Anaesthesia for laparoscopic procedures in infants and children: indications, intra- and post-operative management, prevention and treatment of complications.
This paper reviews the main physiological consequences of the creation of a pneumoperitoneum in neonates, infants and young children. Validated indications of laparoscopic surgery are reported and the main adverse effects of this type of management are detailed as well as the preventive or therapeutic measures recommended to limit their negative consequences. Anaesthetic precautions and recommendations are developed, both for intra- and post-operative management of paediatric patients.
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Département d'Anaesthésie-Réanimation Chirurgicale Anaesthésie-Réanimation Pédiatrique, CHU Dupuytren, 87042 Limoges Cedex, France.