Pathophysiology of pneumoperitoneum and Anesthesia for Laparoscopic Surgery

Anesthesia For Laparoscopic Surgery

Laparoscopic surgery is a principle technique for minimally invasive surgery of the abdomen, and it has been employed in procedures ranging across multiple surgical disciplines. Gynecologic surgeries were among its first applications. The advantages of laparoscopy in comparison to open abdominal surgery include reduced surgical trauma, less pain, fewer post-operative pulmonary complications, and shorter recovery times.

To provide optimal surgical conditions for laparascopy, the abdominal organs must be adequately exposed and the laparascopic ports and instruments must be inserted safely and in proper position. This is achieved with a multi-part approach that includes decompression of the GI tract followed by establishment of general anesthesia, muscle relaxation, pneumoperitoneum, and Trendelenburg position.

Dr.Neeta Taneja,is presently working as Sr.Consultant,Anesthesiology in a private 400 bedded multi-speciality hospital, Sri Balaji Action Medical Institute in New Delhi She is MD and DNB Special Interest in Intensive Care.
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Tracheostomy

Tracheotomy refers to the surgical opening of the trachea while tracheostomy refers to the creation of a
stoma at the skin surface, which leads to the trachea.

The history of surgical access to the airway is largely one of condemnation. This technique of slashing
the throat to save a life was known as semi-slaughter. However, once the technique was perfected as a
last  resort  in  largely  hopeless  cases  of  diphtheria,  the  opportunities  it  offered  for  medical  heroism
ensured its place in the surgical armamentarium, such that Fabricius could write in the 17th century,
“This operation redounds to the honor of the physician and places him on a footing with the Gods”.
Tracheostomy was performed in ancient Egypt and is one of the oldest surgical procedures. 1  Chevalier
Jackson described the principles of tracheostomy at the beginning of the 20 th  century. 2

Tracheostomies  may  be  temporary  or  permanent.  A  temporary  tracheostomy  may  be  used  as  a
permanent  tracheostomy  however  there  will  still  be  a  communication  between  the  pharynx  and  the
lower airway via the larynx.

Given below are some powerpoint presentations on tracheostomy. some of them i found on internet and a few i uploaded myself.

Do share them for benefit of community

Tracheostomy Overview

 

Tracheostomy Presentation for PG students

Percutaneous Tracheostomy

 

Care of  Tracheostomy

Tracheostomy PDF

ISA Kakinada