Hemodynamic effects of pneumoperitoneum in children
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 3
Abstract
The objective of the study was to evaluate the hemodynamic effects of pneumoperitoneum in children. It was an observational study conducted at MNR medical college, Sangareddy, Telangana state during the period January 2015 to December 2015. A total of forty children ASA grade 1&II, aged from 1yr to 10 yr undergoing laparoscopic surgeries were included in this study irrespective of sex and surgical indication. The intra abdominal pressure exerted by CO2 was 10 mmHg and the duration of pneumoperitoneum and laparoscopy was 30 min. After insufflations of CO2 the heart rate (110±4.2 to 132±7.2*), systolic blood pressure (100±1.2 to 114±6.2*) and diastolic blood pressure (56±1.4 to 67±4.3*) increased significantly compare to baseline values (T3 to T0, p<0.01). End tidal CO2 increased to 41 mm of Hg after insufflation but came to normal in few min by increasing minute ventilation. It is concluded that anaesthesiologist should have thorough knowledge on pathophysiology of pneumoperitoneum, proper planning and vigilance for better outcome in laparoscopy of children. Keywords: Laparoscopy, hemodynamic effects, pneumoperitoneum, children.
Authors and Affiliations
Dr. Shiva Prasad. D, Dr. Uma Maheswar Rao V
Keywords
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