TO ASSESS EFFECTS OF PNEUMOPERITONEUM ON VENTILATORY MECHANICS AND HEMODYNAMICS DURING LAPAROSCOPIC CHOLECYSTECTOMY IN OBESE AND NON-OBESE PATIENTS

Aim: The aim of the study was to assess effects of pneumoperitoneum on ventilatory mechanics and hemodynamic during laparoscopic cholecystectomy in obese and non-obese patients Method: A total of 100 patients were divided into two groups of 50 each. Obese (O) group consisted of 50 patients with BMI>30 kg/m2 and non-obese (NO) group consisted of 50 patients with BMI0.05). A higher SBP, DBP and MAP was observed following insufflation, after desufflation and before extubation in the obese patients but was non-significant . The PI value was high in obese patients though non-significant. Also, EtCO2 values remained minimally elevated in obese patients but were statistically insignificant. PPEAK, PPLAT as well as PDRIVING remained high in obese individuals following insufflation, after desufflation, and before extubation and were significant (p