ABSTRACT
When contemplating laparoscopy in a pediatric patient, an experienced anesthetic team is essential. Insufflation of the abdomen with carbon dioxide gas (CO2) increases intraabdominal and intrathoracic pressure with the potential for ventilation and perfusion abnormalities. Correct insufflation pressure is critical in infants because they rely on diaphragmatic excursion for adequate ventilation. Over insufflation may result in restricted diaphragmatic movement.
