Continuous esophageal pH monitoring during laparoscopic cholecystectomy
โ Scribed by A. Halevy; H. Kais; Y. Efrati; M. Weinberg; M. Negri; M. Behar; J. Sackier; I. Vinograd
- Publisher
- Springer
- Year
- 1994
- Tongue
- English
- Weight
- 214 KB
- Volume
- 8
- Category
- Article
- ISSN
- 0930-2794
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โฆ Synopsis
Gastro-esophageal regurgitation (GER) and eventual aspiration is considered a major risk during general anesthesia. High intraperitoneal pressure produced during laparoscopic cholecystectomy (LC) is a possible source of increased GER. We investigated the incidence of GER using continuous esophageal pH monitoring in 14 patients undergoing elective LC. Only two brief episodes of acid reflux (pH < 4) occurred during LC. Apparently the high intraperitoneal pressure during LC carries no increased risk of regurgitation and aspiration.
๐ SIMILAR VOLUMES
Although pneumoperitoneum has been well tolerated in a predominantly healthy population, there is concern that an increased intraperitoneal pressure may be poorly tolerated in patients with marginal cardiopulmonary function. The purpose of this study was to demonstrate noninvasively the hemodynamic