THE ROLE OF VENTILATION MODE USING A LARYNGEAL MASK AIRWAY DURING GYNECOLOGICAL LAPAROSCOPY ON LUNG MECHANICS, HEMODYNAMIC RESPONSE AND BLOOD GAS ANALYSIS

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JARAHZADEH MOHAMMAD HOSSEIN; HALVAEI IMAN; RAHIMI BASHAR FARSHID; BEHDAD SHOKOUFEH; ABBASIZADEH NASRABADY ROUHOLLAH; YASAEI ELAHE

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Journal: International Journal of Reproductive BioMedicine Year:2016 | Volume:14 | Issue:12 Page(s): 755-760

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Title

THE ROLE OF VENTILATION MODE USING A LARYNGEAL MASK AIRWAY DURING GYNECOLOGICAL LAPAROSCOPY ON LUNG MECHANICS, HEMODYNAMIC RESPONSE AND BLOOD GAS ANALYSIS

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Keywords

GYNECOLOGIC LAPAROSCOPY

LARYNGEAL MASK AIRWAY

VOLUME CONTROLLED VENTILATION

PRESSURE CONTROLLED VENTILATION

Abstract

Background: There are two methods for ventilation in gynecological laparoscopy: volume-controlled ventilation (VCV) and pressure-controlled ventilation (PCV).Objective: To compare the lung mechanics, hemodynamic response and arterial blood gas analysis and gas exchange of two modes of VCV and PCV using LARYNGEAL MASK AIRWAY (LMA) at different time intervals.Materials and Methods: Sixty infertile women referred for diagnostic laparoscopy, based on ventilation mode, were randomly divided into two groups of VCV (tidal volume: 10 ml/kg) and PCV. In the PCV group, ventilation was initiated with a peak airway pressure (tidal volume: 10 ml/kg, upper limit: 35 cm H2O). In both groups, the arterial blood samples were taken in several time intervals (5, 10 and 15 min after LMA insertion) for blood gas evaluation. Also the lung mechanics parameters were continuously monitored and were recorded at different time intervals. Results: There were no significant differences for patient’s age, weight, height and BMI in two groups. The peak and plateau airway pressure were significantly higher in VCV group compared to PCV group 5 and 10 min after insertion of LMA. PaO2 was significantly higher after 10 and 15 min in VCV group compared to PCV group (p=0.005 and p=0.03, respectively). PaCO2 showed significant increase after 5 min in PCV group, but the differences were not significant after 10 and 15 min in two groups. The end tidal CO2 showed significant increase after 10 and 15 min in VCV compared to PCV group.Conclusion: Both VCV and PCV seem to be suitable for gynecological laparoscopy. However, airway pressures are significantly lower in PCV compared to VCV.

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APA: Copy

JARAHZADEH, MOHAMMAD HOSSEIN, HALVAEI, IMAN, RAHIMI BASHAR, FARSHID, BEHDAD, SHOKOUFEH, ABBASIZADEH NASRABADY, ROUHOLLAH, & YASAEI, ELAHE. (2016). THE ROLE OF VENTILATION MODE USING A LARYNGEAL MASK AIRWAY DURING GYNECOLOGICAL LAPAROSCOPY ON LUNG MECHANICS, HEMODYNAMIC RESPONSE AND BLOOD GAS ANALYSIS. INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE), 14(12), 755-760. SID. https://sid.ir/paper/296333/en

Vancouver: Copy

JARAHZADEH MOHAMMAD HOSSEIN, HALVAEI IMAN, RAHIMI BASHAR FARSHID, BEHDAD SHOKOUFEH, ABBASIZADEH NASRABADY ROUHOLLAH, YASAEI ELAHE. THE ROLE OF VENTILATION MODE USING A LARYNGEAL MASK AIRWAY DURING GYNECOLOGICAL LAPAROSCOPY ON LUNG MECHANICS, HEMODYNAMIC RESPONSE AND BLOOD GAS ANALYSIS. INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE)[Internet]. 2016;14(12):755-760. Available from: https://sid.ir/paper/296333/en

IEEE: Copy

MOHAMMAD HOSSEIN JARAHZADEH, IMAN HALVAEI, FARSHID RAHIMI BASHAR, SHOKOUFEH BEHDAD, ROUHOLLAH ABBASIZADEH NASRABADY, and ELAHE YASAEI, “THE ROLE OF VENTILATION MODE USING A LARYNGEAL MASK AIRWAY DURING GYNECOLOGICAL LAPAROSCOPY ON LUNG MECHANICS, HEMODYNAMIC RESPONSE AND BLOOD GAS ANALYSIS,” INTERNATIONAL JOURNAL OF REPRODUCTIVE BIOMEDICINE (IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE), vol. 14, no. 12, pp. 755–760, 2016, [Online]. Available: https://sid.ir/paper/296333/en

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