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BJA Advance Access published online on January 22, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh067
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted September 4, 2003

Case Reports

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

J. Ravaoherisoa 1, P. Meyer 2*, R. Afriat 3, Y. Meyer 1, E. Sauvanet 3, A. Tricot 4, P. Carli 2

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

* To whom correspondence should be addressed. E-mail: philippe.meyer{at}nck.ap-hop-paris.fr.


  Abstract

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

Keywords: Keywords: brain, intracranial pressure; measurement techniques, transcranial Doppler; surgery, laparoscopy; surgery, ventriculoperitoneal shunt


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[Abstract] [Full Text] [PDF]


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