Volume 14, Issue 12 (12-2016)                   IJRM 2016, 14(12): 755-760 | Back to browse issues page

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Jarahzadeh M H, Halvaei I, Rahimi-Bashar F, Behdad S, Abbasizadeh Nasrabady R, Yasaei E. The role of ventilation mode using a laryngeal mask airway during gynecological laparoscopy on lung mechanics, hemodynamic response and blood gas analysis. IJRM 2016; 14 (12) :755-760
URL: http://ijrm.ir/article-1-714-en.html
The role of ventilation mode using a laryngeal mask airway during gynecological laparoscopy on lung mechanics, hemodynamic response and blood gas analysis
Mohammad Hossein Jarahzadeh1 , Iman Halvaei2 , Farshid Rahimi-Bashar3 , Shekoufeh Behdad1 , Rouhollah Abbasizadeh Nasrabady1 , Elahe Yasaei * 4
1- Anesthesiology and Critical Care Department, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- Department of Anatomical Sciences, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
3- Anesthesiology and Critical Care Department, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
4- Anesthesiology and Critical Care Department, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , dr.elaheyasaei@gmail.com
Abstract:   (2423 Views)
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.
Keywords: Gynecologic laparoscopy, Laryngeal mask airway, Volume controlled ventilation, Pressure controlled ventilation
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Type of Study: Original Article |
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