Effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy

BackgroundThis study was designed to assess the effects of pneumoperitoneal pressure (PP) and positional changes on the respiratory mechanics during laparoscopy assisted colectomy.MethodsPeak inspiratory pressure, plateau pressure, lung compliance, and airway resistance were recorded in PP of 10 mmH...
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Autor*in:	Jin Suk Park [verfasserIn] Eun Jin Ahn [verfasserIn] Duk Dong Ko [verfasserIn] Hyun Kang [verfasserIn] Hwa Yong Shin [verfasserIn] Chong Hwa Baek [verfasserIn] Yong Hun Jung [verfasserIn] Young Cheol Woo [verfasserIn] Jin Yun Kim [verfasserIn] Gill Hoi Koo [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2012

Schlagwörter:	laparocolectomy pneumoperitoneum position respiratory mechanics

Übergeordnetes Werk:	In: Korean Journal of Anesthesiology - Korean Society of Anesthesiologists, 2017, 63(2012), 5, Seite 419-424
Übergeordnetes Werk:	volume:63 ; year:2012 ; number:5 ; pages:419-424

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.4097/kjae.2012.63.5.419

Katalog-ID:	DOAJ017646456

Internformat


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245	1	0	\|a Effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy
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520			\|a BackgroundThis study was designed to assess the effects of pneumoperitoneal pressure (PP) and positional changes on the respiratory mechanics during laparoscopy assisted colectomy.MethodsPeak inspiratory pressure, plateau pressure, lung compliance, and airway resistance were recorded in PP of 10 mmHg and 15 mmHg, with the position change in 5 steps: head-down at 20°, head-down at 10°, neutral position, head-up at 10° and head-up at 20°.ResultsWhen the patient was placed head-down, the position change accentuated the effects of pneumoperitoneum on respiratory mechanics. However, when the patient was placed in a head-up position during pneumoperitoneum the results showed no pattern. In the 20° head-up position with the PP being 10 mmHg, the compliance increased from 30.6 to 32.6 ml/cmH2O compared with neutral position (P = 0.002). However with the PP being 15 mmHg, the compliance had not changed compared with neutral position (P = 0.989). In 20° head-down position with the PP of 10 mmHg, the compliance was measured as 24.2 ml/cmH2O. This was higher than that for patients in the 10° head-down position with a PP of 15 mmHg, which was recorded as 21.2 ml/cmH2O. Also in the airway resistance, the patient in the 20° head-down position with the PP of 10 mmHg showed 15.8 cmH2O/L/sec, while the patient in the 10° head-down position with the PP of 15 mmHg showed 16.2 cmH2O/L/sec of airway resistance. These results were not statistically significant but still suggested that the head-down position accentuated the effects of pneumoperitoneum on respiratory mechanics.ConclusionsOur results suggest that respiratory mechanics are affected by the patient position and the level of PP - the latter having greater effect.
