[Artificial ventilation with pressure monitoring during lararoscopic operations].
The efficiency of artificial ventilation (AV) with volume and pressure monitoring was compared during laparoscopic interventions. Certain advantages of AV with pressure monitoring were established, which appeared as a lower negative effect on pulmonary gas exchange, better parameters in oxygenation and respiratory mechanics as compared with volumetric ventilation, including at the stage of carboxyperitoneum. There is evidence that with the use of this ventilation mode, the cardiac performance parameters, such as cardiac and stroke indices, decrease to a lesser extent. The authors show it possible to use ventilation with pressure monitoring in patients at high risk of cardiac ventilation. With the use of this mode, the trend in hemodynamic and respiratory changes is the same in such patients as in those without comorbidity and the risk of cardiac complications is not higher than when volumetric ventilation is made.
Polushin
Iu S
IuS
Bokatiuk
S V
SV
Khrapov
K N
KN
D000368:Aged; D002303:Cardiac Output, Low / Q000517:prevention & control; D002769:Cholelithiasis / Q000601:surgery*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D011312:Pressure; D011659:Pulmonary Gas Exchange; D012121:Respiration, Artificial / Q000379:methods*