Aliases:
Lap chole
Lap choli

Topic aliases are alternate phrasings for a particular topic.


May need to convert laparoscopic to open if difficult surgery or uncontrollable haemorrhage

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Risk of deep vein thrombosis (DVT) is high. Give LMWH if not already given and if no contraindications to heparin anticoagulation exist.
Chest 2008;133;71S-109 refl.in/u

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Antibiotics as per surgeon. Check to see what antibiotics have already been administered.

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Endotracheal tube as patient will be relaxed & ventilation will be against raised intraperitoneal pressure

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When intubating for a lap chole, avoid insufflating the stomach with high mask ventilation pressures as this may make visualising the gallbladder more difficult. Either perform a modified rapid sequence induction or use airway adjuncts to optimise the patency of the upper airway.

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If being performed laparoscopically, the required right side & head up table adjustments places the patient at risk of falling off the table. Ensure there is no slipsheet under the patient & consider placing a non-slip insert.

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Multimodal oral analgesia if an uncomplicated laparoscopy

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PCA + multimodal analgesia if open surgery

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