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- W2361927800 abstract "Objective To investigate the effect of different CO2 pneumoperitoneum pressure on end-tidal concentration of sevoflurane in the gynecological laparoscopic surgery.Methods Forty ASAⅠ～Ⅱ patients undergoing laparoscopic operation were randomly divided into two groups(n=20): low pressure group(10 mmHg,LP group) and high pressure group(14 mmHg,HP group).Anesthesia was maintained with remifentanil and sevoflurane.Remifentanil was given by vein pump with constant speed 0.2 μg·kg-1·min-1,BIS was maintained between 45 to 55 by adjusting the sevoflurane inhaled concentration.HR,BP,SpO2,PETCO2,and BIS were monitored and recorded at the different time points that before induction(T0),immediately before pneumoperitoneum(T1),immediately after pneumoperitoneum(T2),5 min after pneumoperitoneum with supine position(T3),immediately trendelenbury position(T4),5 min after trendelenbury position(T5),immediately deflation(T6)and 5 min after deflation(T7). Results HR,MAP and HR increased significantly in both groups after pneumoperitoneum(P0.05),HR,MAP,PETCO2 at the T2～T6 time points in HP group increased significantly compared with those in LP group(P0.05).CETSev was(1.82±0.09)% in the LP group,and(2.11±0.08)% in the HP group,which has a statistically significant difference(P0.05).Conclusion Different pneumoperitoneum pressure can affect the amount of sevoflurane to maintain anesthesia in gynecologic laparoscopic surgery,and low pressure can less consumption of sevoflurane." @default.
- W2361927800 created "2016-06-24" @default.
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- W2361927800 date "2012-01-01" @default.
- W2361927800 modified "2023-09-28" @default.
- W2361927800 title "Effects of pneumoperitoneum pressure on end-tidal concentration of sevoflurane in the gynecological laparoscopic surgery" @default.
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