Haemodynamics in a patient with fontan physiology undergoing laparoscopic cholecystectomy

HIGHLIGHTS

  • who: Neth Heart J ( and colleagues from the (UNIVERSITY) have published the article: Haemodynamics in a patient with Fontan physiology undergoing laparoscopic cholecystectomy, in the Journal: (JOURNAL)

SUMMARY

    In a monoventricle circulation, such as the Fontan circulation, the venous return is connected directly to the pulmonary circulation without interposition of a right ventricle. Venous return may be compromised by insufflation of carbon_dioxide into the abdomen (increasing intra-abdominal pressure (IAP)), the use of reverse Trendelenburg position and positive pressure ventilation.[1]. Combined with an increase in pulmonary vascular resistance (PVR) due to hypercarbia . . .

     

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