Effects of laryngeal mask airway ventilation mode on patients with gynecological laparoscopic surgery

Published on Aug. 30, 2023Total Views: 1693 times Total Downloads: 447 times Download Mobile

Author: Yi LIN ¹ Wen-Wen DU ²  Jun-Lu WANG ²

Affiliation: 1. Department of Anesthesiology, Wenzhou Third Clinical College, Wenzhou Medical University (Wenzhou People’s Hospital), Wenzhou 325099, Zhejiang Province, China 2. Department of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, Zhejiang Province, China

Keywords: Gynecological laparoscopic Laryngeal mask airway Volume controlled ventilation Pressure controlled ventilation

DOI: 10.12173/j.issn.1004-4337.202304130

Reference: Lin Y, Du WW, Wang JL. Effects of laryngeal mask airway ventilation mode on patients with gynecological laparoscopic surgery[J]. Journal of Mathematical Medicine, 2023, 36(8): 609-613. DOI: 10.12173/j.issn.1004-4337.202304130[Article in Chinese]  Copied

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Abstract

Objective To compare the effects of volume controlled ventilation (VCV) mode and pressure controlled ventilation (PVC) mode on respiratory mechanics, hemodynamics, blood gas analysis and gas exchange under the condition of laryngeal mask airway (LMA) in gynecological laparoscopic surgery.

Methods A total of 60 gynecological laparoscopic patients admitted to Wenzhou People’s Hospital from March 2022 to July 2022 were selected and divided into VCV group (30 cases) and PCV group (30 cases). Arterial blood was collected for blood gas analysis at 5 mins after LMA insertion (T1), 15 mins after LMA insertion (T2) and 15 mins after pneumoperitoneum insertion (T3), and respiratory mechanical parameters were monitored and recorded in both groups.

Results At T1 and T2, the peak airway pressure and plateau pressure in VCV group were significantly higher than those in PCV group (P<0.05). Compared with VCV group, PaO₂ in arterial blood in PCV group was significantly higher at T2 and T3 (P<0.05). Compared with VCV group, PaCO₂ in PCV group was obviously lower at T1 and T2 (P<0.05), and there was no significant difference in PaCO₂ between two groups at T3 (P>0.05). Compared with VCV group, PetCO₂ concentration in PCV group was significantly lower at T2 and T3 (P<0.05).

Conclusion Both VCV and PCV are suitable for gynecologic laparoscopy, however, the airway pressure of PCV is significantly lower than that of VCV, and using PCV would be helpful in preventing airway pressure injuries in the lung.

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