Application of two modes of ventilation in laparoscopic cholecystectomy

Authors

  • Pedro Julio Garcia Alvarez Hospital Militar
  • Ana María Núñez Cuadrado
  • Edel Cabreja Mola

Keywords:

colecistectomía laparoscópica. Ventilación controlada por volumen. Ventilación controlada por presión

Abstract

Background: the maintenance of oxygenation is a frequent problem in patients who undergo a laparoscopic cholecystectomy. There are not specific guides for applying the modes of ventilation in this type of surgery.
Objective: to compare two modes of ventilation, volume-controlled ventilation and pressure-controlled ventilation in patients who undergo a laparoscopic cholecystectomy.
Methods: an analytical, longitudinal study was conducted. The sample was composed of 18 patients of ASA physical status I and II, scheduled for a laparoscopic cholecystectomy in Dr Octavio de la Concepción y de la Pedraja Military Teaching Hospital, Camaguey. At first, all the patients received volume-controlled ventilation. Twenty minutes later, when the pneumoperitoneum was administered, all of them received pressure-controlled ventilation. The studied variables were O2 saturation, peak pressure, plateau pressure, respiration rate and hemodynamic parameters.
Results: there was not statistical significance regarding the peak pressure. Plateau pressure presented significant differences. Respiration rate increased more with pressure-controlled ventilation than with volume-controlled ventilation, without statistical significance. Oxygenation had the same values in both modes of ventilation. The hemodynamic parameters were similar, showing more dispersion with volume-controlled ventilation. Heart rate was similar in both modes of ventilation. There was not statistical significance regarding the mean arterial pressure. Conclusions: there was difference between both modes of ventilation only regarding the plateau pressure.

DeCS: CHOLECYSTECTOMY, LAPAROSCOPIC; TIDAL VOLUME; RESPIRATION, ARTIFICIAL; RESPIRATORY RATE; LONGITUDINAL STUDIES.

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Author Biography

Pedro Julio Garcia Alvarez, Hospital Militar

Especialista en 1er Grado en Anestesiología y Reanimacion.Diplomado en Cuidados Intensivos y Emergencias. Especialista en 1er Grado en Medicina General.

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Published

2015-11-26

How to Cite

1.
Garcia Alvarez PJ, Núñez Cuadrado AM, Cabreja Mola E. Application of two modes of ventilation in laparoscopic cholecystectomy. Arch méd Camagüey [Internet]. 2015 Nov. 26 [cited 2025 Aug. 17];20(1):15-24. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/4112

Issue

Vol. 20 No. 1 (2016)

Section

Original Articles

License

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