Anaesthesiology.
Because of the extension of laparoscopic surgery to older patients with more complicated medical histories, anaesthetists increasingly have to face the problem of haemodynamic and respiratory tolerance of the technique. The management of such problems requires the understanding of the mechanisms involved, and their implications in terms of patient selection. Protocols where the maintenance of anaesthesia is provided using halogenated agents like isoflurane or desflurane have been shown to blunt the increase in systemic vascular resistances induced by CO2 insufflation and therefore enhance the haemodynamic tolerance of this procedure.
Schoeffler
P
P
Department of Anesthesiology and Resuscitation, Gabriel Montpied Hospital, Clermont-Ferrand, France.
Bazin
J E
JE
D000768:Anesthesia, General / Q000009:adverse effects*; D006439:Hemodynamics; D006801:Humans; D010535:Laparoscopy; D008168:Lung / Q000502:physiology; D018579:Patient Selection; D011183:Postoperative Complications / Q000628:therapy