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South African Journal of Surgery

On-line version ISSN 2078-5151
Print version ISSN 0038-2361

S. Afr. j. surg. vol.49 n.1 Cape Town Feb. 2011




Anaesthetic considerations for paediatric laparoscopy



L. Lasersohn

M.B. B.Ch., D.A. (S.A.), F.C.A. (S.A.), Cert. Crit. Care (S.A.); Anaesthesiologist and Intensive Care Physician, Private Practice




Children, infants and neonates represent an anaesthetic challenge because of age-specific anatomical and physiological issues. Apart from paediatric-specific anaesthetic considerations, the paediatric anaesthetist must understand the implications of laparoscopic surgery, and prevent and react appropriately to changes that will occur during these procedures. Pre-operative assessment is a multi-specialist responsibility. Predicting the effects on each organ system, planning the strategy required and maintaining open communication within the team ensure the success of the operation and limit peri-operative morbidity.


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