| Popis: |
The brachial plexus is formed by the union of the anterior rami of C5, C6, C7, C8 and T1, the etiology of the lesion in the adult patient can be for firearm projectiles, sharps injuries, tension or stretch plexus during surgery, motorcycle accidents or sports activities, as well as radiation. Although the objective advantages of laparoscopic surgery over the conventional approach, its implementation involves a number of important pathophysiological changes determined by the installation of a pneumoperitoneum of CO2 by placing the patient in Trendelenburg position. These changes induce a number of important clinical implications that manifest at the level of the respiratory, cardiovascular, nervous and Internal environment that lead to the analysis of a set of anesthesiologic considerations aimed at correcting these abnormalities and prevent the development of complications. |
