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Relationship between Gastric pH Measurement and Intra-abdominal Pressure in Patients Undergoing Laparoscopic Surgery by Ayse Surhan Cinar is a Medicine article available to read on EtoBox.

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## Objectives: Laparoscopic surgery (ls) is a safe and widely used technique. during ls, carbon dioxide insufflation may produce significant hemodynamic and ventilatory consequences, such as elevated intra-abdominal pressure (iap) and hypercarbia. splanchnic and cardiovascular blood flow can be affected by the elevated iap, which can result in ischemia in the splanchnic region prior to hemodynamic changes. changes in gastric ph may be an early precursor of changes in splanchnic blood circulation. this study investigated the relationship between gastric ph measurement and iap in patients undergoing ls. ## Methods: This study included 49 patients aged 18-65 years with american society of anesthesiologists (asa) physical status i - iii who were undergoing elective laparoscopic cholecystectomy. a gastric ph tonometer probe was applied using an orogastric catheter. simultaneously, insufflation pressure, cardiac apex beat (cab), and mean arterial blood pressure (map) values were recorded. indirect iap was then measured through the bladder. measurements were performed at baseline; at 15, 30, and 60 minutes after onset of insufflation (ai 15, ai 30, and ai 60, respectively); and at the end

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Author

Ayse Surhan Cinar

Published

2020

Language

EN

Field

Medicine (Health Sciences)