650		4	\|a laparocolectomy
650		4	\|a pneumoperitoneum
650		4	\|a position
650		4	\|a respiratory mechanics
653		0	\|a Anesthesiology
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700	0		\|a Hwa Yong Shin \|e verfasserin \|4 aut
700	0		\|a Chong Hwa Baek \|e verfasserin \|4 aut
700	0		\|a Yong Hun Jung \|e verfasserin \|4 aut
700	0		\|a Young Cheol Woo \|e verfasserin \|4 aut
700	0		\|a Jin Yun Kim \|e verfasserin \|4 aut
700	0		\|a Gill Hoi Koo \|e verfasserin \|4 aut
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allfields	10.4097/kjae.2012.63.5.419 doi (DE-627)DOAJ017646456 (DE-599)DOAJfd1b44a857ae47b3824e1d34e2276ab2 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Jin Suk Park verfasserin aut Effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThis study was designed to assess the effects of pneumoperitoneal pressure (PP) and positional changes on the respiratory mechanics during laparoscopy assisted colectomy.MethodsPeak inspiratory pressure, plateau pressure, lung compliance, and airway resistance were recorded in PP of 10 mmHg and 15 mmHg, with the position change in 5 steps: head-down at 20°, head-down at 10°, neutral position, head-up at 10° and head-up at 20°.ResultsWhen the patient was placed head-down, the position change accentuated the effects of pneumoperitoneum on respiratory mechanics. However, when the patient was placed in a head-up position during pneumoperitoneum the results showed no pattern. In the 20° head-up position with the PP being 10 mmHg, the compliance increased from 30.6 to 32.6 ml/cmH2O compared with neutral position (P = 0.002). However with the PP being 15 mmHg, the compliance had not changed compared with neutral position (P = 0.989). In 20° head-down position with the PP of 10 mmHg, the compliance was measured as 24.2 ml/cmH2O. This was higher than that for patients in the 10° head-down position with a PP of 15 mmHg, which was recorded as 21.2 ml/cmH2O. Also in the airway resistance, the patient in the 20° head-down position with the PP of 10 mmHg showed 15.8 cmH2O/L/sec, while the patient in the 10° head-down position with the PP of 15 mmHg showed 16.2 cmH2O/L/sec of airway resistance. These results were not statistically significant but still suggested that the head-down position accentuated the effects of pneumoperitoneum on respiratory mechanics.ConclusionsOur results suggest that respiratory mechanics are affected by the patient position and the level of PP - the latter having greater effect. laparocolectomy pneumoperitoneum position respiratory mechanics Anesthesiology Eun Jin Ahn verfasserin aut Duk Dong Ko verfasserin aut Hyun Kang verfasserin aut Hwa Yong Shin verfasserin aut Chong Hwa Baek verfasserin aut Yong Hun Jung verfasserin aut Young Cheol Woo verfasserin aut Jin Yun Kim verfasserin aut Gill Hoi Koo verfasserin aut In Korean Journal of Anesthesiology Korean Society of Anesthesiologists, 2017 63(2012), 5, Seite 419-424 (DE-627)627614698 (DE-600)2557340-8 20057563 nnns volume:63 year:2012 number:5 pages:419-424 https://doi.org/10.4097/kjae.2012.63.5.419 kostenfrei https://doaj.org/article/fd1b44a857ae47b3824e1d34e2276ab2 kostenfrei http://ekja.org/upload/pdf/kjae-63-419.pdf kostenfrei https://doaj.org/toc/2005-6419 Journal toc kostenfrei https://doaj.org/toc/2005-7563 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 63 2012 5 419-424
spelling	10.4097/kjae.2012.63.5.419 doi (DE-627)DOAJ017646456 (DE-599)DOAJfd1b44a857ae47b3824e1d34e2276ab2 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Jin Suk Park verfasserin aut Effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThis study was designed to assess the effects of pneumoperitoneal pressure (PP) and positional changes on the respiratory mechanics during laparoscopy assisted colectomy.MethodsPeak inspiratory pressure, plateau pressure, lung compliance, and airway resistance were recorded in PP of 10 mmHg and 15 mmHg, with the position change in 5 steps: head-down at 20°, head-down at 10°, neutral position, head-up at 10° and head-up at 20°.ResultsWhen the patient was placed head-down, the position change accentuated the effects of pneumoperitoneum