THE OPTIMAL EXTENT OF INTRA-OPERATIONAL MONITORING UNDER LAPAROSCOPIC OPERATIONS BECAUSE OF ESOPHAGEAL ACHALASIA AND GASTROESOPHAGEAL HERNIA
- Authors: Anipchenko N.N.1, Ovezov A.M1, Allakhverdyan A.S1
-
Affiliations:
- The M.F. Vladimirsky Moskovsky regional research and clinical institute
- Issue: Vol 23, No 5 (2017)
- Pages: 237-241
- Section: Articles
- URL: https://journals.rcsi.science/0869-2106/article/view/38396
- DOI: https://doi.org/10.18821/0869-2106-2017-23-5-237-241
- ID: 38396
Cite item
Full Text
Abstract
The combination of pneumoperitoneum and pneumomediastinum are the main pathophysiological characteristics of laparoscopic operations because of achalasia cardia and hernia of esophageal opening. Their impact on hemodynamics and biomechanics of breathing requires control and timely adjustment. Within the framework of prospective randomized clinical study 66 patients were examined, including execution of laparoscopic operations because laparoscopic operations because of esophageal achalasia and hernia of esophageal opening. The patients were divided in two groups and both consisted of two subgroups: with standard and extended monitoring. The study resulted in establishment of optimal scope of indices monitoring necessary for safe anesthetic support of the given operations.
Full Text
##article.viewOnOriginalSite##About the authors
Natalya N. Anipchenko
The M.F. Vladimirsky Moskovsky regional research and clinical institute
Email: dottor.na@gmail.com
assistant of the chair of anesthesiology and reanimation the M.F. Vladimirsky Moskovsky regional research and clinical institute, 129110, Moscow, Russian Federation 129110, Moscow, Russian Federation
A. M Ovezov
The M.F. Vladimirsky Moskovsky regional research and clinical institute129110, Moscow, Russian Federation
A. S Allakhverdyan
The M.F. Vladimirsky Moskovsky regional research and clinical institute129110, Moscow, Russian Federation
References
- Миллер Р. Анестезия Рональда Миллера: Руководство в 4 томах. СПб.: Человек; 2015.
- Терехова Н.Н., Субботин В.В., Ситников А.В., Погодин С.Ю., Хлань Т.Н. Частота регистрации критических инцидентов и осложнений в зависимости от способа измерения артериального давления. Вестник анестезиологии и реаниматологии. 2011; (1): 12-5.
- Kaur R., Kohli S., Jain A., Vajifdar H., Babu R., Sharma D. Pneumothorax during laparoscopic repair of giant paraesophageal hernia. J. Anaesthesiol. Clin. Pharmacol. 2011; 27(3): 373-6
- Кузьков В.В., Киров М.Ю. Инвазивный мониторинг гемодинамики в интенсивной терапии и анестезиологии: монография. Архангельск: Северный государственный медицинский университет; 2008.
- Субботин В.В., Ситников А.В., Ильин С.А., Овезов А.М., Черногаева Н.В. Малоинвазивные способы определения сердечного выброса. Анестезиология и реаниматология. 2007; (5): 61-3.
- Лебединский К.М., Меньшугин И.Н., Красносельский К.Ю., Карелов А.Е., Сероштанова О.В., Белов А.А. Реография искусственного кровообращения: проверка метода и калибровка монитора. Вестник хирургии им. И.И. Грекова. 2002; (1): 65-71.
- Сабуров И.Д. Расчёт параметров гемодинамики методом прекардиальной реографии. Молодежный научно-технический вестник. 2012; (8). Available at: http://sntbul.bmstu.ru/doc/465970.html
- Gebhardt H., Bautz A., Ross M., Loose D., Wulf H., Schaube H. Pathophysiological and clinical aspects of the CO2 pneumoperitoneum (CO2-PP). Surg. Endosc. 1997; 11(8): 864-7.
- Daralammouri Y., Ayoub K., Badrieh N., Lauer B. A hybrid approach for quantifying aortic valve stenosis using impedance cardiography and echocardiography. BMC Cardiovasc. Disord. 2016; 16: 19.
- Maracajб-Neto L.F., Verзosa N., Roncally A.C., Giannella A., Bozza F.A., Lessa M.A. Beneficial effects of high positive end-expiratory pressure in lung respiratory mechanics during laparoscopic surgery. Acta Anaesthesiol. Scand. 2009; 53(2): 210-7.
- Dunham C.M., Chirichella T.J., Gruber B.S., Ferrari J.P., Martin J.A., Luchs B.A. et al. Emergency department noninvasive (NICOM) cardiac outputs are associated with trauma activation, patient injury severity and host conditions and mortality. J. Trauma Acute Care Surg. 2012; 73(2): 479-85.
- Huang L., Critchley L.A., Zhang J. Major Upper Abdominal Surgery Alters the Calibration of Bioreactance Cardiac Output Readings, the NICOM, When Comparisons Are Made Against Suprasternal and Esophageal Doppler Intraoperatively. Anesth. Analg. 2015; 121(4): 936-45.
- Siedlecka J., Siedlecki P., Bortkiewicz A. Impedance cardiography - Old method, new opportunities. Part II. Testing of cardiovascular response to various factors of work environment. Int. J. Occup. Med. Environ. Health. 2015; 28(1): 34-41.