Ventilation in patients anaesthetized for laparoscopy

Abstract

Spontaneous ventilation during laparoscopy is dangerous and must be condemned. Adequate controlled ventilation, sufficient to remove the carbon dioxide being excreted by the lungs, must be instituted in all cases. Some of the more serious complications peculiar to this procedure have been discussed, as these directly affect the anaesthetic management of these patients. These include reduction of cardiac output by impedance of venous return, carbon dioxide embolism, visceral perforation, and haemorrhage. © 1970 Canadian Anesthesiologists.