Anesthesia for Major Urologic Surgery

Cockcroft, James; Berry, Colin; McGrath, John; Daugherty, Mark O.

doi:10.1016/j.anclin.2014.11.010

Cited by 16 publications

(9 citation statements)

References 10 publications

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“…Achieving access through a suprapubic incision with the mini advance access platform (GelPOINT) is technically simple and avoids the risks inherent to intraperitoneal access, such as accidental visceral puncture. In addition, transvesical access avoids the need for steep Trendelenburg positioning, which after extended periods of time is associated with rhabdomyolysis, positioning injuries and facial/laryngeal oedema . After the SP system is docked, the SP cannula is positioned inside the bladder, providing an acceptable pneumovesicum owing to the effective seal from the multi‐access platform.…”

Section: Discussionmentioning

confidence: 99%

Robot‐assisted transvesical partial prostatectomy using a purpose‐built single‐port robotic system

Kaouk

Sagalovich

2018

BJU International

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Section: Discussionmentioning

confidence: 99%

Robot‐assisted transvesical partial prostatectomy using a purpose‐built single‐port robotic system

Kaouk

Sagalovich

2018

BJU International

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“…Robot docking may disturb patient assessment and immediate management, particularly in an emergency situation. Patient movement may lead to tissue injury during robot docking [22]. Thus, sufficient neuromuscular blockade (NMB) should be considered to prevent movement or muscle contraction.…”

Section: Nephrectomymentioning

confidence: 99%

“…Urologic surgeries commonly produce mild to moderate pain [22]. Pain control is one of the important factors affecting the quality of recovery.…”

Section: Pain Control and Recoverymentioning

confidence: 99%

Anesthetic considerations for urologic surgeries

Koo

Ryu

2020

Korean J Anesthesiol

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Urologic surgeries are widely performed, and the cases have increased owing to the fact that the elderly population is growing. The narrow and limited surgical space is a challenge in performing most urologic surgeries. Additionally, the elderly population is exposed to the risk of perioperative complications; therefore, a comprehensive understanding and approach are required to provide optimized anesthesia during surgery. We have searched the literature on anesthesia for urologic surgeries and summarized the anesthetic considerations for urologic surgeries.

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“…The patient's health status is also optimized by management of anemia, glycemic control and treatment for hypertension, as well as dietary, weight and smoking-cessation advice before surgery. A consultant-led, multidisciplinary decision can be made as to which procedure and approach are required for each patient [12]. Because these patients usually have comorbid disease such as advanced age, hypertension, diabetes, chronic obstructive pulmonary disease and congestive heart failure and they have had a long and major surgery, it should be appropriate to prepare intensive care bed for these patients to stay in intensive care unit for the critical postoperative period.…”

Section: Radical Nephroureterectomymentioning

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 for Major Urologic Surgery

Cited by 16 publications

References 10 publications

Robot‐assisted transvesical partial prostatectomy using a purpose‐built single‐port robotic system

Robot‐assisted transvesical partial prostatectomy using a purpose‐built single‐port robotic system

Anesthetic considerations for urologic surgeries

Anesthesia for Urological Surgery

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