医学
气腹
血流动力学
吹气
通风(建筑)
麻醉
呼吸系统
呼吸分钟容积
心输出量
潮气量
血管阻力
内科学
外科
腹腔镜检查
机械工程
工程类
作者
Laurence Richard,Enric Burés,L. Lacoste,A.C. Declerck,Michel Carretier,B. Debaene,J. Fusciardi
标识
DOI:10.1046/j.0001-5172.2001.00349.x
摘要
Background: Haemodynamic and respiratory effects of a CO 2 pneumoperitoneum (intra‐abdominal pressure = 12 mmHg) associated to a head‐up position(15°) were studied in 20 pigs using a Swan‐Ganz catheter and the Single Breath Test for CO 2 . The pneumoperitoneum induced a moderate rise in mean arterial pressure (+17%) ( P <0.001) without any variation in heart rate, cardiac output and systemic vascular resistances. Results: The following respiratory effects were observed: an increase in P a CO 2 (+20%) ( P <0.001), P E' CO2 (+31%) ( P <0.001), expired volume of CO 2 (+28%) ( P <0.001), arterial to end‐tidal CO 2 gradient (+80%) ( P <0.001) and alveolar dead space (+40%) ( P <0.001) occured. Alveolar ventilation remained stable. Finally and contrary to healthy human patient, intraperitoneal CO 2 insufflation in pig induced slight haemodynamic changes and major respiratory modifications. Conclusion: Thus, our data do not support the conclusion that the pig is a reliable experimental model for studying the pathophysiology of CO 2 pneumoperitoneum‐induced changes in haemodynamic and respiratory parameters, in human patients.
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