Cardiac function during intraperitoneal CO2 insufflation for aortic surgery: a transesophageal echocardiographic study

Anesthesia and Analgesia
Pascal AlfonsiMarcel Chauvin

Abstract

The effect of laparoscopy on cardiac function is controversial. We hypothesized that cardiac dysfunction related to increased afterload could be predominant in patients undergoing elective abdominal aortic repair. To test this hypothesis, we conducted a transesophageal echocardiographic study in 15 patients during laparoscopic aortic surgery. We systematically assessed left ventricular (LV) and right ventricular (RV) functions. Measurements were obtained in the supine position without pneumoperitoneum and with an intraabdominal pressure of 14 mm Hg. Then, patients were turned to the right lateral position without pneumoperitoneum and intraabdominal pressure was increased to 7 mm Hg and to 14 mm Hg. Pneumoperitoneum induced a 25% arterial blood pressure increase and a 38% increase in LV systolic wall stress. A 25% decrease in LV ejection fraction and an 18% decrease in LV stroke volume were observed, associated with an increase in LV end-systolic volume. LV diastolic function impairment was observed without change in LV end-diastolic volume. Respiratory alterations in superior vena cava diameter were never observed, suggesting that volume status remained optimal. Respiratory changes in RV stroke volume were increased according t...Continue Reading

References

Apr 1, 1979·Cardiovascular Research·M I Noble
Aug 1, 1991·Archives of Surgery·C M WittgenD L Kaminski
Feb 1, 1988·Journal of Applied Physiology·L TokicsH Lundquist
May 1, 1993·Anesthesia and Analgesia·J L JorisM L Lamy
Jun 1, 1996·Journal of the American College of Cardiology·G I CohenA L Klein
Jan 1, 1997·Chest·F JardinJ P Bourdarias
May 1, 1997·Acta Anaesthesiologica Scandinavica·P TanskanenT Randell
Nov 24, 1999·Journal of Applied Physiology·A Vieillard-BaronF Jardin
Sep 10, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M CoggiaO Goëau-Brissonnière
Nov 24, 2004·Journal of Vascular Surgery·Marc CoggiaOlivier A Goëau-Brissonnière
Feb 25, 2005·Anesthesia and Analgesia·François DecailliotFrançois Stéphan

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Citations

Dec 25, 2010·Surgical and Radiologic Anatomy : SRA·F M Sánchez-MargalloJ Usón-Gargallo
Jan 21, 2011·Critical Care : the Official Journal of the Critical Care Forum·Didier JacquesJean-Paul Viale
Nov 20, 2012·Saudi Journal of Anaesthesia·Vanlal DarlongRajeev Kumar
Sep 27, 2012·Progress in Cardiovascular Diseases·Dana McGlothlinPaul M Heerdt
Jan 1, 2007·Acta Clinica Belgica·J Wauters, A Wilmer
Jan 1, 2007·Acta Clinica Belgica·Y Mahjoub, G Plantefeve
Jan 1, 2007·Acta Clinica Belgica·J WautersF Valenza
Aug 24, 2007·Acta Anaesthesiologica Scandinavica·F BliacherieneF Michard
Aug 16, 2015·Surgical Endoscopy·Denise M D Özdemir-van BrunschotMichiel C Warlé
Nov 18, 2017·Journal of Clinical Monitoring and Computing·Marko ZlicarMaurizio Cecconi
Dec 21, 2006·Anesthesia and Analgesia·Davide CattanoStefano Buzzigoli
Jan 18, 2008·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Andres FalabellaMichael Lew
Jul 16, 2019·Critical Care Medicine·Alexandra BeurtonXavier Monnet
Aug 28, 2019·JBI Database of Systematic Reviews and Implementation Reports·Brian NygardJennifer Greenwood
Oct 22, 2019·JBI Database of Systematic Reviews and Implementation Reports·Brian NygardJennifer Greenwood
Apr 25, 2015·The Journal of Trauma and Acute Care Surgery·Patrick RoyerHossein Mehdaoui
Aug 23, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Wenyu ZhangFucang Jia

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