Appropriate pneumoperitoneum pressure during laparoscopic surgery in infants and children at different ages
- VernacularTitle:小儿腹腔镜手术各年龄段适宜气腹压力的研究
- Author:
Daozhen ZHANG
;
Fang CHEN
;
Dajun XING
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Anesthesia,general;
Pneumoperitoneum pressure;
Child
- From:
Chinese Pediatric Emergency Medicine
2008;15(6):561-564
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe changes of cardiorespiratory function and blood gas analysis in different pneumoperitoneum pressure during age-specific pediatric laparoscopic surgery and to find a compatible pneumoperitoneum pressure for different age-specific children.Methods One hundred and fifty cases undergoing laparoscopic surgery were divided into three groups:A(1～3y),B(4～6y),C(7～12y).Each group was divided into two subgroups again by different pneumoperitoneum pressure:A1,A2,B1,B2,C1,C2.Monitoring the cardiorespiratory function and blood gas analysis in different time point before and after pneumoperitoneum.Results Compared with the baseline value,PETCO2,Paw,MAP,HR,PaCO2 significantly increased after peritoneal insufflation in each group.And the increase in A2,B2,C2 were more obvious than in A1,B1,C1 (P<0.05).The eligible pneumoperitoneum pressures for A,B,C were 9,11,13mm Hg respectively.Conclusion Using a compatible pneumoperitoneum pressure for different age-specific children can meet the requirement of operation and attenuate the interference with physiological function.
