Cardiocirculatory changes during videolaparoscopy in children: an echocardiographic study

We examined cardiovascular changes associated with intra‐abdominal insufflation in 20 children (mean age 6.1 ± 4.7 years, ASA physical status I or II) undergoing laparoscopic surgery with general anaesthesia using echocardiography with a transthoracic approach. Intra‐abdominal pressure never exceede...

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Veröffentlicht in:	Pediatric anesthesia 2000-07, Vol.10 (4), p.399-406
Hauptverfasser:	Gentili, A., Iannettone, C.M., Pigna, A., Landuzzi, V., Lima, M., Baroncini, S.
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdominal surgery. Urology. Gynecology. Obstetrics anaesthesia Anesthesia Anesthesia depending on type of surgery Anesthesia, General Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood Pressure - physiology Carbon Dioxide - blood Cardiac Volume - physiology cardiocirculatory changes Child Child, Preschool children Echocardiography Female Heart - physiopathology Humans Insufflation Laparoscopy Lung - physiopathology Male Medical sciences Myocardial Contraction - physiology pneumoperitoneum Pneumoperitoneum, Artificial Pressure Pulmonary Ventilation - physiology Stroke Volume - physiology Tidal Volume - physiology Ultrasonography, Interventional Ventricular Function, Left - physiology Video-Assisted Surgery
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Zusammenfassung:	We examined cardiovascular changes associated with intra‐abdominal insufflation in 20 children (mean age 6.1 ± 4.7 years, ASA physical status I or II) undergoing laparoscopic surgery with general anaesthesia using echocardiography with a transthoracic approach. Intra‐abdominal pressure never exceeded 10 mmHg. Systolic blood pressure, diastolic blood pressure, endtidal CO2, peak, and mean airway pressure increased during intra‐abdominal insufflation (P
ISSN:	1155-5645 1460-9592
DOI:	10.1046/j.1460-9592.2000.00551.x