A brief review: anesthesia for robotic prostatectomy

Baltayian, Sarkis

doi:10.1007/s11701-008-0088-4

Cited by 42 publications

(70 citation statements)

References 29 publications

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“…Thus, any lines, monitors, and patientprotective devices must be placed beforehand and should be secured to ensure no kinking or displacement [26]. It is impossible to allow changes in patient position or any kind of access to the patient if the robot is not detached first.…”

Section: Korean J Anesthesiolmentioning

confidence: 99%

“…Also, most of the lung is below the left atrium and thus in the pulmonary zone 3 or 4 condition. Patients are prone to ventilation-perfusion mismatch, atelectasis, and pulmonary interstitial edema [26]. To overcome the negative influence of the steep Trendelenburg position to the lungs, a tidal volume of 6-8 ml/kg and a positive end-expiratory pressure of 4-7 cmH 2 O are recommended for the prevention of atelectasis, and maximal airway pressure should be kept under 35 cmH 2 O [12].…”

Section: Prostatectomymentioning

confidence: 99%

“…Clinical swelling of the face and upper airway with venous stasis in the head and neck is common [26]. Mildly restrictive fluid management is required for less facial edema and decreased excessive urine output that could obscure the operation field [6,47].…”

Section: Prostatectomymentioning

confidence: 99%

“…For RALRP, the patient is in a lithotomy and steep Trendelenburg position, of usually 30 o or more. The patient's arms will be tucked at the sides and the drapes will keep the patient far away from the reach of the anesthesiologist [26]. Such patients are prone to sliding off, but shoulder braces can cause brachial plexus injuries [47].…”

Section: Prostatectomymentioning

confidence: 99%

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Anesthetic Considerations with Robotic Surgery

Giordano

Gravenstein

2017

Atlas of Robotic Urologic Surgery

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Review ArticleRecently, demand for minimally invasive surgery has increased greatly. As a result, robot-assisted techniques have gained in popularity, because they overcome several of the shortcomings of conventional laparoscopic techniques. However, robotic surgery may require innovations with regard to patient positioning and the overall arrangement of operative equipment and personnel, which may go against the conservative nature of anesthesia care. Anesthesiologists should become familiar with these changes by learning the basic features of robotic surgical systems to offer better anesthetic care and promote patient safety. (Korean J Anesthesiol 2014; 66: 3-11)

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Section: Korean J Anesthesiolmentioning

confidence: 99%

Section: Prostatectomymentioning

confidence: 99%

Section: Prostatectomymentioning

confidence: 99%

Section: Prostatectomymentioning

confidence: 99%

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Anesthetic Considerations with Robotic Surgery

Giordano

Gravenstein

2017

Atlas of Robotic Urologic Surgery

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“…Este posicionamento pode causar lesões em nervos como femoral, fibular, ulnar e plexo braquial, além do risco do paciente escorregar da mesa cirúrgica. Os braços do robô ou outra parte podem encostar no paciente causando lesões (28,29,30) .…”

Section: Anestesia Analgesia E Cirurgia Robóticaunclassified

O uso de Dexmedetomidina pode diminuir a dor pós-operatória em pacientes submetidos a prostatectomia radical robótica?

Quinto¹

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AGRADECIMENTOSAgradeço aos que me acompanharam nesta trajetória e com seu conhecimento, compreensão, amizade, competência, para que esta tese fosse possível e se tornasse realidade, ao Professor Dr. Miguel Srougi, Professor Dr. Homero Bruschini e Professor Dr. Alberto Azoubel Antunes.Ao meu orientador Professor Dr. Carlo Camargo Passerotti, pela orientação, ensinamento, confiança e competência.A Sabrina Reis, pela amizade, paciência e ajuda. ,25% e 15,4% had more than 5mg of morphine on postoperative care unit), patients that received DEX intraoperatively, required higher doses of morphine on postoperative care unit.The DEX group presented more patients with severe pain (84,6%) and fewer without pain(15,4%).The use of DEX intraoperatively lead to a reduction of non-opioid use in postanesthesia care unit and neither patients had non opioid analgesia , when morphine is associated to DEX 2,8% received, and with the other two groups 12,5% (p=0,083). The DEX and morphine received less morphine than the other groups on postanesthesia care unit (59% received any morphine)(p=0,135).On immediate postoperative period and first postoperative period , 100% received any morphine(p=0,555), this group had more patients with lesser pain, 48,7% had no pain on postanesthesia care unit e 51,3% on immediate postoperative period. The combination of DEX and morphine lead to an impressive reduction of pain on immediate postoperative period(10,3%),patients had about 8 times less severe pain than the group that did not receive neither morphine or DEX(81,3%)(p=0,000).Conclusion: The use of DEX infusion was not suitable regarding morphine spare and reduction of pain of the patients undergoing robotic-assisted radical prostatectomy. An association between DEX and Morphine seems to be the best option to relieve post-op pain and decrease morphine usage. Normatização

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