Surgical removal of phaeochromocytoma may be accompanied by acute cardiovascular changes. We report the haemodynamic changes in seven patients with retroperitoneal laparoscopic adrenalectomy for phaeochromocytoma. Transient hypertension (systolic pressure (SBP) > 160 mm Hg) was observed in all patients during manipulation of the tumour, in two patients during pneumoretroperitoneum insufflation,...

Laparoscopic surgery, although enjoying ever­ increasing popularity and presenting new anaesthetic challenges, can be potentially hazardous due to the intraperitoneal insufflation of CO 2 that is required for the procedure. Laparoscopy may lead to possibly harmful cardiovascular and respiratory alterations that could possibly be harmful for the patient. Numerous studies have focused on the effe...

Bradycardia after gas insufflation during laparoscopic surgery should be taken seriously as it maybe develop a cardiac arrest. A 25 years old healthy male patient with no medical history or previous anesthesia was scheduled for laparoscopic cholecystectomy. Suffered from unexpected intra-operative cardiac arrest after Bradycardia few minutes after CO2 pneumoperitoneum insufflation. It was immed...

We have studied 14 female patients undergoing elective laparoscopy under general anaesthesia with peritoneal insufflation of carbon dioxide in order to examine changes in physiological deadspace (VDphys), arterial to end-tidal carbon dioxide partial pressure difference (PaCO2-PE' CO2) and PaCO2. VCO2 increased after insufflation of carbon dioxide with a mean (SD) maximum increase of 32 (28)% co...

BACKGROUND Several publications have reported the successful, safe use of Laryngeal Mask Airway (LMA)-Classic devices in patients undergoing laparoscopic surgery. However, there have been no studies that have examined the application of volume-controlled ventilation (VCV) or pressure-controlled ventilation (PCV) using a LMA during gynecological laparoscopy. The aim of this study is to compare h...

Cecal perforation due to barotrauma is an increasingly recognized complication of colonoscopy when using room air for insufflation. CO2 is increasingly being utilized for insufflation due to more rapid absorption compared to ambient air and results in reduced post-procedural pain and flatulence. Use of CO2 is thought to protect against barotrauma injury, and use of CO2 during endoscopy has not ...

We have measured cardiovascular changes associated with insufflation of carbon dioxide and the reverse Trendelenburg position during laparoscopic cholecystectomy, using transoesophageal echocardiography in 13 healthy patients. End-tidal carbon dioxide values increased after insufflation of carbon dioxide, with values significantly (P < 0.05) increased after lateral tilt positioning. Creation of...