on respiratory mechanics. However, when the patient was placed in a head-up position during pneumoperitoneum the results showed no pattern. In the 20° head-up position with the PP being 10 mmHg, the compliance increased from 30.6 to 32.6 ml/cmH2O compared with neutral position (P = 0.002). However with the PP being 15 mmHg, the compliance had not changed compared with neutral position (P = 0.989). In 20° head-down position with the PP of 10 mmHg, the compliance was measured as 24.2 ml/cmH2O. This was higher than that for patients in the 10° head-down position with a PP of 15 mmHg, which was recorded as 21.2 ml/cmH2O. Also in the airway resistance, the patient in the 20° head-down position with the PP of 10 mmHg showed 15.8 cmH2O/L/sec, while the patient in the 10° head-down position with the PP of 15 mmHg showed 16.2 cmH2O/L/sec of airway resistance. These results were not statistically significant but still suggested that the head-down position accentuated the effects of pneumoperitoneum on respiratory mechanics.ConclusionsOur results suggest that respiratory mechanics are affected by the patient position and the level of PP - the latter having greater effect. laparocolectomy pneumoperitoneum position respiratory mechanics Anesthesiology Eun Jin Ahn verfasserin aut Duk Dong Ko verfasserin aut Hyun Kang verfasserin aut Hwa Yong Shin verfasserin aut Chong Hwa Baek verfasserin aut Yong Hun Jung verfasserin aut Young Cheol Woo verfasserin aut Jin Yun Kim verfasserin aut Gill Hoi Koo verfasserin aut In Korean Journal of Anesthesiology Korean Society of Anesthesiologists, 2017 63(2012), 5, Seite 419-424 (DE-627)627614698 (DE-600)2557340-8 20057563 nnns volume:63 year:2012 number:5 pages:419-424 https://doi.org/10.4097/kjae.2012.63.5.419 kostenfrei https://doaj.org/article/fd1b44a857ae47b3824e1d34e2276ab2 kostenfrei http://ekja.org/upload/pdf/kjae-63-419.pdf kostenfrei https://doaj.org/toc/2005-6419 Journal toc kostenfrei https://doaj.org/toc/2005-7563 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 63 2012 5 419-424
allfields_unstemmed	10.4097/kjae.2012.63.5.419 doi (DE-627)DOAJ017646456 (DE-599)DOAJfd1b44a857ae47b3824e1d34e2276ab2 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Jin Suk Park verfasserin aut Effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThis study was designed to assess the effects of pneumoperitoneal pressure (PP) and positional changes on the respiratory mechanics during laparoscopy assisted colectomy.MethodsPeak inspiratory pressure, plateau pressure, lung compliance, and airway resistance were recorded in PP of 10 mmHg and 15 mmHg, with the position change in 5 steps: head-down at 20°, head-down at 10°, neutral position, head-up at 10° and head-up at 20°.ResultsWhen the patient was placed head-down, the position change accentuated the effects of pneumoperitoneum on respiratory mechanics. However, when the patient was placed in a head-up position during pneumoperitoneum the results showed no pattern. In the 20° head-up position with the PP being 10 mmHg, the compliance increased from 30.6 to 32.6 ml/cmH2O compared with neutral position (P = 0.002). However with the PP being 15 mmHg, the compliance had not changed compared with neutral position (P = 0.989). In 20° head-down position with the PP of 10 mmHg, the compliance was measured as 24.2 ml/cmH2O. This was higher than that for patients in the 10° head-down position with a PP of 15 mmHg, which was recorded as 21.2 ml/cmH2O. Also in the airway resistance, the patient in the 20° head-down position with the PP of 10 mmHg showed 15.8 cmH2O/L/sec, while the patient in the 10° head-down position with the PP of 15 mmHg showed 16.2 cmH2O/L/sec of airway resistance. These results were not statistically significant but still suggested that the head-down position accentuated the effects of pneumoperitoneum on respiratory mechanics.ConclusionsOur results suggest that respiratory mechanics are affected by the patient position and the level of PP - the latter having greater effect. laparocolectomy pneumoperitoneum position respiratory mechanics Anesthesiology Eun Jin Ahn verfasserin aut Duk Dong Ko