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August 14, 1971BMJOpen Access

Cardiovascular Effects of Peritoneal Insufflation of Carbon Dioxide for Laparoscopy

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Why the study?

What are the cardiovascular effects of peritoneal insufflation of carbon dioxide during laparoscopy in artificially ventilated and anaesthetized patients?

Population

13 artificially ventilated and anaesthetized patients preparatory to laparoscopy

Design

Case_series

Authors

ISIan C. P. SmithAdvisory Board Company (United States)RBR. BenzieThe University of SydneyNGN. L. M. GordonAberdeen Royal Infirmary

Discussion

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Overview

Intra-abdominal CO2 insufflation may elevate venous/airway pressures with mild tachycardia; hypothesis-generating for hemodynamic safety in ventilated patients.

Structured PICO

What are the cardiovascular effects of peritoneal insufflation of carbon dioxide during laparoscopy in artificially ventilated and anaesthetized patients?

P
Population
13 artificially ventilated and anaesthetized patients preparatory to laparoscopy
I
Intervention
Peritoneal insufflation of carbon dioxide with stepwise increases of intra-abdominal pressure up to a maximum of 25 cm H2O
O
Outcome
Cardiovascular and pressure effects (airway pressure, intrathoracic pressure, central venous pressure, femoral venous pressure, heart rate, and blood pressure)surrogate

Peritoneal insufflation of carbon dioxide up to 25 cm H2O during laparoscopy causes mild cardiovascular stimulation but does not impose undue strain on the cardiovascular system in anaesthetized patients.

Cite This Study

Smith et al. (1971) studied this question.

synapsesocial.com/papers/6a868f31d1c1904b4a544a34https://doi.org/10.1136/bmj.3.5771.410
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Improved technique for estimating pleural pressure from esophageal balloons1964 · 871 citations
  2. 2Blood Gas Studies during Laparoscopy under General Anesthesia1969 · 62 citations
  3. 3Laparoscopy in Gynaecology1967 · 99 citations