Cardiovascular and Ventilatory Consequences of Laparoscopic Surgery.
Circulation
; 135(7): 700-710, 2017 02 14.
Article
in En
| MEDLINE
| ID: mdl-28193800
ABSTRACT
Although laparoscopic surgery accounts for >2 million surgical procedures every year, the current preoperative risk scores and guidelines do not adequately assess the risks of laparoscopy. In general, laparoscopic procedures have a lower risk of morbidity and mortality compared with operations requiring a midline laparotomy. During laparoscopic surgery, carbon dioxide insufflation may produce significant hemodynamic and ventilatory consequences such as increased intraabdominal pressure and hypercarbia. Hemodynamic insults secondary to increased intraabdominal pressure include increased afterload and preload and decreased cardiac output, whereas ventilatory consequences include increased airway pressures, hypercarbia, and decreased pulmonary compliance. Hemodynamic effects are accentuated in patients with cardiovascular disease such as congestive heart failure, ischemic heart disease, valvular heart disease, pulmonary hypertension, and congenital heart disease. Prevention of cardiovascular complications may be accomplished through a sound understanding of the hemodynamic and physiological consequences of laparoscopic surgery as well as a defined operative plan generated by a multidisciplinary team involving the preoperative consultant, anesthesiologist, and surgeon.
Key words
Full text:
1
Database:
MEDLINE
Main subject:
Blood Pressure
/
Laparoscopy
/
Heart Rate
/
Hemodynamics
Type of study:
Prognostic_studies
Limits:
Humans
Language:
En
Year:
2017
Type:
Article