An appropriate maximum CO2 insufflation pressures for pediatric laparoscopic surgery would be:

a) 5

b) 15

c) 20

d) 25

e) 30

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Answer

Answer b. In general, higher insufflation pressure results in improved surgical field visualization and lower pressure results in improved hemodynamics/venous return. Insufflation pressures greater than 15 may result in significant perturbations of physiology (particularly in infants), but 5 or less is unlikely to provide adequate exposure.

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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