AND ANSWERS
Absolute contraindications to laparoscopy - ANS - unable to tolerate laparotomy
- hypovolemic shock
- lack of surgeon training
- no support @ hospital
relative contraindications to laparoscopy - ANS - can't tolerate general anesthesia
- long standing peritonitis
- large abdominal/pelvic mass
- massive hernia
- severe cardiopulmonary disease
visceral artery aneurysm - ANS risk of injury w/ trocar insertion
previous abdominal surgery scars can be an issue, may have intraperitoneal adhesions
CO2 - ANS readily absorbed, easily eliminated
increase end tidal CO2, increase arterial CO2 concentration, decrease serum pH, greatest
change is seen in the first 20 minutes
nitric oxide - ANS less acid base issues, can be tolerated in cardiopulmonary patients, slightly
less postoperative pain
which has less light - 5 mm 30 degree lens or 10 mm 0 degree? - ANS 4 mm 30 degree
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