The Effect of Equal Ratio Ventilation on Oxygenation, Respiratory Mechanics, and Cerebral Perfusion Pressure During Laparoscopy in the Trendelenburg Position
- Authors
- Jo, Youn Yi; Kim, Ji Young; Chang, Young Jin; Lee, Sehwan; Kwak, Hyun Jeong
- Issue Date
- Jun-2016
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- laparoscopy; equal ratio ventilation; cerebral perfusion pressure; respiratory
- Citation
- SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, v.26, no.3, pp.221 - 225
- Journal Title
- SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
- Volume
- 26
- Number
- 3
- Start Page
- 221
- End Page
- 225
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/8250
- ISSN
- 1530-4515
- Abstract
- The aim of this study was to investigate the effects of equal ratio ventilation (ERV) on oxygenation, respiratory mechanics, and the cerebral perfusion pressure during pneumoperitoneum in the Trendelenburg position. Thirty patients undergoing laparoscopic low anterior resection (25 to 65 y) were enrolled. Mechanical ventilator was set to volume-controlled mode at an inspiratory to expiratory (I:E) ratio of 1:2 with a tidal volume of 8 mL/kg of ideal body weight with a 5cmH(2)O positive end-expiratory pressure. Twenty minutes after pneumoperitoneum in the Trendelenburg position, the I: E ratio was changed to 1:1 for 20 minutes and then restored to 1:2. No significant changes in arterial oxygen tension and respiratory compliance after adopting ERV. Mean arterial pressure and cerebral perfusion pressure decreased significantly over time after adopting the Trendelenburg position during pneumoperitoneum (P = 0.014 and 0.005, respectively). In conclusion, there was no improvement in oxygenation or respiratory mechanics with ERV.
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