Akademik Veri Yönetim Sistemi
Turk Anesteziyoloji ve Reanimasyon, cilt.22, sa.4, ss.208-212, 1994 (Scopus)
Fifteen children (mean age 7.06±4.95, min. 15 days, max. 13.5 years) with ASA scores 2 and 3 were scheduled for laparoscopic surgery. ECG, noninvasive arterial pressures, oxygen saturation (SpO2), end-tidal CO2 (ETCO2) and intraabdominal pressure were monitored. O2-air admixture with halothane or isoflorane and atracurium or vecuronium were used for anaesthetic maintenance. Blood gases were analyzed 5' after induction (I=control), 5' (II), 20' (III), 35' (IV) after CO2 insuflation, after deflation (V) and after extubation (VI), Cardiac rhythm and arterial blood pressure changes were recorded. PaCO2 rose significantly at stages II, III, IV and V when compared to control values (p<0.05). pH decreased at stages IV and V. Differences in PaO2, base excess, SaO2, SpO2 and temperature were not significant. A patient with a PaCO2 of 52 mmHg at stage II revealed ventricular bigemine rhythm and another with a PaCO2 of 67 mnHg developed hypertension tachycardia and sweating. Depending on our preliminary observations tentative monitorization is mandatory for decreasing anaesthetic complications during pediatric laparoscopic procedures.