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Pigs are not a reliable experimental model in the study of the haemodynamic and respiratory effects of CO2 pneumoperitoneum

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Abstract:

Background:

Haemodynamic and respiratory effects of a CO2 pneumoperitoneum (intra-abdominal pressure = 12 mmHg) associated to a head-up position(15°) were studied in 20 pigs using a Swan-Ganz catheter and the Single Breath Test for CO2. The pneumoperitoneum induced a moderate rise in mean arterial pressure (+17%) (P<0.001) without any variation in heart rate, cardiac output and systemic vascular resistances. Results:

The following respiratory effects were observed: an increase in PaCO2 (+20%) (P<0.001), PE'CO2 (+31%) (P<0.001), expired volume of CO2 (+28%) (P<0.001), arterial to end-tidal CO2 gradient (+80%) (P<0.001) and alveolar dead space (+40%) (P<0.001) occured. Alveolar ventilation remained stable. Finally and contrary to healthy human patient, intraperitoneal CO2 insufflation in pig induced slight haemodynamic changes and major respiratory modifications. Conclusion:

Thus, our data do not support the conclusion that the pig is a reliable experimental model for studying the pathophysiology of CO2 pneumoperitoneum-induced changes in haemodynamic and respiratory parameters, in human patients.

Keywords: alveolar dead space; alveolar ventilation; carbon dioxide; hemodynamic; laparoscopy; pig; pneumoperitoneum

Document Type: Research Article

DOI: http://dx.doi.org/10.1046/j.0001-5172.2001.00349.x

Affiliations: 1: Anesthesia and Surgical Critical Care and Visceral Surgery, Jean Bernard Hospital, University School of Medecine, Poitiers, France and 2: Unit of Experimental Transplantation, Department of Genetics, INRA Le Magneraud, Surgères, France

Publication date: January 1, 2002

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