Anesthetic Considerations for Laser, Laparoscopy, and Thoracoscopy Procedures

Dr. Gholipour

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Anesthetic Considerations for Laser, Laparoscopy, and Thoracoscopy Procedures

Jane E. Quandt



Pages:
6
Publisher: Clinical Techniques in Small Animal Practice
Language: English
Edition: 22: Vol 14, No 1 (February), 1999: pp 50-55



Description
Techntques gaining popularfly in veterinary medicine, which require spectal consideration when being performed on the anesthetized patient. For laser surgery, consideration must be given to the possibility of atmospheric contaminatton, inappropriate energy transfer, eye injury, perforation of a vessel or anatomm structure, perforation of the endotracheal tube, and fire. The primary concern with laparoscopy and thoracoscopy ts the creation of a pneumopentoneum or pneumothorax, which can result in (1) hypercarbia and inadequate ventilation, (2) poor cardiac output and systemic blood pressure, and (3) gas embolism. To mintmize complications, patients should be placed on positive pressure ventilation, be well hydrated before and during the procedure, and be thoroughly monitored (ECG, capnography, pulse oxlmetry).




 
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