blood pressure, diastolic blood pressure, angiotensin II, and blood sugar level in group C at T2, T3 and T4, and heart rate at T2 and T4 were significantly lower than those in group A (P < 0.05); systolic blood pressure and blood sugar at T4, and angiotensin II levels at T2, T3, and T4 were significantly lower than those in group B (P < 0.05). Patients in group C reported the lowest post-extubation pain (P < 0.05 vs. Group A), and the lowest incidence of adverse events such as nausea, vomiting, and sore throat than that in groups A and B (P < 0.05). Conclusion The modified endotracheal anesthesia tube under study is effective in reducing cardiovascular and tracheal stress response, and increasing patient comfort, without inducing an increase in airway resistance. Trial registration The clinical trial was retrospectively registered at the Chinese Clinical Trial Registry with the Registration Number ChiCTR1900020832 at January 20th 2019.

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Improved postoperative lung function after sublobar resection of non-small-cell lung cancer combined with lung volume reduction surgery in patients with advanced emphysema

Journal of Thoracic Disease ◽

10.21037/jtd.2018.06.79 ◽

2018 ◽

Vol 10 (S23) ◽

pp. S2704-S2710

Author(s):

Claudio Caviezel ◽

Julia von Rotz ◽

Didier Schneiter ◽

Ilhan Inci ◽

Sven Hillinger ◽

...

Keyword(s):

Lung Cancer ◽

Lung Function ◽

Small Cell Lung Cancer ◽

Lung Volume ◽

Small Cell ◽

Sublobar Resection ◽

Lung Volume Reduction Surgery ◽

Small Cell Lung ◽

Lung Volume Reduction ◽

Postoperative Lung Function

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Role of a digital tool in preoperative lung resection surgery assessment

Digital Health ◽

10.1177/2055207619885783 ◽

2019 ◽

Vol 5 ◽

pp. 205520761988578

Author(s):

Marco Rispoli ◽

Fabio Perrotta ◽

Salvatore Buono ◽

Antonio Corcione

Keyword(s):

Lung Function ◽

Mobile Application ◽

Multidisciplinary Approach ◽

Lung Resection ◽

Digital Tool ◽

Before And After ◽

Function Calculation ◽

Medical Examinations ◽

Postoperative Lung Function

The assessment of patients likely to undergo lung resection surgery is a multidisciplinary approach involving pulmonologists, surgeons and anaesthesiologists. In thoracic surgery, medical operability is also a calculation of postoperative lung function. A mobile application – PreParAPP MSD – to calculate postoperative lung function has been developed with the endorsement of the Italian Society of Anaesthesia, Analgesia and Intensive Care and with the unconditional support of MSD Italia. Thanks to a simple graphic interface, the calculation becomes fast and intuitive, while the possibility of storing and sharing data in an analytical and computerised way with other clinicians might help with the full assessment of patients without forcing them to undergo several medical examinations. These simple calculated parameters are performed by a minority of clinicians, generally anaesthesiologists. In our facility, there is a team involved in the perioperative evaluation of lung resection surgery (13 pulmonologists, 9 surgeons and 5 anaesthesiologists). In order to evaluate the possible Awareness towards postoperative lung function calculation better, we organised an internal survey with 27 clinicians who are members of such a team before and after the introduction of the PreParAPP MSD. It was found that after the introduction of PreParAPP MSD, the percentage of clinicians involved in postoperative lung function calculation rose from 18% to 70%. The implementation of a digital tool may help to improve guideline adherence, in accordance with other experiences in which such tools represented the start for various quality improvement purposes throughout the medical field.

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