EAJAIC
Eurasian Journal of Anesthesiology and Intensive Care

The Eurasian Journal of Anesthesiology and Intensive Care (EAJAIC) is an independent-unbiased, peer-reviewed, "double-blind", and open-access journal of current national and international issues and reviews for original clinical and experimental research, interesting case reports, differential diagnoses, editorial opinions, letters to the editor, and educational papers in anesthesiology, algology, and intensive care medicine.

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Original Article
The effect of smoking on arterial blood gases, respiratory mechanics and hemodynamic parameters in patients undergoing laparoscopic cholecystectomy
Abstract
Aims: The aim was to investigate the negative effects of smoking on arterial blood gas values and pulmonary functions. These effects are more pronounced during laparoscopic cholecystectomy procedures involving carbon dioxide insufflation. We examined these ef-fects and their reflection on hemodynamic parameters.
Methods: Forty patients undergoing laparoscopic cholecystectomy were included in the study. Patients were divided into two groups: smokers (Group I) and non-smokers (Group II). Respiratory function tests (RFTs), arterial blood gas analysis, and posteroanterior (PA) chest X-ray were evaluated preoperatively and postoperatively. Intraoperative hemody-namic parameters and arterial blood gas values of the patients were recorded.
Results: Throughout the observation time period, there was significant difference in mean partial carbondioxyde (PCO2) levels in arterial blood gas analysis. PCO2 levels were significantly higher in the smoking group (Group I). There was also significant difference in mean carboxyhemoglobin (HbCO) levels, which were higher in Group I. Within the groups, significant changes in HbCO levels between at least two follow-up times were observed only in Group II. In Group I, there was significant difference in all RFT measurements between preoperative and postoperative periods. In Group II, except for forced expiratory volume at 1 second to forced vital capacity ratio (FEV1/FVC), significant differences were found in all RFT measurements between preoperative and postoperative periods.
Conclusion: In this study examining the effects of smoking on hemodynamic pa-rameters, arterial gas analyses, and respiratory function tests during and after laparoscopic cholecystectomy surgeries, we found that smokers tend to recover faster postoperatively compared to non-smokers in terms of PCO2 levels. However, smokers had lower PO2 levels in the postoperative period and higher HbCO values. Respiratory function tests were more suppressed in smokers, these changes were not clinically significant, and there were no lung or respiratory complications observed in the patients. Smoking does not appear to have an impact on hemodynamic parameters during laparoscopic cholecystectomy surgeries.

Keywords : Laparoscopic cholecystectomy, pulmonary function tests, arterial blood gases, smoking

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Article available in :
Volume 1, Issue 4, 2024
Page : 74-79
https://doi.org/10.51271/EAJAIC-0016
Article Information
Received : 12 Ağu 2024
Accepted : 22 Eyl 2024
Published : 15 Eki 2024
Corresponding Author :

Oya Çimen: Department of Anesthesiology and Reanimation Clinic, Ankara Etlik City Hospital, Ankara, Turkiye

[email protected]
Citation : Çimen O, Yazıcıoğlu D, Akkaya ÖT, Özkan D, Alptekin HA, Gümüş İH. The effect of smoking on arterial blood gases, respiratory mechanics and hemodynamic parameters in patients undergoing laparoscopic cholecystectomy. Eur J Anesthesiol Intensive Care. 2024;1(4):74-79.

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