title: [Anesthesia for laparoscopic cholecystectomy].
abstract: Alterations in the serological, pulmonary and cardiocirculatory parameters, potentially determined by CO2 pneumo-peritoneum during laparoscopic cholecystectomy, require careful intraoperative evaluation. With the aim of verifying the real entity of these alterations, an experience is reported relating to 76 of the 303 patients undergoing laparoscopic cholecystectomy during 14 months. During surgery, besides an obvious increase in pO2, a slight hypercarbia and a slight decrease in pH were observed, which required pharmacological intervention in only 5 cases. In no case did the respiratory and haemodynamic alterations observed necessitate the conversion into laparotomy. This initial experience gives us reason to conclude that careful monitoring of the respiratory parameters leads to an adequate anaesthesiological conduct, and thus facilitates the completion of laparoscopic procedures.
authors.affiliation: II Servizio di Anestesia, Rianimazione e Terapia Antalgica, Unità Sanitaria Locale n. 4 di Parma.
authors.forename: F
authors.initials: F
authors.lastname: Taddei
authors.forename: P
authors.initials: P
authors.lastname: Pedrona
authors.forename: M
authors.initials: M
authors.lastname: Ferro
authors.forename: L
authors.initials: L
authors.lastname: Andrao
authors.forename: E
authors.initials: E
authors.lastname: Rossini
authors.forename: L
authors.initials: L
authors.lastname: Sarli
mesh_terms: D000328:Adult; D000368:Aged; D000758:Anesthesia / Q000379:methods*; D002245:Carbon Dioxide / Q000032:analysis / Q000097:blood; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D011300:Preoperative Care
chemical_list: D002245:Carbon Dioxide
vernacular_title: L'anestesia per la colecistectomia laparoscopica.