Anaesthesia and Perioperative Care for Transoral Robotic Surgery

Abstract

Minimally invasive surgical techniques have gained increasing interest in recent years for their conferred recovery and postoperative advantages. Robot-assisted surgery requires special consideration for anaesthetic and perioperative management. The introduction of robot- assisted intra-oral surgery has important implications on anaesthesia provision, airway management and patient safety. Due to its relatively novel use we explore these considerations alongside our own experience in this field.

A Preliminary Feasibility Study on Hemodynamic Changes Following Feyh-Kastenbauer Retractor Insertion During Transoral Robotic Surgeries

“…Jeyarajah et al in their review article on perioperative concerns in patients with robotic-assisted ENT surgeries advocate the use of opioids like fentanyl, remifentanil, and beta-blockers to obtund the sustained hemodynamic response to retractor placement [17]. In another recent case series of four cases, they described the use of fentanyl boluses and beta-blockers to reduce the sympathetic response.…”