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The cardiorespiratory effects of laparoscopic procedures in infants

✍ Scribed by Bozkurt; Kaya; Yeker; Tunali; Altintaş

Book ID
104456064
Publisher
John Wiley and Sons
Year
1999
Tongue
English
Weight
91 KB
Volume
54
Category
Article
ISSN
0003-2409

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✦ Synopsis

We assessed the cardiorespiratory effects of laparoscopic procedures in 27 infants aged between 36 and 365 days. Infants were monitored and anaesthetised in a standardised manner. Heart rate, mean arterial pressure, end‐tidal carbon dioxide and oxygen saturation were recorded, and blood gases were measured at 5 min after intubation, 15 and 30 min after carbon dioxide pneumoperitoneum, 5 min after desufflation and after extubation. The pH, P~a~o~2~, base excess, S~a~o~2~ and S~p~o~2~ decreased, and __P__co~2~ increased by insufflation of carbon dioxide intraperitoneally, and improved following deflation. Changes in pH and P~a~o~2~ during the study were statistically significant (p < 0.0001). The increase in P~a~co~2~ 30 min after pneumoperitoneum was statistically significant when compared with initial values. Transient arrhythmias were observed in 10 infants 1 min after pneumoperitoneum. There were no statistically significant alterations in heart rate and systolic blood pressure.

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