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British Journal of Anaesthesia, 1972, Vol. 44, No. 11 1183-1187
© 1972 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

CIRCULATORY EFFECTS OF PERITONEAL INSUFFLATION WITH NITROUS OXIDE

R. L. MARSHALL, M.B., CH.B., F.F.A.R.C.S, D.OBST.R.C.O.G.*, P. J. R. JEBSON, M.B. , CH.B., F.F.A.R.C.S. D.A., D.OBST.RR.C.O.G{dagger}, I. T. DAVIE, M.B., CH.B., F.F.A.R.C.S.{ddagger} and D. B. SCOTT, M.D., F.F.A.R.C.S.*

Department of Anaesthetics, Royal Infirmary of Edinburgh Scotland

The haemodynamic response to peritoneal insufflation with nitrous oxide was examined. Measurements were made during a control period, following peritoneal insufflation, and after release of the gas from the peritoneal cavity. A consistent fall in cardiac output and a rise in mean arterial pressure, central venous pressure and heart rate were observed following peritoneal insufflation with nitrous oxide. The fall in cardiac output differs from previous findings, when carbon dioxide was used as the gas for insufflation. Reasons for this difference are suggested and the implications of the observations are discussed.

*Department of Anaesthetics, Royal Infirmary of Edinburgh.

{dagger}Department of Anaesthetics, Royal Infirmary of Sheffield

{ddagger}Department of Anaesthetics, Western General Hospital, Edinburgh.


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