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Anesthesia on Pediatric Laproscopy

Made Wiryana, I Ketut Sinardja, Putu Kurniyanta, Tjokorda GdeAgung Senapathi, I Made Gede Widnyana, I Gusti Agung Gede Utara Hartawan, Pontisomaya Parami, I Made Darma Junaedi , Adinda Putra Pradhana

Made Wiryana
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

I Ketut Sinardja
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

Putu Kurniyanta
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

Tjokorda GdeAgung Senapathi
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

I Made Gede Widnyana
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

I Gusti Agung Gede Utara Hartawan
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

Pontisomaya Parami
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia

I Made Darma Junaedi
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia. Email: anesthesiology@unud.ac.id

Adinda Putra Pradhana
Department of Anesthesiology, Pain Management and Intensive Care, Udayana University, Sanglah General Hospital, Denpasar-Bali, Indonesia
Online First: February 20, 2017 | Cite this Article
Wiryana, M., Sinardja, I., Kurniyanta, P., GdeAgung Senapathi, T., Gede Widnyana, I., Utara Hartawan, I., Parami, P., Darma Junaedi, I., Putra Pradhana, A. 2017. Anesthesia on Pediatric Laproscopy. Bali Journal of Anesthesiology 1(1): 1-6. DOI:10.15562/bjoa.v1i1.1


Laparoscopic surgery has several advantages compared to a regular surgical procedures. This technique can reduce the stress of surgery, reduce the need for postoperative analgesia, decreased respiratory and wound complications, lowering long hospitalization, including in the intensive therapy, and the patient can go back to eat quickly. The magnitude of changes in vital signs that occur will be influenced by the patient's age, cardiovascular function, and anesthetic agents are used. Physiological changes in pediatric laparoscopic surgery were similar to adults. Children have a higher vagal tone and sometimes a stimulus to the peritoneum by insufflation gas or penetration laparoscopic and trocar can lead to bradycardia and asystole. Intra-abdominal pressure is an important determinant for maintaining cardiovascular stability during laparoscopy. Adequate relaxation needed during the duration of the surgery.

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