ANAESTHESIA

 

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

 

 

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ABSTRACT

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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