Respiratory changes during spinal anaesthesia for gynaecological laparoscopic surgery

Citation:
Pusapati, RN, Sivashanmugam T, Ravishankar M.  2010.  Respiratory changes during spinal anaesthesia for gynaecological laparoscopic surgery, October 1, 2010. Journal of Anaesthesiology Clinical Pharmacology. 26:475-479.

Abstract:

Background: It is currently presumed that spinal anaesthesia can compromise respiratory muscle function during carbon dioxide (CO2) pneumoperitoneum. This observational study was designed to delineate the respiratory effects of CO2 pneumoperitoneum under spinal anaesthesia.Patients & Methods: Forty one patients undergoing elective gynecological laparoscopy were administered spinal anaesthesia with 15 mg heavy bupivacaine and 50 mcg of fentanyl. Heart rare, blood pressure, tidal volume, respiratory rate and end tidal CO2 were serially recorded before, during and after the pneumoperitoneum. Arterial blood gas analysis was done before and 20 min after initiation of pneumoperitoneum.

Notes:

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