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Pediatric anesthesia for minimally invasive surgery in pediatric urology
- Publication Year :
- 2016
- Publisher :
- AME Publishing Company, 2016.
-
Abstract
- Laparoscopic or robotic minimally invasive approaches have become the standard of care for many urological pediatric surgical procedures. Anesthetic concerns for conventional and robotic laparoscopy are similar since they both require insufflations of CO 2 to allow visualization of surgical field and perform surgery. Even if required insufflation pressures and volumes are lower in pediatric patients (given the small size of the abdomen and laxity of the abdominal walls), the associated increase of intra-abdominal pressure, along with absorption of CO 2 and surgical positioning requirement, may result in neurendocrine and mechanical impact capable to mine cardiopulmonary function. Moreover, laparoscopic approach may require specific positioning. A correct positioning is essential to allow the surgical team to optimally and safely access to the patient. The knowledge of patient’s health status, along with the multiple physiologic changes that can occur and specific potential complications, allow the anesthesiologist to provide a safer an aesthesia.
- Subjects :
- Insufflation
medicine.medical_specialty
Surgical team
medicine.diagnostic_test
business.industry
Review Article
Pediatric urology
Surgery
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
030202 anesthesiology
Pediatrics, Perinatology and Child Health
Invasive surgery
medicine
Abdomen
030212 general & internal medicine
Pediatric anesthesia
Pediatric Surgical Procedures
Laparoscopy
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....22c74ad3838859e131415591863a56c6