Hemodynamic effects of laparoscopic cholecystectomy.
Since the introduction of laparoscopic cholecystectomy, the procedure has rapidly gained popularity. It has a demonstrated safety record and several potential advantages to patients, including decreased cost and a more rapid postoperative recovery. The usual reasons for conversion from laparoscopic to open cholecystectomy are surgical in nature. There have been several reports in the literature of patients being converted from laparoscopic to open procedures for reasons of patient instability. This case report outlines the hemodynamic response seen in two patients undergoing laparoscopic cholecystectomy and how their cases were managed.
Loder
W A
WA
Department of Anesthesiology, Geisinger Medical Center, Danville, Pennsylvania 17822-2025.
Minnich
M
M
Brotman
S
S
D000328:Adult; D000368:Aged; D001145:Arrhythmias, Cardiac / Q000503:physiopathology; D001794:Blood Pressure / Q000502:physiology; D002302:Cardiac Output / Q000502:physiology; D002303:Cardiac Output, Low / Q000503:physiopathology; D002496:Central Venous Pressure / Q000502:physiology; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects / Q000379:methods; D005260:Female; D006339:Heart Rate / Q000502:physiology; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000503:physiopathology; D009203:Myocardial Infarction / Q000503:physiopathology; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects; D011669:Pulmonary Wedge Pressure / Q000502:physiology; D014655:Vascular Resistance / Q000502:physiology