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BJA Advance Access originally published online on January 22, 2004
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British Journal of Anaesthesia, 2004, Vol. 92, No. 3 434-437
© 2004 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Laparoscopic surgery in a patient with ventriculoperitoneal shunt: monitoring of shunt function with transcranial Doppler

J. Ravaoherisoa1, P. Meyer*,3, R. Afriat2, Y. Meyer1, E. Sauvanet2, A. Tricot1 and P. Carli3

1 Department of Anaesthesiology and 2 Department of Surgical Gynaecology and Obstetrics, Hôpital Notre Dame de Bon Secours, Paris, France. 3 Department of Anaesthesiology, Centre Hospitalier Universitaire Necker Enfants-Malades, Université Paris 5, Paris, France

*Corresponding author. E-mail: philippe.meyer@nck.ap-hop-paris.fr

We describe the use of transcranial Doppler (TCD) monitoring during laparoscopic resection of an ovarian cyst in a young woman who previously underwent ventriculoperitoneal shunting for hydrocephalus. Shunt function was not altered by pneumoperitoneum, except during transient episodes of high intra-abdominal pressure. The role of TCD monitoring during laparoscopic procedures in patients with cerebrospinal fluid shunt is discussed.

Br J Anaesth 2004; 92: 434–7


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