Paediatric laparoscopic surgery is currently an established and the most preferred surgical technique owing to reduced morbidity, mortality and health care costs. The anaesthetic management is the most critical step in paediatric laparoscopic surgery, particularly owing to crowded viscera in a small space, high intra-abdominal pressure and higher vagal tone. These are also a critical determinants of cardiovascular stability in anesthesia. The other concerns are the effects on pulmonary and systemic vascular resistance and sudden severe bradycardia during creation of pneumoperitoneum. The present study is a prospective observational study conducted to quantify the effects of carbon dioxide pneumoperitoneum in paediatric laparoscopy. The parameters monitored are pulse oximetry, basal heart rate, blood pressure (automated NIBP), temperature, continuous electrocardiography, End tidal carbon dioxide pressure, airway pressure, pH of blood and Partial pressure of carbon dioxide in venous blood.
A Prospective Observational Study : The Effects Of Carbon Dioxide Pneumoperitoneum In Paediatric Laparoscopic Surgery
- Awadh Bihari Tiwari
- H N Madhusudana
- Aditya Sapra
Awadh Bihari Tiwari
a:1:{s:5:"en_US";s:28:"7 Air Force Hospital, Kanpur";}
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H N Madhusudana
Cite this:
Tiwari, A. B., Madhusudana , H. N., & Sapra, A. (2020). A Prospective Observational Study : The Effects Of Carbon Dioxide Pneumoperitoneum In Paediatric Laparoscopic Surgery. Journal of Medical Biomedical and Applied Sciences, 8(4), 377–381. https://doi.org/10.15520/jmbas.v8i4.220
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