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The effect of different pressures of pneumoperitoneum on the dimensions of internal jugular vein - A prospective double-blind, randomised study.
Ponduru, Supraja; Nanda, Ananya; Pakhare, Vandana; Ramchandran, Gopinath; Sangineni, Kalyani S; Priyanka, R Devi Sai.
Afiliación
  • Ponduru S; Department of Anaesthesia, ESIC Medical College and Hospital, Hyderabad, Telangana, India.
  • Nanda A; Department of Anaesthesia, ESIC Medical College and Hospital, Hyderabad, Telangana, India.
  • Pakhare V; Department of Anaesthesia, ESIC Medical College and Hospital, Hyderabad, Telangana, India.
  • Ramchandran G; Department of Anaesthesia, ESIC Medical College and Hospital, Hyderabad, Telangana, India.
  • Sangineni KS; Department of Anaesthesia AIIMS, Bibinagar, Hyderabad, Telangana, India.
  • Priyanka RDS; Department of Anaesthesia, ESIC Medical College and Hospital, Hyderabad, Telangana, India.
Indian J Anaesth ; 66(9): 631-637, 2022 Sep.
Article en En | MEDLINE | ID: mdl-36388446
Background and Aims: During laparoscopic surgeries, pneumoperitoneum increases intraabdominal pressure (IAP) which can increase the central venous pressure (CVP), and significant haemodynamic changes. In this study, we evaluated the effect of two different pressures of pneumoperitoneum, standard (13-15 mmHg), and low (6-8 mmHg) on the cross-sectional area (CSA) of the internal jugular vein (IJV) using ultrasonography, haemodynamic changes and duration of surgery. Surgeon's comfort and feasibility of performing laparoscopic surgeries with low pressure pneumoperitoneum was also studied. Methods: This prospective, double-blind, randomised study included 148 patients of American Society of Anesthesiologists physical status class I and II undergoing laparoscopic surgeries. They were allocated into two groups: group S (standard) (number (n) = 73) had the IAP maintained between 13-15 mmHg; group L (low) had an IAP of 6-8 mmHg (n = 75). CSA of right IJV was measured before induction of anaesthesia (T1), 5 min after intubation (T2), 5 min after pneumoperitoneum (T3), before desufflation (T4) and 5 min prior to extubation (T5). Chi-square test, and Student's paired and unpaired t test were used for statistical analysis. Results: The increase in IJV CSA at T3 when compared to T2 was statistically significant in both the groups (P < 0.001). On desufflation, the change in IJV CSA showed significant decrease in T5 value than T4 value in both the groups (P < 0.001). However, the percentage change in the IJV CSA was more in group S (35.4%) than group L (21.2%). Conclusion: CSA of IJV increased significantly even with lower IAP of 6-8 mmHg. Laparoscopic surgery can be performed conveniently even at low IAP.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials Idioma: En Revista: Indian J Anaesth Año: 2022 Tipo del documento: Article País de afiliación: India Pais de publicación: India
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials Idioma: En Revista: Indian J Anaesth Año: 2022 Tipo del documento: Article País de afiliación: India Pais de publicación: India