In:
Journal of International Medical Research, SAGE Publications, Vol. 41, No. 3 ( 2013-06), p. 889-894
Abstract:
This study investigated the influence of laparoscopic carbon dioxide (CO 2 ) pneumoperitoneum on neonate circulation and respiration. Methods The study included neonates undergoing elective laparoscopic abdominal surgery. CO 2 insufflation pressure was maintained within 8–14 mmHg for pneumoperitoneum creation. Heart rate (HR), mean arterial pressure (MAP), peripheral oxygen saturation (SpO 2 ), partial pressure of end-tidal carbon dioxide ( P ET CO 2 ) and maximum inspiratory pressure were monitored continuously. Arterial blood samples were collected: 5 min before pneumoperitoneum creation (baseline); 5, 10, and 20 min after CO 2 insufflation; 10 min after CO 2 exsufflation; 10 min after surgery. pH, partial pressure of CO 2 (PaCO 2 ) and arterial oxygen saturation (SaO 2 ) were also measured. Results Thirty-six neonates were included. HR and MAP significantly increased after pneumoperitoneum creation, then decreased to baseline after CO 2 exsufflation. PaCO 2 and P ET CO 2 were significantly higher after pneumoperitoneum creation, whereas pH was significantly lower 20 min after pneumoperitoneum creation compared with baseline. No significant differences were observed in SpO 2 and SaO 2 . Conclusion CO 2 pneumoperitoneum had a significant effect on neonatal circulation and respiration, suggesting that the pneumoperitoneal pressure should be limited within a certain range in neonates undergoing laparoscopic surgery.
Type of Medium:
Online Resource
ISSN:
0300-0605
,
1473-2300
DOI:
10.1177/0300060513481922
Language:
English
Publisher:
SAGE Publications
Publication Date:
2013
detail.hit.zdb_id:
2082422-1
