[Anesthetic Management of Gynecological Laparoscopic Surgery].
Masui
; 65(9): 918-923, 2016 09.
Article
en Ja
| MEDLINE
| ID: mdl-30358318
ABSTRACT
Indications for laparoscopic gynecologic surgery have been broadened. Although it is a rather noninvasive surgical procedure, it requires meticulous anesthetic management. Intraoperatively, hemodynamic and respiratory changes occur due to carbon dioxide insuf- flation, increased intraperitoneal pressure, and head- down position. Ventilator setting should be changed to cope with decreased chest-lung compliance and increased load of carbon dioxide during pneumoperitoneum in the head-down position. Mild hypercarbia may be per- mitted during this period to avoid ventilator-induced lung injury. Because the incidence of postoperative nausea and vomiting is high, it is recommended to use total intravenous anesthesia and prophylactic use of multiple antiemetics such as droperidol and dexameth- asone.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Ginecológicos
/
Laparoscopía
/
Anestésicos
Límite:
Female
/
Humans
Idioma:
Ja
Revista:
Masui
Año:
2016
Tipo del documento:
Article