SlideShare uma empresa Scribd logo
1 de 39
Laparoscopic surgery and its anaesthetic consideration ,[object Object]
INTRODUCTION ,[object Object],[object Object]
ROUTINELY DONE LAPAROSCOPIC SURGERIES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Benefits of laparoscopic surgery: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
SPECIAL CHARACTERISTIC OF LAPAROSCOPIC SURGERY  ,[object Object],[object Object],[object Object]
CHANGES DUE TO PNEUMOPERITONEUM Pneumoperitoneum is created by insufflation of gases through verses needle at @ 1-2 lit /min .   ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
METABOLIC CHANGES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
CARDIOVASCULAR CHANGES These changes are characterized by : Decreased cardiac output Elevation of arterial pressure and pulmonary vascular resistance HR may decrease or increase
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CAN LAPAROSCOPY BE PERFORMED IN ALL PATIENT ??????? ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Anaesthetic management   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Monitoring during laparoscopic surgery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Optional monitoring include   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Technique of anaesthesia   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Regional anaesthesia(Epidural/ Spinal /CSE) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intraoperative complication:   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
It can be diagnosed by ,[object Object],[object Object],[object Object],[object Object],[object Object]
The recommended guidelines are as follows ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ENDOBRONCHIAL INTUBATION ,[object Object]
GAS EMBOLISM ,[object Object],[object Object],[object Object],[object Object]
Suspicion of gas embolism  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosed by  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Early and energetic management of air embolism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
POST OPERATIVE PROBLEMS ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
CARE FOR PREVENTION POST OPERATIVE PROBLEMS ,[object Object],[object Object],[object Object],[object Object]
FUTURE TRENDS: ,[object Object],[object Object],[object Object]
Summary ,[object Object]
 
CO2 remains the insufflation gas of choice because of – ,[object Object],[object Object],[object Object],[object Object],[object Object]
 

Mais conteúdo relacionado

Mais procurados

Anaesthesia for laproscopic procedures (18 jan)
Anaesthesia for laproscopic procedures (18 jan)Anaesthesia for laproscopic procedures (18 jan)
Anaesthesia for laproscopic procedures (18 jan)Sindhu Priya
 
ANAESTHESIA FOR FETAL SURGERY
ANAESTHESIA FOR FETAL SURGERYANAESTHESIA FOR FETAL SURGERY
ANAESTHESIA FOR FETAL SURGERYDr Krunal Bhatt
 
Obstetric hemorrhage: anesthetic implications and management
Obstetric hemorrhage: anesthetic implications and managementObstetric hemorrhage: anesthetic implications and management
Obstetric hemorrhage: anesthetic implications and managementmarwa Mahrous
 
Anaesthesia for laparoscopic surgery_Dr. Tanmoy Roy
Anaesthesia  for  laparoscopic  surgery_Dr. Tanmoy RoyAnaesthesia  for  laparoscopic  surgery_Dr. Tanmoy Roy
Anaesthesia for laparoscopic surgery_Dr. Tanmoy RoyDr. Tanmoy Roy
 
Laparoscopic surgery & it's anaesthetic management
Laparoscopic surgery & it's anaesthetic managementLaparoscopic surgery & it's anaesthetic management
Laparoscopic surgery & it's anaesthetic managementZIKRULLAH MALLICK
 
anaesthesia for lap cholecystectomy
anaesthesia for lap cholecystectomyanaesthesia for lap cholecystectomy
anaesthesia for lap cholecystectomyabhijit wagh
 
Anesthesia for laparoscopic surgery
Anesthesia for laparoscopic surgeryAnesthesia for laparoscopic surgery
Anesthesia for laparoscopic surgeryGetachew Jiregna
 
Anaesthetic consideration of TURP
Anaesthetic consideration of TURPAnaesthetic consideration of TURP
Anaesthetic consideration of TURPZIKRULLAH MALLICK
 
Anaesthesia for ehpvo and lieno renal shunt
Anaesthesia for ehpvo and lieno renal shuntAnaesthesia for ehpvo and lieno renal shunt
Anaesthesia for ehpvo and lieno renal shuntDr. Ravikiran H M Gowda
 
