Hypercapnia during transperitoneal and retroperitoneal endoscopic spinal surgery: a prospective study.

Abstract

STUDY OBJECTIVE:

To evaluate the effect of carbon dioxide (CO(2)) pneumoperitoneum and retropneumoperitoneum insufflation on CO(2) excretion.

DESIGN:

Prospective study.

SETTING:

Operating room and recovery room in a teaching hospital.

PATIENTS:

29 patients scheduled for orthopedic spine fusion surgery.

INTERVENTIONS:

Patients received either transperitoneal insufflation (n = 12) or retroperitoneal insufflation (n = 17).

MEASUREMENTS AND MAIN RESULTS:

Increases in the partial pressure of end-tidal CO(2) (PetCO(2)) and arterial CO(2) tension (PaCO(2)) during retropneumoperitoneum exceeded those obtained during pneumoperitoneum. Furthermore, PetCO(2) increased faster during retroperitoneum and did not reach a plateau. Finally, 76% of the patients in this group required ventilatory adjustment due to high PetCO(2) levels.

CONCLUSIONS:

This study may focus attention on the need for continuous ventilatory adjustments during transperitoneal endoscopic surgery.

• Authors: J P Estèbe, E Ternisien, J L Polard, A Lenaoures, M Leroy, J L Husson, C Ecoffey
• Journal: Journal of clinical anesthesia (J Clin Anesth) Vol. 14 Issue 6 Pg. 437-40 (Sep 2002) ISSN: 0952-8180 [Print] United States
• PMID: 12393112 (Publication Type: Journal Article)

Chemical References

• Carbon Dioxide

Topics

• Acidosis, Respiratory (etiology)
• Carbon Dioxide (administration & dosage, blood, physiology)
• Endoscopy
• Humans
• Hypercapnia (etiology)
• Intraoperative Complications (etiology)
• Lumbar Vertebrae (surgery)
• Pneumoperitoneum, Artificial (adverse effects)
• Prospective Studies
• Respiration
• Retroperitoneal Space
• Sacrum (surgery)
• Spinal Fusion