E-ISSN 0976-2833 | ISSN 0975-3583
 

Research Article 


Effects of two different stepwise lung recruitment maneuvers on patient hemodynamics during anesthesia for laparoscopic surgery

Mahmoud M. Othman, Sherif F. farid, Ghada F. Mohamed, Medhat M. Messeha.

Abstract
Introduction Pneumoperitonium for laparoscopic surgery usually result in decrease total respiratory compliance
due to cranial shift of the diaphragm. Alveolar recuirtment was applied hopefully to minimize lung atlectasis and
open collapsed alveoli to maintain arterial oxygenation. The anantomicalproximity of lungs and heart within the
chest means that any increase in intrathoracic pressure could have major effect on cardiovascular functions.
Aim this study was designed to investigate the effect of two individualized recruitment maneuversduring
anesthesia forlaparoscopic surgery to encourage best arterial oxygenation with the least hemodynamic compromise.
Participants &MethodsEighty two patients of both sex, ASA I and II who were scheduled for
laparoscopic surgery in urology nephrology center Mansoura University were included in this prospective
randomized study, Patients were randomly assigned to one of two equal groups, according to computer-generated
randomization sequence: group (RM TV ):Recuritment maneuver with stepwise increase in tidal volume by means
of 4ml/kg predicted body weight, and group (RM PEEP): Recruitment maneuver with with stepwise increase in
positive end expiratory pressure from 5 cmH2o, 10 cmH2o, 15 cmH2o and 20 cmH2o.
Results study showed comparable changes in haemodynamic parameters, horowitz ratio and dead space
ratio between PEEP and Tidal volume group, while PEEP group showed statistically significant increase in peak
airway pressure, plateau pressure, driving pressure, static and dynamic compliance.

Key words: comparable changes in haemodynamic parameters between both groups, significant improvement in oxygenation and dead space ratio occur in each group separetely


 
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How to Cite this Article
Pubmed Style

Mahmoud M. Othman, Sherif F. farid, Ghada F. Mohamed, Medhat M. Messeha. Effects of two different stepwise lung recruitment maneuvers on patient hemodynamics during anesthesia for laparoscopic surgery. J Cardiovasc. Dis. Res.. 2021; 12(6): 234-244. doi:10.31838/jcdr.2021.12.06.32


Web Style

Mahmoud M. Othman, Sherif F. farid, Ghada F. Mohamed, Medhat M. Messeha. Effects of two different stepwise lung recruitment maneuvers on patient hemodynamics during anesthesia for laparoscopic surgery. http://www.jcdronline.org/?mno=135271 [Access: December 04, 2021]. doi:10.31838/jcdr.2021.12.06.32


AMA (American Medical Association) Style

Mahmoud M. Othman, Sherif F. farid, Ghada F. Mohamed, Medhat M. Messeha. Effects of two different stepwise lung recruitment maneuvers on patient hemodynamics during anesthesia for laparoscopic surgery. J Cardiovasc. Dis. Res.. 2021; 12(6): 234-244. doi:10.31838/jcdr.2021.12.06.32



Vancouver/ICMJE Style

Mahmoud M. Othman, Sherif F. farid, Ghada F. Mohamed, Medhat M. Messeha. Effects of two different stepwise lung recruitment maneuvers on patient hemodynamics during anesthesia for laparoscopic surgery. J Cardiovasc. Dis. Res.. (2021), [cited December 04, 2021]; 12(6): 234-244. doi:10.31838/jcdr.2021.12.06.32



Harvard Style

Mahmoud M. Othman, Sherif F. farid, Ghada F. Mohamed, Medhat M. Messeha (2021) Effects of two different stepwise lung recruitment maneuvers on patient hemodynamics during anesthesia for laparoscopic surgery. J Cardiovasc. Dis. Res., 12 (6), 234-244. doi:10.31838/jcdr.2021.12.06.32



Turabian Style

Mahmoud M. Othman, Sherif F. farid, Ghada F. Mohamed, Medhat M. Messeha. 2021. Effects of two different stepwise lung recruitment maneuvers on patient hemodynamics during anesthesia for laparoscopic surgery. Journal of Cardiovascular Disease Research, 12 (6), 234-244. doi:10.31838/jcdr.2021.12.06.32



Chicago Style

Mahmoud M. Othman, Sherif F. farid, Ghada F. Mohamed, Medhat M. Messeha. "Effects of two different stepwise lung recruitment maneuvers on patient hemodynamics during anesthesia for laparoscopic surgery." Journal of Cardiovascular Disease Research 12 (2021), 234-244. doi:10.31838/jcdr.2021.12.06.32



MLA (The Modern Language Association) Style

Mahmoud M. Othman, Sherif F. farid, Ghada F. Mohamed, Medhat M. Messeha. "Effects of two different stepwise lung recruitment maneuvers on patient hemodynamics during anesthesia for laparoscopic surgery." Journal of Cardiovascular Disease Research 12.6 (2021), 234-244. Print. doi:10.31838/jcdr.2021.12.06.32



APA (American Psychological Association) Style

Mahmoud M. Othman, Sherif F. farid, Ghada F. Mohamed, Medhat M. Messeha (2021) Effects of two different stepwise lung recruitment maneuvers on patient hemodynamics during anesthesia for laparoscopic surgery. Journal of Cardiovascular Disease Research, 12 (6), 234-244. doi:10.31838/jcdr.2021.12.06.32





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