Effect of Pressure Versus Volume in Controlled Ventilation in Overweight and Obese Patients During Laparoscopic Cholecystectomy

2020 ◽  
Vol 27 (2) ◽  
pp. 45-49
Author(s):  
Da’meh , Sadeq M. ◽  
Abu dayyeh , Rami A. S. ◽  
Beidas , Mohammad J. I. ◽  
Qabaha , Anan H. ◽  
Almajali , Ali D.
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Obese Patients ◽  
Effect Of Pressure ◽  
Controlled Ventilation

scholarly journals Effect of mechanical pressure-controlled ventilation in patients with disturbed respiratory function during laparoscopic cholecystectomy

2013 ◽  
Vol 70 (1) ◽  
pp. 9-15
Author(s):  
Maja Surbatovic ◽  
Zoran Vesic ◽  
Dragan Djordjevic ◽  
Sonja Radakovic ◽  
Snjezana Zeba ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Respiratory Function ◽  
Respiratory Diseases ◽  
Positive Pressure ◽  
Time Interval ◽  
Time Intervals ◽  
Controlled Ventilation ◽  
Arterial Blood ◽  
Pressure Controlled Ventilation ◽  
Pressure Controlled

Background/Aim: Laparoscopic cholecystectomy is considered to be the gold standard for laparoscopic surgical procedures. In ASA III patients with concomitant respiratory diseases, however, creation of pneumoperitoneum and the position of patients during surgery exert additional negative effect on intraoperative respiratory function, thus making a higher challenge for the anesthesiologist than for the surgeon. The aim of this study was to compare the effect of intermittent positive pressure ventilation (IPPV) and pressure controlled ventilation (PCV) during general anesthesia on respiratory function in ASA III patients submitted to laparoscopic cholecystectomy. Methods. The study included 60 patients randomized into two groups depending on the mode of ventilation: IPPV or PCV. Respiratory volume (VT), peak inspiratory pressure (PIP), compliance (C), end-tidal CO2 pressure (PETCO2), oxygen saturation (SpO2), partial pressures of O2, CO2 (PaO2 and PaCO2) and pH of arterial blood were recorded within four time intervals. Results. There were no statistically significant differences in VT, SpO2, PaO2, PaCO2 and pH values neither within nor between the two groups. In time interval t1 there were no statistically significant differences in PIP, C, PETCO2 values between the IPPV and the PCV group. But, in the next three time intervals there was a difference in PIP, C, and PETCO2 values between the two groups which ranged from statistically significant to highly significant; PIP was lower, C and PETCO2 were higher in the PCV group. Conclusion. Pressure controlled ventilation better maintains stability regarding intraoperative ventilatory parameters in ASA III patients with concomitant respiratory diseases during laparoscopic cholecystectomy.

272: Do the obese patients require less analgesia after laparoscopic cholecystectomy?

2007 ◽  
Vol 32 (5) ◽  
pp. 158-158
Author(s):  
D IONESCU ◽  
S MARGARIT ◽  
I GECZITOTH ◽  
C BERTEANU ◽  
A BALINTESCU ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Obese Patients

scholarly journals Evaluation of lymphocytes CD4+ and CD8+ and expression of ZAP-70 kinase on CD3+ and CD19+ lymphocytes in obese patients undergoing laparoscopic cholecystectomy

2012 ◽  
Vol 27 (3) ◽  
pp. 872-879 ◽  
Author(s):  
Kamil Torres ◽  
Anna Torres ◽  
Andrzej Chrościcki ◽  
Ryszard Maciejewski ◽  
Sebastian Radej ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Obese Patients

scholarly journals Comparison of Volume-controlled and Pressure-controlled Ventilation during Laparoscopic Gastric Banding in Morbidly Obese Patients

2008 ◽  
Vol 18 (6) ◽  
pp. 680-685 ◽  
Author(s):  
L. E. C. De Baerdemaeker ◽  
C. Van der Herten ◽  
J. M. Gillardin ◽  
P. Pattyn ◽  
E. P. Mortier ◽  
...  
Keyword(s):  
Gastric Banding ◽  
Laparoscopic Gastric Banding ◽  
Morbidly Obese ◽  
Obese Patients ◽  
Controlled Ventilation ◽  
Pressure Controlled Ventilation ◽  
Volume Controlled ◽  
Pressure Controlled
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