background extraperitoneal laparoscopy has become a common technique for many surgical procedures, especially for inguinal hernia surgery. investigations of physiological changes occurring during extraperitoneal carbon dioxide (co2) insufflation mostly focused on blood gas changes. to date, the impact of extraperitoneal co2 insufflation on respiratory mechanics remains unknown, whereas changes ...

BACKGROUND Carbon dioxide (CO2) insufflation is increasingly used for endoscopic submucosal dissection (ESD) owing to the faster absorption of CO2 as compared to that of air. Studies comparing CO2 insufflation and air insufflation have reported conflicting results. OBJECTIVES This meta-analysis is aimed to assess the efficacy and safety of use of CO2 insufflation for ESD. METHODS Clinical t...

BACKGROUND Extraperitoneal laparoscopy has become a common technique for many surgical procedures, especially for inguinal hernia surgery. Investigations of physiological changes occurring during extraperitoneal carbon dioxide (CO2) insufflation mostly focused on blood gas changes. To date, the impact of extraperitoneal CO2 insufflation on respiratory mechanics remains unknown, whereas changes ...

During the past 20 years, airway clearance techniques have been the subject of increasing scientific interest. Cough augmentation with mechanical insufflation-exsufflation is part of this trend. No fewer than 23 studies, of which 21 were published in the past 10 years, have improved the level of evidence on this technique.1-23 As suggested in Figure 1, the availability of insufflation-exsufflat...

BACKGROUND Tracheal gas insufflation reduces inspired tidal volume and minute ventilation in spontaneously breathing patients and may facilitate weaning from mechanical ventilation. OBJECTIVE To determine if tracheal gas insufflation can reduce ventilatory demand during weaning trials in patients who require prolonged mechanical ventilation. METHODS A reduction in ventilatory demand was def...

Cough is an important component of airway clearance, particularly in individuals with intrinsic pulmonary disease, weakness of respiratory muscles, or central nervous system disease that impairs breathing. The use of assisted cough to enhance airway clearance in individuals with neuromuscular disease is essential to produce and maintain peak cough flow above a minimum and thereby avoid retained...

BACKGROUND Currently, data are not available concerning a safe insufflation pressure that provides a proper view of the surgical field without adverse metabolic and hemodynamic changes in humans undergoing the robot-assisted thyroidectomy bilateral axillo-breast approach (BABA) using the da Vinci robotic surgical system. The purpose of this study was to determine the optimal carbon dioxide (CO₂...

BACKGROUND We aimed to compare plasma concentrations of carbon dioxide (CO(2)) in dogs that underwent intra- and preperitoneal CO(2) insufflation. MATERIALS AND METHODS Thirty dogs were studied. Ten formed a control group, 10 underwent intraperitoneal CO(2) insufflation, and 10 underwent preperitoneal CO(2) insufflation. General anesthesia with controlled ventilation was standardized for all ...

INTRODUCTION Adverse hemodynamic effects with severe bradycardia have been previously reported during positive pressure insufflation of the right thoracic cavity in humans. To the best of our knowledge, this is the first report of asystole during thoracoscopic surgery with positive pressure insufflation. CASE PRESENTATION A 63-year-old Caucasian woman developed asystole at the onset of positi...

We examined the results of computed tomography (CT) with and without air insufflation of the stomach prior to performing percutaneous endoscopic gastrostomy (PEG). We retrospectively analyzed 366 patients who underwent PEG. CT images obtained with and without air insufflation were examined for the presence or absence of contact between the gastric anterior wall and abdominal wall. PEG outcome b...