• J Clin Anesth · Sep 1992

    Case Reports

    Anesthesia for pediatric laparoscopic cholecystectomy.

    • M T Walsh and T R Vetter.
    • Department of Anesthesiology, Children's Hospital Medical Center, Akron, OH 44308.
    • J Clin Anesth. 1992 Sep 1; 4 (5): 406-8.

    AbstractWe report the general anesthetic events and clinical concerns encountered with a laparoscopic cholecystectomy in a 19-month-old toddler. Carbon dioxide was insufflated to create a pneumoperitoneum, with resulting intra-abdominal pressures ranging from 5 to 11 mmHg. The end-tidal partial pressure of carbon dioxide (PETCO2) rose as high as 48 mmHg (a 10 mmHg increase from baseline), requiring a 68% increase in minute ventilation to achieve preinsufflation values. Careful monitoring of ventilation, PETCO2, and intra-abdominal pressure are recommended for optimal anesthetic management of the pediatric laparoscopic cholecystectomy patient.

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