Difference between revisions of "Cholecystectomy"
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===Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. -->=== | ===Maintenance and surgical considerations<!-- Describe the important considerations and general approach to the maintenance of anesthesia, including potential complications. Be sure to include any steps to the surgical procedure that have anesthetic implications. -->=== | ||
* Intraoperative insufflation may cause atelectasis, decrease FRC, increase PIPs, and increase CO2 | |||
===Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. -->=== | ===Emergence<!-- List and/or describe any important considerations related to the emergence from anesthesia for this case. -->=== | ||
Revision as of 20:32, 8 February 2021
Cholecystectomy
| Anesthesia type |
General |
|---|---|
| Airway |
Endotracheal tube |
| Lines and access |
Peripheral IV |
| Monitors |
Standard ASA / 5-lead EKG |
| Primary anesthetic considerations | |
| Preoperative |
- |
| Intraoperative |
- |
| Postoperative |
- |
| Article quality | |
| Editor rating | |
| User likes | 1 |
A cholecystectomy is generally performed to treat symptomatic cholelithiasis and other gallbladder conditions. This is one of the most common procedures performed in hospitals in the United States. Of the more than 20 million people in the US with gallstones, about 30% will eventually require cholecystectomy to relieve symptoms or treat complications. A cholecystectomy can be performed laparoscopically or as an open procedure. Surgical practice has largely transitioned to the laparoscopic approach.
Preoperative management
Preoperative evaluation
| System | Considerations |
|---|---|
| Respiratory |
|
| Cardiovascular | |
| Renal |
|
| Gastrointestinal | |
| Hematologic |
|
Operating room preparation
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
Maintenance and surgical considerations
- Intraoperative insufflation may cause atelectasis, decrease FRC, increase PIPs, and increase CO2
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Variant 1 | Variant 2 | Variant 3 | |
|---|---|---|---|
| Unique considerations | |||
| Position | |||
| Surgical time | |||
| EBL | |||
| Postoperative disposition | |||
| Mortality | |||
| Morbidity | |||
| Pain |