Pneumoperitoneum and Trendelenburg Position on Fluid Responsiveness

Influence of Pneumoperitoneum and Trendelenburg Position on Fluid Responsiveness Predicted by Pulse Pressure Variation and Stroke Volume Variation During Anaesthesia for Laparoscopic Gynaecological Surgery

The increased intraabdominal pressure and intrathoracic pressure due to pneumoperitoneum negatively affect the cardiovascular system, relatively dynamic parameters may vary due to intraoperative fluid therapy.

After the general anaesthesia induction and intubation, dynamic parameters such as SVV and PPV were monitored by pulse contour analysis.

Inclusion Criteria:

• Age>18 years old patients
• Will undergo elective laparoscopic gynecological surgery
• ASA I-II

Exclusion Criteria:

• Obese patients (body mass index> 30 kg.m2)
• Patients who had arrhythmia
• Patients who had cardiac insufficiency.