Effect of pneumoperitoneum and Trendelenburg position on gastro-oesophageal reflux and lower oesophageal sphincter pressure

被引：18

作者：

Tournadre, JP ^{[1
]}

Chassard, D ^{[1
]}

Berrada, KR ^{[1
]}

Bouletreau, P ^{[1
]}

机构：

[1] HOP HOTEL DIEU,SERV ANESTHESIE REANIMAT,F-69002 LYON,FRANCE

来源：

BRITISH JOURNAL OF ANAESTHESIA | 1996年 / 76卷 / 01期

关键词：

complications; regurgitation; gastrointestinal tract; lower oesophageal sphincter; position; trendelenburg; surgery; laparoscopy; pig;

D O I：

10.1093/bja/76.1.130

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

We have measured the effect of pneumoperitoneum and the Trendelenburg position on lower oesophageal sphincter (LOSP) and barrier pressures (BrP) in 11 anaesthetized pigs white measuring the incidence of gastro-oesophageal reflux with a pH electrode. Propofol in combination with sufentanil had no effect on LOSP or BrP. Adoption of the Trendelenburg position with a pneumoperitoneum of 15 mm Hg resulted in a significant increase in LOSP (P < 0.002) and BrP (P < 0.001). However, in two of 11 pigs who had the lowest LOSP before induction, there was regurgitation.

引用

页码：130 / 132

页数：3

共 15 条

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