1 / 16

About OMICS Group

This article reviews reported cases of cardiovascular events in neonates during laparoscopic procedures, highlighting the potential risks and complications. It emphasizes the need for further research in this area and provides recommendations for reducing these adverse effects.

wwanda
Download Presentation

About OMICS Group

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. About OMICS Group OMICS Group is an amalgamation of Open Access publications and worldwide international science conferences and events. Established in the year 2007 with the sole aim of making the information on Sciences and technology ‘Open Access’, OMICS Group publishes 500 online open access scholarly journals in all aspects of Science, Engineering, Management and Technology journals. OMICS Group has been instrumental in taking the knowledge on Science & technology to the doorsteps of ordinary men and women. Research Scholars, Students, Libraries, Educational Institutions, Research centers and the industry are main stakeholders that benefitted greatly from this knowledge dissemination. OMICS Group also organizes 500 International conferences annually across the globe, where knowledge transfer takes place through debates, round table discussions, poster presentations, workshops, symposia and exhibitions.

  2. About OMICS International Conferences OMICS International is a pioneer and leading science event organizer, which publishes around 500 open access journals and conducts over 500 Medical, Clinical, Engineering, Life Sciences, Pharmascientific conferences all over the globe annually with the support of more than 1000 scientific associations and 30,000 editorial board members and 3.5 million followers to its credit. OMICS Group has organized 500 conferences, workshops and national symposiums across the major cities including San Francisco, Las Vegas, San Antonio, Omaha, Orlando, Raleigh, Santa Clara, Chicago, Philadelphia, Baltimore, United Kingdom, Valencia, Dubai, Beijing, Hyderabad, Bengaluru and Mumbai.

  3. Reported cardiovascular events during laparoscopy in term and preterm neonates C. Burgmeier Department of General and Pediatric Surgery, University Medical Center Ulm, Germany

  4. INTRODUCTION (1): • Laparoscopyisprogressivelyperformed in PediatricSurgery, also in neonatesandsmallinfants • Lack ofknowledgeaboutadverseeffectsofminimally invasive surgery • Capnoperitoneumisnecessary • Physiological changesare evident • Neonatesareevenmore sensitive

  5. INTRODUCTION (2): • Cardiacanomaliesandheartdefectsare a specialsituationforlaparoscopy • Onereportedcaseof ARDS duringlaparoscopic inguinal herniarepair in a termboywith PFO (not hemodynamically relevant preoperatively) Hemodynamic effects of laparoscopic surgery in term and preterm infants with cardiac anomalies. BurgmeierC, Schier F. PediatrSurg Int. 2013 Jun;29(6):587-90

  6. INTRODUCTION (3): • Increased abdominal pressureandhypercapnia → Cardiacoutput ↓andperipheralvascularresistance ↑ • These impactsmaycausehypoxemia, hypotension, acidosisandhypercapnia • Limited dataregarding cardiovascularcomplications impliedbylaparoscopyis available

  7. AIM AND METHODS: • Review of the literature • Reported cardiovascular events during laparoscopic procedures in term and preterm neonates • PubMed, Medline and ScienceDirect

  8. RESULTS (1): • Four single case reports • Cardiovascular events during laparoscopic procedures • Two term and two preterm neonates • Laparoscopic pyloromyotomy (n = 2) and laparoscopic repair of duodenal atresia (n = 2)

  9. RESULTS (2): Case report 1: • Pretermboy (1-day old) • Laparoscopicrepairof duodenal atresia • PDA • Developedbradycardia, hypotension, desaturationandpulselesselectricalactivity => CPR Cardiacarrest in theneonateduringlaparoscopicsurgery. LalwaniK1, AliasonI. AnesthAnalg. 2009 Sep;109(3):760-2

  10. RESULTS (3): Case report 2: • Pretermboy (3-weeks old) • Laparoscopicpyloromyotomy • Noreportedcardiacanomalies • Bradycardia, hypotension, desaturation Carbon dioxideembolism in a 3-week-old neonateduringlaparoscopicpyloromyotomy: a casereport. Kudsi OY1, Jones SA, Brenn B. J Pediatr Surg. 2009 Apr;44(4):842-5

  11. RESULTS (4): Case report 3: • Term boy (3-day old) • Laparoscopicrepairof duodenal atresia • PDA and PFO • Desaturation, pulselesselectricalactivity => CPR Pneumoperitoneumforneonatallaparoscopy: howsafeisit? Olsen M1, Avery N, Khurana S, Laing R. PaediatrAnesth. 2013 May;23(5):457-9

  12. RESULTS (5): Case report 4: • Term girl (12-day old) • Laparoscopicpyloromyotomy • PFO • Cardiacarrest => CPR Gas embolusandcardiacarrestduringlaparoscopicpyloromyotomy in an infant. Taylor SP, Hoffman GM. Can J Anaesth. 2010 Aug;57(8):774-8

  13. RESULTS (6): • In all fourneonates gas embolismthrough a patent umbilicalvein was assumedtoberesponsibleforthecardiovascularevents • All neonatesweresuccessfullyresuscitated • Noneurologicalorcardiopulmonarysequelae • Persistent fetal ciruculation in threeoffourpatients

  14. CONCLUSION: • Gas embolism (carbondioxideorair) is a rare but seriouscomplication • Riskfactors: persistent umbilicalvein + injuryand persistent fetal ciruculation

  15. Thanks' for your kind attention!!!!!!

  16. Let Us Meet Again We welcome you all to our future conferences of OMICS International Please Visit:http://cardiology.conferenceseries.com http://www.conferenceseries.com/ http://www.conferenceseries.com/clinical-research-conferences.php

More Related