Laparoskopik Kolesistektomi Operasyonlarinda PEEP Uygulamasının Arteriyel Oksijenasyon ve Dakika Ventilasyonu Üzerine Etkileri

Yıl 2016, Cilt: 2 Sayı: 1, 37 - 57, 01.04.2016

SONER Altıner AYŞENUR Altıner AYŞIN Ersoy AYSEL Altan

https://izlik.org/JA85XF55WL

Öz

Laporoskopik kolesistektomi tekniğine bağlı olarak, CO2

pnömoperitonyumu ve artmış intraarteryal basinç (İAB); mekanik,

hemodinamik ve respiratuar yan etkileri ortaya çıkarmakta, bu da

hipoksemi, hiperkapni, hemodinamik instabilite ve oksijenasyonda

bozulmaya neden olabilmektedir. Temel problemler; fonksiyonel rezidüel

kapasitenin azalması, ventilasyon/perfüzyon dengesinin bozulması ve

peritondan emilen CO2 nin sempatik stümülasyona yol açmasıdır. Bu

fizyopatolojik mekanizmalar perioperatif dönemde mekanik ventilasyon

uygulamasının ve uygulanacak anestezik yöntemin gözden geçirilmesini

gerektirir.

Anahtar Kelimeler

peritondan , mekanizma , yöntem , method , ventilasyon , anestezik

Kaynakça

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