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Pediatric Reports
Volume 9
Issue 2
10.4081/pr.2017.7214
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Article

Pediatric Laparoscopy and Adaptive Oxygenation and Hemodynamic Changes

by
Gloria Pelizzo
1,
Veronica Carlini
1,
Giulio Iacob
2,
Noemi Pasqua
2,
Giuseppe Maggio
1,
Marco Brunero
2,
Simonetta Mencherini
3,
Annalisa De Silvestri
1 and
Valeria Calcaterra
1,*
1
Pediatric Surgery Unit, Children’s Hospital, Istituto Mediterraneo di Eccellenza Pediatrica, Palermo, Italy
2
Pediatric Surgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
3
Anesthesiology and Intensive Care Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
4
Biometry and Clinical Epidemiology, Scientific Direction, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
5
Pediatric Unit, Department of Maternal and Child Health Fondazione IRCCS Policlinico San Matteo Pavia, Italy
6
Department of Internal Medicine and Therapeutics, University of Pavia, Italy
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2017, 9(2), 7214; https://doi.org/10.4081/pr.2017.7214
Submission received: 7 May 2017 / Revised: 2 June 2017 / Accepted: 3 June 2017 / Published: 26 June 2017

Abstract

Adaptive changes in oxygenation and hemodynamics are evaluated during pediatric laparoscopy. The children underwent laparoscopy (LAP Group, n=20) or open surgery (Open Group, n=10). Regional cerebral (rScO2) and peripheral oxygen saturation (SpO2), heart rate (HR), diastolic (DP) and systolic pressure (SP) were monitored at different intervals: basal (T0); anesthesia induction (T1); CO2PP insufflation (T2); surgery (T3); CO2PP cessation (T4); before extubation (T5). At T1, in both the LAP and Open groups significant changes in rScO2, DP and SP were recorded compared with T0; a decrease in SatO2 was also observed at T5. In the LAP group, at T2, changes in HR related to CO2PP pressure and in DP and SP related to IAP were noted; at T4, a SP change associated with CO2PP desufflation was recorded. Open group, at T3 and T5 showed lower rScO2 values compared with T1. Pneuperitoneum and anesthesia are influent to induce hemodynamics changes during laparoscopy.
Keywords: laparoscopy; children; hemodinamics; changes laparoscopy; children; hemodinamics; changes

Share and Cite

MDPI and ACS Style

Pelizzo, G.; Carlini, V.; Iacob, G.; Pasqua, N.; Maggio, G.; Brunero, M.; Mencherini, S.; De Silvestri, A.; Calcaterra, V. Pediatric Laparoscopy and Adaptive Oxygenation and Hemodynamic Changes. Pediatr. Rep. 2017, 9, 7214. https://doi.org/10.4081/pr.2017.7214

AMA Style

Pelizzo G, Carlini V, Iacob G, Pasqua N, Maggio G, Brunero M, Mencherini S, De Silvestri A, Calcaterra V. Pediatric Laparoscopy and Adaptive Oxygenation and Hemodynamic Changes. Pediatric Reports. 2017; 9(2):7214. https://doi.org/10.4081/pr.2017.7214

Chicago/Turabian Style

Pelizzo, Gloria, Veronica Carlini, Giulio Iacob, Noemi Pasqua, Giuseppe Maggio, Marco Brunero, Simonetta Mencherini, Annalisa De Silvestri, and Valeria Calcaterra. 2017. "Pediatric Laparoscopy and Adaptive Oxygenation and Hemodynamic Changes" Pediatric Reports 9, no. 2: 7214. https://doi.org/10.4081/pr.2017.7214

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