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Table 1 Hemodynamic parameters

From: Anesthesia management of laparoscopic right colectomy in an older patient with postoperative tetralogy of Fallot with residual anomaly

 

Preoperative

After positive pressure ventilation

After abdominal insufflation

HR (/min)

90

54

50

BP (mmHg)

105/57

76/45

74/45

PAP (mean) (mmHg)

28/12 (19)

33/17 (25)

40/22 (25)

RVP (mmHg)

85/10

57/10

63/17

CI (L/min/m2)

2.97

2.1

2.3

TPR (dyne/sec/cm5)

232

608

688

IP (mmHg)

  

10-12

  1. Due to right ventricular outflow tract obstruction, the preoperative RVP was elevated, but the PAP was within the normal range. Positive pressure ventilation and insufflation increased the TPR and PAP. CI, BP, and HR were generally stable during surgery
  2. HR heart rate, BP blood pressure, PAP pulmonary artery pressure, RVP right ventricular pressure, CI cardiac index, TPR total pulmonary resistance, IP insufflation pressure