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Anesthesia on pediatric laparoscopic
Made Wiryana1, I Ketut Sinardja2, Putu Kurniyanta2, Tjokorda GdeAgung Senapathi2, I Made Gede Widnyana2, I Gusti Agung Gede Utara Hartawan2, Pontisomaya Parami2, I Made Darma Junaedi3, Adinda Putra Pradhana3
1 Professor, Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia
2 Senior Lecturer, Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia
3 Resident, Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia
Correspondence Address:
I Made Darma Junaedi
Resident of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Kesehatan Street No 1, Denpasar-Bali
Indonesia
 Source of Support: None, Conflict of Interest: None  | 4 |
DOI: 10.15562/bjoa.v1i1.1
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Laparoscopic surgery has several advantages compared to a regular surgical procedures. This technique can reduce the stress of surgery, reduce the need for postoperative analgesia, decreased respiratory and wound complications, lowering long hospitalization, including in the intensive therapy, and the patient can go back to eat quickly. The magnitude of changes in vital signs that occur will be influenced by the patient's age, cardiovascular function, and anesthetic agents are used.
Physiological changes in pediatric laparoscopic surgery were similar to adults. Children have a higher vagal tone and sometimes a stimulus to the peritoneum by gas insufflation or laparoscopic penetration and trocar can lead to bradycardia and asystole. Intra-abdominal pressure is an important determinant for maintaining cardiovascular stability during laparoscopy. Adequate relaxation needed during the duration of the surgery.
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