The Effect of CO2 Insufflation and Trendelenburg-lithotomy Position on Intraocular Pressure during Laparoscopy.
10.4097/kjae.1997.33.3.529
- Author:
Bo Ryoung LEE
;
Young Cheol WOO
;
Gill Hoi KOO
- Publication Type:Original Article
- Keywords:
Complications, intraocular pressure;
Position;
Trendelenburg-lithotomy Surgery, laparoscopy;
CO2 insufflation
- MeSH:
Anesthesia, General;
Carbon Dioxide;
Head-Down Tilt;
Humans;
Insufflation*;
Intraocular Pressure*;
Laparoscopy*
- From:Korean Journal of Anesthesiology
1997;33(3):529-532
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The laparoscopy requires carbon dioxide (CO2) insufflation and Trendelenburg position for operational convenience. However, the above circumstances affect the cardiopulmonary systems significantly and intraocular pressure (IOP) may be also influenced. METHODS: In 27 non-glaucoma patients right and left intraocular pressure (RIOP, LIOP) were measured 5 minutes after induction of general anesthesia (control value), 15 and 30 minutes after CO2 insufflation and endelenburg-lithotomy position. RESULTS: The control values of RIOP and LIOP were 11.3 4.7 mmHg and 11.5 4.7 mmHg respectively. At 15 minutes after CO2 insufflation and Trendelenburg-lithotomy position, they increased to 16.6 5.3 mmHg and 17.0 5.9 mmHg (p<0.05). At 30 minutes, 18.4 3.5 mmHg and 18.2 4.1 mmHg (p<0.05). CONCLUSION: CO2 insufflation and Trendelenburg-lithotomy position increase IOP significantly in non-glaucoma patients during laparoscopy.
