Anesthesia considerations for robotic surgery in gynecologic oncology

Badawy, Mohamed; Béı̈que, François; Alhalal, H; Azar, Tania; Akkour, Khalid; Lau, Susie; Gotlieb, Walter H.

doi:10.1007/s11701-011-0261-z

Cited by 18 publications

(14 citation statements)

References 11 publications

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“…CRNAs are charged with anaesthetising the patient and maintaining the patient's airway and hemodynamic status. Physiologically, maintaining homeostasis is complicated by the steep Trendelenburg position needed for performing RALS and management of the subsequent pneumoperitoneum that can last for many hours (Kaye et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Perceptions and experiences of perioperative nurses and nurse anaesthetists in robotic‐assisted surgery

Schuessler

Stiles

Mancuso

2019

Journal of Clinical Nursing

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Aims and objectives To explore the perceptions and experiences of perioperative nurses and Certified Registered Nurse Anaesthetists (CRNAs) in robotic‐assisted laparoscopic surgery (RALS). The objective was to identify the factors that affect nursing care of patients who undergo robotic‐assisted laparoscopic surgery (RALS). Background The rapid introduction of technological innovations into the healthcare system has created new challenges for perioperative nurses. RALS affects the physical and interpersonal context of the surgical team's work and subsequent patient outcomes. Despite significant changes to the workflow for perioperative nurses and CRNAs, there is little research focusing on the nurses’ experience and their challenges with RALS. Design A qualitative descriptive study. Method Semi‐structured interview questions guided data collection. A total of seventeen participants including six preoperative and postoperative nurses, seven intraoperative nurses, and four CRNAs in the United States were interviewed. The interviews were conducted between 26 April–24 June 2018. Data were analysed using thematic analysis, and the COREQ checklist was used to report data collection, analysis and the results. Results Three major themes and two categories within each theme were identified: (a) surgical innovation: nurse perception and workflow; (b) interprofessional practice: teamwork and standards; and (c) outcome: patient outcomes and system outcomes. Conclusions The findings indicate that RALS has the potential to improve patient outcomes when performed in a timely fashion by skilled surgeons, and efficient, well‐trained surgical teams. For patients to experience full benefits of RALS, patient characteristics, the underlying reason for surgery, and cost must be considered. Relevance to clinical practice The results of this study highlight the necessity of promoting factors that improve the surgical team training and practice for RALS and will ultimately impact patient outcomes.

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Section: Introductionmentioning

confidence: 99%

Perceptions and experiences of perioperative nurses and nurse anaesthetists in robotic‐assisted surgery

Schuessler

Stiles

Mancuso

2019

Journal of Clinical Nursing

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“…Anesthesia-related events may be caused by the presence of pneumoperitoneum or positioning issues. 6,11 The patient's hemodynamic stability is greatly affected by the presence of excessive carbon dioxide in the peritoneal cavity because it pushes the abdominal contents in the diaphragm, 2 which can reduce overall lung capacity and decrease lung compliance. In rare situations, rapid insufflation can cause the gas to enter the bloodstream and cause gas embolism, cardiovascular failure, or death.…”

Section: Anesthesia Factorsmentioning

confidence: 99%

Robotic Emergencies: Are You Prepared for a Disaster?

Carlos¹,

Saulan²

2018

AORN Journal

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The surgical robot is a complex tool that surgeons use to perform a variety of minimally invasive procedures. Perioperative nurses play a vital role in patient care when the surgical robot is in use; a key goal is to ensure optimal patient safety while using this complex, innovative technology. Robotics proficiency requires extensive and continuous education for all members of the perioperative team. Successful robotics programs should employ focused initiatives and a multidisciplinary approach for the prevention and management of robotic emergencies. To facilitate the appropriate response and minimize patient harm, members of the surgical team should be aware of their expected roles and responsibilities. The robotics program should have specific procedures and protocols, such as a critical event checklist and an emergent conversion-to-open procedure checklist that define each surgical team member's task during an emergency, and robust ongoing education, skills review, and competency validation for robotics team members.

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“…Although facial edema is common, but laryngeal edema may prevent the extubation of patient and can cause delay extubation in 5% of patients [55,56].…”

Section: Complicationsmentioning

confidence: 99%

Anesthesia for Urological Surgery

Tekgül¹,

Horsanalı²,

OzanHorsanali³

2017

Current Topics in Anesthesiology

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Because of the variable techniques and patients' positions used in urological surgery, anesthesia for urologic surgery requires advanced knowledge and special transactions. In this mater, it is important to follow current approaches for anesthesiologists. Diferent surgical procedures and complications due to diferent positions or anesthesia were evaluated separately to be more concise. We have researched recent literature and created this chapter about new technologies in urological surgery and development in anesthesia for urological surgery.Keywords: urological anesthesia, anesthesia management, anesthesia complications, urological surgery complications IntroductionAnesthesia for urological surgery includes unique distinctive diferences, as in all other surgical departments. Therefore, anesthesia for urological surgery requires featured training and experience.To reduce the risk of complications in urological surgery, like all other kinds of surgery, regional anesthesia techniques came to prominence with the help of technological developments. For many urological ventures, only neuraxial blockade application could be enough. This also results in decreased complication risks. In surgeries that must be done with general anesthesia, epidural anesthesia can be used for the maintenance of anesthesia or in the postoperative period. In this way, the rate of intraoperative complications can be reduced and patients' comfort can be increased by providing postoperative pain control and also duration of hospital stay can be reduced [1].© 2017 The Author(s). Licensee InTech. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.During the urological surgery, diferent complications can develop depending on surgical techniques used. For example, most of urological ventures require lots of irrigation luids. In this venture, use of unheated irrigation luid can lead to complications such as hypothermia, delayed recovery from anesthesia and tremor [2].In addition to neuraxial blockade, the use of peripheral blockade has gained importance in urological surgery. For example, obturator blockade application for lateral wall localized bladder cancer could reduce intraoperative complications and increased cancer-free survival [3,4]. Anesthesia for kidney and upper urinary tract surgery Oncological surgery of kidney and upper urinary tract Radical and partial nephrectomyRenal cell carcinoma (RCC) is the ninth common cancer in the USA. According to the SEER database analysis, it is estimated that there will be 62,700 new cases and 14,240 people will die because of this disease. The incidence of kidney and renal pelvis cancer was 15.6 per 100,000 in the USA between 2009 and 2013 [5]. All around the world, radical or partial nephrectomy is accepted curative treatment for kidney tumors. Partial nephrectomy can be performed depending...

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Anesthesia considerations for robotic surgery in gynecologic oncology

Cited by 18 publications

References 11 publications

Perceptions and experiences of perioperative nurses and nurse anaesthetists in robotic‐assisted surgery

Perceptions and experiences of perioperative nurses and nurse anaesthetists in robotic‐assisted surgery

Robotic Emergencies: Are You Prepared for a Disaster?

Anesthesia for Urological Surgery

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