Cover Image

The effect of surgical technique on hemodynamics, arterial oxygenation and pulmonary mechanics in radical prostatectomy operations

Yucel Yuce, Kutlu Hakan Erkal, Cemal Goktas, Bilal Eryildirim, Kemal Sarica
  • Yucel Yuce
    Dr. Lutfi Kirdar Training and Research Hospital, Anaesthesiology and Reanimation Department, Kartal, Istanbul, Turkey
  • Kutlu Hakan Erkal
    Dr. Lutfi Kirdar Training and Research Hospital, Anaesthesiology and Reanimation Department, Kartal, Istanbul, Turkey
  • Cemal Goktas
    Dr. Lutfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey
  • Bilal Eryildirim
    Dr. Lutfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey | bilaleryildirim@yahoo.com
  • Kemal Sarica
    Dr. Lutfi Kirdar Training and Research Hospital Urology Clinic, Istanbul, Turkey

Abstract

Objective: The effects of surgical technique on respiratory mechanics, arterial oxygenation and hemodynamics in radical prostatectomy operation were investigated. Methods: The study was planned on ASA II-III, 40-65 years old, fourty patients scheduled for radical prostatectomy under general anesthesia. They were divided into two groups: perineal and suprapubic (Group P, n = 20; Group S, n = 20). Heart rate, mean arterial blood pressure, arterial oxygen saturation (SpO2), partial pressure of end-tidal carbon dioxide (PEtCO2), Peak inspiratory pressure (PIP), plato pressure (Pplato), partial pressure of oxygen in arterial blood (PaO2), partial pressure of carbon dioxide in arterial blood (PaCO2) values were evaluated at 10 minutes after induction. After the position applied for surgery in the 30.60 and 90th minutes, the Alveolar-arterial oxygen pressure gradient (P(A-a) O2), the ratio of physiologic dead space over tidal volume (VD/VT), arterial to end tidal CO2 gradient (P(a-et) CO2), static compliance (CS), dynamic compliance (CD) were assessed. Results: In the assessment of groups, there were not statistical differences about mean blood pressure, heart rate, SpO2, PetCO2, PaO2, plateau pressure, and P (A-a) values (p > 0.05). Peak inspiratory pressure was higher in Group P. Peak inspiratory pressure and plateau pressure increased with CO2 insufflation in Group P. PaCO2 and P(a-et) CO2 were higher statistically significantly in Group 0. There was no difference in terms of the PetCO2 values. VD/VT ratios were statistically significantly lower in the Group P. Conclusions: Suprapubic surgery was shown to improve oxygenation and respiratory mechanics without causing any hemodynamic side effect in radical prostatectomy operation.

Keywords

Radical prostatectomy; Position; Respiratory mechanics; Oxygenation

Full Text:

PDF
Submitted: 2016-12-06 18:29:06
Published: 2017-03-31 00:00:00
Search for citations in Google Scholar
Related articles: Google Scholar
Abstract views:
323

Views:
PDF
192

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM


Copyright (c) 2017 Yucel Yuce, Kutlu Hakan Erkal, Cemal Goktas, Bilal Eryildirim, Kemal Sarica

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
 
© PAGEPress 2008-2017     -     PAGEPress is a registered trademark property of PAGEPress srl, Italy.     -     VAT: IT02125780185