AIRWAY COMPLIANCE IN LAPROSCOPIC SURGERY - PRESSURE CONTROL VENTILATION Vs VOLUME CONTROL VENTILATION

Dr. Margi Barot; Dr. Sanjay Shekh

Volume : VII, Issue : XI, November - 2018

AIRWAY COMPLIANCE IN LAPROSCOPIC SURGERY - PRESSURE CONTROL VENTILATION Vs VOLUME CONTROL VENTILATION

Dr. Margi Barot, Dr. Sanjay Shekh

Abstract :

INTRODUCTION

Laparoscopic surgery is one of the most important diagnostic and therapeutic tools in the present surgical era. Laparoscopic surgery has many benefits for patients, including minimally invasive surgery, reduced postoperative pain and fewer wound-related complications. Respiratory changes occur due to raised IAP and Trendelenburg positioning.

AIMS AND OBJECTIVES

Comparative effect of Volume control ventilation and pressure control ventilation on airway compliance in laproscopic surgery

� Airway compliance

( static and dynamic compliance)

MATERIAL AND METHODS

After the approval of ethical committee, 82 ASA grade 1 and 2 patients of age 18-65 years undergoing laproscopic surgery were included in study and randomly allotted in 2 groups :

Group P ( n = 41) : pressure control ventilation mode

Group V ( n = 41) : volume control ventilation mode

After induction of anaesthesia , airway compliance in terms of ( static compliance C_stat, dynamic compliance C_dyn) were noted at T₁–baseline after induction , 10 minutes , 30 minutes , 60 minutes , 90 minutes after pneumogeneration , 10 minutes after cessation of pneumogeneration .

RESULT

Dynamic and Static compliance were significantly higher in group P as compared to group V after generation of pneumoperitoneum