Modeling intra-abdominal volume and respiratory driving pressure during pneumoperitoneum insufflation—a patient-level data meta-analysis
Guido Mazzinari, Óscar Díaz‐Cambronero, Ary Serpa Neto, Antonio José Cañada Martínez, Lucas Rovira, María Pilar Navarro, Manu L. N. G. Malbrain, Paolo Pelosi, Marcelo Gama de Abreu, Markus W. Hollmann, Marcus J. Schultz
Abstract
We found that intra-abdominal volume changes related to intra-abdominal pressure increase reached a plateau with diminishing gains in commonly used pneumoperitoneum pressure ranges. We also found a linear relationship between intra-abdominal pressure and respiratory driving pressure, a known marker of postoperative pulmonary complications.
Topics & Concepts
PneumoperitoneumMedicineInsufflationPlateau pressureAnesthesiaPositive pressureRespiratory systemVolume (thermodynamics)Lung volumesSurgeryTidal volumeLungInternal medicineLaparoscopyQuantum mechanicsPhysicsAbdominal Surgery and ComplicationsHernia repair and managementAppendicitis Diagnosis and Management