Abbas, D., Kamal, J., El Sheikh, S., Mahmod, A. (2013). Early experience in anesthesia of robot assisted cystoprostatectomy. test, 29(1), 77-81. doi: 10.1016/j.egja.2012.09.003
Dina N. Abbas; Jehan M. Kamal; Somia M. El Sheikh; Ahmed M. Mahmod. "Early experience in anesthesia of robot assisted cystoprostatectomy". test, 29, 1, 2013, 77-81. doi: 10.1016/j.egja.2012.09.003
Abbas, D., Kamal, J., El Sheikh, S., Mahmod, A. (2013). 'Early experience in anesthesia of robot assisted cystoprostatectomy', test, 29(1), pp. 77-81. doi: 10.1016/j.egja.2012.09.003
Abbas, D., Kamal, J., El Sheikh, S., Mahmod, A. Early experience in anesthesia of robot assisted cystoprostatectomy. test, 2013; 29(1): 77-81. doi: 10.1016/j.egja.2012.09.003

Early experience in anesthesia of robot assisted cystoprostatectomy

Egyptian Journal of Anaesthesia
Volume 29, Issue 1, January 2013, Pages 77-81    PDF (309.26 K)
DOI: 10.1016/j.egja.2012.09.003
Authors
Dina N. Abbas; Jehan M. Kamal; Somia M. El Sheikh; Ahmed M. Mahmod
Abstract
Objective
Robot assisted cystectomies have recently been undertaken in our institute. We will discuss the perioperative management of the first 25 cases of robot-assisted cystprostatectomies with urinary diversion.
Methodology
The study was conducted on 25 consecutive patients who underwent robotic radical cystprostatectomies with urinary diversion. Hemodynamic, pulmonary data and ABG changes were recorded.
Results
There were significant increase in mean arterial blood pressure, CVP and arterial carbon dioxide tension, plateau airway pressure after pneumoperitoneum and trendlenberg position with significant decrease in lung compliance.
Conclusion
Robotic assisted radical cystectomy in the exaggerated trendlenberg position is a challenging clinical setting to anesthetists. Continuous monitoring intraoperatively and postoperatively with rapid interaction with anticipated events and potential risks is essential.
Keywords
Anesthesia monitoring; Robotically-assisted surgery; Trendelenburg Position; pneumoperitoneum
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