tailieunhanh - Cardiac and Hemodynamic Changes during Carbon Dioxide Pneumoperitoneum for Laparoscopic Gynecologic Surgery in Rajavithi Hospital

Under GHI, the . has joined multilateral efforts involving the United Nations and others to accelerate progress toward achieving Millennium Development Goals 1(c), 4, 5, and 6. For example, GHI is building on existing . sup- port to the GAVI Alliance to include vaccines that protect against pneumococcal disease and rotavirus. Similarly, GHI is strengthening already close . collaboration with the Global Fund to Fight AIDS, Tuberculosis, and Malaria, as well as sustaining its leadership in and commitment to the Global Polio Eradication Initiative (GPEI). The . will also investigate opportunities to create constructive collaborations and partnerships between the public. | Cardiac and Hemodynamic Changes during Carbon Dioxide Pneumoperitoneum for Laparoscopic Gynecologic Surgery in Rajavithi Hospital Wiboon Kamolpornwijit MD Piyamas lamtrirat MD Vorapong Phupong MD Gynecologic Endoscopy Unit Department of Obstetrics and Gynecology Rajavithi Hospital Bangkok Department of Obstetrics and Gynecology Faculty of Medicine Chulalongkorn University Bangkok Objective To study the effects of intraperitoneal CO2 insufflation on cardiopulmonary variables in gynecological laparoscopic patients. Material and Method A prospective descriptive study of BP HR End tidal CO2 and Sat O2 in 30 gynecologic patients who underwent laparoscopic surgery between 1 September 2006 and 30 July 2007. Results Blood pressure increased in the early state. The End tidal CO2 significant increased during surgery. Heart rate and Sat O2 did not change. At completion of the laparoscopic intervention physiological variables exhibited a trend to baseline values. Conclusions This prospective descriptive study documents significant changes in systemic heamodynamic variables that seem to be directly associated with the insufflation of CO2 during gynecologic intraperitoneal laparoscopic surgery. This ongoing evaluation confirms the effect of gynecological laparoscopic surgery and CO2 insufflation on cardiopulmonary function in patients Keywords Laparoscopy Intraperitoneal space Gynecologic Hemodynamic processes Pneumoperitoneum J Med Assoc Thai 2008 91 5 603-7 Full text. e-Journal http journal Following the revolution of laparoscopy in adults gynecological laparoscopic techniques have been progressively and successfully introduced into woman practice. The gynecological laparoscopic surgery has various techniques . gasless technique CO2 intraperitoneal technique. CO2 intraperitoneal technique is the most popular. The high intraperitoneal pressure and head down position effect to the increasing risk of hemodynamic and respiratory system. There were some .

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