biliary atresia laparoscopic surgery
| Discussion in 'All Categories' started by xianfengRen - Sep 25th, 2011 7:11 pm. | |
xianfengRen
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how about permissive hypercapnia in laparoscopic infants? |
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re: biliary atresia laparoscopic surgery
by Dr Sadhana -
Sep 25th, 2011
7:44 pm
#1
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Dr Sadhana
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Dear Xian Feng Ren Thanks for your question. We want to inform you that not enough evidence is available to show the effect of permissive hypercapnia compared to routine ventilation for needing mechanical ventilation during laparoscopic surgery. Capnography, Pulse oximetry, NIBP and ECG. Adjust ventilation to end-tidal CO2, and increase ventilation up to 60% via respiratory rate. A positive end-expiratory pressure of 3 |
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re: biliary atresia laparoscopic surgery
by Dr Sadhana -
Sep 25th, 2011
7:46 pm
#2
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Dr Sadhana
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Capnography, Pulse oximetry, NIBP and ECG. Adjust ventilation to end-tidal CO2, and increase ventilation up to 60% via respiratory rate. A positive end expiratory pressure of 3 to 5 cm H2O is recommended to prevent microatelectasis and intrapulmonal shunting. When volatile anesthetics like halothane are used, arrhythmia in hypercapnia should be considered. Isoflurane or Sevoflurane are less likely to lead to myocardial depression |