Anesthesia for laparoscopic surgery in children

This article represents an overview of the anesthetic problems connected with laparoscopic surgery in neonates and older children. Hemodynamic, respiratory and acid-base changes during these procedures are the conseqences of intraabdominal carbon dioxide insufflation, patients position on the operating table and the patients age. During laparoscopic appendectomy we noticed an average rise in heart rate (225%), systolic blood pressure (157%) and diastolic pressure (244%), compared with preoperative values. During laparoscopic cholecystectomy the average rise in heart rate was 358%, in systolic blood pressure 227% and 297% in diastolic pressure. We did not notice any rise in pulse or blood pressure during laparoscopic pyloromyotomy. Intraabdominal pressure should not exceed 15 mmHg during laparoscopic surgery and not even 6 mmHg in laparoscopic pyloromyotomy. Knowing the principles of pediatric anesthesia and respecting the contraindications for laparoscopy, the authors conclude that the patient