Open AccessPediatric retroperitoneoscopic nephrectomy: An initial experience of 15 cases
Author(s) -
Souvik Maitra,
Puneet Khanna,
Dalim Kumar Baidya,
Dilip Pawar,
Minu Baipai,
Shasanka Shekhar Panda
Publication year - 2015
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.150560
Subject(s) - medicine , nephrectomy , limiting , subcutaneous emphysema , surgery , pain management , anesthesia , hemodynamics , complication , kidney , mechanical engineering , engineering
Retroperitoneoscopic approach of nephrectomy in pediatric patients is a debatable issue from surgical point of view. Experience of anesthetic management of 15 such patients from a tertiary care teaching hospital has been described here. We found that capno-retroperitoneum increases end-tidal carbon-di-oxide, but normocapnea was achieved in the most of the patients. No significant hemodynamic changes were noted in any patients. However, subcutaneous emphysema was common, but self-limiting without any serious consequence. Postoperative pain after this procedure is usually manageable by nonopioid analgesics.