Effects of Intra-Abdominal Pressure on Lung Mechanics during Laparoscopic Gynaecology

Abstract

Investigating the relations between surgical actions and physiological reactions of the patient is essential for developing pre-emptive model-based systems. In this study, the effects of insufflating abdominal cavity with CO₂ in laparoscopic gynaecology on the respiration system were analysed. Real-time recordings of anaesthesiology and surgical data of five subjects were acquired and processed, and the correlation between lung mechanics and the intra-abdominal pressure was evaluated. Alterations of ventilation settings undertaken by the anaesthesiologist were also considered. Experimental results demonstrated the high correlation with a mean Pearson coefficient of 0.931.Clinical Relevance- This study demonstrates the effects of intra-abdominal pressure during laparoscopy on lung mechanics and enables developing predictive models to promote a greater awareness in operating rooms.