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Titolo:
Laparoscopic pneumoperitoneum in acute peritonitis does not increase bacteremia or aggravate metabolic or hemodynamic disturbances
Autore:
Silva, FDCE; Ramos, RCZ; Zantut, LFC; Poggetti, RS; Fontes, B; Birolini, D;
Indirizzi:
Univ Sao Paulo, Sch Med, Dept Surg, Sao Paulo, Brazil Univ Sao Paulo Sao Paulo Brazil , Sch Med, Dept Surg, Sao Paulo, Brazil
Titolo Testata:
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES
fascicolo: 5, volume: 10, anno: 2000,
pagine: 305 - 310
SICI:
1051-7200(200010)10:5<305:LPIAPD>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRA-ABDOMINAL PRESSURE; HUMAN SEPTIC SHOCK; CARBON-DIOXIDE; CANINE MODEL; INSUFFLATION; DYSFUNCTION; ABSORPTION; SEPSIS;
Keywords:
animal model; bacteremia; bacterial peritonitis; carbon dioxide; laparoscopy; pneumoperitoneum;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: Silva, FDCE Rua Carlos Steinen 32 Ap 31, Sao Paulo, Brazil Rua Carlos Steinen 32 Ap 31 Sao Paulo Brazil Paulo, Brazil
Citazione:
F.D.C.E. Silva et al., "Laparoscopic pneumoperitoneum in acute peritonitis does not increase bacteremia or aggravate metabolic or hemodynamic disturbances", SURG LA E P, 10(5), 2000, pp. 305-310

Abstract

The use of laparoscopy in generalized peritonitis has become increasingly frequent in recent years. However, CO2 pneumoperitoneum in association withincreased intraperitoneal pressure may have deleterious effects in patients with hemodynamic or metabolic disturbances caused by bacterial peritonitis. The purpose of this study was to investigate the effect of CO2 pneumoperitoneum on bacteremia, mean arterial pressure, and blood gas disturbances in an animal model of bacterial peritonitis. Dogs were anesthetized, orally intubated, and subjected to experimental peritonitis by intraperitoneal inoculation of a suspension containing Escherichia coli and sterile dog feces. The animals were randomly assigned to two groups: control animals were maintained under anesthesia, and the insufflated animals were subjected to intraperitoneal CO2 insufflation. Bacterial peritonitis provoked the appearance of bacteremia and a significant decrease in mean arterial pressure, pH, bicarbonate, and base deficit. The induction of bacterial peritonitis did not significantly influence pH in the control group and partial pressure of arterial CO2 in either group. Thirty minutes of CO2 pneumoperitoneum did notinfluence the effect of bacterial peritonitis on the analyzed variables. These results suggest that laparoscopic CO2 pneumoperitoneum does not aggravate bacteremia or metabolic and hemodynamic disturbances induced by bacterial peritonitis.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 09:43:19