Anesthetic management of laparoscopic surgery in a patient with a ventriculoperitoneal shunt.
With advanced knowledge of management of hydrocephalus, patients with ventriculoperitoneal shunts are expected to enjoy a longer lifetime. Developments in both instrumentations and surgical techniques have led to increasing popularity of laparoscopic surgery in many surgical subspecialties. Therefore, it is not a surprising event that a patient with a ventriculoperitoneal shunt is scheduled for a laparoscopic surgery under anesthesia. Until now, there is no uniformized protocol for anesthetic management of a patient with a ventriculoperitoneal shunt undergoing laparoscopic surgery. Increased intracranial pressure may occur intraoperatively and be a major concern. We report here our experience in anesthetic management of such a patient and discuss the anesthetic considerations and the potential complications.
Wang
Ying-Ming
YM
Department of Anesthesiology, Kaohsiung Veterans General Hospital, No. 386, Ta-Chung 1st Rd, Kaohsiung 813, Taiwan, R.O.C.
Liu
Yen-Chin
YC
Ye
Xuan-De
XD
Chia
Yuan-Yi
YY
Liu
Kang
K
D000368:Aged; D000768:Anesthesia, General / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D017287:Ventriculoperitoneal Shunt