verfasserin aut Hyun Kang verfasserin aut Hwa Yong Shin verfasserin aut Chong Hwa Baek verfasserin aut Yong Hun Jung verfasserin aut Young Cheol Woo verfasserin aut Jin Yun Kim verfasserin aut Gill Hoi Koo verfasserin aut In Korean Journal of Anesthesiology Korean Society of Anesthesiologists, 2017 63(2012), 5, Seite 419-424 (DE-627)627614698 (DE-600)2557340-8 20057563 nnns volume:63 year:2012 number:5 pages:419-424 https://doi.org/10.4097/kjae.2012.63.5.419 kostenfrei https://doaj.org/article/fd1b44a857ae47b3824e1d34e2276ab2 kostenfrei http://ekja.org/upload/pdf/kjae-63-419.pdf kostenfrei https://doaj.org/toc/2005-6419 Journal toc kostenfrei https://doaj.org/toc/2005-7563 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 63 2012 5 419-424
allfieldsGer	10.4097/kjae.2012.63.5.419 doi (DE-627)DOAJ017646456 (DE-599)DOAJfd1b44a857ae47b3824e1d34e2276ab2 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Jin Suk Park verfasserin aut Effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThis study was designed to assess the effects of pneumoperitoneal pressure (PP) and positional changes on the respiratory mechanics during laparoscopy assisted colectomy.MethodsPeak inspiratory pressure, plateau pressure, lung compliance, and airway resistance were recorded in PP of 10 mmHg and 15 mmHg, with the position change in 5 steps: head-down at 20°, head-down at 10°, neutral position, head-up at 10° and head-up at 20°.ResultsWhen the patient was placed head-down, the position change accentuated the effects of pneumoperitoneum on respiratory mechanics. However, when the patient was placed in a head-up position during pneumoperitoneum the results showed no pattern. In the 20° head-up position with the PP being 10 mmHg, the compliance increased from 30.6 to 32.6 ml/cmH2O compared with neutral position (P = 0.002). However with the PP being 15 mmHg, the compliance had not changed compared with neutral position (P = 0.989). In 20° head-down position with the PP of 10 mmHg, the compliance was measured as 24.2 ml/cmH2O. This was higher than that for patients in the 10° head-down position with a PP of 15 mmHg, which was recorded as 21.2 ml/cmH2O. Also in the airway resistance, the patient in the 20° head-down position with the PP of 10 mmHg showed 15.8 cmH2O/L/sec, while the patient in the 10° head-down position with the PP of 15 mmHg showed 16.2 cmH2O/L/sec of airway resistance. These results were not statistically significant but still suggested that the head-down position accentuated the effects of pneumoperitoneum on respiratory mechanics.ConclusionsOur results suggest that respiratory mechanics are affected by the patient position and the level of PP - the latter having greater effect. laparocolectomy pneumoperitoneum position respiratory mechanics Anesthesiology Eun Jin Ahn verfasserin aut Duk Dong Ko verfasserin aut Hyun Kang verfasserin aut Hwa Yong Shin verfasserin aut Chong Hwa Baek verfasserin aut Yong Hun Jung verfasserin aut Young Cheol Woo verfasserin aut Jin Yun Kim verfasserin aut Gill Hoi Koo verfasserin aut In Korean Journal of Anesthesiology Korean Society of Anesthesiologists, 2017 63(2012), 5, Seite 419-424 (DE-627)627614698 (DE-600)2557340-8 20057563 nnns volume:63 year:2012 number:5 pages:419-424 https://doi.org/10.4097/kjae.2012.63.5.419 kostenfrei https://doaj.org/article/fd1b44a857ae47b3824e1d34e2276ab2 kostenfrei http://ekja.org/upload/pdf/kjae-63-419.pdf kostenfrei https://doaj.org/toc/2005-6419 Journal toc kostenfrei https://doaj.org/toc/2005-7563 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 63 2012 5 419-424
