Hemodynamic effects of carbon dioxide insufflation under single-lung ventilation during thoracoscopy

Ohtsuka, Toshiya; Imanaka, Kazuhito; Endoh, Masahiro; Kohno, Tadasu; Nakajima, Jun; Kotsuka, Yutaka; Takamoto, Shinichi

doi:10.1016/s0003-4975(99)00319-7

Cited by 56 publications

(39 citation statements)

References 10 publications

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“…These changes are more marked in right sided carbomediastinum than the left side as it is a low pressure chamber in the cardiovascular system [3][4][5][6][7][8][9][10][11][12][13]. In review literature, the American association of Gynecology reported an incidence of one in 2500 cases asystolic arrest during laparoscopy [7].…”

Section: Discussionmentioning

confidence: 99%

Asystolic Cardiac Arrest, Following Insufflation of Pleural Cavity in Robotic Assisted Thoracoscopic Thymectomy (RATT) - Case Report

Shadangi¹,

Garg²,

Khanna³

et al. 2015

JCCR

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Section: Discussionmentioning

confidence: 99%

Asystolic Cardiac Arrest, Following Insufflation of Pleural Cavity in Robotic Assisted Thoracoscopic Thymectomy (RATT) - Case Report

Shadangi¹,

Garg²,

Khanna³

et al. 2015

JCCR

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“…Maintaining insufflation with CO 2 at two to three liters per minute, avoiding intrapleural pressures above 10 mmHg, reduces chances of cardiorespiratory compromise. [14][15][16][17] Hypothermia: There is a need to guard against progressive hypothermia, which occurs during the course of robotic cardiac surgery, because of exposure, prolonged surgery, use of cold intravenous fluids, respiratory gases and CO 2 insufflation. …”

Section: Physiological Perturbationmentioning

confidence: 99%

Anesthesia for robotic cardiac surgery: An amalgam of technology and skill

Chauhan

Sukesan

2010

Ann Card Anaesth

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The surgical procedures performed with robtic assitance and the scope for its future assistance is endless. To keep pace with the developing technologies in this field it is imperative for the cardiac anesthesiologists to have aworking knowledge of these systems, recognize potential complications and formulate an anesthetic plan to provide safe patient care. Challenges posed by the use of robotic systems include, long surgical times, problems with one lung anesthesia in presence of coronary artery disease, minimally invasive percutaneous cardiopulmonary bypass management and expertise in Trans-Esophageal Echocardiography. A long list of cardiac surgeries are performed with the use of robotic assistance, and the list is continuously growing as surgical innovation crosses new boundaries. Current research in robotic cardiac surgery like beating heart off pump intracardic repair, prototype epicardial crawling device, robotic fetal techniques etc. are in the stage of animal experimentation, but holds a lot of promise in future.

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“…(12) One of the most sensitive phases (in terms of haemodynamics) during an open lung operation is the induction of anaesthesia and the beginning of one lung ventilation. (13) In our study, we compared the haemodynamic effects of sevoflu-rane and propofol during this phase of thoracotomy. A similar comparison has not been performed, to our knowledge.…”

Section: Introductionmentioning

confidence: 99%

Haemodynamic changes after induction of anaesthesia with sevoflurane vs. propofol

Potočnik

Jankovič

Štupnik

et al. 2011

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Inhalation induction with sevoflurane would appear to offer several objective advantages compared to induction with propofol. In our study, the hemodynamic results of sevoflurane vs. propofol induction in patients undergoing thoracotomy were studied. In a prospective, randomized, blinded study 24 patients were randomly allocated to one of 2 groups: sevoflurane (S) and propofol (P) (n=12 each). For hemodynamic monitoring the LIDCO plus system was used. Patients in group S were induced into anaesthesia with sevofluran, remifentanil and vecuronium, whereas patients in group P with propofol, remifentanil and vecuronium. The anaesthesia was maintained with the same agents. Hemodynamic stability was guided using a special algorithm. The goal was oxygen delivery index (DO2I) > 500 mL min-1 m-2. According to the algorithm, patients received colloids or vasoactive drugs. Hemodynamic parameters were recorded before induction, 3 minutes after induction and 3 minutes after intubation and commencement of one lung ventilation. The consumption of vasoactive drugs and colloids and the time from the beginning of induction to intubation were documented.No statistically significant differences in measured hemodynamic parameters, remifentanil and colloid consumption between the S and P group were found. In group P, statistically more ephedrine was used (S: 4.2, P:20.8, p<0.05). Patients undergoing thoracotomy induced with sevoflurane are circulatory more stable than those induced with propofol. IZTOK POTOëNIK ( ) •

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Hemodynamic effects of carbon dioxide insufflation under single-lung ventilation during thoracoscopy

Cited by 56 publications

References 10 publications

Asystolic Cardiac Arrest, Following Insufflation of Pleural Cavity in Robotic Assisted Thoracoscopic Thymectomy (RATT) - Case Report

Asystolic Cardiac Arrest, Following Insufflation of Pleural Cavity in Robotic Assisted Thoracoscopic Thymectomy (RATT) - Case Report

Anesthesia for robotic cardiac surgery: An amalgam of technology and skill

Haemodynamic changes after induction of anaesthesia with sevoflurane vs. propofol

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