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Category: Volume 07 Issue 07 July 2019
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Title: A Comparative Study: Haemodynamic Changes in Paediatric Laparoscopic Surgery

Authors: Dr H N Madhusudana, Dr Aditya Sapra, Dr A B Tiwari, Dr Nikhil Mestha

 DOI: https://dx.doi.org/10.18535/jmscr/v7i7.72

Abstract

The paediatric laparoscopic surgery has gained popularity due to reduced morbidity, mortality and health care costs. However, the intra-abdominal pressure (IAP) and higher vagal tone are critical determinants of cardiovascular stability and its anaesthetic management during laparoscopy. Paediatric laparoscopic procedures are likely to cause an increase in pulmonary and systemic vascular resistance, sudden bradycardia during pneumoperitoneum because peritoneal stimulation by a blast of insufflated gas or penetration by trocars and laparoscopes. The present study was designed to quantify the changes in haemodynamics and compare these with conventional abdominal surgery.

Keywords and Abbreviation: Oxygen Saturation, Intra-abdominal pressure, Systemic vascular resistance, Cardiac index, End tidal carbon-dioxide, Partial pressure of venous carbon-dioxide.

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Corresponding Author

Dr A B Tiwari

Dept of Anaesthesiology, Air Force Hospital, Kanpur, India 208004