Anesthesia in Transurethral resection of prostate
Anesthesia in Transurethral resection of prostateAnesthesia in Transurethral resection of prostate
Anesthesia in Transurethral resection of prostateAshish Dhandare
 
Anesthesia ForPregnancy induced hypertension
Anesthesia ForPregnancy induced hypertension Anesthesia ForPregnancy induced hypertension
Anesthesia ForPregnancy induced hypertension krishna dhakal
 
Seminar on laparoscopic surgery and its anaesthetic consideration1
Seminar on laparoscopic surgery and its anaesthetic consideration1Seminar on laparoscopic surgery and its anaesthetic consideration1
Seminar on laparoscopic surgery and its anaesthetic consideration1drsauravdas1977
 
Anaesthesia For Laparoscopy
Anaesthesia For LaparoscopyAnaesthesia For Laparoscopy
Anaesthesia For LaparoscopyBilal Baig
 
Robotic Surgery- Anaesthesia Considerations
Robotic Surgery- Anaesthesia ConsiderationsRobotic Surgery- Anaesthesia Considerations
Robotic Surgery- Anaesthesia ConsiderationsRanjith Thampi
 

Mais procurados (20)

Anaesthesia for laproscopic procedures (18 jan)
Anaesthesia for laproscopic procedures (18 jan)Anaesthesia for laproscopic procedures (18 jan)
Anaesthesia for laproscopic procedures (18 jan)
 
Anest turp
Anest turpAnest turp
Anest turp
 
ANAESTHESIA FOR FETAL SURGERY
ANAESTHESIA FOR FETAL SURGERYANAESTHESIA FOR FETAL SURGERY
ANAESTHESIA FOR FETAL SURGERY
 
ASRA Guidelines
ASRA GuidelinesASRA Guidelines
ASRA Guidelines
 
Obstetric hemorrhage: anesthetic implications and management
Obstetric hemorrhage: anesthetic implications and managementObstetric hemorrhage: anesthetic implications and management
Obstetric hemorrhage: anesthetic implications and management
 
Anaesthesia for laparoscopic surgery_Dr. Tanmoy Roy
Anaesthesia  for  laparoscopic  surgery_Dr. Tanmoy RoyAnaesthesia  for  laparoscopic  surgery_Dr. Tanmoy Roy
Anaesthesia for laparoscopic surgery_Dr. Tanmoy Roy
 
Laparoscopic surgery & it's anaesthetic management
Laparoscopic surgery & it's anaesthetic managementLaparoscopic surgery & it's anaesthetic management
Laparoscopic surgery & it's anaesthetic management
 
Thoracic surgery anesthesia
Thoracic surgery anesthesiaThoracic surgery anesthesia
Thoracic surgery anesthesia
 
Tumescent anesthesia
Tumescent anesthesiaTumescent anesthesia
Tumescent anesthesia
 
anaesthesia for lap cholecystectomy
anaesthesia for lap cholecystectomyanaesthesia for lap cholecystectomy
anaesthesia for lap cholecystectomy
 
Anesthesia for laparoscopic surgery
Anesthesia for laparoscopic surgeryAnesthesia for laparoscopic surgery
Anesthesia for laparoscopic surgery
 
Anaesthetic consideration of TURP
Anaesthetic consideration of TURPAnaesthetic consideration of TURP
Anaesthetic consideration of TURP
 
Anaesthesia for ehpvo and lieno renal shunt
Anaesthesia for ehpvo and lieno renal shuntAnaesthesia for ehpvo and lieno renal shunt
Anaesthesia for ehpvo and lieno renal shunt
 
Anesthesia in Transurethral resection of prostate
Anesthesia in Transurethral resection of prostateAnesthesia in Transurethral resection of prostate
Anesthesia in Transurethral resection of prostate
 
Anesthesia ForPregnancy induced hypertension
Anesthesia ForPregnancy induced hypertension Anesthesia ForPregnancy induced hypertension
Anesthesia ForPregnancy induced hypertension
 
Seminar on laparoscopic surgery and its anaesthetic consideration1
Seminar on laparoscopic surgery and its anaesthetic consideration1Seminar on laparoscopic surgery and its anaesthetic consideration1
Seminar on laparoscopic surgery and its anaesthetic consideration1
 
