Abstract

CAJIGA-LEON, Ana de la; JIMENEZ-RAMOS, Adriana  and  OLIVARES-MENDOZA, Horacio. Physiological changes and anaesthetic considerations in non-cardiac robotic surgery. Rev. mex. anestesiol. [online]. 2019, vol.42, n.1, pp.62-67.  Epub Sep 30, 2020. ISSN 0484-7903.

Robotic surgery offers numerous advantages over conventional laparoscopic or open surgery. The anesthesiologist must have full knowledge of the physiological changes that happen when the patient undergoes robotic surgery; it being gynecological, urological, general surgery, thoracic or trans-oral surgery. There are multiple changes during robotic surgery involving the cardiovascular, respiratory, neurologic, digestive and renal systems. It is of utter importance the full knowledge of these changes in order to avoid complications during and after surgery. Also, it is important to fully know the emergency protocol for undocking if need be, to convert to laparoscopic or open surgery. We have summarized the main anesthetic considerations as well as the key points of care anesthesiologists must have during non-cardiac robotic surgery.

Keywords : Anesthesia; robotic surgery; urologic surgery; gynecologic surgery; anesthetic complications; pneumoperitoneum; patient positioning.

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