Department of Anaesthesia, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Ann Afr Med. 2021 Oct-Dec;20(4):310-312. doi: 10.4103/aam.aam_51_20.
Pneumoperitoneum for laparoscopic surgeries has anesthetic implications due to increase in the intra-abdominal pressure and end-tidal carbon dioxide. The effects are more pronounced if the patient has only one lung. However, the advantages of laparoscopy include reduced postoperative pain and early recovery. We present a case of 30-year-old patient who had undergone pneumonectomy and was posted for laparoscopic appendicectomy. General anesthesia was instituted, and with some modifications in ventilation, the procedure was uneventful and we were able to extubate the patient on the table. Understanding of the physiological consequences of pneumonectomy facilitated the provision of safe anesthesia.
气腹会由于腹内压和呼气末二氧化碳的增加对腹腔镜手术的麻醉产生影响。如果患者只有一个肺，这种影响会更加明显。然而，腹腔镜手术的优点包括术后疼痛减轻和早期恢复。我们介绍了一位 30 岁的患者，他曾接受过肺切除术，现在需要进行腹腔镜阑尾切除术。我们给予全身麻醉，并对通气进行了一些调整，手术过程顺利，我们能够在手术台上为患者拔管。对肺切除术生理后果的理解有助于提供安全的麻醉。