Anaesthesia For Laparoscopy
Anaesthesia For LaparoscopyAnaesthesia For Laparoscopy
Anaesthesia For Laparoscopy
 
Robotic Surgery- Anaesthesia Considerations
Robotic Surgery- Anaesthesia ConsiderationsRobotic Surgery- Anaesthesia Considerations
Robotic Surgery- Anaesthesia Considerations
 
Anesthesia for Lower limb revascularization
Anesthesia for Lower limb revascularizationAnesthesia for Lower limb revascularization
Anesthesia for Lower limb revascularization
 
Anaesthesia For Obese Patient
Anaesthesia For Obese PatientAnaesthesia For Obese Patient
Anaesthesia For Obese Patient
 

Destaque

01 tuong phan
01 tuong phan01 tuong phan
01 tuong phanDuy Quang
 
Ent scopies
Ent scopiesEnt scopies
Ent scopiesD Nkar
 
Anaesthesia breathing systems
Anaesthesia breathing systemsAnaesthesia breathing systems
Anaesthesia breathing systemsD Nkar
 
Presentation on aneasthetic machine edited 21st july (2)
Presentation on aneasthetic machine edited 21st july (2)Presentation on aneasthetic machine edited 21st july (2)
Presentation on aneasthetic machine edited 21st july (2)MD. HASANUL HAQUE SAGOR
 
Anesthesia for laparoscopic surgeries
Anesthesia for laparoscopic surgeriesAnesthesia for laparoscopic surgeries
Anesthesia for laparoscopic surgeriesshabbir mulla
 
INTRA-ARTERIAL BLOOD PRESSURE MONITORING
INTRA-ARTERIAL BLOOD PRESSURE MONITORING INTRA-ARTERIAL BLOOD PRESSURE MONITORING
INTRA-ARTERIAL BLOOD PRESSURE MONITORING vikramnaidu2311
 
Anesthesia Machine
Anesthesia MachineAnesthesia Machine
Anesthesia MachineKhalid
 

Destaque (10)

Anesthesia 5th year, 6th & 7th lectures (Dr. Gona)
Anesthesia 5th year, 6th & 7th lectures (Dr. Gona)Anesthesia 5th year, 6th & 7th lectures (Dr. Gona)
Anesthesia 5th year, 6th & 7th lectures (Dr. Gona)
 
01 tuong phan
01 tuong phan01 tuong phan
01 tuong phan
 
Ent scopies
Ent scopiesEnt scopies
Ent scopies
 
Anaesthesia breathing systems
Anaesthesia breathing systemsAnaesthesia breathing systems
Anaesthesia breathing systems
 
Presentation on aneasthetic machine edited 21st july (2)
Presentation on aneasthetic machine edited 21st july (2)Presentation on aneasthetic machine edited 21st july (2)
Presentation on aneasthetic machine edited 21st july (2)
 
Anesthesia for laparoscopic surgeries
Anesthesia for laparoscopic surgeriesAnesthesia for laparoscopic surgeries
Anesthesia for laparoscopic surgeries
 
INTRA-ARTERIAL BLOOD PRESSURE MONITORING
INTRA-ARTERIAL BLOOD PRESSURE MONITORING INTRA-ARTERIAL BLOOD PRESSURE MONITORING
INTRA-ARTERIAL BLOOD PRESSURE MONITORING
 
Anesthesia Machine
Anesthesia MachineAnesthesia Machine
Anesthesia Machine
 
Anaesthetic techniques
Anaesthetic techniquesAnaesthetic techniques
Anaesthetic techniques
 
General anaesthesia (New) - drdhriti
General anaesthesia (New) - drdhriti General anaesthesia (New) - drdhriti
General anaesthesia (New) - drdhriti
 

Semelhante a Seminar on laparoscopic surgery and its anaesthetic consideration

Anesthesia__management_of_Laparoscopic__Surgery.pptx
Anesthesia__management_of_Laparoscopic__Surgery.pptxAnesthesia__management_of_Laparoscopic__Surgery.pptx
Anesthesia__management_of_Laparoscopic__Surgery.pptxnirap1
 
anaesthesia in laparoscopic surgery
anaesthesia in laparoscopic surgeryanaesthesia in laparoscopic surgery
anaesthesia in laparoscopic surgeryRomm Ralte
 