allfieldsSound	10.4097/kjae.2012.63.5.419 doi (DE-627)DOAJ017646456 (DE-599)DOAJfd1b44a857ae47b3824e1d34e2276ab2 DE-627 ger DE-627 rakwb eng RD78.3-87.3 Jin Suk Park verfasserin aut Effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThis study was designed to assess the effects of pneumoperitoneal pressure (PP) and positional changes on the respiratory mechanics during laparoscopy assisted colectomy.MethodsPeak inspiratory pressure, plateau pressure, lung compliance, and airway resistance were recorded in PP of 10 mmHg and 15 mmHg, with the position change in 5 steps: head-down at 20°, head-down at 10°, neutral position, head-up at 10° and head-up at 20°.ResultsWhen the patient was placed head-down, the position change accentuated the effects of pneumoperitoneum on respiratory mechanics. However, when the patient was placed in a head-up position during pneumoperitoneum the results showed no pattern. In the 20° head-up position with the PP being 10 mmHg, the compliance increased from 30.6 to 32.6 ml/cmH2O compared with neutral position (P = 0.002). However with the PP being 15 mmHg, the compliance had not changed compared with neutral position (P = 0.989). In 20° head-down position with the PP of 10 mmHg, the compliance was measured as 24.2 ml/cmH2O. This was higher than that for patients in the 10° head-down position with a PP of 15 mmHg, which was recorded as 21.2 ml/cmH2O. Also in the airway resistance, the patient in the 20° head-down position with the PP of 10 mmHg showed 15.8 cmH2O/L/sec, while the patient in the 10° head-down position with the PP of 15 mmHg showed 16.2 cmH2O/L/sec of airway resistance. These results were not statistically significant but still suggested that the head-down position accentuated the effects of pneumoperitoneum on respiratory mechanics.ConclusionsOur results suggest that respiratory mechanics are affected by the patient position and the level of PP - the latter having greater effect. laparocolectomy pneumoperitoneum position respiratory mechanics Anesthesiology Eun Jin Ahn verfasserin aut Duk Dong Ko verfasserin aut Hyun Kang verfasserin aut Hwa Yong Shin verfasserin aut Chong Hwa Baek verfasserin aut Yong Hun Jung verfasserin aut Young Cheol Woo verfasserin aut Jin Yun Kim verfasserin aut Gill Hoi Koo verfasserin aut In Korean Journal of Anesthesiology Korean Society of Anesthesiologists, 2017 63(2012), 5, Seite 419-424 (DE-627)627614698 (DE-600)2557340-8 20057563 nnns volume:63 year:2012 number:5 pages:419-424 https://doi.org/10.4097/kjae.2012.63.5.419 kostenfrei https://doaj.org/article/fd1b44a857ae47b3824e1d34e2276ab2 kostenfrei http://ekja.org/upload/pdf/kjae-63-419.pdf kostenfrei https://doaj.org/toc/2005-6419 Journal toc kostenfrei https://doaj.org/toc/2005-7563 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 63 2012 5 419-424
language	English
source	In Korean Journal of Anesthesiology 63(2012), 5, Seite 419-424 volume:63 year:2012 number:5 pages:419-424
sourceStr	In Korean Journal of Anesthesiology 63(2012), 5, Seite 419-424 volume:63 year:2012 number:5 pages:419-424
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	laparocolectomy pneumoperitoneum position respiratory mechanics Anesthesiology
isfreeaccess_bool	true
container_title	Korean Journal of Anesthesiology
authorswithroles_txt_mv	Jin Suk Park @@aut@@ Eun Jin Ahn @@aut@@ Duk Dong Ko @@aut@@ Hyun Kang @@aut@@ Hwa Yong Shin @@aut@@ Chong Hwa Baek @@aut@@ Yong Hun Jung @@aut@@ Young Cheol Woo @@aut@@ Jin Yun Kim @@aut@@ Gill Hoi Koo @@aut@@
publishDateDaySort_date	2012-01-01T00:00:00Z
hierarchy_top_id	627614698
id	DOAJ017646456
language_de	englisch
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However, when the patient was placed in a head-up position during pneumoperitoneum the results showed no pattern. In the 20° head-up position with the PP being 10 mmHg, the compliance increased from 30.6 to 32.6 ml/cmH2O compared with neutral position (P = 0.002). However with the PP being 15 mmHg, the compliance had not changed compared with neutral position (P = 0.989). In 20° head-down position with the PP of 10 mmHg, the compliance was measured as 24.2 ml/cmH2O. This was higher than that for patients in the 10° head-down position with a PP of 15 mmHg, which was recorded as 21.2 ml/cmH2O. Also in the airway resistance, the patient in the 20° head-down position with the PP of 10 mmHg showed 15.8 cmH2O/L/sec, while the patient in the 10° head-down position with the PP of 15 mmHg showed 16.2 cmH2O/L/sec of airway resistance. These results were not statistically significant but still suggested that the head-down position accentuated the effects of pneumoperitoneum on respiratory mechanics.ConclusionsOur results suggest that respiratory mechanics are affected by the patient position and the level of PP - the latter having greater effect.