MỘT SỐ YẾU TỐ ẢNH HƯỞNG ĐẾN SỰ THAY ĐỔI MẠCH, HUYẾT ÁP TRONG QUÁ TRÌNH BƠM CO2 VÀO KHOANG PHÚC MẠC TRÊN NGƯỜI BỆNH PHẪU THUẬT NỘI SOI Ổ BỤNG TẠI BỆNH VIỆN ĐA KHOA XANH PON, HÀ NỘI NĂM 2021

Abstract

Aims: Analysis of some factors affecting changes in pulse, blood pressure during CO2 pump into the peritoneal cavity on laparoscopic abdominal surgery patients at Xanh Pon general hospital, Ha Noi in 2021. Methods: A descriptive observation on 40 patients undergoing laparoscopic abdominal surgery with CO2 pump into the peritoneal cavity. Patients were monitored before, during the pump CO₂ and 120 minutes after the CO2 discharge. Evaluation criteria: influence of factors (age, sex, type of surgery, EtCO2, CO2 pump pressure) on radial pulse rate, systolic blood pressure. Results: Type of laparoscopic surgery (cholecystectomy), EtCO2 (≥40mmHg), CO2 pump pressure (>12mmHg) affects the change in pulse (after CO2 pump 8 minutes), systolic blood pressure (after CO2 pump 10 minutes) on the laparoscopic abdominal surgery patients. The factors (age, sex, BMI) did not affect the change of pulse, systolic blood pressure of that time. Conclusion: The type of surgery, EtCO2, CO2 pump pressure has an effect on the change of pulse, systolic blood pressure during CO2 injection into the peritoneal cavity on laparoscopic surgery patients.