The abdominal lift: is there any advantage for the critically ill patient?
The use of carbon dioxide to create a cavity for the operation of laparoscopic cholecystectomy leads to serious complications of the cardiovascular system; consequently, patients with ischaemic heart disease can be put at greater risk. For example, on reaching an intra-abdominal pressure of 15mmHg, a fall of about 35% of the static compliance was observed. Upon using the Laparolift, these influences on the respiratory system were not detected, and the rise in systemic vascular resistance usually seen with the CO2-pneumoperitoneum did not occur. From the anaesthetist's viewpoint the Laparolift was helpful in the treatment of patients with serious limitations of cardiac function.
Thoelke
M H
MH
Department of Anaesthesiology and Intensive Care Medicine, Klinikum Wuppertal GmbH, University of Witten-Herdecke, Germany.
Merkelbach
D
D
Ehmann
T
T
Henrich
P
P
Engelhardt
G H
GH
Brandt
L
L
D000009:Abdominal Muscles / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000768:Anesthesia, General; D001794:Blood Pressure; D002245:Carbon Dioxide / Q000008:administration & dosage / Q000009:adverse effects / Q000378:metabolism; D017081:Cholecystectomy, Laparoscopic / Q000295:instrumentation*; D016638:Critical Illness; D005260:Female; D006339:Heart Rate; D006801:Humans; D007327:Insufflation / Q000009:adverse effects; D008170:Lung Compliance; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000503:physiopathology; D010100:Oxygen / Q000097:blood; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects; D011312:Pressure; D012119:Respiration; D012307:Risk Factors; D013990:Tidal Volume; D014143:Traction / Q000295:instrumentation*; D014655:Vascular Resistance
D002245:Carbon Dioxide; D010100:Oxygen