Laparoscopic cholecystectomy: anesthesia-related complications and guidelines.
Although laparoscopic cholecystectomy is gaining worldwide acceptance, it is associated with some nonsurgical complications. We report the occurrence of massive subcutaneous emphysema, bradycardia, malfunctioning oximeters, pulmonary edema, endobronchial intubation, and the patient falling from the table with change in position during this surgical procedure. Choice of anesthetics, commonly occurring anesthetic complications, and management of these problems during laparoscopic surgery are discussed.
Shantha
T R
TR
Southeastern Pain Institute and Medical College of Georgia, Atlanta.
Harden
J
J
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000768:Anesthesia, General / Q000009:adverse effects*; D000777:Anesthetics / Q000008:administration & dosage; D001919:Bradycardia / Q000209:etiology; D002245:Carbon Dioxide / Q000009:adverse effects; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D002985:Clinical Protocols; D004868:Equipment Failure; D005260:Female; D006801:Humans; D000860:Hypoxia / Q000209:etiology; D007327:Insufflation / Q000009:adverse effects; D007431:Intraoperative Complications / Q000517:prevention & control; D007442:Intubation, Intratracheal / Q000009:adverse effects / Q000295:instrumentation; D008297:Male; D010092:Oximetry / Q000009:adverse effects / Q000295:instrumentation; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects; D011187:Posture; D012120:Respiration Disorders / Q000209:etiology; D013352:Subcutaneous Emphysema / Q000209:etiology
D000777:Anesthetics; D002245:Carbon Dioxide