Skip to main content
PMC home page
British Medical Journal logoLink to British Medical Journal
. 1971 Aug 14;3(5771):410–411. doi: 10.1136/bmj.3.5771.410

Cardiovascular Effects of Peritoneal Insufflation of Carbon Dioxide for Laparoscopy

I Smith, R J Benzie, Nanette L M Gordon, G R Kelman, G H Swapp
PMCID: PMC1798668  PMID: 4254829

Abstract

We have investigated, in 13 artificially ventilated and anaesthetized patients, the cardiovascular effects of peritoneal insufflation of carbon dioxide preparatory to laparoscopy. Stepwise increases of intra-abdominal pressure up to a maximum of 25 cm H2O were accompanied by increases of airway pressure, intrathoracic pressure, central venous pressure, and femoral venous pressure and by signs of cardiovascular stimulation with mild tachycardia and hypertension. End-tidal carbon dioxide tension rose only slightly. The anaesthetic technique used provided good surgical conditions; our results suggest that it does not impose undue strain on the homoeostatic ability of the patient's cardiovascular system.

Full text

PDF
410

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arthure H. Laparoscopy hazard. Br Med J. 1970 Nov 21;4(5733):492–493. doi: 10.1136/bmj.4.5733.492-b. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Baratz R. A., Karis J. H. Blood gas studies during labaroscopy under general anesthesia. Anesthesiology. 1969 Apr;30(4):463–464. doi: 10.1097/00000542-196904000-00018. [DOI] [PubMed] [Google Scholar]
  3. Desmond J., Gordon R. A. Ventilation in patients anaesthetized for laparoscopy. Can Anaesth Soc J. 1970 Jul;17(4):378–387. doi: 10.1007/BF03004701. [DOI] [PubMed] [Google Scholar]
  4. HOLMES F. The supine hypotensive syndrome. Its importance to the anaesthetist. Anaesthesia. 1960 Jul;15:298–306. doi: 10.1111/j.1365-2044.1960.tb13341.x. [DOI] [PubMed] [Google Scholar]
  5. Herrera-Llerandi R. Laparoscopy hazard. Br Med J. 1971 Apr 3;2(5752):47–47. doi: 10.1136/bmj.2.5752.47-b. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hodgson C., McClelland R. M., Newton J. R. Some effects of the peritoneal insufflation of carbon dioxide at laparoscopy. Anaesthesia. 1970 Jul;25(3):382–390. doi: 10.1111/j.1365-2044.1970.tb00226.x. [DOI] [PubMed] [Google Scholar]
  7. MILIC-EMILI J., MEAD J., TURNER J. M., GLAUSER E. M. IMPROVED TECHNIQUE FOR ESTIMATING PLEURAL PRESSURE FROM ESOPHAGEAL BALLOONS. J Appl Physiol. 1964 Mar;19:207–211. doi: 10.1152/jappl.1964.19.2.207. [DOI] [PubMed] [Google Scholar]
  8. Prys-Roberts C., Kelman G. R., Greenbaum R., Robinson R. H. Circulatory influences of artificial ventilation during nitrous oxide anaesthesia in man. II. Results: the relative influence of mean intrathoracic pressure and arterial carbon dioxide tension. Br J Anaesth. 1967 Jul;39(7):533–548. doi: 10.1093/bja/39.7.533. [DOI] [PubMed] [Google Scholar]
  9. Seed R. F., Shakespeare T. F., Muldoon M. J. Carbon dioxide homeostasis during anaesthesia for laparoscopy. Anaesthesia. 1970 Apr;25(2):223–231. doi: 10.1111/j.1365-2044.1970.tb00193.x. [DOI] [PubMed] [Google Scholar]
  10. Steptoe P. C. Laparoscopy: diagnostic and therapeutic uses. Proc R Soc Med. 1969 May;62(5):439–441. [PMC free article] [PubMed] [Google Scholar]

Articles from British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES