Comparison Between Volume Controlled Ventilation and Pressure Controlled Ventilation in Laparoscopic Cholecystectomy and their Effects on Hemodynamic and Respiratory Parameters

Background: Laparoscopic cholecystectomy is a minimally invasive surgical technique for amputation of anunhealthy gallbladder. This procedure has several advantages including shorter stay in hospital, minimal postoperativepain and fast recovery after procedure. The disadvantages this due to increase intraabdominalpressure, patient position general anesthesia. Many anesthetist apply VCV procedure.VCV can deliver adequate minute volume but corresponded by an airway pressure, so otheralternative mode be used solve problem like PCV.Aim the Study: To compare effect controlled ventilation versus pressure onrespiratory haemodynamic parameters during laproscopic cholycystectomy.Patients method: A prospective comparative observational study, conducted at Department generalsurgery Baghdad Teaching Hospital/Medical city complex, from October 2019 - 2020. Fifty participantsunderwent laparoscopic within inclusion criteria were included present study. Eachgroup consist 25 patients .one group received others receive PCV. peak mean airwaypressure, MAP, heart rate was recorded intraoperatively 5,10 30 intervals. collected datawere analyzed SSPS version 22 program.Results: In control patients, significantly deceased 10 and30minutes start laparoscopy (20.2and 20.8) (24.3 24.1) respectively pressurewas increased same time (10.6 and10.6) (9.7 9.7) relative volumecontrol group. No significant change hemodynamic parameters. Conclusion: PCV safe alternative &offers protection lungs there no beneficial regarding pressures whichreflect oxygenation, &ETCO2.