Abstract
AbstractMinimally invasive surgery offers a better surgical experience with a wide-range of application across several surgical procedures. Understanding the physiologic changes related to the interaction of intraperitoneal insufflation, the effects of carbon dioxide, patient positioning and patient-specific factors will guide anesthetic management. An enhanced recovery program is a complimentary approach to minimally invasive surgery through the integration of various elements including short fasting time, multi-modal pain management, early mobilization and post operative nausea and vomiting (PONV) prophylaxis. Mitigating the cardiovascular and ventilatory consequences, optimizing patient’s preoperative status and close coordination of care in a team-based approach will result in early recovery, cost-effectiveness and improve over-all patient experience as well as minimize adverse outcomes.
Publisher
Springer Nature Singapore