• Laparascopic surgery
    • Physiological effects
      • CVS
        • IAP <10 mmHg
          • ↑venous return, ↑CO
        • IAP 10-20 mmHg
          • Dec venous return, ↓CO
            ↑SVR, BP N or ↑
        • IAP > 20 mmHg
          • ↓venous return, CO ↡, hypotension
        • Arrhythmias
      • Respiratory
        • Lung volumes and FRC low
        • High airway resistance
        • Low pulmonary compliance
        • Airway pressure increased
        • Risk of barotrauma
        • V/Q mismatch
        • Endobronchial intubation
        • Atelectasis
      • Renal
        • Reduced GRF
      • GI
        • Risk of regurgitation
        • ↓splanchnic circulation
      • Neurological
        • High ICP
        • Lower CPP
      • Positioning issues
    • Post-op
      • Antiemetics
      • Shoulder-tip pain
      • Cerebral irritation in long cases
      • Airway oedema can occur
    • Benefits
      • Reduced wound infection
      • Faster recovery
      • Reduced morbidity
      • Reduced pain
    • Surgical complications
      • CO₂ absorption
      • SubQ emphysema
      • Venous gas embolism
      • Bowel perforation
      • Retroperitoneal haematoma
      • 'Well leg' compartment syndrome
    • CEACCP
      Link:ceaccp.oxfordjournals.org/content/early/2011/07/13/bjaceaccp.mkr027.full.pdf