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

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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