19 November 2024 : Review article
Optimizing Anesthetic Management for Laparoscopic Surgery: A Comprehensive Review
Paweł Radkowski
123ABCDEFG, Hubert Oniszczuk 4ABCDEF*, Justyna Opolska 1BCDEF, Aleksandra Kłosińska 1BCDEF, Tariq Dabdoub 1BEF, Dariusz Onichimowski 15AE
DOI: 10.12659/MSM.945951
Med Sci Monit 2024; 30:e945951
Introduction
Pathophysiology of Pneumoperitoneum
Effects of Peritoneal Emphysema on the Cardiovascular System and Visceral Circulation
Respiratory Effects
Neurological Effects
Contraindications for Laparoscopic Operation
Perioperative Management
Ventilation Pressure-Controlled or Volume-Controlled
Use of Muscle Relaxants for Laparoscopy
Postoperative Management
Enhanced Eecovery After Surgery (ERAS) Protocol in Laparoscopic Operations
Analgesia and Pain Management
Prevention of Postoperative Nausea and Vomiting (PONV)
Complications
Conclusions
Future Directions
References
Table 2 Complications of laparoscopic surgery related to related to mechanical damage.
| Bleeding from a damaged vessel, hematomas |
| Perforation of the gastrointestinal wall – peritonitis, abscesses, septic shock |
| Pneumothorax |
| Subcutaneous emphysema |
| CO embolism |
| PONV |
| Postoperative pain |
| CO – carbon dioxide; PONV – postoperative nausea and vomiting. |