The Effects of Different Insufflation Pressures on Cerebral Oxygen Saturation in Patients Undergoing Laparoscopic Cholecystectomy

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dc.authoridInal, Mehmet Turan/0000-0001-8462-4299
dc.authoridSezer, Atakan/0000-0002-2846-6879
dc.contributor.authorInal, Mehmet Turan
dc.contributor.authorMemis, Dilek
dc.contributor.authorSezer, Atakan
dc.contributor.authorTuran, Nesrin
dc.date.accessioned2024-06-12T11:12:33Z
dc.date.available2024-06-12T11:12:33Z
dc.date.issued2020
dc.departmentTrakya Üniversitesien_US
dc.description.abstractA pneumoperitoneum during laparoscopic procedures has deleterious effects on cerebral perfusion and oxygenation. Our aim was to assess the effects of different insufflation pressures on cerebral oxygen saturation (rSO(2)) using a noninvasive INVOS Cerebral Oximeter (Somanetics Corporation, USA) system. One hundred patients scheduled for laparoscopic cholecystectomy were included and divided into two groups: a 10 mmHg pneumoperitoneum group (group I) and a 14 mmHg pneumoperitoneum group (group II). The rSO(2)measurements were obtained preinsufflation, after insufflation, every 15 min after insufflation, and 10 min after desufflation. Hemodynamic variables and anesthesia and surgery times were recorded. Between the two groups, there were no statistically significant differences in terms of age, sex, weight, anesthesia times, or surgery times (p > 0.05). The hemodynamic variables were similar in the two groups (p > 0.05). The rSO(2)value changed over time, with a statistically significant between-group difference (p = 0.001). The preinsufflation rSO(2)value was 70.07 +/- 7.73 in group I and 72.21 +/- 6.58 in group II, with no significant between-group difference (p > 0.05). After insufflation, the rSO(2)value decreased to 69.60 +/- 7.74 in group I and 64.41 +/- 6.48 in group II, and the distinction was statistically significant (p < 0.001). A high-pressure pneumoperitoneum was associated with a greater decrease in rSO2 as compared to a low-pressure pneumoperitoneum. Thus, we suggest the use of a low-pressure pneumoperitoneum in patients with central nervous system pathologies.en_US
dc.identifier.doi10.1007/s12262-019-01973-6
dc.identifier.endpage381en_US
dc.identifier.issn0972-2068
dc.identifier.issn0973-9793
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85070880563en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage377en_US
dc.identifier.urihttps://doi.org/10.1007/s12262-019-01973-6
dc.identifier.urihttps://hdl.handle.net/20.500.14551/23195
dc.identifier.volume82en_US
dc.identifier.wosWOS:000550284800036en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer Indiaen_US
dc.relation.ispartofIndian Journal Of Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPneumoperitoneumen_US
dc.subjectCerebral Oxygen Saturationen_US
dc.subjectCholecystectomyen_US
dc.subjectLaparoscopicen_US
dc.subjectHemodynamic-Changesen_US
dc.subjectSurgeryen_US
dc.subjectPneumoperitoneumen_US
dc.subjectCompressionen_US
dc.titleThe Effects of Different Insufflation Pressures on Cerebral Oxygen Saturation in Patients Undergoing Laparoscopic Cholecystectomyen_US
dc.typeArticleen_US

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