Korean J Anesthesiol.  2004 Feb;46(2):199-203. 10.4097/kjae.2004.46.2.199.

The Effect of Pneumoperitoneum on Thoracoabdominal Aortic Blood Flow in Laparoscopic Cholecystectomy

• Park SE
• Kim TY
• Ryu DH
• Choi YC

• KMID: 2039721
• DOI: http://doi.org/10.4097/kjae.2004.46.2.199

Abstract

BACKGROUND
We performed this study to determine the influence of the administration of pneumoperitoneum on the blood flow of the thoracoabdominal aorta during laparoscopic cholecystectomy (LC).
METHODS
Ten patients for LC were enrolled in this study. Anesthesia was performed with propofol, fentanyl and rocuronium. Pneumoperitoneum was made by CO2 gas intraperitoneal instillation at an intraperitoneal pressure of 10-12 mmHg. Peak velocity of blood flow in the systolic phase (PV), mean acceleration of blood flow from the start of systole (MA) and systolic flow time corrected for heart rate (FTc), measured by esophageal doppler monitoring (EDM), and heart rate (HR) and mean brachial BP (MBP) were measured 1, 5 and 10 min after the institution of pneumoperitoneum, (T1, T5 and T10) and compared with those before the institution of pnuemoperotoneum (T0). LC was started after recording all measurements and a position change to the reverse-Trendelenberg position.
RESULTS
PV, MA, FTc and HR showed no significant change throughout this study, but MBP at T5 and T10 (110.1 +/- 18.5 mmHg and 107.8 +/- 10.4 mmHg) were significantly higher than at T0 (84.9 +/- 12.9 mmHg) (P = 0.002 and 0.005 respectively).
CONCLUSIONS
The administration of pneumoperitoneum neither changed nor interferenced with abdominal aortic blood flow.

Keyword

esophageal doppler monitoring; laparoscopic cholecystectomy; pneumoperitoneum

MeSH Terms

Acceleration
Anesthesia
Aorta
Cholecystectomy, Laparoscopic*
Fentanyl
Heart Rate
Humans
Pneumoperitoneum*
Propofol
Systole
Fentanyl
Propofol