Influence of Analgesia and Neuromuscular Block on Abdominal Distension and Operating Conditions Laparoscopic Operations

Influence of Analgesia and Neuromuscular Block on Abdominal Distension and Operating Conditions During Gynecologic Laparoscopic Operations

Neuromuscular block improves operation conditions during laparoscopic surgery. In this study, a new measurement tool is assessed: the degree of abdominal distension during the time course of the neuromuscular block is measured and compared with a standardized score (surgical rating score).

Inclusion Criteria:

• laparoscopic gynecologic surgery
• American Society of Anesthesiologists Physical Status ASA 1-2

Exclusion Criteria:

• anticipated difficult airway
• increased risk for pulmonary aspiration
• acute infection
• pregnancy
• impaired liver- oder kidney function
• neuromuscular disease
• chronic intake of drugs known to influence neuromuscular blockade