Key result
Increasing intra-abdominal pressure during laparoscopic gynaecology strongly correlated with increased airway peak pressure in PCV (r=0.910) and IMV (r=0.952) patients.
Why the study?
Analysing and fusing data from medical devices of different disciplines inside operating rooms may promote awareness during surgical procedures.
Does increasing intra-abdominal pressure alter airway peak pressure and hemodynamics in patients undergoing laparoscopic gynaecology?
Observational
Does increasing intra-abdominal pressure alter airway peak pressure and hemodynamics in patients undergoing laparoscopic gynaecology?
Effect estimate: r=0.910 (PCV) and r=0.952 (IMV)
Increasing intra-abdominal pressure during laparoscopic gynaecology significantly increases airway peak pressure and alters hemodynamics, highlighting the need for integrated monitoring.
Intra-abdominal pressure monitoring may inform ventilation in laparoscopy; leaves open whether device fusion improves outcomes.
Analysing and fusing data from the medical devices of different disciplines (anaesthesiology and surgery) inside the operating rooms may promote awareness during surgical procedures. In this work, the changes of physiological parameters of patients undergoing laparoscopic gynaecology procedures were analysed. The statistical relationship between the intra-abdominal pressure and airway peak pressure was evaluated. Patients ventilated with pressure-controlled ventilation (PCV) and intermittent mandatory ventilation (IMV) were included. The results demonstrated that increasing the intra-abdominal pressure (IAP) resulted in increasing the airway peak pressure and decreasing the lung compliance. The Pearson correlation coefficient between the IAP and the airway peak pressure was 0.910 in PCV-patients and 0.952 in IMV-patients when changes of the ventilation settings were considered. Additionally, major hemodynamic changes included alterations in the mean blood pressure (MBP), where the MBP increased after insufflating the abdomen and decreased after abdomen deflation.
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Jalal et al. (2021) conducted an observational in Laparoscopic gynaecology procedures. Increased intra-abdominal pressure (insufflation) was evaluated on Relationship between intra-abdominal pressure and airway peak pressure (r=0.910 (PCV) and r=0.952 (IMV)). Increasing intra-abdominal pressure during laparoscopic gynaecology strongly correlated with increased airway peak pressure in PCV (r=0.910) and IMV (r=0.952) patients.