Influence of variations in arterial PCO2 on surgical conditions during laparoscopic retroperitoneal surgery.

ABSTRACT:

Background

Although deep neuromuscular block (post-tetanic-count 1-2 twitches) improves surgical conditions during laparoscopic retroperitoneal surgery compared with standard block (train-of-four 1-2 twitches), the quality of surgical conditions varies widely, often related to diaphragmatic contractions. Hypocapnia may improve surgical conditions. Therefore we studied the effect of changes in arterial carbon dioxide concentrations on surgical conditions in patients undergoing laparoscopic surgery under general anaesthesia and deep neuromuscular block.

Methods

Forty patients undergoing elective laparoscopic surgery for prostatectomy or nephrectomy received propofol/remifentanil anaesthesia and deep neuromuscular block with rocuronium. Patients were randomized to surgery under

SUBMITTER: Boon M 

PROVIDER: S-EPMC4913396 | biostudies-literature | 2016 Jul

REPOSITORIES: biostudies-literature