The first pediatric laparoscopic nephrectomy in the country
- Author:
Clutario Memar T
- Publication Type:Case Reports
- MeSH:
Human;
Female;
Child Preschool;
PEDIATRICS;
NEPHRECTOMY, LAPAROSCOPY;
LAPAROSCOPY;
URINARY INCONTINENCE;
- From:
Philippine Journal of Anesthesiology
2004;16(1):60-64
- CountryPhilippines
- Language:English
-
Abstract:
Pediatric laparoscopic nephrectomy is a safe procedure and can be managed best if we forsee possible complications that are intrinsic with the procedure.
Pediatric patients present a intricate challenge to the anesthesiologist. The anatomical peculiarities in them create dilemma in airway management, notwithstanding the cardiovascular and pulmonary complications that should be anticipated with laparoscopy. A meticulous preoperative evaluation will help us to identify probable difficulties in management of anesthesia. General endotracheal anesthesia that is circumspectly planned and smoothly carried out is the anesthetic technique of choice for our patients. Sevoflurane proves to be the ideal volatile anesthetic for laparoscopic surgery in pediatrics. Use of muscle relaxant is a must and should be guided by the use of a peripheral nerve stimulator.
The collective efforts and communication among the laparoscopy team: surgeons, pediatricians, cardiologists, pulmonologist and anesthesiologists in this case cannot be overemphasized.
