Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2017 Dec;70(6):596-600.
doi: 10.4097/kjae.2017.70.6.596. Epub 2017 Nov 14.

What is the proper ventilation strategy during laparoscopic surgery?

Affiliations
Review

What is the proper ventilation strategy during laparoscopic surgery?

Youn Yi Jo et al. Korean J Anesthesiol. 2017 Dec.

Abstract

The main stream of intraabdominal surgery has changed from laparotomy to laparoscopy, but anesthetic care for laparoscopic surgery is challenging for clinicians, because pneumoperitoneum might aggravate respiratory mechanics and arterial oxygenation. The authors reviewed the literature regarding ventilation strategies that reduce deleterious pulmonary physiologic changes during pneumoperitoneum for laparoscopic surgery under general anesthesia and make appropriate recommendations.

Keywords: Pneumoperitoneum; Respiratory; Ventilator strategy.

PubMed Disclaimer

References

    1. Sharma KC, Brandstetter RD, Brensilver JM, Jung LD. Cardiopulmonary physiology and pathophysiology as a consequence of laparoscopic surgery. Chest. 1996;110:810–815. - PubMed
    1. Jo YY, Kim JY, Chang YJ, Lee S, Kwak HJ. The effect of equal ratio ventilation on oxygenation, respiratory mechanics, and cerebral perfusion pressure during laparoscopy in the trendelenburg position. Surg Laparosc Endosc Percutan Tech. 2016;26:221–225. - PubMed
    1. Oikkonen M, Tallgren M. Changes in respiratory compliance at laparoscopy: measurements using side stream spirometry. Can J Anaesth. 1995;42:495–497. - PubMed
    1. Obeid F, Saba A, Fath J, Guslits B, Chung R, Sorensen V, et al. Increases in intra-abdominal pressure affect pulmonary compliance. Arch Surg. 1995;130:544–547. - PubMed
    1. Nguyen NT, Anderson JT, Budd M, Fleming NW, Ho HS, Jahr J, et al. Effects of pneumoperitoneum on intraoperative pulmonary mechanics and gas exchange during laparoscopic gastric bypass. Surg Endosc. 2004;18:64–71. - PubMed

LinkOut - more resources