Anesthesia for gynecologic laparoscopy

Anaesthesia for Laparoscopic Bariatric Surgery: First Time in Bangladesh - A Case Report

“…Systemic vascular resistance is increased with increased intra abdominal pressure (IAP). The degree of IAP determines its effects on venous return and myocardial performance 11 . There is a biphasic cardiovascular response to increases in IAP.…”

Minimally Invasive Gynecological Surgery under Local Anesthesia

“…Three techniques of anesthetic management can be utilized in gynecologic laparoscopy; general anesthesia, regional and local with or without conscious sedation. Whatever the choice, it is mandatory to allow the surgeon to operate safely and adequately, and the patient should recover quickly and with fewer side effects [2].…”

Complications of Gynecologic Laparoscopy

“…These changes to the circulatory and respiratory systems are often not tolerated by patients with finely compensated cardiopulmonary status. 15 Decreasing insufflation pressures, temporarily releasing pneumoperitoneum, and placing the patient flat or in reverse Trendelenburg position may help if a patient decompensates intraoperatively. Aborting the procedure or conversion to laparotomy may be necessary if a patient cannot be stabilized.…”