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Year : 2009  |  Volume : 12  |  Issue : 3  |  Page : 311-318

Daycase laparoscopic gynaecological procedures--current trends in anaesthetic management

Department of Anaesthesiology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

Correspondence Address:
B O Onajin-Obembe
Department of Anaesthesiology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

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Source of Support: None, Conflict of Interest: None

PMID: 19803033

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Laparoscopy for gynaecological procedures is minimally invasive and is mostly performed as a daycase. The advancement of laparoscopy and minimal access surgery has greatly influenced the evolution of anaesthetic techniques. Preoperative assessment can be simplified by the use of questionnaires in pre-assessment clinics. Intraoperative intravenous fluid administration improves patient well being while airway management can be by the age-old, tried and trusted orotracheal tube or by the newer laryngeal mask airways. The use of propofol as an induction agent, a short acting non-depolarizing muscle relaxant e.g. mivacurium, an inhalational anaesthetic agent with a fast wake up time e.g. sevoflurane or desflurane, and short acting opioids e.g. fentanyl guarantees quick recovery of patients. The trend towards a multimodal approach to postoperative pain and prevention of postoperative nausea and vomiting (PONV) improves postoperative profile of day case gynaecological patients. Expertise in providing a pneumoperitoneum with carbon dioxide is desirable even as other options for lifting the abdominal wall are being investigated.

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