Impact of laparoscopic surgery on thoracoabdominal mechanics and inspiratory muscular activity

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorLUNARDI, Adriana Claudia
dc.contributor.authorPAISANI, Denise de Moraes
dc.contributor.authorTANAKA, Clarice
dc.contributor.authorCARVALHO, Celso Ricardo Fernandes
dc.date.accessioned2013-09-23T16:38:27Z
dc.date.available2013-09-23T16:38:27Z
dc.date.issued2013
dc.description.abstractObjective: To evaluate the effect of laparoscopic surgery on pulmonary volume distributions and inspiratory muscles activity. Respiratory consequences associated with postoperative pain were also evaluated. Methods: This study enrolled 20 patients without lung disease performed spirometry and chest wall kinematic analyses (i.e., chest wall, upper and lower ribcage and abdominal volumes), and measured the activity of inspiratory muscular before and 2 days after laparoscopic surgery. Pain was also assessed. Results: After laparoscopy, the patients demonstrated decreased volumes in all three thoracoabdominal compartments: abdomen (ABD), upper and lower rib cage (URC and LRC, respectively) compared with the pre-operative measurements: ABD = 0.38 +/- 0.20 L vs. 0.55 +/- 0.25 L; URC = 0.45 +/- 0.18 L vs. 0.55 +/- 0.21 L; and LRC = 0.31 +/- 0.18 L vs. 0.41 +/- 0.23 L; p <0.05. A reduction in the inspiratory muscular activity after surgery was also observed (sternocleidomastoid: 10.6 +/- 5.1 x 10(-3) mV vs. 12.8 +/- 6.3 x 10(-3) my; intercostals: 16.8 +/- 12.4 x 10(-3) mV vs. 25.1 +/- 21.3 x 10(-3) my; p <0.05). In addition, lower volumes during deep breathing were observed in patients who reported significant pain than those who did not (0.51 +/- 0.17 L vs. 0.79 +/- 0.29 L; p <0.05, respectively). Conclusion: Laparoscopic surgery reduces chest wall ventilation and inspiratory muscular activity during deep breathing. The effects appear to depend on the patient's reported pain level.
dc.description.indexMEDLINE
dc.description.sponsorshipConselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq)
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP)
dc.identifier.citationRESPIRATORY PHYSIOLOGY & NEUROBIOLOGY, v.186, n.1, p.40-44, 2013
dc.identifier.doi10.1016/j.resp.2012.12.012
dc.identifier.issn1569-9048
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/1932
dc.language.isoeng
dc.publisherELSEVIER SCIENCE BV
dc.relation.ispartofRespiratory Physiology & Neurobiology
dc.rightsrestrictedAccess
dc.rights.holderCopyright ELSEVIER SCIENCE BV
dc.subjectSurgery
dc.subjectRespiratory muscles
dc.subjectPulmonary ventilation
dc.subjectElectromyography
dc.subjectPlethysmography
dc.subject.otherpostoperative pulmonary complications
dc.subject.otherupper abdominal-surgery
dc.subject.otherpreoperative evaluation
dc.subject.otherrespiratory-function
dc.subject.othergastric-cancer
dc.subject.otherchest-wall
dc.subject.othercholecystectomy
dc.subject.othermetaanalysis
dc.subject.othergastrectomy
dc.subject.othermovement
dc.subject.wosPhysiology
dc.subject.wosRespiratory System
dc.titleImpact of laparoscopic surgery on thoracoabdominal mechanics and inspiratory muscular activity
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.citation.scopus14
hcfmusp.contributor.author-fmusphcADRIANA CLAUDIA LUNARDI
hcfmusp.contributor.author-fmusphcDENISE DE MORAES PAISANI
