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Pneumoperitoneum for laparoscopic cholecystectomy is not associated with comprised splanchnic circulation
Department of Anaesthesiology & Intensive Care, Huddinge Univ Hosp, Huddinge, Sweden .
Örebro University, School of Medical Sciences. Department of Anaesthesiology & Intensive Care, Huddinge Univ Hosp, Huddinge, Sweden .ORCID iD: 0000-0003-2636-4745
Department of Anaesthesiology & Intensive Care, Huddinge Univ Hosp, Huddinge, Sweden .
1998 (English)In: European Journal of Surgery, ISSN 1102-4151, E-ISSN 1741-9271, Vol. 164, no 11, p. 843-848Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate the influence of increased intra-abdominal pressure during pneumoperitoneum on splanchnic circulation.

Design: Open study.

Setting: University hospital, Sweden.

Subjects: Five otherwise healthy patients (mean age of 34 years), undergoing laparoscopic cholecystectomy.

Interventions: Arterial and hepatic vein catheterization and simultaneous arterial and hepatic vein blood gas sampling in the awake state, during anaesthesia, after the establishment of pneumoperitoneum (intra-abdominal pressure level 11-13 mmHg) and after 30 and 60 minutes of pneumoperitoneum.

Main outcome measures: Hepatic blood flow was estimated by the continuous infusion method and used as a measure of splanchnic blood flow. Splanchnic oxygen consumption was calculated according to the Fick principle.

Results and conclusion: Splanchnic blood flow and splanchnic oxygen consumption were not affected by pneumoperitoneum at this level of intra-abdominal pressure.

Place, publisher, year, edition, pages
Taylor & Francis Scandinavia , 1998. Vol. 164, no 11, p. 843-848
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:oru:diva-63890DOI: 10.1080/110241598750005264ISI: 000076989200008PubMedID: 9845130OAI: oai:DiVA.org:oru-63890DiVA, id: diva2:1171086
Available from: 2018-01-05 Created: 2018-01-05 Last updated: 2018-02-05Bibliographically approved

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Ljungqvist, Olle

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