Effects of Two Different Stepwise Lung Recruitment Maneuvers on Patient Hemodynamics During Laproscopic Surgery

Launched by MANSOURA UNIVERSITY · Sep 6, 2019

Keywords

ClinConnect Summary

Pneumoperitonium for laproscopic surgery usually result in decrease total respiratory compliance due to cranial shift of the diaphragm. Alveolar recuirtment is applied hopefully to minimize lung atlectasis and open collapsed alveoli to maintain arterial oxygenation. The anantomical proximity of lungs and heart within the chest means that any increase in intrathoracic pressure could have major effect on cardiovascular functions.Up to now, far too little attention has been paid to the decrease in left ventricular performance owing to fluctuation within the- chamber within chamber system-that ...

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Eligibility criteria

• Inclusion Criteria:
• • 1. Adult patients with American Society of Anesthesiologists (ASA) physical status I - II .
• • 2. Both sexes.
• • 3. laproscopic surgeries.
• Exclusion Criteria :
• • 1. Patients younger than 20 years.
• • 2. body mass index (BMI) \< 25 and \> 35.
• • 3. patients with major cardiovascular problems with ejection fraction \< 40 %.
• • 4. patients with chronic obstructive pulmonary diseases.
• • 5. patients with major hepatic or renal dysfunction.