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Monitoring and Management of Physiological Changes Caused by Pneumoperitoneum

  • Chapter
The Pathophysiology of Pneumoperitoneum

Abstract

The introduction of therapeutic laparoscopic procedures has been associated with several physiological changes and complications that were not encountered in conventional surgery. These include respiratory and hemodynamic embarrassment, hypercarbia, gas embolism, pneumothorax, pulmonary aspiration of gastric contents, cardiac arrhythmias, and increased intracranial pressure (ICP). These changes and complications are primarily caused by increased intra-abdominal pressure during the establishment of pneumoperitoneum (PP) [1–3].

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Authors
  1. I. Azar
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Editor information

Editors and Affiliations

  1. Department of Surgery, Mount Sinai Medical Center, One L. Gustave Levy Place, New York, NY, 10029-6574, USA

    Raul J. Rosenthal M.D.

  2. The Mount Sinai Hospital, Mount Sinai School of Medicine, One L. Gustave Place, New York, NY, 10029-6574, USA

    Raul J. Rosenthal M.D.

  3. Department of Surgery, Beth Israel Medical Center, 16th Street and 1st. Ave, New York, NY, 10002, USA

    Richard L. Friedman M.D.

  4. Division of Endoscopic Surg., Cedars-Sinai Medical Center, 8700 Beverly Boulevard, Los Angeles, CA, 90048, USA

    Edward H. Phillips M.D., F.A.C.S.

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© 1998 Springer-Verlag Berlin Heidelberg

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Azar, I. (1998). Monitoring and Management of Physiological Changes Caused by Pneumoperitoneum. In: Rosenthal, R.J., Friedman, R.L., Phillips, E.H. (eds) The Pathophysiology of Pneumoperitoneum. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60290-0_12

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  • DOI: https://doi.org/10.1007/978-3-642-60290-0_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64339-2

  • Online ISBN: 978-3-642-60290-0

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