Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Use of impedance cardiography to monitor haemodynamic changes during laparoscopy in children
Autore:
Kardos, A; Vereczkey, G; Pirot , L; Nyirady, P; Mekler, R;
Indirizzi:
Hosp Sick Children, HEIM PAL, Paediat Intens Care Unit, H-1086 Budapest, Hungary Hosp Sick Children Budapest Hungary H-1086 nit, H-1086 Budapest, Hungary Heim Pal Hosp Sick Children, Dept Paediat Urol, Budapest, Hungary Heim PalHosp Sick Children Budapest Hungary at Urol, Budapest, Hungary Semmelweis Univ, Fac Hlth Sci, Intens Care Unit, Budapest, Hungary Semmelweis Univ Budapest Hungary i, Intens Care Unit, Budapest, Hungary
Titolo Testata:
PAEDIATRIC ANAESTHESIA
fascicolo: 2, volume: 11, anno: 2001,
pagine: 175 - 179
SICI:
1155-5645(200103)11:2<175:UOICTM>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
THORACIC ELECTRICAL BIOIMPEDANCE; INTRA-ABDOMINAL PRESSURE; CARDIAC-OUTPUT; CARDIOVASCULAR CHANGES; HEMODYNAMIC-CHANGES; CARDIORESPIRATORY CHANGES; CHOLECYSTECTOMY; THERMODILUTION; PNEUMOPERITONEUM; EXERCISE;
Keywords:
impedance cardiography; laparoscopy; haemodynamic changes;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Kardos, A Hosp Sick Children, HEIM PAL, Paediat Intens Care Unit, Ulloi Str 89, H-1086 Budapest, Hungary Hosp Sick Children Ulloi Str 89 Budapest Hungary H-1086 Hungary
Citazione:
A. Kardos et al., "Use of impedance cardiography to monitor haemodynamic changes during laparoscopy in children", PAEDIATR AN, 11(2), 2001, pp. 175-179

Abstract

Methods: Haemodynamic changes were measured noninvasively using impedance cardiography (ICG) in 30 ASA I children during laparoscopic varicocelectomyunder general anaesthesia. After induction and intubation, mechanical ventilation was started, then pneumoperitoneum (PP) was created. During the course of anaesthesia, values of endtidal CO2 pressue (PECO2), peak inspiratory airway pressure (PIP), heart rate (HR), mean arterial blood pressure (MABP), stroke volume index (SVI), cardiac index (CI) and systemic vascular resistance index (SVRI) were recorded at 1 min intervals. We analysed four periods: T1, before induction; T2, after induction; T3, during PP; T4, after desufflation of PP until awake. Results: After induction of anaesthesia a significant reduction of HR, MABP and CI was recorded. Creating PP together with the use of a 15 degrees head down tilt resulted in a further drop in CI, mainly caused by the reduction of SVI, and an elevation of MABP and SVRI. We measured a 25% total decrease of CI. Conclusions: Our patients tolerated this significant reduction of cardiac output well. We have demonstrated that ICG can be used to track the haemodynamic changes caused by PP in children, and suggest that this type of monitoring is useful in this group of age during laparoscopy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 18:34:53