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">laparocolectomy</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">pneumoperitoneum</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">position</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">respiratory mechanics</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Anesthesiology</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Eun Jin Ahn</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield 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callnumber-first	R - Medicine
author	Jin Suk Park
spellingShingle	Jin Suk Park misc RD78.3-87.3 misc laparocolectomy misc pneumoperitoneum misc position misc respiratory mechanics misc Anesthesiology Effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy
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topic_title	RD78.3-87.3 Effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy laparocolectomy pneumoperitoneum position respiratory mechanics
topic	misc RD78.3-87.3 misc laparocolectomy misc pneumoperitoneum misc position misc respiratory mechanics misc Anesthesiology
topic_unstemmed	misc RD78.3-87.3 misc laparocolectomy misc pneumoperitoneum misc position misc respiratory mechanics misc Anesthesiology
topic_browse	misc RD78.3-87.3 misc laparocolectomy misc pneumoperitoneum misc position misc respiratory mechanics misc Anesthesiology
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title	Effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy
ctrlnum	(DE-627)DOAJ017646456 (DE-599)DOAJfd1b44a857ae47b3824e1d34e2276ab2
title_full	Effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy
author_sort	Jin Suk Park
journal	Korean Journal of Anesthesiology
journalStr	Korean Journal of Anesthesiology
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container_start_page	419
author_browse	Jin Suk Park Eun Jin Ahn Duk Dong Ko Hyun Kang Hwa Yong Shin Chong Hwa Baek Yong Hun Jung Young Cheol Woo Jin Yun Kim Gill Hoi Koo
container_volume	63
class	RD78.3-87.3
format_se	Elektronische Aufsätze
author-letter	Jin Suk Park
doi_str_mv	10.4097/kjae.2012.63.5.419
author2-role	verfasserin
title_sort	effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy
callnumber	RD78.3-87.3
title_auth	Effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy
abstract	BackgroundThis study was designed to assess the effects of pneumoperitoneal pressure (PP) and positional changes on the respiratory mechanics during laparoscopy assisted colectomy.MethodsPeak inspiratory pressure, plateau pressure, lung compliance, and airway resistance were recorded in PP of 10 mmHg and 15 mmHg, with the position change in 5 steps: head-down at 20°, head-down at 10°, neutral position, head-up at 10° and head-up at 20°.ResultsWhen the patient was placed head-down, the position change accentuated the effects of pneumoperitoneum on respiratory mechanics. However, when the patient was placed in a head-up position during pneumoperitoneum the results showed no pattern. In the 20° head-up position with the PP being 10 mmHg, the compliance increased from 30.6 to 32.6 ml/cmH2O compared with neutral position (P = 0.002). However with the PP being 15 mmHg, the compliance had not changed compared with neutral position (P = 0.989). In 20° head-down position with the PP of 10 mmHg, the compliance was measured as 24.2 ml/cmH2O. This was higher than that for patients in the 10° head-down position with a PP of 15 mmHg, which was recorded as 21.2 ml/cmH2O. Also in the airway resistance, the patient in the 20° head-down position with the PP of 10 mmHg showed 15.8 cmH2O/L/sec, while the patient in the 10° head-down position with the PP of 15 mmHg showed 16.2 cmH2O/L/sec of airway resistance. These results were not statistically significant but still suggested that the head-down position accentuated the effects of pneumoperitoneum on respiratory mechanics.ConclusionsOur results suggest that respiratory mechanics are affected by the patient position and the level of PP - the latter having greater effect.
