A comparison of pressure-controlled and volume-controlled ventilation for laparoscopic cholecystectomy

被引：27
作者：
Tyagi, A. [1 ,2 ]
Kumar, R. [1 ,2 ]
Sethi, A. K. [1 ,2 ]
Mohta, M. [1 ,2 ]
机构：
[1] Univ Coll Med Sci, Dept Anaesthesiol & Crit Care, Delhi 110095, India
[2] Guru Teg Bahadur Hosp, Delhi 110095, India
来源：
ANAESTHESIA | 2011年 / 66卷 / 06期
关键词：
RESPIRATORY-DISTRESS-SYNDROME; MORBIDLY OBESE-PATIENTS; MEAN AIRWAY PRESSURE; ACUTE LUNG INJURY; GAS-EXCHANGE; INVERSE RATIO; SURGERY; MECHANICS;
D O I：
10.1111/j.1365-2044.2011.06713.x
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
The potential advantages of pressure-controlled over volume-controlled ventilation during laparoscopic surgery have yet to be proven. We randomly assigned 42 patients with BMI < 30 kg.m(-2) scheduled for laparoscopic cholecystectomy to receive either pressure-or volume-controlled ventilation. Compared with volume-controlled ventilation, pressure-controlled ventilation resulted in a significant decrease in mean (SD) peak airway pressure at 10 min (20.4 (2.7) vs 24.0 (4.7) cmH(2)O, p = 0.004) and 30 min (20.7 (3.0) vs 23.9 (4.9) cmH(2)O, p = 0.015) and an increase in mean airway pressure at 10 min (10.5 (0.9) vs 9.6 (1.1) cmH(2)O, p = 0.007) and 30 min (10.5 (1.1) vs 9.6 (1.2) cmH(2)O, p = 0.016) after the start of surgery. Gas exchange and haemodynamic stability were similar. We conclude that pressure-controlled ventilation is a safe alternative and offers some advantages to volume-controlled ventilation during laparoscopic cholecystectomy in non-obese patients.
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收藏
页码：503 / 508
页数：6
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