Anaesthesia for laparoscopic surgery: General vs regional anaesthesia
The use of laparoscopy has revolutionised the surgical field with its advantages of reduced morbidity with early recovery. Laparoscopic procedures have been traditionally performed under general anaesthesia (GA) due to the respiratory changes caused by pneumoperitoneum, which is an integral part of...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=1;spage=4;epage=9;aulast=Bajwa |
| _version_ | 1818911986371526656 |
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| author | Sukhminder Jit Singh Bajwa Ashish Kulshrestha |
| author_facet | Sukhminder Jit Singh Bajwa Ashish Kulshrestha |
| author_sort | Sukhminder Jit Singh Bajwa |
| collection | DOAJ |
| description | The use of laparoscopy has revolutionised the surgical field with its advantages of reduced morbidity with early recovery. Laparoscopic procedures have been traditionally performed under general anaesthesia (GA) due to the respiratory changes caused by pneumoperitoneum, which is an integral part of laparoscopy. The precise control of ventilation under controlled conditions in GA has proven it to be ideal for such procedures. However, recently the use of regional anaesthesia (RA) has emerged as an alternative choice for laparoscopy. Various reports in the literature suggest the safety of the use of spinal, epidural and combined spinal-epidural anaesthesia in laparoscopic procedures. The advantages of RA can include: Prevention of airway manipulation, an awake and spontaneously breathing patient intraoperatively, minimal nausea and vomiting, effective post-operative analgesia, and early ambulation and recovery. However, RA may be associated with a few side effects such as the requirement of a higher sensory level, more severe hypotension, shoulder discomfort due to diaphragmatic irritation, and respiratory embarrassment caused by pneumoperitoneum. Further studies may be required to establish the advantage of RA over GA for its eventual global use in different patient populations. |
| first_indexed | 2024-12-19T23:07:25Z |
| format | Article |
| id | doaj.art-c34a5d81ec80430b82766524058fcd5c |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-19T23:07:25Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-c34a5d81ec80430b82766524058fcd5c2022-12-21T20:02:19ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212016-01-011214910.4103/0972-9941.169952Anaesthesia for laparoscopic surgery: General vs regional anaesthesiaSukhminder Jit Singh BajwaAshish KulshresthaThe use of laparoscopy has revolutionised the surgical field with its advantages of reduced morbidity with early recovery. Laparoscopic procedures have been traditionally performed under general anaesthesia (GA) due to the respiratory changes caused by pneumoperitoneum, which is an integral part of laparoscopy. The precise control of ventilation under controlled conditions in GA has proven it to be ideal for such procedures. However, recently the use of regional anaesthesia (RA) has emerged as an alternative choice for laparoscopy. Various reports in the literature suggest the safety of the use of spinal, epidural and combined spinal-epidural anaesthesia in laparoscopic procedures. The advantages of RA can include: Prevention of airway manipulation, an awake and spontaneously breathing patient intraoperatively, minimal nausea and vomiting, effective post-operative analgesia, and early ambulation and recovery. However, RA may be associated with a few side effects such as the requirement of a higher sensory level, more severe hypotension, shoulder discomfort due to diaphragmatic irritation, and respiratory embarrassment caused by pneumoperitoneum. Further studies may be required to establish the advantage of RA over GA for its eventual global use in different patient populations.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=1;spage=4;epage=9;aulast=BajwaGeneral anaesthesia (GA)laparoscopypneumoperitoneumspinal anaesthesia |
| spellingShingle | Sukhminder Jit Singh Bajwa Ashish Kulshrestha Anaesthesia for laparoscopic surgery: General vs regional anaesthesia Journal of Minimal Access Surgery General anaesthesia (GA) laparoscopy pneumoperitoneum spinal anaesthesia |
| title | Anaesthesia for laparoscopic surgery: General vs regional anaesthesia |
| title_full | Anaesthesia for laparoscopic surgery: General vs regional anaesthesia |
| title_fullStr | Anaesthesia for laparoscopic surgery: General vs regional anaesthesia |
| title_full_unstemmed | Anaesthesia for laparoscopic surgery: General vs regional anaesthesia |
| title_short | Anaesthesia for laparoscopic surgery: General vs regional anaesthesia |
| title_sort | anaesthesia for laparoscopic surgery general vs regional anaesthesia |
| topic | General anaesthesia (GA) laparoscopy pneumoperitoneum spinal anaesthesia |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2016;volume=12;issue=1;spage=4;epage=9;aulast=Bajwa |
| work_keys_str_mv | AT sukhminderjitsinghbajwa anaesthesiaforlaparoscopicsurgerygeneralvsregionalanaesthesia AT ashishkulshrestha anaesthesiaforlaparoscopicsurgerygeneralvsregionalanaesthesia |