Hemodynamic and respiratory effects of pediatric urological retroperitoneal laparoscopic surgery: a prospective study

The Journal of Urology
Armando J LorenzoW Farhat

Abstract

Our understanding of the effects of retroperitoneal CO(2) insufflation on cardiopulmonary variables in children remains limited. This study was designed to investigate prospectively the effect of CO(2) insufflation in a pediatric population undergoing retroperitoneal laparoscopic surgery. We prospectively evaluated a consecutive series of patients enrolled between July 2003 and August 2004. Anesthesia was administered following a standardized protocol. Data collection included respiratory rate, PAP, O(2) saturation, ETCO(2), HR, MAP, electrocardiogram and insufflation pressure. All variables were recorded before, during and after CO(2) insufflation at regular intervals of 1 to 2 minutes, with up to 23 measurements recorded for each period. A total of 18 participants were recruited. Mean +/- SD for age and weight were 79.4 +/- 53.2 months and 26.7 +/- 15.5 kg, respectively. Mean retroperitoneal CO(2) insufflation pressure was kept at 12 mm Hg. Significant differences (p <0.05) in average ETCO(2), PAP and MAP were noted after CO(2) insufflation compared to baseline (pre-pneumoretroperitoneum) values. HR and temperature did not change. At completion of the laparoscopic intervention physiological variables exhibited a trend to retu...Continue Reading

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References

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Citations

Nov 12, 2010·International Urology and Nephrology·George SakellarisSupul Hennayake
Dec 21, 2010·Journal of Indian Association of Pediatric Surgeons·V Raveenthiran
Mar 20, 2015·Journal of Anaesthesiology, Clinical Pharmacology·Souvik MaitraShasanka Shekhar Panda
Mar 20, 2015·Journal of Anaesthesiology, Clinical Pharmacology·Neerja Bhardwaj
Dec 9, 2009·Scandinavian Journal of Urology and Nephrology·George SakellarisDavid Gough
Dec 6, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Amos NehemanPaul H Noh
Mar 2, 2017·Current Urology Reports·Rajeev Chaudhry, Heidi A Stephany

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