Pneumothorax During Laparoscopic Fundoplication: Diagnosis and Treatment with Positive End-Expiratory Pressure

• Published in: Anesthesia and analgesia Vol. 81; no. 5; pp. 993 - 1000
• Main Authors: Joris, Jean L., Chiche, Jean-Daniel, Lamy, Maurice L.
• Format: Journal Article Web Resource
• Language: English
• Published: Hagerstown, MD International Anesthesia Research Society 01.11.1995; Lippincott; Lippincott Williams & Wilkins
• Subjects: Adult; Anesthesia & intensive care; Anesthésie & soins intensifs; Biological and medical sciences; Carbon Dioxide; Female; Fundoplication - adverse effects; Human health sciences; Humans; Laparoscopy - adverse effects; Male; Medical sciences; Pneumothorax - etiology; Pneumothorax - therapy; Pneumothorax/etiology/therapy; Positive-Pressure Respiration - methods; Sciences de la santé humaine; Stomach, duodenum, intestine, rectum, anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Pneumothorax; Effusion; Pathophysiology; Respiratory disease; Laparoscopy; Artificial ventilation; Positive end expiratory pressure; Plication; Treatment; Gastric fundus; Digestive diseases; Pleural disease; Complication; Diagnosis; Gastric disease

Pneumothorax can develop during laparoscopy, particularly during laparoscopic fundoplication, since the left parietal pleura is exposed and can be torn during dissection in the diaphragmatic hiatus.Such an event will result in specific pathophysiologic changes, since CO2, under pressure in the abdom...