Anesthesia for laparoscopy a review pdf năm 2024
Anesthesia For Laparoscopy in The Pediatric Patient0% found this document useful (0 votes) Show
27 views 20 pages Original Titlepennant2001(1).pdf Copyright© © All Rights Reserved Available FormatsPDF, TXT or read online from Scribd Share this documentDid you find this document useful?0% found this document useful (0 votes) 27 views20 pages Anesthesia For Laparoscopy in The Pediatric PatientJump to Page You are on page 1of 20 Reward Your CuriosityEverything you want to read. Anytime. Anywhere. Any device. No Commitment. Cancel anytime. Laparoscopy is the process of inspecting the abdominal cavity through an endoscope. Carbon dioxide is most universally used to insufflate the abdominal cavity to facilitate the view. However, several pathophysiological changes occur after carbon dioxide pneumoperitoneum and extremes of patient positioning. A thorough understanding of these pathophysiological changes is fundamental for optimal anesthetic care. Because expertise and equipment have improved, laparoscopy has become one of the most common surgical procedures performed on an outpatient basis and to sicker patients, rendering anesthesia for laparoscopy technically difficult and challenging. Careful choice of the anesthetic technique must be tailored to the type of surgery. General anesthesia using balanced anesthesia technique including several intravenous and inhalational agents with the use of muscle relaxants showed a rapid recovery and cardiovascular stability. Peripheral nerve blocks and neuraxial anesthesia were both considered as safe alternative to general anesthesia for outpatient pelvic laparoscopy without associated respiratory depression. Local anesthesia infiltration has shown to be effective and safe in microlaparoscopy for limited and precise gynecologic procedures. However, intravenous sedation is sometimes required. This article considers the pathophysiological changes during laparoscopy using carbon dioxide for intra-abdominal insufflation, outlines various anesthetic techniques of general and regional anesthesia, and discusses recovery and postoperative complications after laparoscopic abdominal surgery. PubMed Disclaimer Similar articles
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Effects of two alveolar recruitment maneuvers in an "open-lung" approach during laparoscopy in dogs. Di Bella C, Vicenti C, Araos J, Lacitignola L, Fracassi L, Stabile M, Grasso S, Crovace A, Staffieri F. What is the optimal anesthesia for laparoscopy?The safest technique of anaesthesia remains GA with endotracheal intubation in those with no contraindications, with maintenance of intra-operative end-tidal carbon dioxide (EtCO2) around 35 mmHg with adjustments in tidal volume or respiratory rate. What kind of anesthesia is used for laparoscopic surgery?Laparoscopic abdominal surgery is conventionally done under general anesthesia. Spinal anesthesia is usually preferred in patients where general anesthesia is contraindicated. What are the complications of anesthesia for laparoscopy?Anesthesiologists must maintain a high index of suspicion for complications such as gas embolism, extraperitoneal insufflation and surgical emphysema, pneumothorax and pneumomediastinum. Postoperative nausea and vomiting are among the most common and distressing symptoms after laparoscopic surgery. Do they put you to sleep for a laparoscopy?A laparoscopy is done under general anaesthetic, so you'll be asleep during the operation and will not feel any pain. The surgeon will make a small cut, usually near your belly button. Air is pumped into your tummy through the cut so the surgeon can see inside your tummy more easily. |
