Anesthetic management of laparoscopic surgery in a patient with a ventriculoperitoneal shunt
Wang, Y.-M.; Liu, Y.-C.; Ye, X.-D.; Chia, Y.-Y.; Liu, K.
Acta Anaesthesiologica Sinica 41(2): 85-88
2003
ISSN/ISBN: 0254-1319 PMID: 12934423 Document Number: 552516
With advanced knowledge of management of hydrocephalus, patients with ventriculoperitoneal shunts are expected to enjoy a longer lifetime. Developments in both instrumentations and surgical techniques have led to increasing popularity of laparoscopic surgery in many surgical subspecialties. Therefore, it is not a surprising event that a patient with a ventriculoperitoneal shunt is scheduled for a laparoscopic surgery under anesthesia. Until now, there is no uniformized protocol for anesthetic management of a patient with a ventriculoperitoneal shunt undergoing laparoscopic surgery. Increased intracranial pressure may occur intraoperatively and be a major concern. We report here our experience in anesthetic management of such a patient and discuss the anesthetic considerations and the potential complications.