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Table 43-2

  • Creation of pneumoperitoneum (carbon dioxide insufflation and intra-abdominal pressure)
    • Hemodynamic
    • Pulmonary
    • Neurohumoral responses
  • Surgical instrumentation
    • Injury (vascular, gastrointestinal, genitourinary, nervous system, thermal)
    • Subcutaneous emphysema
    • Capnothorax, capnomediastinum, capnopericardium
    • Gas embolism
  • Patient positioning