Anesthesia for laproscopic surgery
Anesthesia for laproscopic surgeryAnesthesia for laproscopic surgery
Anesthesia for laproscopic surgerypuneet verma
 
Hemodynamic changes associated with laproscopic surgeries
Hemodynamic changes associated with laproscopic surgeriesHemodynamic changes associated with laproscopic surgeries
Hemodynamic changes associated with laproscopic surgeriessankarnitc
 
shalini laparo [Autosaved].pptx
shalini laparo [Autosaved].pptxshalini laparo [Autosaved].pptx
shalini laparo [Autosaved].pptxssuser579a28
 
How do I safely ventilate my patient inOT.pptx
How do I safely ventilate my patient inOT.pptxHow do I safely ventilate my patient inOT.pptx
How do I safely ventilate my patient inOT.pptxchandra talur
 
Anesthesia-in-Laparoscopic-Surgery (2).pdf
Anesthesia-in-Laparoscopic-Surgery (2).pdfAnesthesia-in-Laparoscopic-Surgery (2).pdf
Anesthesia-in-Laparoscopic-Surgery (2).pdfShilpiSEO
 
Anesthesia-in-Laparoscopic-Surgery.pdf
Anesthesia-in-Laparoscopic-Surgery.pdfAnesthesia-in-Laparoscopic-Surgery.pdf
Anesthesia-in-Laparoscopic-Surgery.pdfLaparoscopy Hospital
 
Bronchopleural fistula anesthetic concerns
Bronchopleural fistula  anesthetic concernsBronchopleural fistula  anesthetic concerns
Bronchopleural fistula anesthetic concernspriyanka andal
 
laparoscopy anaesthesia.J.pptx
laparoscopy anaesthesia.J.pptxlaparoscopy anaesthesia.J.pptx
laparoscopy anaesthesia.J.pptxJayalakshmiJayapal
 
BRONCHOPLEURAL fistula pptx.............
BRONCHOPLEURAL fistula pptx.............BRONCHOPLEURAL fistula pptx.............
BRONCHOPLEURAL fistula pptx.............venkateshchowdary71
 
Complications of pulmonary surgery
Complications of pulmonary surgeryComplications of pulmonary surgery
Complications of pulmonary surgeryBPT4thyearJamiaMilli
 
ANAESTHESIA FOR LAPAROSCOPIC SURGERIES.pptx
ANAESTHESIA  FOR LAPAROSCOPIC  SURGERIES.pptxANAESTHESIA  FOR LAPAROSCOPIC  SURGERIES.pptx
ANAESTHESIA FOR LAPAROSCOPIC SURGERIES.pptxsatyajitsahoo63786
 
anaesthesia for laparoscopic surgery.ppt
anaesthesia for laparoscopic surgery.pptanaesthesia for laparoscopic surgery.ppt
anaesthesia for laparoscopic surgery.pptKhodifadVijay
 
Anaesthesia for laparoscopic surgery from ceaccp journal
Anaesthesia for laparoscopic surgery from ceaccp journalAnaesthesia for laparoscopic surgery from ceaccp journal
Anaesthesia for laparoscopic surgery from ceaccp journalChamika Huruggamuwa
 
Anesthesia for toracic surgery
Anesthesia for toracic surgeryAnesthesia for toracic surgery
Anesthesia for toracic surgeryshmahdy1
 
Laparoscopy in COPD: Anaesthesia
Laparoscopy in COPD: Anaesthesia Laparoscopy in COPD: Anaesthesia
Laparoscopy in COPD: Anaesthesia Pallab Nath
 

Semelhante a Seminar on laparoscopic surgery and its anaesthetic consideration (20)

Anesthesia__management_of_Laparoscopic__Surgery.pptx
Anesthesia__management_of_Laparoscopic__Surgery.pptxAnesthesia__management_of_Laparoscopic__Surgery.pptx
Anesthesia__management_of_Laparoscopic__Surgery.pptx
 
anaesthesia in laparoscopic surgery
anaesthesia in laparoscopic surgeryanaesthesia in laparoscopic surgery
anaesthesia in laparoscopic surgery
 