hcfmusp.contributor.author-fmusphcCLARICE TANAKA
hcfmusp.contributor.author-fmusphcCELSO RICARDO FERNANDES DE CARVALHO
hcfmusp.description.beginpage40
hcfmusp.description.endpage44
hcfmusp.description.issue1
hcfmusp.description.volume186
hcfmusp.origemWOS
hcfmusp.origem.pubmed23313854
hcfmusp.origem.scopus2-s2.0-84873847011
hcfmusp.origem.wosWOS:000317447600006
hcfmusp.publisher.cityAMSTERDAM
hcfmusp.publisher.countryNETHERLANDS
hcfmusp.relation.referenceAGOSTONI E, 1966, J APPL PHYSIOL, V21, P1827
hcfmusp.relation.referenceAliverti A, 2009, EUR RESPIR J, V33, P49, DOI 10.1183/09031936.00141607
hcfmusp.relation.referenceAliverti A., 2006, CRIT CARE, V10, P1
hcfmusp.relation.referenceArozullah AM, 2003, MED CLIN N AM, V87, P153, DOI 10.1016/S0025-7125(02)00151-7
hcfmusp.relation.referenceAyoub J, 2001, ANESTH ANALG, V92, P755
hcfmusp.relation.referenceBapoje SR, 2007, CHEST, V132, P1637, DOI 10.1378/chest.07-0347
hcfmusp.relation.referenceBreivik H, 2008, BRIT J ANAESTH, V101, P17, DOI 10.1093/bja/aen103
hcfmusp.relation.referenceDamiani G, 2008, DIGEST SURG, V25, P1, DOI 10.1159/000114193
hcfmusp.relation.referenceDe Luca CJ, 1997, J APPL BIOMECH, V13, P135
hcfmusp.relation.referenceDurkin JL, 2005, J ELECTROMYOGR KINES, V15, P474, DOI 10.1016/j.jelekin.2005.02.003
hcfmusp.relation.referenceERICE F, 1993, ANESTHESIOLOGY, V79, P966, DOI 10.1097/00000542-199311000-00015
hcfmusp.relation.referenceHedenstierna G, 2005, INTENS CARE MED, V31, P1327, DOI 10.1007/s00134-005-2761-7
hcfmusp.relation.referenceHermens HJ, 2000, J ELECTROMYOGR KINES, V10, P361, DOI 10.1016/S1050-6411(00)00027-4
hcfmusp.relation.referenceKallenberg L.A., 2009, J ELECTROMYOGR KINES, V19, P536
hcfmusp.relation.referenceKanat F, 2007, ANZ J SURG, V77, P135, DOI 10.1111/j.1445-2197.2006.03993.x
hcfmusp.relation.referenceKaragulle E, 2008, SURG LAPARO ENDO PER, V18, P329, DOI 10.1097/SLE.0b013e31816feee9
hcfmusp.relation.referenceKawamura H, 2008, SURG ENDOSC, V22, P81, DOI 10.1007/s00464-007-9373-y
hcfmusp.relation.referenceKawamura H, 2010, SURG ENDOSC, V24, P2739, DOI 10.1007/s00464-010-1037-7
hcfmusp.relation.referenceKimball WR, 2008, J CLIN ANESTH, V20, P200, DOI 10.1016/j.jclinane.2007.10.009
hcfmusp.relation.referenceKodera Y, 2010, J AM COLL SURGEONS, V211, P677, DOI 10.1016/j.jamcollsurg.2010.07.013
hcfmusp.relation.referenceKoivusalo AM, 2008, SURG ENDOSC, V22, P61, DOI 10.1007/s00464-007-9300-2
hcfmusp.relation.referenceLa Pena M., 2002, ARCH BRONCONEUMOL, V38, P72
hcfmusp.relation.referenceLawrence VA, 2006, ANN INTERN MED, V144, P596
hcfmusp.relation.referenceMaarsingh EJW, 2000, J APPL PHYSIOL, V88, P1955
hcfmusp.relation.referenceMiller MR, 2005, EUR RESPIR J, V26, P319, DOI 10.1183/09031936.05.00034805
hcfmusp.relation.referencePaisani D. M., 2012, RESP CARE
hcfmusp.relation.referencePereira CAC, 2002, J PNEUMOL S3, V28, P1
hcfmusp.relation.referenceRoumm Adam R, 2005, Surg Innov, V12, P261, DOI 10.1177/155335060501200313
hcfmusp.relation.referenceSmetana Gerald W, 2009, Cleve Clin J Med, V76 Suppl 4, pS60, DOI 10.3949/ccjm.76.s4.10
hcfmusp.relation.referenceWang HK, 2009, J FORMOS MED ASSOC, V108, P577, DOI 10.1016/S0929-6646(09)60376-4
hcfmusp.remissive.sponsorshipCNPq
hcfmusp.remissive.sponsorshipFAPESP
hcfmusp.scopus.lastupdate2024-05-17
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