abstractGer	BackgroundThis study was designed to assess the effects of pneumoperitoneal pressure (PP) and positional changes on the respiratory mechanics during laparoscopy assisted colectomy.MethodsPeak inspiratory pressure, plateau pressure, lung compliance, and airway resistance were recorded in PP of 10 mmHg and 15 mmHg, with the position change in 5 steps: head-down at 20°, head-down at 10°, neutral position, head-up at 10° and head-up at 20°.ResultsWhen the patient was placed head-down, the position change accentuated the effects of pneumoperitoneum on respiratory mechanics. However, when the patient was placed in a head-up position during pneumoperitoneum the results showed no pattern. In the 20° head-up position with the PP being 10 mmHg, the compliance increased from 30.6 to 32.6 ml/cmH2O compared with neutral position (P = 0.002). However with the PP being 15 mmHg, the compliance had not changed compared with neutral position (P = 0.989). In 20° head-down position with the PP of 10 mmHg, the compliance was measured as 24.2 ml/cmH2O. This was higher than that for patients in the 10° head-down position with a PP of 15 mmHg, which was recorded as 21.2 ml/cmH2O. Also in the airway resistance, the patient in the 20° head-down position with the PP of 10 mmHg showed 15.8 cmH2O/L/sec, while the patient in the 10° head-down position with the PP of 15 mmHg showed 16.2 cmH2O/L/sec of airway resistance. These results were not statistically significant but still suggested that the head-down position accentuated the effects of pneumoperitoneum on respiratory mechanics.ConclusionsOur results suggest that respiratory mechanics are affected by the patient position and the level of PP - the latter having greater effect.
abstract_unstemmed	BackgroundThis study was designed to assess the effects of pneumoperitoneal pressure (PP) and positional changes on the respiratory mechanics during laparoscopy assisted colectomy.MethodsPeak inspiratory pressure, plateau pressure, lung compliance, and airway resistance were recorded in PP of 10 mmHg and 15 mmHg, with the position change in 5 steps: head-down at 20°, head-down at 10°, neutral position, head-up at 10° and head-up at 20°.ResultsWhen the patient was placed head-down, the position change accentuated the effects of pneumoperitoneum on respiratory mechanics. However, when the patient was placed in a head-up position during pneumoperitoneum the results showed no pattern. In the 20° head-up position with the PP being 10 mmHg, the compliance increased from 30.6 to 32.6 ml/cmH2O compared with neutral position (P = 0.002). However with the PP being 15 mmHg, the compliance had not changed compared with neutral position (P = 0.989). In 20° head-down position with the PP of 10 mmHg, the compliance was measured as 24.2 ml/cmH2O. This was higher than that for patients in the 10° head-down position with a PP of 15 mmHg, which was recorded as 21.2 ml/cmH2O. Also in the airway resistance, the patient in the 20° head-down position with the PP of 10 mmHg showed 15.8 cmH2O/L/sec, while the patient in the 10° head-down position with the PP of 15 mmHg showed 16.2 cmH2O/L/sec of airway resistance. These results were not statistically significant but still suggested that the head-down position accentuated the effects of pneumoperitoneum on respiratory mechanics.ConclusionsOur results suggest that respiratory mechanics are affected by the patient position and the level of PP - the latter having greater effect.
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title_short	Effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy
url	https://doi.org/10.4097/kjae.2012.63.5.419 https://doaj.org/article/fd1b44a857ae47b3824e1d34e2276ab2 http://ekja.org/upload/pdf/kjae-63-419.pdf https://doaj.org/toc/2005-6419 https://doaj.org/toc/2005-7563
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author2	Eun Jin Ahn Duk Dong Ko Hyun Kang Hwa Yong Shin Chong Hwa Baek Yong Hun Jung Young Cheol Woo Jin Yun Kim Gill Hoi Koo
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up_date	2024-07-04T02:22:38.359Z
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Effects of pneumoperitoneal pressure and position changes on respiratory mechanics during laparoscopic colectomy

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