By A. Smamsa
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Additional info for Advanced Laparoscopy
Anesthetic management with remifentanil infusion during laparoscopic cholecystectomy. 1232-5, ISSN 0021-4892 Whalen, FX; Gajic, O; Thompson, GB; Kendrick, ML; Que, FL; Williams, BA; Joyner, MJ; Hubmayr, RD; Warner, DO. & Sprung, J. (2006). The effects of the alveolar 26 Advanced Laparoscopy recruitment maneuver and positive end-expiratory pressure on arterial oxygenation during laparoscopic bariatric surgery. 1, (Jan 2006), pp. 298–305, ISSN 0003-2999 White PF. (2008). Multimodal analgesia: its role in preventing postoperative pain.
The short trachea in children increases the risk of endobronchial intubation. The tip of the tracheal tube has been observed to have a tendency to be displaced caudally with the cranial displacement of lung tissue and carina during the establishment of pneumoperitoneum. This risk is greater when the head up Trendelenburg tilt is employed to facilitate laparoscopy of the upper aspect of the abdominal cavity (Böttcher-Haberzeth et al, 2007). Prior discussion with the anaesthetic team will enable appropriate choice of tube, depth of endotracheal tube placement and degree of neck extension required to prevent this complication.
Bax and van der Zee (2004) reported improved outcome from laparoscopy assisted interruption of the median sacral artery and dissection of the internal component of sacrococcygeal teratomas. Desai et al (2009) reported the ligation of median sacral artery in a premature neonate with a giant sacrococcygeal teratoma achieving minimal blood loss in the remaining part of the surgery. 2 Laparoscopy in trauma Diagnostic laparoscopy is gaining increasing application in paediatric trauma in the stable patient with equivocal clinical parameters not requiring immediate laparotomy but not symptom-free.
Advanced Laparoscopy by A. Smamsa