Anesthesia, Mechanical Ventilation, Respiratory Physiology
Conditions
Keywords
Anesthesia, Lumboscopy, Mechanical Ventilation, Laparoscopy
Brief summary
There are several techniques for performing minimally invasive urological surgeries. Among them, laparoscopic surgery, robotic surgery, and lumboscopy are noteworthy (1). The medical literature extensively documents the impact of pneumoperitoneum a procedure involving the insufflation of the peritoneal cavity with carbon dioxide (CO2), which is essential for laparoscopic and robotic surgeries on ventilatory mechanics. As an alternative, CO2 insufflation into the retroperitoneum, as utilized in lumboscopic surgery, has been proposed. This approach is believed to exert a lesser impact on respiratory function and pulmonary mechanics. However, it is important to note that no conclusive evidence has yet been found to support this claim. Assessing the impact of lumboscopic surgery could help establish it as a viable alternative for patients with pulmonary conditions, where mechanical ventilation poses significant challenges. To explore this possibility, a physiological study was designed to compare the effects of laparoscopic and lumboscopic surgery on ventilatory mechanics.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \>18 years old * ASA PS II-III * Elective surgery * Surgery: Partial or total nephrectomy
Exclusion criteria
* Severe pulmonary pathology * Severe cardiovascular pathology * Open surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Parameters of ventilatory mechanics | intraoperative | Static compliance Plateau pressure Driving pressure Transpulmonary pressure |
Countries
Chile