Anesthesia for laproscopic surgery
Anesthesia for laproscopic surgeryAnesthesia for laproscopic surgery
Anesthesia for laproscopic surgery
 
Hemodynamic changes associated with laproscopic surgeries
Hemodynamic changes associated with laproscopic surgeriesHemodynamic changes associated with laproscopic surgeries
Hemodynamic changes associated with laproscopic surgeries
 
shalini laparo [Autosaved].pptx
shalini laparo [Autosaved].pptxshalini laparo [Autosaved].pptx
shalini laparo [Autosaved].pptx
 
How do I safely ventilate my patient inOT.pptx
How do I safely ventilate my patient inOT.pptxHow do I safely ventilate my patient inOT.pptx
How do I safely ventilate my patient inOT.pptx
 
Congenital diaphragmatic hernia
Congenital diaphragmatic herniaCongenital diaphragmatic hernia
Congenital diaphragmatic hernia
 
Thoracic ana.2022
Thoracic ana.2022Thoracic ana.2022
Thoracic ana.2022
 
Anesthesia-in-Laparoscopic-Surgery (2).pdf
Anesthesia-in-Laparoscopic-Surgery (2).pdfAnesthesia-in-Laparoscopic-Surgery (2).pdf
Anesthesia-in-Laparoscopic-Surgery (2).pdf
 
Anesthesia-in-Laparoscopic-Surgery.pdf
Anesthesia-in-Laparoscopic-Surgery.pdfAnesthesia-in-Laparoscopic-Surgery.pdf
Anesthesia-in-Laparoscopic-Surgery.pdf
 
Anesthesia in Laparoscopic Surgery
Anesthesia in Laparoscopic SurgeryAnesthesia in Laparoscopic Surgery
Anesthesia in Laparoscopic Surgery
 
Bronchopleural fistula anesthetic concerns
Bronchopleural fistula  anesthetic concernsBronchopleural fistula  anesthetic concerns
Bronchopleural fistula anesthetic concerns
 
laparoscopy anaesthesia.J.pptx
laparoscopy anaesthesia.J.pptxlaparoscopy anaesthesia.J.pptx
laparoscopy anaesthesia.J.pptx
 
BRONCHOPLEURAL fistula pptx.............
BRONCHOPLEURAL fistula pptx.............BRONCHOPLEURAL fistula pptx.............
BRONCHOPLEURAL fistula pptx.............
 
Complications of pulmonary surgery
Complications of pulmonary surgeryComplications of pulmonary surgery
Complications of pulmonary surgery
 
ANAESTHESIA FOR LAPAROSCOPIC SURGERIES.pptx
ANAESTHESIA  FOR LAPAROSCOPIC  SURGERIES.pptxANAESTHESIA  FOR LAPAROSCOPIC  SURGERIES.pptx
ANAESTHESIA FOR LAPAROSCOPIC SURGERIES.pptx
 
anaesthesia for laparoscopic surgery.ppt
anaesthesia for laparoscopic surgery.pptanaesthesia for laparoscopic surgery.ppt
anaesthesia for laparoscopic surgery.ppt
 
Anaesthesia for laparoscopic surgery from ceaccp journal
Anaesthesia for laparoscopic surgery from ceaccp journalAnaesthesia for laparoscopic surgery from ceaccp journal
Anaesthesia for laparoscopic surgery from ceaccp journal
 
Anesthesia for toracic surgery
Anesthesia for toracic surgeryAnesthesia for toracic surgery
Anesthesia for toracic surgery
 
Laparoscopy in COPD: Anaesthesia
Laparoscopy in COPD: Anaesthesia Laparoscopy in COPD: Anaesthesia
Laparoscopy in COPD: Anaesthesia
 

Último

VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...chandars293
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableNehru place Escorts
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 

Último (20)

VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 

Seminar on laparoscopic surgery and its anaesthetic consideration

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.  
  • 9.
  • 10.
  • 11. CARDIOVASCULAR CHANGES These changes are characterized by : Decreased cardiac output Elevation of arterial pressure and pulmonary vascular resistance HR may decrease or increase
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.  
  • 33.  
  • 34.
  • 35.
  • 36.
  • 37.  
  • 38.
  • 39.