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Acta médica Grupo Ángeles
Print version ISSN 1870-7203
Abstract
LABRA NASSAR, Alejandra et al. Impact of alveolar recruitment maneuvers on optic nerve sheath diameter in laparoscopic surgery. Acta méd. Grupo Ángeles [online]. 2021, vol.19, n.2, pp.172-179. Epub Nov 23, 2021. ISSN 1870-7203. https://doi.org/10.35366/100438.
Alveolar recruitment maneuvers can increase intracranial pressure and decrease cerebral perfusion pressure, however, their use is recommended as they reduce postoperative pulmonary complications in laparoscopic surgery in Trendelenburg position.
Objective:
To know the impact of pulmonary recruitment maneuvers on the diameter of the optic nerve sheath, in laparoscopic surgery in Trendelenburg position.
Material and methods:
Experimental, prospective randomized, comparative study. Thirty patients were randomized into two groups, group A: control group and group B: alveolar recruitment maneuver. Patients in laparoscopic surgery in Trendelenburg position, the diameter of the optic nerve was measured at different times.
Result:
The diameter of the optic nerve sheath did not show statistically significant difference between the control group and maneuver group during the measurements, however, we had a significant difference between the baseline value and the pre-emersion value in both groups (p = 0.001).
Conclusion:
The use of an alveolar recruitment maneuver by increasing PEEP in a scaled way can be applied safely, however, more studies with a larger sample number are required.
Keywords : Optic nerve; intracraneal pressure; alveolar recruitment; laparoscopy.
