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Continuing Education in Anaesthesia, Critical Care & Pain Advance Access originally published online on June 25, 2009
Continuing Education in Anaesthesia, Critical Care & Pain 2009 9(4):125-129; doi:10.1093/bjaceaccp/mkp020
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© The Author [2009]. Published by Oxford University Press on behalf of The Board of Directors of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournal.org

Anaesthesia for robot-assisted laparoscopic surgery

Michael Irvine, BSc (Hons) MB BS MRCP(UK) FRCA
Specialist Registrar in Anaesthesia
Addenbrookes University Hospital NHS Trust
Hills Road
Cambridge CB2 0QQ
UK

Vishal Patil, MD FFARCS(I)
Consultant Anaesthetist
Department of Anaesthesia
Addenbrookes University Hospital
NHS Trust
Hills Road
Cambridge CB2 0QQ
UK
Tel: +44 1223 217 434
Fax: +44 1223 217 223
E-mail: vishal.patil@addenbrookes.nhs.uk (for correspondence)

The first 150 words of the full text of this article appear below.


Key points

The use of robot-assisted surgery is increasing in most surgical specialities.
It is important that the anaesthetist understands the effects that the presence of a robot will have on their anaesthetic technique.
Robot-assisted prostatectomy is currently the most common procedure, and successful anaesthesia requires meticulous attention to detail, especially during patient positioning.
Surgical pneumoperitoneum combined with a steep Trendelenburg position may cause haemodynamic instability and hypoxaemia.
Airway oedema may occur after surgery; this may be related to over-administration of fluids.

 

Over the last 20 yr, the applications of laparoscopic or minimally invasive surgery have increased exponentially, finding utility across virtually every branch of surgical practice. The potential advantages for patients include reduced pain, quicker recovery, shorter hospital stay, and smaller surgical incision. However, these benefits must be balanced against the difficulties of operating in a three-dimensional space while viewing a two-dimensional image, and using long instruments that magnify . . . [Full Text of this Article]


   History
 

   da Vinci surgical robot
 

   Anaesthesia for robot-assisted laparoscopic prostatectomy
 
Preoperative assessment

Conduct of anaesthesia

Pneumoperitoneum

The robot

Communication

Emergence from anaesthesia

Postoperative considerations


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