A Laparoscopic Cholecystectomy in a Patient with Aortic Dissection.
10.4097/kjae.2002.42.3.409
- Author:
Bong Il KIM
1
;
Jin Yong CHUNG
;
Hee O KIM
Author Information
1. Department of Anesthesiology, School of Medicine, Catholic University of Daegu, Daegu, Korea. bikim@cataegu.ac.kr
- Publication Type:Case Report
- Keywords:
Aortic dissection;
hemodynamics;
laparoscopic cholecystectomy
- MeSH:
Atracurium;
Blood Pressure;
Cholecystectomy, Laparoscopic*;
Emergency Service, Hospital;
Female;
Fentanyl;
Hemodynamics;
Humans;
Isoflurane;
Isosorbide Dinitrate;
Lidocaine;
Middle Aged;
Propofol;
Propranolol
- From:Korean Journal of Anesthesiology
2002;42(3):409-413
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We experienced a case of a laparoscopic cholecystectomy in a 64 year old woman with DeBakey type IIIb, Daily type B abdominal aortic dissection diagnosed at the emergency room. Isosorbide dinitrate and propranolol were given for control of blood pressure preoperatively. Fentanyl, propofol, atracurium, lidocaine, esmolol and isoflurane were used for smooth induction, and isoflurane in a mixture of O2, N2O (1:1) were inhaled for maintenance. Intraabdominal pressure for pneumoperitonium was kept to 10 mmHg which was lower than that of usual use. An A-line, ETCO2, pulse oximeter and thoracic bioimpedance were monitored. The patient was anesthetized safely and discharged 3 days after the operation. The hemodynamic changes during pneumoperitonium and it's correlation with aortic dissection are discussed.
